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So I Got My Vagina Tightened

May 18, 2017 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures, Health News

As Seen at:  https://mom.me/lifestyle/31090-so-i-got-vagina-tightened/

By Emily Wagner
Apr 25, 2016

PHOTOGRAPH BY TWENTY20

As a beauty and wellness writer I’m introduced to the latest and greatest, cutting-edge anti-aging and rejuvenating technology on a daily basis. When I got wind of ThermiVa, I perked the heck up. Or should I say, my vagina did.

Any woman who has carried children knows the havoc our offspring has caused on our bodies. While the body can miraculously bounce back, (more of a shuffle in most cases), the spoils of war so often remain forever in tack: stretch marks, saggy, deflated boobs, hemorrhoids, spider veins, melasma, etc. The list goes on. Most of these battle scars remain nicely hidden, tucked within the confines of those skinny jeans we finally fit back into. But one belly laugh at a Louis C.K. joke or dash for a stroller on a loose, and you’ve peed everywhere.

Alas, the pelvic floor muscles, once a stoic dam between your pee and a world of mortification, is now just a distant memory. And remember that cute little vagina that didn’t send your Brazilian waxer running to hang up her Popsicle sticks? Well that little girl is now wearing a monocle and knitting a cat sweater in a rocking chair.

When I heard that there was an easy, peasy, no surgery, no downtime treatment that can perk that tired party girl up in less than 30 minutes guess who said, “Sign my vagina up!”? Yours truly. And you thought Gwyneth was the only bitch dabbling in post-modern vagina care. ThermiVa arrived on the scene months ago and I was now kicking myself for not having hopped on the bandwagon earlier.

When I got to the doctor’s office, a very lovely, pretty young nurse named Sarah was in full charge of my vagina. She had done it herself (all the women in the office had and raved about it) and even though she was quite young and had never had kids, she loved the immediate results and so did her husband. Bud-dum-bum.


My waxer always used to say my vagina was “very organized” and “looked 18,” but this girl looked like she was yet to be Bat Mitzvahed.

ThermiVa, in the most layman terms (I’m no doctor, in case that’s not obvious), uses heat to boost collagen and create tightening. So yes, everything inside tightens up. This means, buh-bye bladder leakage and hello better sex and more lubrication. After Sarah explained it all to me to me in detail, I knew my vagina was in good hands. We were both happy and excited. Me and my vaj, that is.

I hopped onto a table just like I was getting a pap smear. After I straddled up, we took some vagina selfies. Actually, Sarah did. It was the first time my vagina posed for a close up. Not surprisingly, she wasn’t camera shy. After a child or two is pulled out of your pee and sex hole, you soon realize that you give zero fucks who sees what anymore.

(Wow, have you ever taken a close up of your vagina? I don’t recommend it, unless you’re about to get it a ThermiVa. I was mesmerized and semi-traumatized. A vagina is a hell of a lot of anatomy. For all the hot minutes I entertained the notion that I was finally sick of men and would make a really cute lesbian, it was now totally off the table.)

Sarah explained what I would feel: Some warmth while she gently massaged a soft wand and some gel deep inside my vagina for 12 to 14 minutes. After that, she would use the same wand and gel and do the “outside.” Um, what’s the problem officer? My only question, “How soon can we get this vagina party started?”

Sarah inserted the wand and the rest is history. Suffice to say, this was the easiest and most relaxing treatment I’ve ever had in the name of youth. I’ve had lasers, peels, IPLs, fraxels, Ulthera, ThermiLift, PRP and lord knows what else in the name of science and to bring my Groomed LA readers the cutting edge information they crave. This was like the best hot stone  massage ever, only for my inner and outer lady parts. The only hump standing between you and a redefined lady lump, is overcoming any vagina stigma you may have.

Once I was there and in the skilled hands of a professional like Sarah, I was totally relaxed and excited to get going, especially after seeing the before and after photos. Wowza. All I can say is my vagina is like a Michelangelo sculpture compared to some of those. We had some good some laughs (sans the pee) because let’s face it, this was the first time there’s ever been a gorgeous woman massaging my vagina with a smooth, warm wand. At least that I can remember.

Before I knew it, I was done. We took an “after” close up and wow, my vagina looked like she just came back from a 10-day juice fast at Canyon Ranch. My waxer always used to say my vagina was “very organized” and “looked 18,” but this girl looked like she was yet to be Bat Mitzvahed.

This was only my first treatment and Sarah said it will go back to looking a bit more “normal” mid-month. That’s when I am due back for two more sessions, spaced one month apart. I haven’t been this excited to get naked and spread my legs for someone I hardly knew since I was in college.

My first question was “When can I have sex?” She said “tonight!”

I couldn’t wait for Manboy X to test drive this newer, slicker model. We were all ready to go until my 5 1/2 year old son crawled into my bed and refused to get out. I tried everything and decided to wait until he was in a deep sleep to move him back into his bed. But I was so excited to try this new vaj out, I could hardly wait that long.

“We can do it in his bed!”

“Hell no, I’m not doing it in your son’s bunk bed. That’s totally disgusting.”

We cracked up at how ridiculous it all was and decided to hold out for another night. The good news so far is, I no longer had to hold in the pee.



#NoFilterNeeded!

October 20, 2016 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures, Health News

#NoFilterNeeded!
Skincare Staples for the Perfect Selfie

by Lauren Salomon
Practice Manager, Cosmetic Laser MD

We have all done it, taken a selfie and snuck in the beauty filter thinking no one would notice. If you are unfamiliar with what this is (or living under a rock) this filter, commonly found on Snapchat or Instagram, chisels cheeks, highlights the skin, awakens the eyes and completely sets an unrealistic view on our realistic faces. You can spot a filtered photo a mile away.

According to a recent article in New Beauty, Snapchat’s  “beauty” filter in particular – it basically gives you a flawless complexion with the tap of one button – makes us look so good, that when we swipe back to normal mode, we’re left with this “why can’t I look like that all the time?” feeling.

This borderline anime recreation of yourself is now becoming an addiction. I know it’s hard to say no to the flawless skin these beauty filters give us, but what if I told you that flawless skin can come without the help of your smartphone?

There are selfie certified staple products that every woman should have for gorgeous skin. They correct the damage we have done to our skin in the past and protect from the damage we will do in the future. They smooth, tighten and correct, but most importantly make us look fabulous in pictures.

clmd-advanced-skin-solutions-retinolRetinol
The superhero of skin care. This does everything. It works overtime to bring up new cells and get rid of the ones that make you look…old. This form Vitamin A is a much gentler version of Retin-A which can leave you looking like a glorified science experiment. Retinol will supercharge your collagen production, correct hyperpigmentation, smooth out fine lines, and leave your skin tight, toned and ready for your close up.

 

power-c-cropVitamin C
Just like our diet needs antioxidants, so does our skin. If aiding in collagen production isn’t enough, topical vitamin C protects your skin against the ever dreaded FREE RADICALS. That may seem like a really cool girl band but when it comes to your skin we don’t want a ticket to their show. Free radicals are molecules responsible for tissue damage and aging. They lead to wrinkles, dark spots, and other really horrible things that cause us nightmares.

 


elta uv dailySunscreen
This concept is so simple, yet we refuse to listen. We are like children refusing to eat our vegetables all over again even though we know how good they are for us. Please pay very good attention to what I am about to tell you. THE SUN IS CAUSING YOU TO LOOK OLDER THAN YOU REALLY ARE. If you think that dab of SPF 15 in your really expensive moisturizer is doing it, you are wrong and I want to make it right for you. Every woman needs a designated layer of pure UVA/UVB broad spectrum mineral-based sunscreen on their face every day. We all get UV damage even on the gloomiest of days. If you think you don’t need it because you don’t “go in the sun” you are wrong. Unless you are a vampire living the movie Twilight you need sunscreen and you need it now. Your face and your pictures depend on it.

With these 3 products in your skin care army you will no longer need to swipe right to feel better about yourself. Be your own filter naturally and love the skin you’re in….you’re “selfie” depends on itJ

lauren-snapchat-anime

My own selfie before and after “Beauty Filter”. My skin already looked flawless due to diligent use of our CLMD Advanced Skin Solutions products. The after photo makes me look like an cartoon alien!

 



Truths About Microneedling – Not as Bad as It Sounds

February 10, 2016 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures, Health News

dermapen girlMicroneedling is hot these days and for good reason: It stimulates collagen to give you better-looking skin on every level. Whether done at home or in a physicians office, there’s still a lot out there that’s not clear. Here are some truths to remove any misconceptions about this treatment.

Myth: What your doctor uses on your skin is exactly the same as what you can use yourself at home.
Fact: This couldn’t be further from the truth. Doctors always have access to stronger medical grade versions that aren’t safe and acceptable for at home use. If you have microneedling done at your doctor’s office, expect to get the state-of-the-art new microneedling pens; at home you can only get microneedle rollers. You can amp up your results by adding PRP (Platelet Rich Plasma) to the treatment for an even greater rejuvenating glow. Check out our BioLift Treatment.

Myth: Microneedling hurts.
Fact: For the most part, microneedling may be uncomfortable but it’s not totally unbearable. Microneedling procedures done in an office setting may be performed with topical anesthesia depending on the depth of the procedure being performed.

Myth: Microneedling leaves holes in the skin.
Fact: While microneedling does create a controlled injury in the skin to incite collagen production and does it by creating microscopic holes, the holes it creates are so tiny that they can’t be seen by the naked eye. You may notice more of a red or pink flush to the skin, which will dissipate soon afterwards, and potentially some bleeding. No need to worry, it’s totally normal. Plus, makeup can easily cover up anything that you don’t want exposed.

Myth: The treatment can’t be done around the eyes or lips.
Fact: Thanks to advancements in both science and skin care, microneedling can safely be done in these areas as long as the right device is used. Microneedling tools, such as DermaPen, which can be adjusted to an appropriate needling depth for different areas, can be used on the upper eyelid, close to the eyelashes of the lower lid, the areas on the side of the nose and the upper lip.

Myth: The only benefit you’ll get from microneedling is an anti-aging one.
Fact: Sure, the treatment works on an anti-aging level to create smoother skin but it has been shown to be effective in correcting acne marks, too. The microneedles stimulate collagen production to help with scarring—when retinoids and other collagen stimulating topicals are applied to the skin after a treatment they are able to penetrate better for more improvement. Applying PRP before microneedling (our BioLift treatment) adds your own growth factors which penetrate the skin giving you an unparalleled rejuvenation.

excerpted from New Beauty



ULTRASHAPE – THE NEW, PAINLESS WAY TO MELT FAT AWAY PERMANENTLY

May 13, 2015 / Category: Anti-Aging, Beauty Breakthroughs, Celebrity Love, Cosmetic Procedures, Health News

woman-with-tape-measure-cropIn the world of noninvasive fat fighters, there’s always something new on the horizon. One of those, a treatment that does wonders for the body called UltraShape,  is a fat melter that targets the abdominal and flank areas to painlessly get rid of fat for good.

GREAT NEWS, we will be offering this procedure SOON!

Instead of using heat or cold, like other fat fighters do, UltraShape makes use of pulsed focused ultrasound energy to target fat without destroying the tissue, nerves, muscles or vascular system. With UltraShape, there is no freeze, no burn and no downtime.

During each 45-minute UltraShape treatment session, done only in a doctor’s office, (on average, three are needed), a handpiece is placed on the body, which is said to feel like the vibration of a cell phone. Totally customizable, UltraShape has made its mark for the mere fact that it works. What sets it apart from other noninvasive fat fighters is that it doesn’t just get rid of fat, but it also sculpts it, too. Some experts say UltraShape may just be the next best thing to liposuction.



4 Ways to Looking Younger in 2015

January 9, 2015 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

beautiful woman in evening dress wearing diamond earringsNow that 2015 is finally here, it’s time to put your best foot forward and kick it into high gear so that you look your absolute best.

GET ENOUGH SLEEP
Sleep does a body good. Not only will you feel better, a good night’s rest will leave you with less darkness and puffiness under your eyes and more evenly toned skin that looks fresh come morning. A good night’s sleep can also prevent unnecessary eating. Try to establish a set bedtime every night and never fall asleep with the television on.

 EXFOLIATE ON A REGULAR BASIS
Dead skin does nothing for your complexion. In fact, it makes your skin look lackluster and dull and can even make your makeup look muddy. The easiest way to get rid of pore-clogging dead skin is by exfoliating regularly with an exfoliator that’s compatible with your skin type. Treat your skin to the professional version, such as a microdermabrasion or light chemical peel, every four to six weeks.

HYDRATE INSIDE AND OUT
When your body is void of water, your skin lacks the moisture it needs to look plump and healthy. Hydration is one of the easiest ways to look instantly younger and better—and it’s simple to do. To properly hydrate your body, make sure you drink at least eight glasses of water per day. To keep your skin looking healthy and full, apply moisturizer both day and night.

TAKE A TRIP TO THE DOCTOR
For stubborn lines and wrinkles that require a little extra help, nothing does the job quite like injectables. Botox, Dysport and Xeomin work wonders on getting rid of hard-to-erase lines and wrinkles caused by smiling, laughing and squinting (think those that live around your eyes, between your brows and on your forehead), whereas hyaluronic acid fillers like Restylane, Perlane and Belotero can fill in hollows, wrinkles and folds for a more rejuvenated look. Collagen stimulating fillers such as Radiesse are excellent for restoring volume to the cheeks and also last longer than the hyaluronic acid fillers (about one year). Platelet rich plasma (PRP) such as Selphyl, uses your own platelets to “fertilize” the skin with your own growth factors. This “all-natural” treatment restores elasticity and makes you glow! For a long lasting result, fat transfer is an excellent, all natural way to restore youthful volume.



DR. TANNE SPEAKS AT THE AMERICAN SOCIETY OF COSMETIC PHYSICIANS

October 31, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News
SST CONFERENCE SPEAKER

Dr. Tanne speaking at the 9th Annual Meeting of the American Society of Cosmetic Physicians

 

Dr. Tanne was invited to speak at the 9th Annual Meeting of the American Society of Cosmetic Physician, held recently in Scottsdale, Arizona.

She presented a talk on Saturday, October 25th about micro-facial fat grafting, which was very well received. 

To learn more about fat transfer and fat grafting, CLICK HERE and read about Fat Transfer with Selphyl. 

You can also watch our excellent video about Fat Transfer with Selphyl.



SKIN-SAVING VITAMIN C

September 27, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

clmd power cIt possesses a variety of skin-perfecting functions—think lightening discoloration, creating new, healthy collagen (for plumper-looking skin) and warding off free-radical damage, which is why vitamin C has made its mark as a mainstay skin care ingredient. Ranging in strength from light to potent, this active ingredient is a key component in the anti-aging puzzle. But not all vitamin C products are created equal. Those that contain too high of a concentration can potentially irritate the skin—on the flip side, if the formula is weak and unstable, no benefits will be rendered.

Vitamin C is an antioxidant, anti-inflammatory and collagen stimulator. It controls oily skin, hydrates and shields against UV rays that sunscreen can’t. All types of vitamin C act similarly, the question is which are the most stable and can best penetrate the skin. For vitamin C to be effective it can’t oxidize. Unstable vitamin C may promote free-radical formation, causing damage.

Not sure what to look for in vitamin C products?

L-Ascorbic Acid: A more natural derivative

L-ascorbic acid is one form of vitamin C in skin care. This is the version found in our diets.

The downside to it: it’s not very stable. Companies don’t start with vitamin C derived from fruits but rather from synthesized production in a manufacturing plant.

Regardless of the source—be it extracted from an orange, plant or other natural element—all extracts of vitamin C need to be “processed” to some degree to make them applicable and usable in skin care. L-ascorbic acid is the closest to a natural form of vitamin C found in skin-care products today. 

Vitamin C Esters: Synthetic derivatives

Some skin-care brands choose to use synthetic vitamin C ingredients because they may be more readily available, less expensive or more sustainable in the formula. Synthetic forms of vitamin C tend to break down at a slower rate. 

CLMD POWER C

  • CONTAINS 20% ACTIVE VITAMIN C COMPLEX
  • L-Ascorbic Acid, Ascorbyl Palmitate (liposome encapsulated), Tetrahexyldecyl Ascorbate, Ascorbic Acid, Naturally Complexed Polypeptides, Ascorbyl Glucoside
  • Maximum penetration and absorption
  • Maintains potency and stability over time = efficacy
  • High potency clear, lightweight serum
  • Skin brightening
  • Collagen production
  • Fights free radicals
  • Immediate antioxidant benefits


6 WAYS TO GET PRETTY WHILE YOU SLEEP

September 12, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

sleepYour skin goes through a lot during the day. We unknowingly touch it with our fingers constantly and leave behind dirt, oil and bacteria. On top of that, it’s exposed to the sun, pollution and other factors that can cause damage. All of these combined are a perfect recipe for breakouts and signs of aging like wrinkles. That’s why the break your skin gets while you sleep is so important.

Follow these tips to make sure you wake up with gorgeous skin every day.

1. Get enough sleep
This one seems like a no-brainer, but there are still so many that don’t get enough shut-eye. Sleep is especially important because it gives your skin time to recharge. If you don’t get enough sleep, there are both short and long-term consequences. Short term effects can be seen immediately with under eye bags, dark circles and sensitive skin.. These usually go away when the appropriate number of hours of sleep has been met. If someone is constantly not getting enough sleep, it can lead to inflammation and acceleration in aging, resulting in the appearance of wrinkles and even acne.

Additionally, when you don’t get enough sleep you yawn more. When you yawn, your eyes tear up and fluid pools in the eye area causing puffiness.

2. Avoid salty food three to four hours before bedtime
Foods that are high in salt lead to dehydration, which is what you want to avoid for your skin while asleep. Salty foods can cause a fluid shift, which results in puffy eyes.

3. Sleep on your back
Sleeping with your face directly touching your pillow often leads to lines and creases in the skin, which can become permanent.

While you’re at it, keep your head elevated with at least two stacked pillows to prevent under-eye puffiness. Gravity has to be leveled to avoid puffiness so that fluids are distributed everywhere, not just to one given area.

4. Give your skin a final wipe after you cleanse
Cleansing is an absolute must, but to avoid having a little bit of makeup left over, do the following: After you rinse off your cleanser, do a final swipe over the skin with a wipe or soft, damp washcloth. The physical sweep over the skin makes sure that makeup is off. This will give your skin a clean slate to absorb the reparative ingredients that you’re going to use.

5. Use a good moisturizer for your skin type
Many forgo moisturizer at night because they want to let their skin “breathe,” but that’s actually a misconception. The concept of your skin breathing is actually incorrect, there are no respiratory systems in your skin. Your skin is like a fish and needs water to live. Without enough moisture, the skin cells dehydrate and skin produces extra oil to compensate causing wrinkles and acne.

When looking for a moisturizer, choose one that doesn’t contain sunscreen. The main goal of sunscreen is to protect skin from UV light, but non-sunscreen moisturizers will typically have a higher concentration of skin-benefiting ingredients.

6. Use an eye cream
If there’s any time of day when you absolutely should wear an eye cream, it’s at night. They work better at night because you’re not wearing makeup. That said, be careful not to put them too close to your lash line because your lashes can pick it up and deposit it into the eye, which causes puffiness. 

edited from New Beauty



If you’ve got wrinkles, thank Mom

June 30, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

Post from Skin Procedure News- American Society for Aesthetic Plastic Surgery

mom wrinkles

The genes you inherit from your mother have an impact on your skin quality.

Have you ever wondered why some people get wrinkles at a young age and others don’t? There are many answers to this question – smoking can cause wrinkles to form sooner, and if you don’t wear sunscreen when you’re young, you can expect signs of aging to surface earlier rather than later. But a new study finds another potential cause of early facial lines – the genes we get from our mothers.

What your mama gave you
For some time now, it’s been known that the mitochondria, often referred to as the “powerhouses” of the cells that make up our bodies, have a lot to do with aging. As these mitochondria sustain damage, they mutate and lose their ability to produce energy, resulting in the breakdown of the cells that leads to signs of aging.

The new study, published in the journal Nature, finds that the mitochondrial DNA passed down to us from our mothers also influences our own rate of aging. In other words, if your mother had wrinkles at a young age, you might be more likely to see fine lines on your own face in your early years. On the flip side, if your mother had smooth, blemish-free skin well into her 40s or 50s, you could be in for the same luck.

Looking to the future              
This study focused solely on cell aging and genetics, but researchers hope that it may help future development of therapeutic interventions that could focus on mitochondrial function, thus slowing the aging process. Unfortunately, such developments probably won’t be available for some time until more research can be conducted.

However, there are certain cosmetic procedures available today that can help people who show signs of premature aging. No matter whether you want long-term results that target deep facial lines or something less invasive that treats fine lines, you can likely benefit from a visit to a cosmetic physicians office.

For example, Botox (Dysport/Xeomin) injections, which have become immensely popular over the past few years, offer results that last for several months. This means you won’t have to make a big commitment like you would if you chose to undergo facelift surgery, but on the downside, you’ll need to continue to get injections of the substance to keep wrinkles at bay.



Don’t Worry, Get Botox

May 27, 2014 / Category: Anti-Aging, Beauty Breakthroughs, Cosmetic Procedures, Health News

 

 

The_New_York_Times_logoSunday Review
MARCH 21, 2014
Gray Matter
By RICHARD A. FRIEDMAN

don't worry get botoxFEELING down? Smile. Cheer up. Put on a happy face. No doubt you’ve dismissed these bromides from friends and loved ones because everyone knows that you can’t feel better just by aping a happy look.

Or perhaps you can. New research suggests that it is possible to treat depression by paralyzing key facial muscles with Botox, which prevents patients from frowning and having unhappy-looking faces.

In a study forthcoming in the Journal of Psychiatric Research, Eric Finzi, a cosmetic dermatologist, and Norman Rosenthal, a professor of psychiatry at Georgetown Medical School, randomly assigned a group of 74 patients with majordepression to receive either Botox or saline injections in the forehead muscles whose contraction makes it possible to frown. Six weeks after the injection, 52 percent of the subjects who got Botox showed relief from depression, compared with only 15 percent of those who received the saline placebo.

(You might think that patients would easily be able to tell whether they got the placebo or Botox. Actually, it wasn’t so obvious: Only about half of the subjects getting Botox guessed correctly. More important, knowing which treatment was received had no significant effect on treatment response.)

Other studies over the past several years have found similar effects of Botox on mood. Michael Lewis at Cardiff University reported that nondepressed patients at a cosmetic dermatology clinic receiving Botox injection above the eyes frowned less and felt better than those who did not receive this injection. And M. Axel Wollmer at the University of Basel found that Botox injection was superior to a placebo in a group of depressed patients.

Is paralyzing the muscles involved in frowning truly enough to make depressed patients feel better? The notion that your expression can exert a powerful influence on your mood turns our sense of psychological causality on its head. After all, we smile because we feel happy, and cry because we feel sad, not the other way around, right?

Not necessarily. The idea that facial expressions may feed information back to our brain and influence our feelings goes back to a theory of emotion first proposed by Charles Darwin. In “The Expression of the Emotions in Man and Animals,” Darwin posited that the control of facial expression causes a like effect on subjective emotions. William James took the idea further and proposed that emotions were the result, not the cause, of various bodily sensations, suggesting that “we feel sorry because we cry, angry because we strike, afraid because we tremble, and not that we cry, strike, or tremble, because we are sorry, angry, or fearful, as the case may be.”

We are used to thinking of the brain, not the body, as the prime mover of our emotional states. Consider the field of so-called psychosomatic medicine, which emphasizes a mischievous flow of information from brain to body: hence, the psychosomatic stomachache, headache and the like. You can literally worry yourself sick.

The Botox studies, by contrast, suggest a circuit between the brain and the muscles of facial expression in which the brain monitors the emotional valence of the face and responds by generating the appropriate feeling. (Obviously, information flows in both directions, as you can think yourself into practically any emotional state and then have the face to match it.)

There are other treatments for depression that appear to use facial feedback in a similar way. Light therapy stimulates the retina and excites the optic nerve, which sends signals directly to the brain and effectively treats seasonal depression. And direct electrical stimulation of the brain’s vagal nerve has antidepressant effects. 

Botox for depression is part of a long tradition of “outside-in” somatic therapies — many of dubious efficacy — that manipulate the body with the aim of altering the brain and mind, for instance by using cold wet sheet packs to treat severe agitation or acupuncture for anxiety.

In a broad sense, these Botox studies underscore one of the biggest challenges in treating people with depression. They might think that the reason they are depressed is that they have little interest in the world or their friends — a mistaken notion that is the result, not the cause, of their depression. They insist that only once they feel better will it make sense for them to rejoin the world, socialize and start smiling. Their therapists would be well advised to challenge their inverted sense of causality and insist that they will start feeling better after they re-engage with the world.

Whether Botox will prove to be an effective and useful antidepressant is as yet unclear. If it does prove effective, however, it will raise the intriguing epidemiological question of whether in administering Botox to vast numbers of people for cosmetic reasons, we might have serendipitously treated or prevented depression in a large number of them.

Richard A. Friedman is a professor of clinical psychiatry at Weill Cornell Medical College.



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