Newly Identified Genes Linked to Aging

In the largest human molecular aging study to date, researchers discovered some 1,450 genes newly identified aging genes. These, together with factors such as diet, smoking, and exercise are linked to aging.

The underlying causes of human aging are largely unknown. However, growing old has been linked to the increased risk of diseases such as cancer, heart disease, and stroke - three of the leading causes of death.

According to the authors of the study, this large amount of newly identified genes provides a key breakthrough to better understand the molecular changes during aging.

Dr Marjolein Peters and Dr Andrew Johnson, from the Erasmus Medical Center and the Framingham Heart Study, respectively led this extensive study of the aging process.

Professor David Melzer from the University of Exeter oversaw the Exeter contribution.

Dr Luke Pilling, Associate Research Fellow in Genomic Epidemiology at the University of Exeter and part of the research team said:

This study has discovered many genes that change in their patterns of expression with age. This study has not only given insights into aging mechanisms – such as mitochondrial function – but these techniques have potential use in prediction and treatment.

Large, observational, and collaborative projects such as these provide a great platform to focus aging research in the future, with the hope that predictive tests can be developed, and treatment strategies for age-related conditions improved.

Researchers looked into the changes in gene expressions in blood samples of some 15,000 people from all over the world to find easy to measure markers of human aging. Information in the genes were analyzed by reading the DNA sequence and creating RNA, and then proteins.

The study showed that many of these genes work are responsible for generating the energy supply of the cells (mitochondrial function), metabolic processes, and the stability and flexibility of the cells.

By using the gene expression profiles, authors said that it allowed them to calculate the ‘transcriptomic age’ of an individual, and show that differences between transcriptomic age and chronological age are associated with biological features linked to aging, such as blood pressure, cholesterol levels, fasting glucose, and body mass index.

A potential limitation of their study, according to the authors, is that they relied on a linear regression model to identify age-associated genes. A linear model assumes constant change over age, which may not be always correct in biological processes that stretch over several decades (adulthood).

The research is published in the online edition of respected scientific journal, Nature Communications. http://www.nature.com/ncomms/2015/151022/ncomms9570/full/ncomms9570.html

Michael M. Dao MD, Founder of Leur Lab Integrated Aesthetics

Dr. Michael M. Dao, Founder of Leur Lab

In Newport Beach, Leur Lab’s sleek hardwood floors, modern fireplaces and shimmering chandeliers feel more like a metropolitan hotel lobby than a traditional cosmetic clinic.

Leur Labs Medical SpaName: Dr. Michael Dao
Clinic: Leur Lab Integrated Aesthetics
Location: Newport Beach, CA
Website: LeurLab.com

Leur Lab Integrated Aesthetics is designed to discover the aesthetic concerns of each individual client, in order to create a custom tailored treatment program that specifically targets the client’s concerns. Leur Lab also seeks to educate each patient on the importance of preventative maintenance which is instrumental in helping slow the aging process.

You’re using a number of laser and aesthetic devices in your clinic. How did you decide on these technologies and what did you compare it with? 

Our team specializes in leading-edge procedures such as the Vampire Facelift along with other designer treatments and combination therapies. I am constantly researching and vetting the latest, innovative laser and aesthetic device technologies to determine whether or not they are a fit for the Leur Lab practice. Our goal is to provide patients with the most advanced, non-surgical treatments available along with unprecedented access to the latest innovative technologies such as the Tri-Beam Laser.

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Interview With Dr. Bryan B. Fuller, CEO of DermaMedics In Oklahoma

Dr. Bryan B. Fuller, CEO of DermaMedicsThe innovation of natural ingredients in skin care with Dr. Bryan Fuller, founder of DermaMedics.

Name: Bryan B. Fuller Ph.D.
Company: DermaMedics Professional
Location: Oklahoma City, OK
Website: dermamedics.com

One area that is “over-hyped” is the development of skin care products that contain “growth factors”. It is well-known that growth factors are extremely unstable to room temperature and aqueous environments, and in fact, growth factors in water are only stable for 7 days at refrigeration temperatures. Thus, products that are sitting on a shelf at room temperature that are reported to contain growth factors almost certainly contain degraded, inactive growth factors. Further, there is no scientific evidence that growth factors can penetrate the stratum corneum and get to the dermis to produce “anti-aging benefits”. In fact, there is a lot of scientific evidence that no molecule larger in size than 500 mw can penetrate into the skin (see (Bos JD, Meinardi MMHM. The 500 Dalton rule for the skin penetration of chemical compounds and drugs. Exp Dermatol. 2000; 9:165–169.).
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Marguerite Barnett MD FACS PA - Sarasota Institute Of Plastic Surgery & Mandala Medical Spa In Florida

Marguerite Barnett, M.D., F.A.C.S., P.A. Board Certified Florida Cosmetic SurgeonDr. Barnett has integrated her cosmetic and reconstructive techniques with the wisdom of ancient Eastern healing arts to create a new healing vision.

Name: Dr. Marguerite Barnett
Clinic: Mandala Medical Spa
Location: Sarasota, FL
Website: drmbarnett.com, mandalamedspa.com

That's interesting: Dr. Barnett is a double board-certified cosmetic and reconstructive surgeon, licensed in both Hawaii and Florida.

Giving back to the community is an integral part of Dr. Barnett’s philosophy and commitment to health and wellness. She actively participates in local charitable events year-round with the Wellness Community of Southwest Florida; United Cerebral Palsy of Sarasota; and The Women’s Resource Center. One of the most popular ways Dr. Barnett supports charitable events is through her expression of Indonesian and Balinese dance.

Can you give us a picture of how your clinic is organized and runs? 

My clinic for business accounting purposes is split into two sides. The doctor’s practice and the medical spa. The concept was to have the high-tech, scientific “western” doctor’s side balanced by the luxurious ancient rituals of the eastern spa side. Of course there’s an overlap and that’s exactly how I wanted it. If the massage therapist spots a weird mole on their client’s back, the client can run next door to have me look at it. If I encounter a patient who needs skin care for best results, I can shoot herover to the medical aesthetician. Post-op patients benefit from acupuncture to lessen pain and my employees and patients benefit from stress-reducing yoga and meditation. The overall design which has an Asian flavor is comforting and inviting to all. I was nervous at first because it was not the typical doctor’s office but on the day of moving in, I lost my fear completely when one of the movers, a Bronx native judging by his accent, dropped his box and said “Whoa! This place feels healing! You the Doc? What kinda Doc are you?” He got it! 

Hawaii Board Certified Plastic Surgeon Dr. Marguerite Barnett

You're double board certified cosmetic and reconstructive surgeon licensed in both Hawaii and Florida. How do the different states that you practice in differ in terms of medical operations? 

Well, I haven’t lived in Hawaii for almost 30 years but what my friends in the state communicate, Hawaii seems to be ahead of Florida in many aspects. They have a much lower rate of uninsured population and a more cohesive public health initiative, important when you’re dealing with an international, multi-cultural population with extreme disparities in wealth and education.

Florida has these issues as well but we’re not handling them as well as Hawaii. Maybe the fact that Hawaii consists of several small islands sharpens the sense that these issues must be addressed or the lifeboat will sink. It’s harder to ignore these problems on an island. Also they do not have a governor that turns down billions of dollars in federal aid.

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When Clients Demand a Refund: Free Webinar

Our friends over at Healthy Aging Magazine are hosting a free medical webinar that should be of great interest to our members.

What happens when a patient is not happy with service or the result and demands a refund? ADVANCE for Healthy Aging, a trade magazine for cosmetic medicine professionals, will be offering a medical webinar, called “Doctor, I want my money back.”

  • This free webinar takes place Wednesday, Jan. 19, 2011, 8:00-9:00 p.m. EST, with presenters Jeffrey Segal, MD, board certified neurosurgeon and CEO of Medical Justice; and Michael J. Sacopulos, partner with Sacopulos, Johnson & Sacupulos of Terre Haute, Ind. The Webinar will address how doctors can level the playing field; and when refunding makes sense and doesn’t. In addition, these presented will also discuss what to do with negative online reviews—that often come as a result of disgruntled patients.

Use the link below to register:

https://www1.gotomeeting.com/register/590756176

Healthy Aging's Annual "Top of Class" Survey

Our friends over at Healthy Aging are gathering their annual "Top of Class" votes for our industry.  Cast your votes and we will publish their results in January.

Physicians must stay on the cutting-edge of technology. Your knowledge of leading industry reps, manufacturers and distributors can assist your colleagues during crucial equipment selection and purchasing decisions. Share your experience with colleagues in our annual "Top of the Class" survey, which allows dermatologists, estheticians and plastic surgeons to identify companies they feel are "among the elite."

Review the categories listed below, then cast your vote for your favorite vendors* by Dec. 30, 2010. We’ll tabulate the results and share the "Top of the Class" vendors online in January 2011. 

Click here for the survey.

Medical Spas & Cosmetic Crimes

From our friends over at Healthy Aging Magazine, an article that may or may not surprise you......

Depending on what statistics you read, tight economic times can either produce crime increases or decreases. However, a particularly peculiar variety of crime seems to be increasing these days—vanity crimes.

No, I’m not talking about the crime of going too big on your lip plumper or stripping 20 years off your skin when 10 would look more natural. I’m talking about people ripping off the dermatologists and plastic surgeons they’ve gone to for aesthetic procedures. 

A newspaper in Florida reported recently on several cosmetic crime cases:

  • A woman came in for Botox and fillers totaling $3,300 then pulled a dine and dash. When she walked out of the office to visit an ATM to get the money, she bolted and never returned. Although she declined the before and after pictures, the office captured her on security video.
  • A women received a $9,000 breast augmentation and tried to pay for it with a stolen credit card.
  • A Fort Lauderdale women was charged with using a stolen credit card to pay for a tummy tuck.
  • In a similar case, a Des Moines woman was accused of identity theft when she used a credit card to pay for over $6,000 in cosmetic surgery. She took out the credit card in her estranged husband’s name—probably not a good way to win him back.

An article on MSNBC cites Botox bandits Newport Beach, CA; Port St. Lucie, FL; Tampa, FL; Brisbane, Australia and Kenton, England. Jeff Karzman from the American Academy of Cosmetic Surgery states that it's a problem happening "coast to coast."

Dallas plastic surgeon Rod Rohrich, MD, says he's having patients pre-pay for procedures to prevent what he calls "runners." Many medical spas have turned to an up-front payment system. 

Is smoother skin or a slimmer figure really worth a crime? How many months or years in the slammer would you do for a breast job or Brazilian butt lift? What should practice owners do to protect themselves against this kind of thing? Post security guards? Perform preemptive credit and background checks? Charge for procedures up front? If charge up front, should that apply to all patients or just new or suspicious ones? 

Guest post by Grant Clauser, Editor of Healthy Aging Magazine.

Submit a guest post and be heard.

The Cancer No One Takes Seriously

Last month, honor of National Melanoma Cancer Awareness Month, Healthy Aging interviewed a dozen folks who have been diagnosed with skin cancer. I digitally recorded their stories, and our photographers took lifestyle photographs. Their voices and images tell their story in the following slideshow.


 
Surprisingly, I noticed something different in these cancer survivors than other people I had interviewed with other types of cancer, such as breast cancer. The survivors' attitude upon diagnosis was almost systematically laissez faire at first.
 
While the diagnosis of any type of cancer is so difficult that generations of people still whisper the word or refer to it generically as "C," most people I interviewed were more intrepid about treatment. Their thoughts weren't on radiation or chemo.

There may be reasons why people don't take skin cancer so seriously. For one, the two most common types of skin cancer are generally not lethal.

Skin cancer is the number one diagnosed cancer in the United States. In fact, more than one million people are diagnosed with basal cell or squamous cell (non-melanoma) carcinoma annually. Given the high numbers, we all likely know someone who had a skin cancer removed. However, basal cell carcinoma and squamous cell carcinoma are slow growing and are most often not lethal. For example, less than 1,000 people die from non-melanoma cancer annually.

Melanoma is what you do need to worry about and why we need to seek out dermatologists, who are trained to recognize all types of skin cancer.

Most recent statistics estimate that 68,720 new cases of melanoma will have been diagnosed in 2009. That's far less than breast cancer (194,280), colon cancer (106,100) and lung cancer (219,440). But there's one noticeable difference:

We have the tools necessary (our eyes and a hand mirror) to detect possible problem areas. Our follow-up with a dermatologist annually can ensure the cancer is simply removed, before it spreads to our lymph nodes. 

"It's so easy," Elizabeth Encarnacion says, after being diagnosed with basal cell carcinoma at 32. "It's not even like you have to get a mammogram or a colonscopy, you just have to go and have someone look at your skin."

The good news is when melanoma is caught early, it is highly curable, boasting 90 percent to 95 percent survival rates. 

On the other hand, malignant melanoma, when caught later, is a cancer with few effective treatments. The median number of people who are diagnosed with advanced stage melanoma, for example, don't live a year, according to the Melanoma Research Foundation.

And while many say ignorance is bliss; denial can kill.

"The best thing you can do, if you have any doubt, is go and get it checked," says Schilling. "The last thing you want to do is lose your life to something you have been looking at."

Read the rest of this article

Marci A. Landsmann is managing editor of Healthy Aging. She can be reached at mlandsmann@advanceweb.com.

Submit a guest post to Medical Spa MD and be heard.

Healthy Aging Magazine Articles

Healthy Aging Magazine is now a Select Partner. Welcome!

Healthy Aging has a pretty well-stocked store choc-a-block full of the kinds of stuff that makes my eyes glaze over, but is a veritable playground for whoever does the ordering in your clinic.

If you go to the Healthy Aging Magazine page, you'll find a code that will give you an additional 10% off of any purchase you make.

Healthy Aging also has a number of sites and blogs as well as their general publication online. Here are a couple of tidbits from their site.

Evidence-Based Practice Medical Spa

Implementing an evidence-based practice (EBP) change with health care professionals in a medical setting can be daunting, but implementing it in a practice where some staff members are not medical clinicians presents unique challenges. This article discusses an EBP change for the treatment of acne in adult women by nonmedical clinicians in a medical spa setting.
 
With organized team processes, documented plans for intervention and ongoing evaluation, evidence-based practice intervention should be sustainable. Nonmedical clinicians can learn that not all studies are scientifically strong. They can learn to carefully consider study details to determine scientific validity. And they can follow and use evidence-based treatment protocols. Read more.

HGH: Safe or Not

A recent editorial in the journal Aging Healthy (not to be confused with Healthy Aging www.advanceweb.com/healthyaging) reignited the debate of Human Growth Hormone as an anti-aging supplement. Last year the AMA came out against HGH, citing a lack of clinical evidence, yet physicians argue with that claim and continue to endorse its use.  Read more.