Thank you for your interest in plastic surgery. Not all plastic surgeons are equal. The American Board of Plastic Surgery is without a doubt the most prestigious organization of plastic surgeons. The mission of The American Board of Plastic Surgery is to promote safe, ethical, efficacious plastic surgery to the public by maintaining high standards for the education and certification of plastic surgeons.

Effects of Steroids

The kind of binding the steroids have to hormones determines the immediate effects of steroids in the brain. Androgen (male sex hormone) and estrogen (female sex hormone) receptors on the surface of a cell attract steroids. The steroid–receptor complex affects the cell nucleus and can influence patterns of gene expression. Because of this, the acute effects of steroids in the brain are substantially different from those of other drugs. Steroids are not euphorigenic, and do not trigger rapid increases in the neurotransmitter dopamine, which is responsible for the high that often drives substance abuse behaviors. However, long term steroid use eventually influences the same brain pathways and affects chemicals such as dopamine, serotonin and opioid systems. Considering the combined effect of their complex direct and indirect actions, it is not surprising that Steroids can affect mood and behavior in significant ways.

VIP Medicine

VIP Medicine is a type of medical practice now found in many metropolitan areas across the country. VIP Medicine has come to represent a higher level of healthcare for those who want a more personalized relationship with their physician. At the upper echelon are the practice associations, like IPA Health, which integrate the traditional concierge model and match it with an advanced level of diagnostic care and true concierge services. IPA Health members enjoy the benefit of having access to on-site laboratories and the best diagnostic equipment available in medicine today. The ability to make most diagnoses in a single visit saves concierge patients the time of having to return to the office for a follow-up visit. This, in complement with a dedicated Patient Care Concierge and the ability to network and consult online through a patient portal sets the IPA Health model above most other concierge practices found nationwide. VIP Medical services include the following: IPA Health redefines the concept of Concierge Medicine. As a Concierge member, you will be assigned a Patient Care Concierge who will manage all aspects of the IPA Health experience, from transportation and accommodation (if you are coming from out of town), to medical evacuation if you experience a health emergency while traveling. VIP medicine at IPA Health is a healthcare service that is available to all people and is extremely affordable. Finally, a meaningful option for individuals and families seeking personalized attention from their doctor. A doctor can spend as much time with a patient as the patient needs. Wellness and prevention can be as much the center of attention as the immediate problem. The fundamental concept of Medicine Concierge is to bring back the old fashioned medical care. The number of patients are decreased by 90 percent of a conventional medical practice, our physicians are able to spend prolonged visits with our patients, and provide 24/7 physician availability via cell phone and see patients same-day.

Benzoyl Peroxide

Benzoyl peroxide cream is a topical bactericidal. Widely available over the counter (OTC), bactericidal products containing benzoyl peroxide treats mild to moderate acne. The patient applies the gel or cream containing benzoyl peroxide twice daily into the pores over the affected region. Bar soaps or washes may also be helpful and vary from 2 to 10 percent in strength. In addition to its therapeutic effect as a keratolytic (a chemical that dissolves the keratin plugging the pores) benzoyl peroxide also prevents new lesions by killing P. acnes. In one study, roughly 70 percent of participants using a 10 percent benzoyl peroxide solution experienced a reduction in acne lesions after six weeks. Unlike antibiotics, benzoyl peroxide has the advantage of being a strong oxidizer (essentially a mild bleach) and thus does not appear to generate bacterial resistance. However, it routinely causes dryness, local irritation and redness. A sensible regimen may include the daily use of low-concentration (2.5 percent) benzoyl peroxide preparations, combined with suitable non-comedogenic moisturizers to help avoid over drying the skin. Patients should exact care when using benzoyl peroxide, as it can very easily bleach any fabric or hair it meets.