Cellulite Treatments: CoolSculpting vs SmoothShapes in Tampa St Pete

Posted by Anne Hermann on Thu, Mar 29, 2012 @ 10:02 AM

Anne Hermann, MD

Which Cellulite Treatment is Best for You? 

SmoothShapes by Eleme is a noninvasive cellulite reduction laser treatment while CoolSculpting is a nonsurgical fat removal treatment.  They are both effective at what they do, but they are not FDA approved for the same purpose.  SmoothShapes is much less painful and has less chance of negative side effects.  It is used to remove the dimpling of fat in the thighs, arms and abdomen.  It does remove a little volume, but not as much as CoolSculpt by Zeltiq.  The main purpose of the CoolSculpt is to reduce volume.

Cellulite is fat that is has been pushed outside of the fat layer of the skin and cannot return to the fat layer on its own.  SmoothShapes has two wavelengths of cold laser: one wavelength breaks up the fat cell membrane and the other liquefies the fat.  The technician applies the laser with suction and rollers to push the liquefied fat out of the fat layer.  Treatments are done as series of eight and are painless.  There is no downtime and final results are best from one to two months after completion of the series.  Results last more than a year.  Because the SmoothShapes primarily targets only cellulite (the dimpled fat), it does minimal volume reduction.  It is ideal from you if you feel that your size is good, but are not happy with the texture of your thighs, abdomen or arms.  Typical cost for a series of 8 is $699 to $899.

The CoolSculpt is FDA approved for volume reduction.   Even though it is not surgical, it is a much more invasive technique than SmoothShapes.  It uses cold to freeze the fat cells in the fat layer under the skin and can achieve 20% reduction in volume.  You will be red and possibly have pain for several days after a treatment.  Patients often require two CoolSculpting treatments for full results.  If you have had significant volume reduction, you may have loose skin over the area where the treatment was applied.  We offer skin tightening for this.  The cost for CoolSculpting ranges from $800 to $2400.

At this time, we offer the SmoothShapes but not the CoolSculpt.  If you are more concerned with dimpling and cellulite, SmoothShapes is the way to go.  If you need volume reduction, CoolSculpt or more invasive procedures are best.

To schedule your appointment in our St. Pete Beach office, please call 727-278-3992.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Celiac Disease vs Wheat and Gluten Sensitivity in Tampa St Pete, FL

Posted by Anne Hermann on Thu, Mar 29, 2012 @ 10:03 AM

Anne Hermann, MD

I have many patients who think that if they do not have celiac disease, they do not have a wheat or gluten sensitivity.  This is not true: celiac disease and food allergies are two different diseases.  Celiac disease is a severe, genetic disease that can result in vitamin deficiency, osteoporosis and intestinal cancer.  Gluten sensitivity (also termed wheat allergy) is usually less severe.  It can still cause inflammation, gas, bloating and rashes, but will not result in cancers or nutritional deficiencies.

Celiac disease is also called celiac sprue, nontropical sprue and gluten-sensitive enteropathy.  It occurs in 1 in 133 people and is more common in people with family members who have celiac disease, autoimmune thyroid disease, and type I diabetes.  Signs that you may have celiac disease are diarrhea, constipation, gas, iron, vitamin D and B vitamin deficiencies.  The diagnosis is made by bloodwork for specific antibodies and colonoscopy while eating gluten.  If you have been avoiding gluten for more than two weeks prior to testing, these tests may be falsely negative.

Wheat allergy or gluten sensitivity is an allergic reaction that releases antibodies different than the ones in celiac disease.  If the allergy is extreme, you can have shortness of breath or rashes and should be seen by a doctor.  More common wheat allergies, cause gas, nasal congestion, bloating, diarrhea or constipation.   It will not affect your ability to absorb vitamins and will not cause osteoporosis or cancer.

I always check for celiac disease first, because it is the more serious illness and we don’t want to miss it.  If you have problems digesting wheat and we find that you do not have celiac disease, then I test for gluten sensitivity.  If you are interested in this topic, please check out my blog on food sensitivity testing and elimination diets.   I am board certified in Internal Medicine and as a Physician Nutrition Specialist and have offices in Tampa and St Petersburg, FL.  Please call 813-902-9559 to schedule your appointment.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Acupuncture Treatments Tampa St Pete: Acupoint Injection Therapy

Posted by Anne Hermann on Tue, Mar 13, 2012 @ 09:13 AM

By Terry Graham, D.O.M., A.P., L.M.T

Acupuncture has long been recognized as an effective means to prevent and treat a wide range of diseases and health concerns. An adjunct technique developed over the past sixty years sought to combine the principles of traditional acupuncture and Oriental medicine with modern injection therapies.

This technique was first called Biopuncture in Europe, and in the United States is recognized by the term Acupuncture Point Injection Therapy (APIT). APIT is thus defined as:  the injection at an acupuncture point of a small amount of one or more sterile biological substances in order to gain the dual benefits of stimulation of the acupuncture points with the pharmacological effect of the selected substance. Some of sterile substances successfully used for APIT might include: normal saline, nutritional substances – such as vitamin B1, B6, or B12, homeopathic solutions, and Chinese herbal extracts. Acupoint Injection Therapy employs very gentle injection techniques with very fine gauge needles similar to those used for insulin injections. In general the insertion is shallow – within the dermal layers of the skin.

A representative list of diseases that have often responded successfully to treatment with acupuncture combined with point injection therapy include:

  • Chronic pain, and inflammatory conditions, including arthritis, carpal tunnel syndrome, plantar fasciitis, and others
  • Autoimmune disorders such as fibromyalgia and, chronic fatigue syndrome
  • Chronic and latent viral disease – shingles, hepatitis
  • Sports injuries, including “tennis elbow”, “golfer’s elbow”, back pain
  • Cosmetic acupuncture – facial rejuvenation, wrinkle reduction, tissue toning, cellulite reduction

Acupuncture point injection therapy has the potential to broaden the scope of any condition responsive to acupuncture, often providing a more rapid initial response with longer lasting effects as the medication is directed to the target area through the carefully selected acupuncture points.

Terry Graham has a background in nursing and has been a licensed and Board Certified Acupuncture Physician since 2008. To book your appointment in our convenient locations in Tampa, St. Petersburg/Clearwater or St. Pete Beach, call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Botox vs Xeomin: Which Treatment is Right for You?

Posted by Anne Hermann on Mon, Mar 12, 2012 @ 01:30 PM

Dr. Anne Hermann

The three cosmetic Botulinum toxins are Botox, Dysport and Xeomin (incobotulinumtoxinA).  My patients often have questions about the difference between Botox, Dysport and the latest competitor, Xeomin, and which product will give them the best result.   I have taken the time to share what I tell them in the article below.

Botox has been FDA approved for muscle spasticity for over 20 years.  It was FDA approved for cosmetic treatment of fine lines and wrinkles in 2002. Botox is made by Allergan, the same company that makes Juvederm.  Prices will vary; we charge $10 to $12 per unit.  Typically 0.01 cc of Botox is one unit of Botox.  So, an average amount of Botox for frown lines is 25 units.  If you receive 25 units, you will be receiving 0.25 cc of Botox.  At $12 per unit, 25 units cost $300.

 

Xeomin is made by the company that makes Radiesse.  It has been in use in Europe since 2008 and received FDA approval for use in the US in November 2011.  Unlike Botox and Dysport, Xeomin has no additives.  This may lessen the chance of developing antibodies to the product.  Also, it works slightly faster than Botox.  Otherwise, Botox and Xeomin are virtually interchangeable.  Both will last 3 to 6 months.  Because Xeomin is new to the market, it is priced better.  At $9 per unit, a treatment that would cost $300 in Botox will cost $225 with Xeomin.

The active ingredient in both of these products is a naturally occurring protein derived from the bacteria Botulinium.  The protein temporarily prevents muscles from contracting for three to six months.  The results of both Botox and Xeomin treatments are gradual.  With both treatments, you will begin to notice results anywhere from three days to one week after treatment, reaching maximum benefit at two weeks.

Most often there is no bruising from the injections, and if there is any bruising, it is typically small.  However, we advise that if you want to look your best for an occasion or event, get the treatment two weeks prior to that event.   This will give any bruising time to heal and botulinim takes 10 to two weeks to reach maximum benefit.

Post treatment instructions are not to lie down on the treated area for 4 hours and no deep massage of the area for two days.  It is okay to wash your face and apply make-up.

Price Difference of Botox vs Xeomin:

  • Brow lift or 11 lines average $225 with Xeomin or $300 with Botox*
  • Upper forehead lines vary greatly based on what people need.  Can be anywhere from $50 to $250*
  • Crows feet average $215 to $288 with Botox and $162 to $216 with Xeomin*
  • Sweaty underarms $450 for Botox and $390 for Xeomin, last over six months*
  • Neck bands or Platysma muscle: $300 per band with Botox and $225 per band with Xeomin

Other areas that Botulinum helps include downturned mouth, gummy smile (show too much gum when you smile), chin wrinkles, bunny lines (lines on upper nose when you smile)

*Please note, men have larger muscles than women and require 50% more than women and cost increases accordingly

To schedule your appointment in either our Tampa or St. Pete Beach office, please call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

How to Treat Food Allergies in the Tampa-St Pete Area

Posted by Anne Hermann on Mon, Mar 12, 2012 @ 01:30 PM

Dr. Anne Hermann

We all know that severe food allergies, caused by IgE antibodies, can be lethal.  But food allergies, caused by IgG antibodies, are more subtle.  We sometimes call the IgG allergy a food sensitivity because it will not kill you.  IgG allergies do cause sinus congestion, headache, achiness, constipation, diarrhea, rash, autism and a variety of vague symptoms.

There are two ways to determine whether you have a food sensitivity.  One is to do an elimination diet.  If, after eliminating specific foods from the diet, you feel better, then we know that something you are eating is causing your symptoms.  Then, we add back one food at a time to determine what food or foods caused the symptom.  The second and easiest way to determine whether you have a food sensitivity is blood testing.  A blood test will tell you if you have an allergy and how severe the allergy is.

In the old days (not too long ago), if someone had a food allergy, their only option was to eliminate that food from their diet.  This is difficult to do because certain foods, like soy, wheat, corn, dairy, and egg are found in small amounts in many food items.  Now, patients have the option of taking sublingual allergy drops by Allergy Easy.  These drops provide treatment for 59 different foods.  Allergy drops have allowed us to help many people who have multiple food allergies and have not been able to fully eliminate the foods they are allergic to from their diet.

We are proud to be offering the full spectrum of food sensitivity testing and treatment in a safe medical environment.  Anne Hermann, MD is double board certified in Internal Medicine and as a Physician Nutrition Specialist.  She has been practicing in Tampa Bay since 2003.

To schedule your appointment in either our Tampa or St. Pete Beach office, please call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.

Botox vs Dysport: Which Treatment is Right For You

Posted by Anne Hermann on Thu, Mar 08, 2012 @ 12:29 PM

Anne Hermann, MD

The three cosmetic Botulinum toxins are Botox, Dysport and Xeomin.  My patients often have questions about what the difference is between Botox vs Dysport and which product will give them the best result.   So, I have taken the time to share what I tell them in the article below.  Since Xeomin is the newest of these products, I discuss that in another post.

Botox has been FDA approved for muscle spasticity for over 20 years.  It was FDA approved for cosmetic
treatment of fine lines and wrinkles in 2002. Botox is made by Allergan, the same company that makes Juvederm.  Prices will vary; we charge $10 to $12 per unit.  Typically 0.01 cc of Botox is one unit of Botox.  So, an average amount of Botox for frown lines is 25 units.  If you receive 25 units, you will be receiving 0.25 cc of Botox.  At $12 per unit, 25 units cost $300.

Dysport was FDA approved for cosmetic use almost three years ago.  It is made by Medicis, the company that makes Restylane and Perlane.  Dysport costs around $5 per
unit, but the dosing is different.  With Dysport,

0.01 cc contains two units.  However, a typically brow treatment would be 50 units.  So, at $5 per unit for 50 units, you would pay $250.  This makes Dysport about 10 to 20 percent less expensive than Botox.

The active ingredient in both of these products is a naturally occurring protein derived from the bacteria, Botulinium.  The protein temporarily prevents muscles from contracting.  Because Botox is a protein, your body breaks it down within three days of the injection.  Even though the botulinum proteins are metabolized in days, the effect lasts three months after injection with Botox and three and half to four months after Dysport injection.  If you continue to use Botox or Dysport, the effects will last longer, so that after a while, you may only need treatments every six months.

The results of both Botox and Dysport treatments are gradual.  Dysport spreads out more after injection.  This makes it ideal for areas that you want to cover a lot of space, like the forehead and crows feet.  Because Botox does not spread as much, it is ideal for the brow and eleven lines.  This is because if the injection spreads too far over the eye area, the patient can get an eye droop.  With both treatments, you will begin to notice results anywhere from three days to one week after treatment and reaches maximum benefit at two weeks.

Most times there is no bruising from the injections, and if there is any bruising, it is typically small.  However, we advise that if you want to look your best for an occasion or event, get the treatment two weeks prior to that event.   This will give any bruising time to heal and botulinim takes 10 to two weeks to reach maximum benefit.

Post treatment instructions are not to lie down on the treated area for 4 hours and no deep massage on the area for two days; is ok to wash your face and apply make-up.

To give you an idea of price difference of Botox vs Dysport:

  • Brow lift or 11 lines average $250 with disport or $300 with Botox*
  • Upper forehead lines vary greatly based on what people need.  Can be anywhere from $50 to $250*
  • Crows feet average 215 to 288 with Botox and 180 to 240 with Dysport*
  • Sweaty underarms $450 for 50 units, last over six months*
  • Neck bands or Platysma muscle: $300 per band with Botox and $250 per band with Dysport

Other areas that Botox help include downturned mouth, gummy smile (show too much gum when you smile), chin wrinkles, bunny lines (lines on upper nose when you smile)

*Please note, men have larger muscles than women and require 50% more than women with cost increases accordingly

The medical offices of Dr. Anne Hermann are conveniently located in Tampa and St. Petersburg, FL.  To schedule your appointment, call 813-902-9559.

This post was written by Anne Hermann. Follow Anne Hermann on Google, Facebook, Twitter & Linkedin.