How to Get Great Skin Before the Ball Drops on 2019

Most women seem to experience skin care problems just when they want to look their best. Every woman can relate to waking up with a huge zit right at the tip of her nose, or huge dark circles under the eyes, and the list goes on. There are pre-emptive measure one can take with less than two weeks until the New Year to ward off these skin care evils. We turned to Dr. Manish Shah, a Denver board certified plastic surgeon for guidance on what to do without breaking the bank or having invasive surgery.

Facial Extractions by a licensed aesthetician- Dr. Manish Shah says, “When done correctly extraction facials can clear closed comedones (AKA those tiny, flesh-colored bumps that never come to a head, yet never really go away), remove whiteheads and blackheads, and give your skin a newer, fresher foundation for your skincare products to penetrate. Basically, extractions can be the kiss of life for your lifeless broken out skin.”

Drink Alcohol in Moderation – If you plan on ringing into 2019 with a few glasses of bubbly, Dr. Shah recommends moderating your alcohol consumption leading up to the big day. He explains, “Alcohol can dehydrate the skin and cause it to appear less fresh and vibrant, which can certainly hinder your skin care efforts.” 

Cleanse your Face Every Night - You have just arrived home at 2 am from a holiday Party. It may be tempting to flop into bed without washing your face. Don’t do it! Dr. Shah says that, “Sun damage isn’t the only environmental factor you have to worry about. Small micro particles from air pollutants might just hurt your skin, too. Play it safe by remembering to take a minute to cleanse your face to remove debris that could be weakening your skin. In addition, that foundation and pressed powder you have been wearing all night can clog your pores and cause breakouts.”

Start Exfoliating – Want brighter, younger-looking skin? It starts with a great at home exfoliator! Dr. Shah explains that, “As your skin replenishes itself, dead skin cells start to build up on the top layer, leaving you looking dull. Exfoliating regularly removes this layer, revealing fresh, healthy skin. Regular exfoliation also allows your moisturizer and other topical products to penetrate more deeply, making them more effective.” 

Clean Your Makeup Brushes – You would not eat food on dirty dishes, would you? Applying makeup with dirty brushes is not so different. Not only will dirty brushes give you a spotty application, but they can harbor bacteria, dirt and oil, leading to acne and breakouts which necessitates piling on even more makeup to cover it up. 

Don’t Squeeze Your Pimples! – Here’s a secret that many a supermodel or actress use: Steroid shots. Dr. Shah explains that, “when we discuss treating acne with cortisone or “steroid” shots, we are referring to the process of gently placing a very dilute quantity of a “glucocorticoid” steroid into the cyst. Glucocorticoids are a class of steroid molecules that are naturally produced by our bodies and have numerous functions including the regulation of human metabolism, immunity, and inflammation. They have very potent anti-inflammatory effects, so they are often used to treat inflammatory diseases in medicine. They can be formulated as creams to treat skin rashes or as pills to treat systemic disease. They can also be injected directly into local areas of inflammation such as in arthritic joints and inflamed acne cysts. Within one or two days of injection into a cyst, the steroid will shrink the inflammation producing relief of pain and almost immediate cosmetic improvement.”

Peels – Look for AHA/BHA/PHA peels that will exfoliate the skin and help release the top layers of dead skin cells allowing for a more radiant underlay to come through.

Microdermabrasion – This professional treatment exfoliates at a deeper level (like a peel), with a mechanical handheld device that buffs away the upper layers of the skin. 

Add vitamin C to your routine. – Dr. Shah suggests applying several drops of vitamin C serum underneath SPF each morning to target free radical damage, help lighten brown spots, and even out your skin tone. 

Moisturizer – It may seem obvious, but when it comes to dewy, glowing skin, moisturizing is essential. “When your skin is dry, it looks dull, so hydrating ingredients can help bring back that glow,” says Dr.  Shah. For skin types already prone to shine, adding moisture may seem like the last thing you need, but an oil-free hydrator with ingredients like hyaluronic acid could actually help reduce your sebum production and even out slickness into a sleek glow.

About Dr. Manish Shah

Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time, he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.

Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Dr. Shah is a past Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center based at Denver Health Medical Center, the Rocky Mountain region’s only academic Level I trauma center. He is a past Chief of Plastic Surgery at Denver Health Medical Center. He also maintains a private practice in Aesthetic and Reconstructive Plastic Surgery on the Dry Creek Medical Center campus (DTC/Denver) and up in the Aspen Valley (Basalt – in the office of MD Aesthetics – Tim Kruse, M.D.).

Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery and the International Society of Aesthetic Plastic Surgery.

Dr. Shah is board-certified by the American Board of Plastic Surgery.

Don’t Set Foot at the Beach or Pool This Summer if You’re Using These Skincare Products

You’re all set for a fun day in the sun with your wide-brimmed hat to shield you from the UV rays, and you have given your waterproof SPF 30 or higher plenty of time to absorb into your skin. To play it safe, you have brought more suntan lotion to reapply after swimming or sweating. You are a dermatologist’s dream – or so you think!  Have you given any thought to what you applied to your skin the night before or that morning before your set out for your day?  The answer is you probably have not if you have concocted a skincare regimen that works for your skin type. The problem:  What is effective for Winter, Spring and Fall, can cause significant photo-sensitivity (read burning) and other skin complications come Summer.  We turned to Dr. Manish Shah, a Board- Certified Denver, Colorado plastic surgeon to reveal what types of products/ingredients sun worshippers should avoid and what can serve as safe substitutes.

Dr. Shah explains that “Certain ingredients in products make people photosensitive. Photosensitivity (or sun sensitivity) is inflammation of the skin induced by the combination of sunlight and certain medications or substances. This causes skin redness and may look similar to a sunburn. Both the photosensitizing medication or chemical and light source have to be present in order for a photosensitive reaction to occur. Consumers should understand that it is not brands of skincare that can make one photosensitive but rather the ingredients in those brands.”

According to Dr. Manish Shah

If you are planning to be in the sun, do not use the following types of products

Topical Acids Alpha and beta hydroxy acids such as glycolic, lactic, and salicylic acids can cause the skin to be more susceptible to sun damage from being regularly exfoliated. These ingredients are commonly used in anti-aging, skin-brightening, and acne-fighting products.

Alternative:  While AHAs and BHAs only cause minimal photosensitivity, you wouldn’t want to risk feeling that stinging sensation on your face. There are alternatives. Azelaic acid, found in wheat, rye and barley—comes in handy during the day as it is useful in the treatment of acne, rosacea, melasma and post-inflammatory hyperpigmentation and is not associated with the sun-induced reaction.

Benzoyl peroxide – This is most typically found in acne products and can cause the skin to be very sensitive.

 Alternative: Zinc. Zinc enhances the immune system and has anti-inflammatory properties. Another major role of zinc is to regulate cell production and turnover and reduce the amount of natural oil that your skin produces. It prevents pores from clogging and subsequent acne formation. Zinc oxide is present in many physical sunscreens and is less likely to cause sun-sensitivity. “So, wear a good sunscreen with zinc oxide,” says Dr. Shah.

Hydroquinone - Typically used in skin-lightening products. Although hydroquinone is stable in sunlight, it’s not advisable to use it during the day as the sun’s skin-darkening effects are stronger than hydroquinone’s bleaching effect. Additionally, hydroquinone actually reduces your body’s ability to create enough pigment to protect your from UV rays.

Alternative: Vitamin C is an excellent alternative to hydroquinone, as it is an antioxidant and combats dark spots while also having anti-inflammatory and anti-aging properties.

Retinol and retinol derivatives encourage cell turnover, which exposes delicate, new skin. These newer layers of skin can be more sensitive to the sun. With enough sunscreen protection, newer formulations of retinol can be safely used during the day, but experts still advise limiting its use to nighttime especially for those who have sensitive skin.

Alternative: Bakuchiol is the new, clinically proven “natural retinol,” a powerful plant-based retinol alternative that decreases skin sensitivity to the sun. It is derived from the leaves and seeds of the babchi plant and helps to heal, calm and soothe the skin, via its anti-inflammatory and antibacterial properties.  

Essential oils including bergamot, bitter orange, grapefruit, lemon, lime, and mandarin leaf can also cause sun sensitivity.

Alternative: It is best to choose FCF or “furocoumarin free” essential oils when in the sun, as these are not known to be “photosensitive” or cause reactions to sunlight. Furocoumarins are phototoxins which are produced by plants as a mechanism to ward off small animals or bugs. Common ones include Oxypeucedanin and Bergapten. Examples of FCF essential oils are Bergamot FCF (Citrus bergamia), Blood Orange, Tangerine, and Red Mandarin.   

Topical and oral prescriptions including antibiotics, antifungals, antihistamines, and anti-inflammatories can also cause sensitivity, so it’s vital to thoroughly read labels, instructions, and warnings as well.

 About Dr. Manish Shah

Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time, he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.

Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Dr. Shah is a Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center.  He maintains a private practice in Aesthetic Plastic Surgery in the Cherry Creek neighborhood of Denver.

Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the Rhinoplasty Society, and the European Academy of Facial Plastic Surgery.

Dr. Shah is board-certified by the American Board of Plastic Surgery.

Learn more about www.drmanishshah.com.

Skin Care Tips for Gym Rats

With Memorial Day fast approaching, many are even more focused than usual on their bodies and getting them into tip-top shape at the gym. While exercise has multiple benefits, very often workouts and great looking skin don’t go together. We turned to Dr. Manish Shah, a Board-Certified Denver plastic surgeon and anti-aging expert, to give tips on how you can get the six-pack and still have glowing, acne free skin.

Sweat Itself Does Not Cause Acne

First, “It is important to know that sweat itself does not cause acne,” says Dr. Shah. He explains, “Professional sportsmen are predisposed to accumulating dirt and bacteria in their pores during and after workout periods. If left without proper cleansing this can cause worsening in skin conditions like acne and dermatitis.”

Avoid Makeup

These days a gym visit almost doesn’t seem to “count” unless one Instagrams it. This often leads women to wear makeup to the gym. Just don’t. Dr. Shah says, “Most makeup will clog pores by not allowing the skin to breathe naturally during workouts. A better option is a tinted moisturizer if you are self-conscious about your skin tone.”

SPF

If you’re going to be outdoors, apply a light moisturizer with SPF to keep your skin protected from UV rays. Make sure to choose a lightweight product as not to clog up your pores. Look for words like “non-comedogenic” or “oil-free” to know that your sunblock won’t cause acne.

Don’t Touch Your Face at the Gym!

Cardio machines, weight machines, free weights, these all breed bacteria. Touching them and them wiping beads of sweat off your face is a sure way to spread bacteria that can create new breakouts. Make sure to bring a towel for this instead of using your hands.

A Flowing Mane of Hair is Not Your Friend During a Workout

When you are working out it is a good idea to keep hair out of your face by styling it into a bun or rocking a dry and clean sweatband. Sweat and dirt can get transferred from your hair onto your face. If you haven’t washed your hair and you use hairspray or other hair products, these can also splash onto your pores along with perspiration. This can cause irritations and breakouts.

How to Choose the Right Gym Towel

An old rag won’t be effective at absorbing sweat. However, you don’t want a gym towel that is as absorbent as a bath towel you would use to dry off your body after a shower at home. Dr. Shah says that “The gym towel should be a happy medium — absorbent enough to keep your face dry during a workout, but not so thick it clings to bacteria even after a wash.”

Wear Loose and Comfortable Gym Clothes

“Spandex is tight clothing that can lead to skin infections from bacteria and fungi,” warns Dr. Shah. “Wear loose attire that will also help wick away the sweat preventing it from being absorbed by your skin.” Just google “sweat-wicking workout clothes.”

Reduce the Redness

Calm down a flushed face with your redness control remedy made up of a little bit of iced green tea and a spray bottle. “You’ll cool down your skin and add in a few extra anti-oxidants in the process,” says Dr. Shah.

After your workout

Dr. Shah stresses, “Wash your face immediately after your workout. You don’t want a mixture of dirt, oil, and bacteria clinging to your skin, affecting its pH, and clogging your pores. If you are exercising in a park where there is no sink, bring cleansing facial wipes with you.”

Moisturize Post Workout

No matter your type of skin, after cleansing you must moisturize. Dr. Shah says that “Skipping this essential step can unknowingly dehydrate your skin causing your oil-producing glands to overcompensate by producing an oversupply of oil. Use a moisturizer that’s been produced for your specific skin type and condition immediately after cleansing for the best results.”

Skip the Hot Shower

Sure, your muscles are sore, and you’re in the mood for a hot shower after a workout. Dr. Shah points out that, “Hot water strips skin of vital oils, leaving you with dry, itchy, dull skin.” Exfoliate more often to avoid “Bacne.” Breakouts on your back or chest are particularly common for “gym rats.” To avoid this, use a gentle body scrub three times a week. Dr. Shah says, “This will keep pores clear and skin functioning well.”

Save Your “Superhero” Products for Night

Save serious treatment products for bedtime. Dr. Shah points out that, “Even seemingly normal skin can experience much more sensitivity right after a workout. You may want to wait until redness decreases by bedtime to use your super-active acne or anti-aging treatment products.”

About Dr. Manish Shah (www.drmanishshah.com)

Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time, he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.

Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Dr. Shah is a Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center. He maintains a private practice in Aesthetic Plastic Surgery in the Cherry Creek neighborhood of Denver.

Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the Rhinoplasty Society, and the European Academy of Facial Plastic Surgery.

Dr. Shah is board-certified by the American Board of Plastic Surgery.

Countdown to New Year’s Eve: How to Get Great Skin Before the Ball Drops on 2018

As occurrences would have it, most women seem to experience skin care problems just when they want to look their best. Every woman can relate to waking up with a huge zit right at the tip of her nose, or huge dark circles under the eyes, and the list goes on. There are pre-emptive measure one can take with less than two weeks until the New Year to ward off these skin care evils. We turned to Dr. Manish Shah, a Denver board certified plastic surgeon for guidance on what to do without breaking the bank or having invasive surgery.

Facial Extractions by a licensed aesthetician - Dr. Manish Shah says, “When done correctly extraction facials can clear closed comedones (AKA those tiny, flesh-colored bumps that never come to a head, yet never really go away), remove whiteheads and blackheads, and give your skin a newer, fresher foundation for your skincare products to penetrate. Basically, extractions can be the kiss of life for your lifeless broken out skin.”

Drink Alcohol in Moderation

If you plan on ringing into 2019 with a few glasses of bubbly, Dr. Shah recommends moderating your alcohol consumption leading up to the big day. He explains, “Alcohol can dehydrate the skin and cause it to appear less fresh and vibrant, which can certainly hinder your skin care efforts.” 

Cleanse your Face Every Night- You have just arrived home at 2 am from a holiday Party. It may be tempting to flop into bed without washing your face. Don’t do it! Dr. Shah says that, “Sun damage isn’t the only environmental factor you have to worry about. Small micro particles from air pollutants might just hurt your skin, too. Play it safe by remembering to take a minute to cleanse your face to remove debris that could be weakening your skin. In addition, that foundation and pressed powder you have been wearing all night can clog your pores and cause breakouts.”

Start Exfoliating

Want brighter, younger-looking skin? It starts with a great at home exfoliator! Dr. Shah explains that, “As your skin replenishes itself, dead skin cells start to build up on the top layer, leaving you looking dull. Exfoliating regularly removes this layer, revealing fresh, healthy skin. Regular exfoliation also allows your moisturizer and other topical products to penetrate more deeply, making them more effective.”

Clean Your Makeup Brushes

You would not eat food on dirty dishes, would you? Applying makeup with dirty brushes is not so different. Not only will dirty brushes give you a spotty application, but they can harbor bacteria, dirt and oil, leading to acne and breakouts which necessitates piling on even more makeup to cover it up.

Don’t Squeeze Your Pimples!

Here’s a secret that many a supermodel or actress use: Steroid shots. Dr. Shah explains that, “when we discuss treating acne with cortisone or “steroid” shots, we are referring to the process of gently placing a very dilute quantity of a “glucocorticoid” steroid into the cyst. Glucocorticoids are a class of steroid molecules that are naturally produced by our bodies and have numerous functions including the regulation of human metabolism, immunity, and inflammation. They have very potent anti-inflammatory effects, so they are often used to treat inflammatory diseases in medicine. They can be formulated as creams to treat skin rashes or as pills to treat systemic disease. They can also be injected directly into local areas of inflammation such as in arthritic joints and inflamed acne cysts. Within one or two days of injection into a cyst, the steroid will shrink the inflammation producing relief of pain and almost immediate cosmetic improvement.”

Peels

Look for AHA/BHA/PHA peels that will exfoliate the skin and help release the top layers of dead skin cells allowing for a more radiant underlay to come through.

Microdermabrasion

This professional treatment exfoliates at a deeper level (similar to a peel), with a mechanical handheld device that buffs away the upper layers of the skin. 

Add vitamin C to your routine.

Dr. Shah suggests applying several drops of vitamin C serum underneath SPF each morning to target free radical damage, help lighten brown spots, and even out your skin tone.

Moisturizer

It may seem obvious, but when it comes to dewy, glowing skin, moisturizing is essential. “When your skin is dry, it looks dull, so hydrating ingredients can help bring back that glow,” says Dr.  Shah. For skin types already prone to shine, adding moisture may seem like the last thing you need, but an oil-free hydrator with ingredients like hyaluronic acid could actually help reduce your sebum production and even out slickness into a sleek glow.

About Dr. Manish Shah

Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time, he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.

Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Dr. Shah is a Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center.  He maintains a private practice in Aesthetic Plastic Surgery in the Cherry Creek neighborhood of Denver.

Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the Rhinoplasty Society, and the European Academy of Facial Plastic Surgery.

Dr. Shah is board-certified by the American Board of Plastic Surgery.

Skinkcare 911: What to do When a Skincare Disaster Erupts Before a Party

It’s something every woman fears: Waking up on the day before or day of a big holiday party with an unsightly skincare emergency. How many women have cancelled an invitation because a cold sore erupted? How about cystic acne on your chin that appears New Year’s Eve? While neither of these are “life threatening” conditions, for a woman, they might as well be. There are solutions. Dr. Manish Shah is a Denver Board Certified Plastic Surgeon. As a father to girls, he can relate to these skincare 911s and shares his expertise on what can be done to mitigate various conditions.

Problem: Cold Sore

Solution: Dr. Shah offers cortisone injections to patients who want to look better faster. “Very diluted cortisone into the cold sore, this can bring the inflammation down quite rapidly,” he says. If you are afraid of needles, call your doctor and ask him/her to call in a prescription for Valtrex, Famvir, or Acylovir, Dr. Shah says. You can pick up Abreva, an over-the-counter medication. If you can’t make it to the pharmacy, you can try some old-fashioned remedies: Visine will help take the red out. You can also use a cold compress and Tylenol or ibuprofen.

Problem: Allergic Reaction

Solution: The first thing you need to do is stop eating or using whatever is causing the allergic reaction. If the reaction happens a few days before an occasion, Dr. Shah recommends using hydrocortisone cream twice a day and taking Allegra, Claritin or Zyrtec which are longer acting and less sedating than Benadryl. Try a whole-milk compress for 10 minutes twice a day. For allergic reactions, use the hydrocortisone cream and then cover up redness by canceling it out entirely. The opposite of red is green, so apply green tinted concealer on the red area. The combination will create a flesh-toned hue. A good quality tinted moisturizer naturally has green/yellow undertones and also provides moisture to dry skin. “If this type of reaction is something you have never experienced before, go immediately to your dermatologist,” says Dr. Shah.

Problem: Cystic Acne Breakout

There are some people who use a lancet or small knife to cut into a cyst and fish out the clogged part of the pore. “Cutting open a cyst is extremely risky. You not only run the risk of getting an infection, but you also run the risk of scarring, as in a permanent skin indentation or protrusion,” says Dr. Shah. And what if you cut open a cyst but can’t squeeze out the root clog? You don’t know where the root is or how deep it resides inside your skin. You can’t even be 100% confident that you will be able to completely remove the hardened plug of the cyst. If any remnants of the clog remain, the cyst is likely to get re-inflamed and come back even worse. It’s also not exactly good to cut open skin and dig around and squeeze the wound. Doing so will only make a bloody mess, increase the chance of skin scarring, and prolong the time it takes the cyst to heal.

Solution: Here’s a secret that many a supermodel or actress use: Steroid shot. Dr. Shah explains that, “when we discuss treating acne with cortisone or “steroid” shots, we are referring to the process of gently placing a very dilute quantity of a “glucocorticoid” steroid into the cyst. Glucocorticoids are a class of steroid molecules that are naturally produced by our bodies and have numerous functions including the regulation of human metabolism, immunity, and inflammation. They have very potent anti-inflammatory effects, so they are often used to treat inflammatory diseases in medicine. They can be formulated as creams to treat skin rashes or as pills to treat systemic disease. They can also be injected directly into local areas of inflammation such as in arthritic joints and inflamed acne cysts. Within one or two days of injection into a cyst, the steroid will shrink the inflammation producing relief of pain and almost immediate cosmetic improvement.” 

Problem: Puffy Eyes

Solution: The key to reducing the puffiness of puffy eyes is having something cool applied to them. “A cool compress or cooled cucumber slices applied for 5 to 10 minutes can constrict blood and lymph vessels,” says Dr. Shah. You can also use cool tea bags, which contain tannins that will help reduce swelling. And since puffy eyes can be caused by a high salt diet or alcohol, try to cut out both before an important occasion.

Problem: Sunburn

Solution: Take a cool bath or shower. Set the water to a cool temperature that’s just below lukewarm and relax for 10 to 20 minutes. The temperature will ease the pain, and the water will stop your skin from becoming as irritated. Repeat as often as you need to. Avoid using soap, bath oils, or other detergents as you bathe – they’ll irritate your skin and possibly make it even worse. If you have blisters forming on your skin, take a bath instead of showering. The pressure from the shower might pop your blisters. When you get out, don’t rub your skin dry with a towel. Instead, let yourself air dry, or pat the towel over your skin in small, gentle movements. Apply cold compresses to your skin. If you’re not in a situation where you can bathe, or you’d just prefer not to, you can instead apply cold, wet compresses to your skin. Dampen a washcloth or other piece of fabric with cold water and lay it over the affected area for 20 to 30 minutes. Re-wet it as often as you need to. Apply aloe vera to burned skin. Using the pads of your fingers, gently apply the aloe to your sunburn. Don’t “rub it in” all the way, like you might with a regular lotion. Leave it a bit goopy and moist on top of the burn – this helps prevent the skin from drying out and becoming more irritated. Reapply as often as necessary. Treat inflammation with cortisone cream (optional). Cortisone creams contain a small dose of steroids that can work to reduce inflammation to your sunburn.

Problem: Too much filler

The Solution: Dr. Shah suggests doing fillers no sooner than 1 month before a big event to allow time for healing and touch ups. One of the reasons Dr. Shah leans toward hyaluronic acid fillers such as Restylane, Juvederm and Perlane is because they are easily reversed with Hyaluronidase. This product dissolves and degrades the Restylane, Juvederm or Perlane so as to reverse the results of the initial injection. It’s a great insurance policy when choosing a practitioner. Make sure yours has it at his/her disposal. Most patients find the immediate results of soft tissue filler treatments very satisfying. If an undesirable result occurs, your treatment provider should be able to discuss and carry out all of the treatment options. Removing the effects of a “filler” treatment can be difficult. This is why any filler treatment needs to be done carefully, conservatively and only by very experienced and Board -Certified Specialists. Hyaluronic Acid based dermal fillers have the additional benefit of being partially or completely reversed with time or with the injection of a commercially available enzyme known as Hyaluronidase.

About Dr. Manish Shah

Plastic Surgeon Colorado | Dr. Manish Shah, M.D. | Denver

Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.

Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Dr. Shah is a past Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center based at Denver Health Medical Center, the Rocky Mountain region’s only academic Level I trauma center. He is a past Chief of Plastic Surgery at Denver Health Medical Center. He also maintains a private practice in Aesthetic and Reconstructive Plastic Surgery on the Dry Creek Medical Center campus (DTC/Denver) and up in the Aspen Valley (Basalt – in the office of MDAesthetics – Tim Kruse, M.D.).

Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery and the International Society of Aesthetic Plastic Surgery.

Dr. Shah is board-certified by the American Board of Plastic Surgery.

A Plastic Surgeon Unveils Beauty Hacks That Cost Less Than a Starbuck’s Coffee

We all know that cosmetic-plastic surgeons and dermatologists earn their living by operating or non- invasive procedures. Most of these endeavors are costly for patients.  It’s rare that any aesthetic surgeon will let us in on things we can do daily that don’t require us to visit them!  We are fortunate to have Dr. Manish Shah, a Denver board -certified plastic surgeon share secrets with us, that in many cases cost nothing or less than a gourmet cup of coffee.     

Dr. Manish Shah’s Top Beauty Hacks

Cleaning your phone screens.  Dr. Shah offers that, “A great way to avoid blemishes is to routinely clean the makeup and bacteria off of your phone screens. It is easy to spread harmful skin bacteria from the surface of your phone. Washing your hands goes a long way to avoid skin contamination as well.”

Make your own exfoliating scrub at home – Dr. Shah shares that, “A woman I consider my second mother taught me how to create my own organic exfoliating scrub. She would dry peeled skins of oranges, lemons, and limes in the sun. She would then finely grate the white inside rind of the peel and then mix it with any facial cleanser or even add it to fine facial oils. Using the scrub would exfoliate the skin, treat it with Vitamin C, and prevent over-drying of the skin because of the fruit oils.”

I recommend treating the enlarged pores of the T-zone with over the counter hydrogen peroxide. The bacteria in the pores create inflammation that increases pore size, and this leads to blackheads and whiteheads. Dr. Shah explains that, “These bacteria can’t survive in high oxygen environments. 3% hydrogen peroxide is available over the counter quite inexpensively. Treating only the T-zone at night kills the bacteria, reduces pore size and blemishes. Because it can be quite drying, takes breaks from its use every now and then.”

Avoid fake nails. They harbor tons of bacteria that are easily transferred to the face when you touch your face. Instead, focus on growing your own nails with the help of oral vitamin C and any good quality hair, skin, and nails vitamin like Nature’s Bounty Extra Strength Hair, Skin, and Nails.

For teens, especially, it is so important to wash their pillow cases routinely. Dr. Shah is the father of three teens. From his first-hand knowledge he says that, “Teens aren’t very compliant when it comes to skincare and they suffer from hormones in a bad way. This 1-2 punch makes acne and blemishes the bane of most teens’ existences. Going to sleep at night on clean pillow cases after washing your face goes a long way to reducing bacterial burden and allows blemishes to heal.”

If you suffer from puffiness around the eyes, a quick trick is to use black tea bags. Wet them in ice water and lay them onto the eyes to soothe. The caffeine in the black tea causes blood vessels to constrict, reducing edema or swelling in the delicate, thin eyelid tissues.

Add baking soda to your toothpaste to easily polish away stains to keep your teeth white. Instead of bleaching your teeth, baking soda actually breaks the molecules that stain the teeth. It is less irritating to your gums as well, and way cheaper than teeth whitening strips.

Eat the rainbow.  A white bread-based diet does not for clear skin make. That’s why Dr. Shah makes sure his diet is packed with brightly-colored fruits and vegetables.  He says, “Fruits and vegetables are high in antioxidants which give glow to the skin.” Specifically, research suggests that pigments called carotenoids—found in foods like carrots, spinach and other leafy greens, and tomatoes have been linked to good complexions.” Adding fish oil to your diet also improves skin compliance and radiance.

Avoid Hot Showers.  Disappointing as it may beDr. Shah says, “Hot showers remove too much of your natural oils and brings blood circulation to your skin, creating inflammatory reactions that result in rashes and aggravate those with eczema or dry patches.”

You may just need a brow wax instead of a lift.  “I had a patient who wanted a brow lift because she thought she looked angry all the time. I sent her for a brow wax instead. It took 15 minutes, she looked great, and she saved herself thousands.” Other brow techniques like brow tinting can change how your eyebrows frame the eyes, improving on your looks. 

About Dr. Manish Shah

Manish Shah, M.D., F.A.C.S. is board-certified by the American Board of Plastic Surgery and member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the Rhinoplasty Society, and the European Academy of Facial Plastic Surgery. After completing his formal plastic surgery training in Plastic and Reconstructive Surgery at the Univ. of Tennessee College of Medicine, he moved to New York City and was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery. Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!

Which Cosmetic Treatments Would Today’s Women Say Yesterday’s Beauty Icons Needed?

Plastic Surgeon Predicts a Future Shift in the Beauty Ideal

Marilyn Monroe

Marilyn Monroe

Every decade there is a celebrity who sets the bar for beauty. Dr. Manish Shah, Board Certified Plastic Surgeon based in Denver, takes nostalgic look at these classic beauties through the decades and points out what today’s women would critique about them given today’s beauty standards. We also have an interesting look at predictions for what the beauty ideal will be as we approach 2020. We already see a shift taking place to a strong body, smaller breasts and a more natural facial aesthetic. Let’s look forward by first looking back.

1950’s Marilyn Monroe the Ultimate Icon

Marilyn Monroe is still a beauty icon and despite transforming from brunette to the ultimate blonde bombshell, she is still the embodiment of sex appeal. “Marilyn Monroe was infamous for her hourglass physique, sexy lips and dreamy eyes. Today’s women would consider her “curvy” and would suggest Marilyn get inner thigh liposuction to achieve “thigh gap,” which became a thing over the past few years. I say Marilyn was gorgeous, feminine plus she knew how to dress for her frame. At 5’5” 120-130 pounds she was proportioned and looked lovely,” says Dr. Shah. 

1960’s Raquel Welch, the Glamazon

Raquel Welch embodied the exotic bombshell. With a Bolivian father and an Irish mother, Raquel’s features were unique and stunningly beautiful. “What’s interesting about Raquel Welch is that she was all natural and women of today would want her body. She wasn’t skinny at all with beautiful full breasts, athletic legs and beautifully symmetrical facial features. She’s also aged gracefully over time, and still looks elegant well into her 70’s,” Dr.  Shah points out.

1970’s Farrah Fawcett the Girl Next Door

In this decade we see a shift from the voluptuous to the slender with a more girl-next-door approachable look. “Farrah’s lips are actually quite thin by today’s standards yet, they work perfectly with her other delicate facial features. Her megawatt bright smile was what supercharged her look. In the 70’s, plastic surgery wasn’t as mainstream as it is today. Women simply went to the hair salon for the Farrah Fawcett feathered hairstyle. At 5’7” Farrah had a 34B breast size which we are seeing a return to,” explains Dr. Shah.

1980’s, Brooke Shields, Endless Beauty

Time magazine put her on its cover with “The Face of the 80’s.” During that decade Brooke was known for her natural bushy eyebrows. According to Dr. Shah, “Brooke’s facial symmetry was and still is exceptional, her nose is perfect for her face and everything just worked together. One thing I can see today’s women suggesting for the 80’s version of Brooke, would be breast enhancement, something she never had nor wanted. Brooke now 53, looks radiant and relies on diet and exercise to maintain an age appropriate, classy look minus the need to overdo it with fillers and unrecognizable facelifts. Brooke looks like an older, gorgeous version of herself.”

1990’s Kate Moss & Pam Anderson, The Waifs vs. The Beach Bunny

The early 90’s beauty aesthetic was highly driven by the Grunge Rock music scene. The “waif” which was embodied quite controversially by Calvin Klein model Kate Moss and actress Calista Flockhardt, known for her popular TV character Ally McBeal. Both were scrutinized and shamed for being “too thin” pressuring other Hollywood celebrities to keep up. On the other extreme was bombshell, Pamela Anderson of the iconic Baywatch TV Show of the same era. A favorite of Hugh Heffner, who considered her to be the ultimate bombshell, put her on the cover of Playboy a total of 13 times in the 90’s and first decade of the 2000’s. “Pamela Anderson absolutely boosted demand of breast implants in the 90’s and made it much more mainstream to look more like an exotic dancer than a fashion model. I’m glad to see that Pamela, now in her late 40’s, didn’t overdo it with any facial plastic surgery and opts now for a more elegant look,” offers Dr. Shah.

2000’s, Livin’ LaVida Lopez

In February of 2000, Jennifer Lopez and her ample derriere got massive global attention for the infamous green Versace dress she wore as Grammy presenter. She was already turning heads on the red carpet as an actress and singer. “Jennifer Lopez was the first woman to bring attention to a curvy fuller butt. The Brazilian Butt Lift came into popularity to meet the demand of more women wanting a curvier, fuller, yet lifted bottom. What’s great about Jennifer Lopez is that she’s now in her late 40’s, with a packed schedule which demands that she is in excellent physical shape. Her physique is very athletic and muscular yet, feminine at the same time. This is a woman who did a triathlon months after giving birth to twins. Jennifer has maintained herself exceptionally well through the years with facials and lasers which can help women ward off any need for a face lift,” says Dr. Shah.

2010 – Present… Keeping Up with the Kardashians

“The Kardashians were the tipping point to both surgical and non-surgical treatments going to another level and they built an empire out of all of it,” says Dr. Shah. If you watch old episodes of the show you see Kim, sisters Khloe and Kylie and momager Kris radically changed their appearance. Plus, they are always touting procedures such as Kim did with the “Vampire Facial.” Kylie Jenner looks like a totally different person than she did as a teen just 4 years ago. Her admitted lip injections gave her a new facial appearance that now has her at the top of the family income chain.

2018 and Beyond… All Eyes on Kendall Jenner

Kendal Jenner is the hottest model right now and face of Estee Lauder. While part of the Kardashian clan, she’s an actual model with extraordinary bone structure, long legs, and a body for high fashion. “I predict we will see a new crop of beauties like Kendall Jenner, Bella Hadid, Kia Gerber, daughter of Cindy Crawford, set a new more fashionable aesthetic. I’m hopeful that the over-done lips and over-filled faces and over-sized breasts will fall away with more favoring of preserving ethnic features and body type for a more interesting, less generic “done look, says Dr. Shah who prides himself on delivering a more natural look.

About Dr. Manish Shah, M.D.

Plastic Surgeon Colorado | Dr. Manish Shah, M.D. | Denver

Manish Shah, M.D., F.A.C.S. is board-certified by the American Board of Plastic Surgery and member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery and the International Society of Aesthetic Plastic Surgery. After completing his formal plastic surgery training in Plastic and Reconstructive Surgery at the Univ. of Tennessee College of Medicine, he moved to New York City and was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.

Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery. Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!