Dermal Fillers: What Are They, and Which Is Right for You?

Our facial tissues thin out as we age, resulting in a loss of volume, which can cause hollow cheeks and fine lines around our nose and mouth. Dermal fillers are a great way to replace that lost volume and restore a more youthful, radiant appearance. But not all dermal fillers are the same, so it’s important to understand how each one works to decide which injectable is right for you.

Belotero is a very thin hyaluronic acid dermal filler designed to improve fine lines in delicate areas, like under the eyes. Many fillers leave a blue tint in this area, but Belotero has a low enough viscosity that it does not show through the skin. It’s also frequently used to enhance the size and shape of lips. The filler is injected near the top of the skin to fill in tissue around and below fine lines, with results that can last up to six months.

Juvederm is a great solution for filling in deep creases and fine lines, especially in areas between the eyes and from the nasal creas…

Why Men Can Benefit From Hormone Optimization Too

Hormonal imbalance is a medical condition that impacts members of both sexes. While the hormone shifts that occur in females as they age are well known, many are not aware that men's bodies go through similar changes. In females, this shift is known as menopause, while the analogous hormone change in men is called andropause. There are also a number of causes of male hormone changes not caused by aging—or not caused by aging alone. Hormone optimization helps balance hormones in men, boosting their overall health and confidence in a safe and effective way.

What Causes Male Hormonal Imbalance? 
In most men, hormonal imbalance occurs as a result of a decrease in testosterone and/or an increase in estrogen. This can be caused by a number of factors, but the most common are weight gain, stress, and diet. Excess weight around the midsection can cause estrogen production. Stress causes the body to produce more cortisol and an enzyme called aromatase. These lower testosterone and increa…

Life Coach vs. Therapist: What’s the Difference?

Since both therapists and life coaches are committed to helping clients reach their full potential, you might be unsure which professional it makes the most sense for you to see. Each offers a specific benefit, whether you're considering a wellness program to get through a challenging time, make a change in your life, or improve your overall outlook. Here are a few key differences between a therapist and a life coach.
License and Certification  While both life coaches and therapists have specialized training, only therapists are required to carry specific certification through the state where they practice. In Pennsylvania, therapists must have a master's degree and become certified as a licensed professional counselor (LPC) by the State Board of Social Workers, Marriage & Family Therapists, and Professional Counselors. Although many life coaches do pursue professional certification through accredited organizations such as the International Coaching Federation, this is not…

We Are What We Eat: Understanding Leaky Gut Syndrome

I’ve been studying for my boards the last few weeks. No, I’m not still in med school. Retaking board exams—as well as completing educational credits in the interim—is something every doctor has to do every 10 years to maintain his or her certification. The idea is that we never stop learning—which is so important when you’re in a field where so much changes, so quickly.
One topic that’s not taught in med school (but will be soon, as traditional medicine is finally catching on) is something called “Leaky Gut.” It’s a non-traditional medical approach taught in anti-aging medical programs and it’s a condition I see a lot in my practice at Refresh Wellness. I’d like to spend a little time today talking about this very real, very common disorder.

Q: What exactly is leaky gut? A: Leaky gut is another poor choice of medical terminology. It is the mechanism by which the body’s stomach lining, which is one-cell thick and extends from anus to brain, becomes disrupted and irritated by food, exposur…

Metabolism Speed: What Does It Mean for Weight Loss?

We've all heard the phrase "fast metabolism" to describe someone who can quickly lose weight or keep it off. But what does it actually mean to have a fast or slow metabolism? Here's how this body process affects weight loss and other aspects of health.
What Is Metabolism? Metabolism is the process by which your body converts the food you eat into energy not only for exercise and movement, but also for breathing, blood circulation, hormone release, cell growth and repair, and other functions that happen at rest. People with a "fast" metabolism have a higher basal metabolic rate: the number of calories used to perform these functions. Simply put, the higher the metabolism, the more calories burned at rest.
What Affects Basal Metabolic Rate? Metabolism is affected by a complex combination of factors, including body size and weight, percentages of muscle and fat, age, and gender. Because men tend to have more muscle than women, they also tend to have higher …

Hate Your Double Chin? Get a FREE KYBELLA Treatment!

Sometimes it’s the little things. Like taking an absolutely amazing selfie.

(That’s happened like twice in my life.) Apparently twice is the average though, because most clients that walk through my door claim they rarely get a perfect selfie…and a lot of them (men and women alike) say their “double chin” is to blame.
Believe it or not, “double chin” is a real-life medical condition and it’s called submental fullness. Maybe it’s something you’ve had your whole life. Maybe it’s something you’ve developed over the years. It could be the result of weight gain—but it just won’t go away with diet or exercise. Anyway, it’s a “thing.” The good news is that it can be fixed. Without surgery. And I do that at Refresh Wellness.

Treatment happens with a first-of-its kind injectable called KYBELLA® and it’s FDA approved, it’s been used in over 1,600 people in 20 clinical studies, and I recommend it to my patients because it works. Essentially, KYBELLA destroys fat cells under the chin with synthe…

Tired? Irritable? Overweight? It's Probably Your Hormones

Not 10 minutes ago, I implanted a pellet into my backside. 
Why? Because two years ago, this 39-year-old started having symptoms of a hormonal imbalance: I was sleeping poorly, tired, had brain fog big time, couldn't lose weight, and experienced poor exercise recovery. Plus, I developed a ton of new food allergies after pregnancy. (Yes, all of those symptoms can be related to a hormonal imbalance! And yes, hormone decline starts in your 20s and 30s.) 
Enough was enough. So, I decided to be a guinea pig for my patients, testing out bio-identical hormone replacement (bioTE):plant-derived, all natural estrogen and testosterone, delivered by tiny pellets inserted just under the skin.
Within a few weeks, my symptoms improved drastically and I started recommending BioTE to many of my clients at Refresh Wellness, who also saw success. So is bio-identical hormone replacement therapy right for you? Here's what I tell new patients in my office when we discuss bioTE:
What is bio-identical …