Scottsdale Living Winter 2013 by AZ Big Media

SCOT TSDALE LIVING SCOT TSDALE LIVING MAGA ZINE

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BL I C A T I

HEALTH & BEAUT Y

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WINTER 2013

N WINTER 2013 SCOT TSDALE LIVING MAGA ZINE

HOME & GARDEN

WINTER 2013

NO PAIN

CUTTING

NO GAIN

THE FAT

20 13 BEAUTY ADVICE WEIGHT-LOSS SURGERIES

FACIAL REJUVENATION

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EDITOR’S LETTER SCOT TSDALE LIVING

Meet the experts Flipping through this issue, you may notice one addition to the magazine: “This Issue’s Experts” on page 34. This isn’t just a one-time addition; you’ll see this in every issue from here on out. Why? Scottsdale Living wouldn’t be what it is — a reliable, trusted source of the latest health and beauty trends in the Scottsdale area — without the help from our local doctors, the experts. Their input is not only important to us, but also to you — our readers. The more informed and aware you are, the healthier you’ll be. And to ensure you have easy access to the doctors’ contact information, we’ve dedicated an entire section to them. Here’s how it works: At the end of every story, we refer you to the “Experts” section, located at the end of the Health & Beauty side of our flip magazine. Here, you’ll find the doctors’ respective contact info, including their phone numbers and websites; that way, you can immediately give them a call or look them up online for more info. or, if you happen to flip to the “experts” section first, you can quickly locate the doctor and the section and page on which they’re located, and flip to the story. Easy, right? So as you’re prepping and taking those first steps to attaining your New Year’s goals — whether it be losing weight; finding ways to look and feel young from head to toe, inside and out; or maintaining your overall health and increasing your awareness to prevent the onset of diseases or ailments — local physicians have provided great prevention tips and have informed us of new and tried-and-true ways to stay healthy. Let’s raise our water bottles, and cheers to both our local experts and a youthful, healthier you — throughout the year.

Kristine Cannon Associate Editor (602) 424-8830 kristine.cannon@azbigmedia.com

on the Go: scottsdalelivingmagazine.com 4 ScottSdale living

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President & CEO: Michael Atkinson Publisher: Cheryl Green Vice President of Operations: Audrey Webb EDITORIAL Editor in Chief: Michael Gossie Editor: Peter Madrid Associate Editor: Kristine Cannon Interns: Areselia Gales | Daniel Escobedo | Carolina Lopez Travis McKnight | Cooper Rummell | Julia Swem ART Senior Graphic Designer: Christin Gangi Senior Graphic Designer: Mike Mertes Contributing Photographers: Cory Bergquist | Glory Shim DIGITAL MEDIA Web Developer: Eric Shepperd Web & Graphic Designer: Melissa Gerke MARKETING/EVENTS Manager: Whitney Fletcher Interns: Abrielle Swisher | Brittany Harris SALES Account Managers: Susan Harken | Marianne Avila OFFICE Special Projects Manager: Sara Fregapane Executive Assistant: Mayra Rivera Database Solutions Manager: Cindy Johnson ARIZONA BUSINESS MAGAZINE Senior Account Manager: David Harken Account Managers: Arthur Alcala | Shannon Spigelman AZRE | ARIZONA COMMERCIAL REAL ESTATE Account Manager: Steve Koslowski | Zoe Terrill POWER BROKERS Director of Sales: Carol Shepard RANKING ARIZONA Vice President / Sales & Marketing: Lenore Grobstein Director of Sales: Sheri King EXPERIENCE ARIZONA | PLAY BALL Director of Sales and Marketing: Scott Firle SCOTTSDALE SUPER EXPO - SPRING & FALL Exhibit Directors: Kerri Blumsack | Tina Robinson HOME & DESIGN IDEA CENTER Showroom Manager: Joanne Stanley Account Manager: Marianne Avila Event Coordinator: Sara Fregapane

Scottsdale Living is published quarterly by AZ BIG Media, 3101 N. Central Ave., Suite 1070, phoenix, Arizona 85012, (602) 277-6045. The publisher accepts no responsibility for unsolicited manuscripts, photographs or artwork. Submissions will not be returned unless accompanied by a SASE. Copyright 2013 by AZ BIG Media. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system without permission in writing from AZ BIG Media.

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CONTENTS

6 8

NEW YOU

Fat stem cells can save your life

ESSENTIALS

Smile makeovers, healing high-heeled troubles

REJUVENATE

Injectables sculpt face to perfection

SHAPE

Transform your body with CoolSculpting

PREVENTION

Stay pain-free during your workout program

HOSPITAL CARE

Cancer symptoms, prevention

CONNECTIONS

Gena Lee Nolin talks Thyroid disease

BEAUTY

4 tips to treating dry, winter hair ON THE COVER Scottsdale resident and former “Baywatch” star Gena Lee Nolin.

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THIS ISSUE’S EXPERTS

Meet the experts in this issue

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eople often say, “There’s just something so different about Westminster Village.” At first glance, it’s hard to put your finger on what makes our community so special. Westminster Village is not owned by any individual or group; there are no shareholders making a profit at our Residents’ expense. Since 1988, Westminster Village has been committed to remaining Resident-focused by continually seeking to understand and respond to the changing wants and needs of our Residents. All the amenities, programs and services you could ever want are already here at Westminster Village…

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By KRiStine cannon

NEW YOU

Phenomenal I

f someone were to tell you your fat could not only make you look up to 20 years younger, but also save your life, would you believe it? According to local surgeons, it can — with fat stem cell transfers and fat banking. The fat stem cell transfer — or fat grafting procedure — consists of harvesting or removing fat from one part of the body, purifying it and re-injecting it into the areas that need volume or rejuvenation. The two most common uses for fat stem cell transfers are as natural and long-lasting alternatives to fillers and implants. “Although the procedure has been around for many years, autologous fat grafting or fat injections are becoming a hot topic in plastic surgery,” says Dr. Jennifer Geoghegan, M.D., of Oasis Plastic Surgery in Scottsdale. “Fat can be used to revise scars, fill in depressions, to volumize or rejuvenate the face or hands or to enhance body contours such as the buttocks or breasts.”

Breast augmentation and reconstruction

Both Geoghegan and Dr. James M. Nachbar, M.D., FACS, Scottsdale Plastic Surgery in Scottsdale, agree that the use of fat to correct defects from breast biopsies has gained popularity over the past year. “Many of my most informed patients seem to be my breast reconstruction patients,” Geoghegan says. “After doing research on their options, they commonly come in looking for fat injections as an option to potentially improve their lumpectomy scars or as an improvement to their current implant-based breast reconstruction.” Dr. Todd K. Malan, M.D., founder of the Innovative Cosmetic Surgery Center in Scottsdale, also uses fat-derived stem cells frequently at his practice for patients who have had lumpectomies or multiple biopsies or left with defects. But, he says the most common use for fat stem cells is for breast augmentations, a procedure for which he was the very first surgeon in the United States to perform. The procedure is performed with needles, with no cutting into the breast, and takes about two hours. The fat, along with the stem cells, is injected throughout the breast. Patients are typically uncomfortable or sore from the liposuction for about three to five days, with possible bruising and very little swelling, according to Malan, and should subside within a couple of weeks. “You can rebuild the breast, instead of implants,” says Dr. Jeffrey J. Ptak, M.D., FACS, Aesthetic Surgery in Scottsdale. “It would probably take two or three sessions to build a reliably fuller breast to the same volume that you would get an implant.” Although it may take more time, the fat stem cell transfers are considered a much more natural alternative for breast augmenta-

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Fat stem cells can be used cosmetically, medically and as an anti-aging alternative tions, and they’re also long-lasting and less expensive in the longrun, compared to implants. “With implants, you’re looking at replacing them every 10 years, at least,” Malan says. “A recent study done by one of the implant companies shows that 50 percent of patients will have their implant removed prior to 10 years because of complications or issues. So, you’re talking about a procedure with fat that lasts forever.” Malan adds that if one were to average the potential complications, potential issues and the replacement costs, she would be looking at $1,000 per year for the rest of her life, after the implants are put in.

Stem cell facelifts

“Stem cell facelifts have been the most popular recently,” Malan says. “And I think that the word is getting out now.” According to the American Society of Plastic Surgeons, facelifts help improve visible signs of aging in the face and neck, but the procedure does not stop the aging process. Fat transfers to the face, however, can reverse skin aging. Ptak says instead of stretching the skin outward, surgeons who incorporate fat transfers, also known as fat grafting, in their procedures are filling up the volume of fat in the face where there used to be volume, giving patients a youthful look. Ptak, more than a decade ago, was one of the first in the country to offer fat grafting in the country. Facial aging is caused by a loss of volume, so injecting fat creates volume and rejuvenates the face, creating a natural, youthful, recharged appearance. Stem cells make the skin thicker; they regrow collagen, stimulate blood flow and eliminate age spots, and patients can look up to 20 years younger. “Fat transfers have been used a lot now along with facelifts to improve the result of the facelift, Nachbar says. “As you age, the wrinkles and the sagging of the skin relates to loss of the fat in the face. As you get older, the fat drains out so it becomes more hallow. Injecting fat can help improve the shape of the face.” Stem cell transfers are a fraction of the cost and can last up to 10 years, if not longer, Ptak says. For instance, facelifts range from $15,000 to $20,000, while fat transfers can cost anywhere from $4,000 to $7,000, he adds. And the number of patients receiving this procedure at his practice have increased.

Fat

“I think we’ve seen anywhere from a two- to five-fold increase in this procedure in the last four years at my practice,” Ptak says. “There are very few of us doing it.”

Fat stem cell banking

Normally after liposuction, fat is discarded as medical waste. However, doctors suggest saving or banking your fat for future possible anti-aging or medical treatments — because the fat is rich in regenerative stem cells. Ptak calls this bio-insurance. “You’re essentially setting up another insurance policy for yourself to have these stem cells readily available,” he says. For those who do not opt for a fat transfer to the face or use it for a breast augmentation, patients can store it at a tissue bank. Just two exist in the U.S. — BioLife Cell Bank located in Dallas; and AdiCyte located in Tucson, the largest stem cell bank in the country. Last year, Dr. Ptak was appointed as a national board advisor for AdiCyte. If you have a family history of cancer, multiple sclerosis or Alzheimer’s disease, “You really should be considering having your fat removed and stem cells stored while you’re young,” Malan says. “Those stem cells will be able to do amazing repair work.” The younger the better, Ptak says. And it can be done anytime. “If you’re going in for another procedure, and you’re under anesthesia, you can have it done then,” he adds. “It’s easy.” The amount of fat removed for stem cell banking is 500cc’s — about the size of a 16 oz. bottle of water. Malan has had patients come in to his practice specifically for the fat removal and fat stem cell banking. “This really is the most exciting, medical breakthrough in any of our lifetimes,” Malan says. “This really has the potential of completely altering disease where we could not only cure disease, but we could reverse the disease process so that you don’t have to suffer from debilitating chronic conditions anymore. And, we can actually help repair chronic genetic diseases.” Rebuilding breasts, reversing aging, treating heart disease and diabetes — fat transfer can be used just about anywhere in the body, from head to toe, with stem cell therapy able to treat a range of conditions. “Your fat can save your life, especially if you happen to develop a disease that they have a proven therapy with stem cells now or in the future,” Ptak says. “The old model of drugs and surgery being the old way to fight disease is really going out the window.” To learn more about the experts in this story, turn to page 34. WINTER 2013

ScottSdale living 9

By DANIEL ESCOBEDO

ESSENTIALS

Beaming beauty

Local dentists offer advice on how to improve your smile throughout the New Year

t the start of a new year, people tend to reflect as they make resolutions for personal improvements. While some focus on ways to lose weight or improve their style or fitness, many decide to focus on ways to improve their smile. “Improving one’s smile is absolutely important,” says Dr. Ann Sielicki of Sonoran Dental Design in Scottsdale. “A smile is really the first impression of each person to the rest of the world.” When improving one’s smile, two factors come into play: cost and time. Sielicki and other Scottsdale dentists share how to enhance your smile while keeping your budget and time in mind.

1 hour: Teeth whitening

For a quick confidence booster, whiten your teeth. Dr. Jeffrey Clark of Scottsdale Dental Excellence offers a special type of whitening called Opalescence Boost Bleaching. Perfect for people who are big fans of coffee or tea, Opalescence Boost Bleaching is one of the most advanced whitening services on the market, utilizing a special, chemically activated formula solution that is painted onto the teeth in 15 minutes intervals. Patients can see the color of their teeth improve up to eight shades lighter in one visit. If one hour is too long to set aside, Clark’s practice offers MiniBleaches, where patients can get their teeth quickly whitened via a whitening solution at the end of a teeth-cleaning session. The solution only takes 10 minutes for the application, and patients can see fast results. Teeth whitening procedures in Clark’s office can run anywhere from “free,” such as with their “Forever White Program,” to approximately $525.

1 day: Porcelain veneers

Sometimes, we find more grooves and ridges in our teeth due to normal wear and tear, whether it is due to the food we eat or from grinding our teeth too much. Because of this, the shape of our teeth can change or become smaller. One way to remedy this is to get porcelain veneers — thin layers of material used for restorative purposes and generally placed over the front of the teeth. They can either be used to change the way your tooth looks or protect a tooth that may have been badly damaged. Typically, the process of getting a veneer takes more than one visit,

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but with Sielicki’s Chair side Economical Restoration of Esthetic Ceramics (or CEREC) unit, it takes just one visit. This dental restoration product takes a picture of your tooth, allowing the dental practitioner to create a 3D model of your new tooth. The information is then sent to another machine that will create your new tooth using a block of highquality ceramic. With the use of the CEREC unit, patients can see new and improved smiles within a couple of hours with no need to pay for an extra visit. Costs for porcelain veneers run anywhere from $1,000 to $3,000, depending on the nature of each case.

1 month: Porcelain crowns

To protect our teeth compromised by decay, cracked or fractured teeth, or even teeth that have had root canals, Dr. Paul Douglas of Douglas Family Dentistry says that a porcelain crown is the way to go. The process of obtaining a crown usually takes two visits — sometimes more — depending on the severity of the case. During the first visit, the tooth is prepped and an impression is taken. Afterward, a temporary crown is placed on top of the tooth that needs attention. After about a week, the permanent porcelain crown is placed after the removal of the temporary crown. Each visit usually takes about an hour, and the average cost of the procedure is typically $1,000.

1 year: Teeth straightening

While teeth whitening, veneers and crowns can most certainly make the biggest difference in the way our smile is perceived, one of the more drastic procedures is teeth straightening. Although the most typical way to straighten your teeth is through the use of braces, this can bring more unwanted attention to your mouth due to its unsightly appearance. So, Clark suggests Invisalign, an invisible plastic aligner that gradually shifts your teeth in place according to how your dental plan is detailed. According to Clark, aligners are switched out every two weeks until treatment is completed — usually taking 12 months or less for patients to see their desired results. The best part? Invisalign makes it easy for you to keep your teeth clean, rather than having to adopt new yoga poses just to floss in between your braces. Prices can range anywhere from $5,000 to $9,000. To learn more about the experts in this story, turn to page 34.

WINTER 2013

ScottSdale living 11

ESSENTIALS

Heal your high-heeled troubles Want to stop the pain, but canâ&#x20AC;&#x2122;t stop wearing your stilettos? Doctors offer advice on how to avoid the pain and consequences of heels

igh-heeled shoes make your legs look leaner, but is this worth the pain? Some of the conditions that can be related to heel use are ankle sprains; metatarsalgia, which is a pain in ball of foot where the pressure is applied; and occasionally stress fractures in the foot. Some doctors advise a complete switch to flats, but if you still want to sport high-heeled shoes, local doctors offer tips on how to do so safely.

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ESSENTIALS Sizing and comfort

Make sure you’re purchasing the correct size, says Dr. Kris A. DiNucci, Doctor of Podiatric Medicine, FACFAS, with Foot and Ankle Center of Arizona. She adds that “you want to make sure the shoe fits the foot. Just because it’s on sale and it’s half a size smaller doesn’t mean you should buy it.” Additionally, there are shoe makers in different countries which have different sizing, says Dr. Mark Forman, D.P.M., F.A.P.W.C.A., Arizona Foot and Ankle. Just because you’re usually a certain size doesn’t mean you stay that same size in every brand or style, he adds. The ideal shoe is one with good arch support to decrease stress through the mid- and forefoot, says Dr. Doug Meyrose, D.P.T., owner and physical therapist at Foothills Sports Medicine Physical Therapy. Forman and Steen Johnsen, M.D. of The Orthopedic Clinic Association, also suggest breaking into your shoes before a night out. Comfort is extremely important, Forman adds, and breaking the shoe in first will help with comfort.

Foot and shoe shape

“The shape of your foot should be considered when deciding on what style of shoe would fit your foot appropriately,” DiNucci says. Look at the shape of your foot. Is the end of your foot more tapered or do you have square-shaped feet? When choosing between shoes with rounded toe heels or those with a more square shape, keep the shape of your foot in mind, DiNucci adds. If you’re planning on being on your feet for a longer period of time, you need a good heel that isn’t too narrow, Foreman says. The narrower the shoe, the more bones are compressed, he adds. Also, look at the shoe to check if it has worn down. With heels, when the sole of the shoe starts exhibiting significant wear, it wears unevenly, oftentimes on the outside, so your foot tilts inwards and there is a higher propensity to roll your ankle, DiNucci explains.

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Stability

Stability is key. Ask yourself how stable the heels are and if you can walk in the shoes safely, DiNucci says. Oftentimes, people roll their ankles because they don’t have a stable platform in their shoe. According to both Meyrose and Johnsen, look for a shoe that has a wider heel base, has a lower height and a does not constrict the toes too much. Opt for a lower heel with a wider base. All four experts agree that wedges are the better option. “With wedges, you get more stability and the height without the pressure on the ball of your foot,” Foreman says.

Stretching

According to DiNucci, Meyrose and Johnsen, stretching is important. Because long-term use of heels can cause your Achilles tendon to shorten, stretch your calves regularly, especially after wearing heels. “Stretching helps to counteract the negative effect heels have by potentially shortening the musculature in the backside of the leg,” Meyrose says. Johnsen goes on to say that stretching the calf muscle on a step can also help prevent calf muscle and plantar fascia issues. Women should also vary the height of the heels; this will help calf muscles work through their entire range of movement, DiNucci adds. Be cautious of a sudden and drastic change in shoes, Meyrose says, especially if transitioning into flats or gym shoes. This could have harmful effects on shortened muscles that may then become overstretched.

Surface

Think about the surface you plan to walk on. If you’re going to an event with a desert landscape, don’t wear high heels. You want to make sure that you can walk from place to place safely, DiNucci says. Avoid walking on uneven surfaces, especially if you have had a drink or two. This will help avoid injury, Johnsen adds. To learn more about the experts in this story, turn to page 34.

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ScottSdale living 15

By MICHAEL GOSSIE

REJUVENATE

Give it a

sHot

Injectables can fill out wrinkles and scars and sculpt your face to perfection, experts say

o you want your face to be a masterpiece? “What paints and clay are to an artist, ‘injectables’ are to a cosmetic dermatologist,” says Dr. Susan Van Dyke of Van Dyke Laser & Skin in Scottsdale. The term “injectable” refers to any substance that can be introduced into the skin through a needle, Van Dyke says. Injectables can be broken down into three main groups: fillers (Juvederm, Restylane, Perlane, Radiesse), volumizers (Sculptra) and relaxers (Botox and Dysport). Here is how Van Dyke defines them: FILLERS: “Plump up the lips, fill out wrinkles and scars, and can do amazing things by sculpting faces to perfection.” VoLUmIzeRS: “Improve overall facial volume that is lost as we age, filling in hollow temples and cheeks to re-establish a more youthful proportion.” RELAxERS: “Smooth wrinkles from movements such as squinting and frowning. Relaxers can also create uplift in the brow and lower face, which can get dragged down by age and gravity.” Dr. Lee P. Laris of Phoenix Skin Scottsdale says the ideal patient who will benefit from injectables is someone who still has good elasticity in their skin, without a lot of excess skin around their jowls. If there is too much skin, the injectables can help soften the area, but will not get rid of the excess skin, so Laris recommends a mini facelift or a skin tightening system (Thermage, Ultherapy) before injecting the fillers to help tighten the surrounding area. “As we age, we lose structure and often time one’s own fat is the best filler we have because it is long-lasting — 7-10 years — and natural.” Laris says.

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He recommends that patients do their research before receiving an injectable. “Many times I can suggest areas to inject that patients never knew could be done that makes a dramatic difference in the final result, and other times I may explain that filler is the wrong choice for them altogether,” Laris says. “They should go to a licensed doctor or provider that has been trained in the art of injecting.” Even though most injectables can be done in less than 20 minutes, doctors say to make sure you spend some time doing research before walking into their office. “my advice would be to ask questions, and make sure you are getting the best injectable and the best procedure for you,” Laris says. “Every patient is different and we all age differently. Someone with deep smile lines may need skin tightening before fillers to achieve optimal results, others may need several syringes around the mouth and under eyes to look their best. A younger patient may only require filler in their lips or acne scars. No one is the same and before you invest time and money into a procedure, I always recommend speaking with the provider so you know the expectations and risks of the procedures.” To learn more about the experts in this story, turn to page 34.

PROBLEM: CROW’S FEET AREA AND BAGS UNDER EYES “The most popular procedure I have done this year is to brighten the upper face by focusing on the eyes,” says Dr. Susan Van Dyke of Van Dyke Laser & Skin in Scottsdale. “I use fillers such as Restylane and Juvederm to reduce the hollows under the eyes (the tired look) and tear trough (the sad look). I employ relaxers such as Botox and Dysport to raise the brow and soften the crow’s feet. The overall effect is soft and subtle, but nevertheless, remarkable.”

PROBLEM: BETWEEN EYEBROWS Botox is very popular, especially in the forehead, glabella (between the eyebrows to improve the ‘11’ lines) and crows feet, experts say.

PROBLEM: LIPS “Lips have the potential to make a big difference in one’s appearance because a small amount of filler can go a long way,” says Dr. Lee P. Laris of Phoenix Skin Scottsdale. “We always want the patient to look natural, just refreshed and more youthful.”

PROBLEM: AREA AROUND MOUTH Doctors say filling the nasal-labial folds (laugh lines) and marionette lines (long, vertical lines that laterally circumscribe the chin) around the mouth has always been a popular use for the dermal fillers.

PROBLEM: HANDS AND BREASTS Injectables can be used not only to plump lips and fill wrinkles, but they can also add youthful volume back to cheeks, enlarge small chins or breasts and volumize aging hands, doctors say.

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ScottSdale living 17

SHAPE

By MICHAEL GOSSIE

the ease of

CoolScuplting is a non-surgical option to transform your body

f you are having a difficult time losing those love handles, don’t sweat it. Chill out. “CoolSculpting is as a revolutionary new technology based on decades-old knowledge that uses cold temperatures to ‘freeze’ fat cells,” says Dr. Michael Carlton of Phoenix CoolBody, which has two Valley locations. “After a single treatment you can see a remarkable 20-25 percent reduction in fat in the treated area. Results are long-lasting and no surgery is required.” According to Dr. Da,niel Shapiro of Shapiro Aesthetic Plastic Surgery in Paradise Valley, here is how CoolSculpting works: An applicator is placed on the fat bulge and performs a controlled cooling that is used to target and crystallize fat cells that seem to be resistant to diet and exercise. Crystallized fat cells gradually die off, and over the course of a few months, are naturally eliminated from your body. During the same period, remaining fat cells condense, which reduces the fat layer. “When fat cells are frozen, this turns on the natural cell death process leading to their permanent removal,” Carlton says. “CoolSculpting can give you liposuction-like results without the use of surgery, IVs or extended downtime.” CoolSculpting is relatively inexpensive when compared with formal surgical liposuction, which often includes costs for operating room facility and anesthesia, Shapiro says. CoolSculpting is priced according to size of the areas treated and number of applications necessary to meet patient expectations, with pricing starting at approximately $1,200 for bilateral smaller areas and $1,600 for larger areas. “During treatment you can read, work on your laptop, watch TV, or simply relax,” Shapiro says. “Most patients need two to three treatments.” Carlton says people who can benefit the most from CoolSculpting are those who are at or within 20-25 percent of their ideal body weight, exercise regularly and eat a well-balanced, portion-controlled diet. “The ideal candidate is someone who has exercise-resistant ‘fat bulges,’ ” says Dr. Martin Blume, founder of The Blume Skin Centre. “These are areas most notably in the flanks — those love handles — and abdomen, but are also found in inner thighs and upper back.” After a single CoolSculpting procedure, doctors say most 18 ScottSdale living

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clients see fat reduction of 20-25 percent in the treated area. Carlton says CoolSculpting Stacked patients can see a 35-80 percent reduction of fat over a 10-12 month period, and CoolSculpting Squared can give you quicker results when you have a deadline to meet, such as a wedding, vacation, reunion or office party. “I have seen numerous men and women over the course of two to three months delighted with the reduction of their back rolls, spare tires, muffin tops and stubborn saddle bags without having to undergo surgery and the recovery period that follows,” Shapiro says. “(CoolSculpting) patients feel more attractive both in and out of clothes.” To learn more about the experts in this story, turn to page 34.

freeze

and get rid of stubborn fat

Hottest cool procedures dr. Michael carlton: “The fastest growing aesthetic procedure in the world is reduction of male boobs. Phoenix CoolBody uses Venus Freeze with CoolSculpting, CoolSculpting Stacked and CoolSculpting Squared to shrink those man boobs and give you back the chest you want. We also combine Venus Freeze with CoolSculpting to tighten the skin, reduce cellulite, shrink stretch marks and rid you of wrinkles on the face and body.” dr. daniel Shapiro: “Cellulaze is an extremely popular, FDAcleared, minimally-invasive laser procedure that is a long-lasting treatment for cellulite. It is performed by placing a minute laser probe beneath the skin of the buttocks, thighs or abdomen and releases cellulite dimpling, reduces cellulite bulges and tightens overlying skin. Treatments are performed in the office with smoother, firmer skin evident within 2-3 months.”

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ScottSdale living 19

By COOpEr ruMMELL

PREVENTION

Resolution remedy Scottsdale doctors offer tips to keep you pain free as you launch your workout program

njoy a few glasses of champagne, try all the hors d’oeuvres, and indulge in those desserts, because tomorrow it’s time to hit the gym. It’s no secret that every year on January 2nd, the gyms are packed with people committed to a year of exercise and healthy living. By February 2nd, however, many retire their running shoes, hang up their work out clothes, and remove their gym membership card from their wallet because, let’s be honest, it’s only taking up space. Soreness and injury are two of the leading causes of burnout when it comes to exercise, and both can keep people out of the gym and onto the couch. Inevitably, most everyone endures some amount of soreness when beginning a new exercise regiment; however, soreness is often confused with injury. When a person does sustain an injury, many do not seek the appropriate treatment. By following a few tips from local experts, you may be able to manage your pain and maintain your healthy living commitments in the New Year.

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Warm up

It may be tempting to sprint out of the house and straight onto the jogging trail or step into the gym and begin resistance training, but it is important to properly prepare your body for exercise. Dr. Mark Spiro with Valley Pain Consultants in Scottsdale says everyone, especially those over 50 years of age, should consult their primary care physician before beginning a new workout program. After being cleared for physical activity, Spiro suggests a few minutes of warm-up aerobic exercise to loosen the muscles. Following a quick warm-up, Dr. Alex Bigham of Novocur in Scottsdale recommends stretching key muscles groups. “Prolonged, easy stretching is just as important as the exercise itself,” Bigham says. Though stretching can seem like a tedious process, it significantly decreases the chances of injury and helps alleviate sore muscles.

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PREVENTION Start light and slow

People often desire to start their exercise regiments at too high of an intensity level. One of the greatest misconceptions about exercise is that “people think they’re going to get into the same routine from 20 years ago,” Bigham says. Dr. Toure Knighton at the Pain Center of Arizona’s Scottsdale location advocates five minutes of light physical activity, three to five times a week for the first two weeks of a new exercise routine. After week two, Knighton recommends adding another five minutes of aerobic exercise and continuing to increase length and intensity every few weeks. “People expect results too fast,” says Dr. Paul Lynch with the Arizona Pain Specialists in Scottsdale. “It is more of a marathon than a sprint,” he adds, and it takes time to ease into.

Pain or soreness?

Exercise has many physical demands on the body and can cause a serious amount of discomfort. Not all discomfort, however, is negative, and there is a significant difference between common soreness and pain caused by an injury. Dr. Lynch warns that pain accompanied by redness, swelling or tenderness could be an indication of an injury. General soreness is indicated only by mild discomfort of the muscles. Nevertheless, it is important to push through the discomfort of sore muscles. “There’s no easy way to maintain physical shape,” Knighton says. “But, it is very important,” especially if you desire to sustain a healthy lifestyle.

Stay accountable and committed

“Patients that develop a support network do astronomically better in their exercise regiments,” Knighton says. Tell friends and family about your decision and have them hold you accountable. Try to remove obstacles that will keep you from reaching your goals. Bigham recommends choosing a gym that is close to home to keep you going back. Finally, vary your routine and have fun while exercising. Spiro says many studies have proven that alternating exercises will help you stay committed. Exercise is one of life’s great remedies. Leading a healthy and active lifestyle can help boost mental function, relieve stress, and has countless more benefits. “Exercise is the best investment you will ever make for your mental and physical health,” Spiro says. So, follow these tips and enjoy a happier, healthier new year. To learn more about the experts in this story, turn to page 34.

WINTER 2013

ScottSdale living 23

HOSPITAL CARE

Reading the signs

By KrISTINE CANNON

Are the symptoms you’re feeling early signs of cancer? Why women ignore the signs, and what they may mean

hile women are busy caring for their children, their clients or both, there’s one important individual they tend to neglect — themselves. more frequently than not, women don’t make their own health a priority, ignoring symptoms that could be early signs of cancer. “Women frequently ignore symptoms because they are simply busy,” says Dr. Daniel Maki, M.D., director of breast imaging at Scottsdale Medical Imaging (SMIL). “They are head of the household, often responsible for so many others that they put their own health on the back burner.” What’s worse is some women believe the symptoms will just go away, so they ignore or deny the symptoms, according to Dr. Clayton Palowy, M.D., medical oncologist with Ironwood Cancer & Research Centers in Chandler. “It’s human nature to ignore symptoms because you don’t want to view the worst, and you start rationalizing them as natural causes,” says Dr. Mike Janicek, M.D., medical director of the Cancer Genetic Risk Assessment Program at the Virginia G. Piper Cancer Center at Scottsdale Healthcare Medical Center. “I would say it’s the slowness of some of the symptoms that may sneak under the radar and makes it difficult for women to pay attention to symptoms, when in retrospect, it’s clear to them.” Many symptoms such as bloating, irregular vaginal bleeding and pelvic pain seem typical, but, in reality, these and a few common symptoms that could be signs of various types of cancers.

CerviCal CanCer

The sTaTs: All women are at risk for cervical (uterine cervix) cancer, which forms in the tissue of the cervix (the organ connecting the uterus and vagina) and is almost always caused by human papillomavirus (HPV) infection. However, it occurs more often in women over the age of 30. In the U.S. in 2012, the National Cancer Institute estimated more than 12,000 new cases of cervical cancer and more than 4,000 deaths.

24 ScottSdale living

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HOSPITAL CARE The sympToms: ● Bleeding with intercourse: This is often mistaken for “just too much friction,” according to Dr. Deborah Wilson, M.D., of Scottsdale. ● Bleeding after intercourse: Mistaken for the start of one’s period. ● Irregular or heavy vaginal bleeding pre-menopausal: Mistaken for an abnormal period and could also be a symptom of uterine cancer. ● Bleeding after menopause: Mistaken for an unexpected period and could also be a symptom of uterine cancer. preVenTion: Two tests can help prevent or find cervical cancer early: a Pap test (or a pap smear) and the HPV test.

BreaSt CanCer

The sTaTs: Breast cancer is the most commonly diagnosed cancer among women and is the second-leading cause of cancer death among women, according to Centers for Disease Control and Prevention (CDC). In the U.S. in 2012, it was estimated by the National Cancer Institute that there were nearly 227,000 new cases of breast cancer and more than 39,000 deaths. The sympToms: The most common complaint or symptom is a lump in the breast. “Depending on what the lump (cancer) invades during its growth, it may cause a variety of different symptoms based on what it grows into,” says Dr. Maki. “If the lump invades into the nipple or skin, it can begin causing retraction or dimpling,” he adds. “If the lump invades a blood vessel and milk duct, it can cause blood to be discharged from the nipple. If it invades nerve fibers, it can cause pain. If it invades the skin, it can cause thickening or change in texture of the skin itself.” oTher sympToms incLUde: ● Discharge from the nipple (particularly a bloody discharge) ● Nipple inversion or retraction ● Skin dimpling (along one edge of the breast) or retraction “Sometimes patients even describe simply a ‘thickening’ of an area of the breast rather than a discrete lump,” says Dr. Maki. Palowy says that breast changes such as a red breast is an early sign of inflammatory breast cancer and can be mistaken for infection. sympToms misTaKen for: Many of the symptoms are often attributed to cysts or one’s menstrual cycle, according to Maki. And in a large number of patients with lumps or pain, the assumption may often be correct. “However, occasionally these symptoms do unfortunately represent early stages of breast cancer, and any new breast symptoms should always be brought to the attention of one’s doctor,” Dr. Maki says. preVenTion: mammograms and screenings are the best way to find breast 26 ScottSdale living

WINTER 2013

cancer early. Also, be aware of your family history and risk factors. The National Cancer Institute has a Breast Cancer Risk Assessment Tool helps estimate a woman’s risk of developing invasive breast cancer. Visit cancer.gov/bcrisktool.

ovarian CanCer

The sTaTs: Ovarian cancer forms in the tissues of the ovary, with most ovarian cancers either ovarian epithelial carcinomas (cancer that begins in the cells on the surface of the ovary) or malignant germ cell tumors (cancer that begins in egg cells). The National Cancer Institute estimates that there were more than 22,000 new cases of cervical cancer and more than 15,000 deaths in 2012 in the United States. The sympToms: ● Bloating: Mistaken for gas pain. ● Pelvic pain: Mistaken for indigestion. ● Early satiety ● Chronic indigestion: Mistaken for food intolerance. preVenTion: As with breast cancer, know your family history and inherited risk and changes, such as changes in the breast cancer susceptibility genes BRCA1 and BRCA2. However, according to the CDC, most breast and ovarian cancers are primarily due to aging, the environment and lifestyle. “Ovarian cancer has no screening test, so that’s the one that most people focus on the symptoms,” says Janicek. “By the time you get bloating and some of the other symptoms, it’s often in its advanced stages.”

Know your HiStory

The No. 1 symptom to consider? Family history, according Janicek. “Family history is an unusual but very important symptom,” says Janicek. “And it’s not just for breast, but for ovarian and lynch syndrome. People don’t think of family history as a symptom, but it is. If you have a strong family history of breast or ovarian cancer, you may be at genetic risk for cancer.” Compile your family’s health history, and go as far back as three generations. Janicek says to let other family members know when another family member gets cancer. Not only will you and your family be informed, but it will also help the doctor look for any patterns of disease in the family. Visit My Family Health Portrait’s Keep traCK website at famiCollect the following information about both your lyhistory.hhs.gov to help collect and mother’s and father’s sides of the family: ● Number of close relatives with breast or ovarian track your family cancer: mother, sister(s), daughter(s), grandmothers, health history. To learn more aunt(s), niece(s), and granddaughter(s) about the experts ● Ages when the cancers were diagnosed in this story, turn to ● Whether anyone had cancer of both breasts page 34. ● Breast cancer in male relatives ● Ashkenazi (Eastern European) Jewish ancestry

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service that we extend to our clients and convenient location. We treat everyone that comes into the door like family, and we never let a customer leave unhappy. Our styles are worldly and trendy, and we offer such styles as The Bollywood, which is a full look with large curls. We offer another style called The Tokyo, which is a very sleek and straight style. My partner and I have traveled to many places throughout the world, and we wanted to offer some of the beautiful styles other places in the world have to offer. However, we can still create your custom look — The Scottsdale. WHAT SERVICES DO YOU OFFER? Hamad: We offer trendy blowouts at an affordable price. We never charge you extra for using curling tools or flat iron tools. In addition to blowouts, we offer facials, makeup applications and a lash bar. And soon we’ll have laser services as well. Our signature service, The Vanity, is a blowout, full makeup and polish change for $75. HOW HAVE CUSTOMERS REACTED TO YOUR BLOWOUT BAR SO FAR?

WHAT MAKES VANITY BLOWOUT BAR STAND OUT FROM THE REST OF THE COMPETITION?

Hamad: Customers have been extremely excited to see Vanity open. Our fresh and modern decor puts people at ease. Our customer base is not exclusive to Scottsdale, though; we have a strong clientele that ranges even as far as Gilbert and Peoria. Our clients come looking for a blowout therapy from a bad hair day and leave feeling beautiful.

Ghazi: Vanity stands out from competition due to the great customer

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By JuLIA SWEM

CONNECTIONS

Making waves A Thyroid disease can happen to anyone, just ask ‘Baywatch’ star Gena Lee Nolin re you struggling with exhaustion, noticeable weight-gain and severe moodiness? If you answered “yes” to all three questions, you may be dealing with thyroid disease. The thyroid gland manufactures hormones that control metabolism. Thyroid disease occurs when the thyroid gland is either creating too many hormones (hyperthyroidism) or not enough (hypothyroidism). Although hypothyroidism is much more common, any type of thyroid dysfunction affects critical body functions such as energy level and heart rate, according to the American Thyroid Association. Dr. Alan Christianson, a naturopathic medical doctor for Integrative Health in Scottsdale, says thyroid disease is not a common topic of conversation, but it may affect more women than most research shows. He says that if one were to look at optimal standards, it’s likely that 20 to 25 percent of the adult population may have some degree of thyroid dysfunction, compared with 10 percent shown by most conservative evidence. Christianson adds that women are especially vulnerable to thyroid disease during pregnancy. In fact, one of Christianson’s patients, Gena Lee Nolin, a Scottsdale resident and former star of “Baywatch,” says she suffered a severe case of thyroid disease during pregnancy. She says the worst part was being misdiagnosed with possible psychological problems and atrial fibrillation (AFIB) due to irregular heart rates.

SymptomS

Christianson says thyroid disease is often overlooked because the symptoms that occur in the earlier stages, such as depression, fatigue, and/or weight gain, are symptoms a lot of people have for other reasons. Most doctors are only trained to identify thyroid disease when it is very advanced — and usually that’s five to seven years down the road, he adds. Nolin says she was up to 175 pounds (pre-pregnancy), felt achy and was sick with constant flu-like symptoms. “They tested me for Valley Fever; they tested me for rheumatoid arthritis (RA) — pretty much everything,” Nolin says. “And then the doctor threw out all these things and said, ‘You need talk to a psychiatrist. It could be in your head.’ So he gave me a card, and I left the appointment crying.” Later, when Nolin was seven weeks pregnant, she was walk-

30 ScottSdale living

WINTER 2013

ing on the treadmill and noticed that her heart started to race and beat irregularly. She was misdiagnosed with AFIB because of her symptoms. In realty, it was thyroid disease, for which she was never screened.

awareneSS

Christianson says even if a pregnant woman does not have symptoms of thyroid disease, she should always be tested for it during a routine checkup. “There are changes that take place within the immune and the body’s hormone system during pregnancy that can push thyroid disease over the edge if it’s in the shadows waiting to start,” Christianson says. After her diagnosis with AFIB, Nolin had another cardiac attack — this time seven months into her pregnancy — and was rushed to the hospital where, again, she was never screened for thyroid disease. “When I was there, they wanted to cardiac-convert me, which is like what you see on ‘ER’ when they put the panels on someone, and the body jumps,” Nolin recalls. “They wanted to stop and restart my heart with (me) seven months pregnant, which is just crazy.” She was never diagnosed until a routine checkup. Christianson says it was sad she wasn’t tested for thyroid disease until then because it could have saved her a lot of trouble. “(After the diagnosis), I was relieved to hear that I was diagnosed with something and that it wasn’t in my head after all,” Nolin says. Nolin is a frequent public speaker and thyroid patient advocate. She even created a Facebook page called “Thyroid Sexy” for thyroid awareness and support. The page has more than 16,000 members. Nolin says she feels as though it’s her mission to call attention to thyroid disease. “I went through so much for so long, and I suffered silently,” Nolin says. “If I can shed light or help somebody else out there that is frustrated, alone and not taken seriously, then I’ve done something.” To learn more about the experts in Nolin in “Baywatch,” third from right this story, turn to page 34.

irregular Hormone levelS

Another medical diagnosis for similar symptoms to thyroid disease is hormone deficiency. Dr. Angela DeRosa, internal medicine doctor for DeRosa Medical in Scottsdale, says as women age, they become more at risk for irregular hormone levels; this includes both estrogen and testosterone. She adds that hormone deficiencies begin earlier than many women think, with the majority of women developing testosterone deficiency in their 30s followed by estrogen deficiency in their 40s.

sympToms for esTrogen deficiency: ● Unstable

emotions — moody, anxious and irritable ● Trouble sleeping ● Hot flashes ● Night sweats ● Memory fogginess ● In some cases, heart palpitations

sympToms for TesTosTerone deficiency: ● Low

libido emotions — irritable, depressed, anxious and, in some cases, panic ● Forgetfulness ● Low energy ● Poor response and recovery from exercise ● Weight-gain in the hips and stomach ● Unstable

treatment

DeRosa says natural treatments for both estrogen and testosterone deficiency include maintaining a healthy lifestyle — working out, eating properly and limiting alcohol intake. DeRosa and Dr. Alan Christianson of Integrative Health agree that if deficiencies in both testosterone and estrogen are prominent, bio-identical hormone replacement generates the best results. DeRosa says these are the safe hormones that are not passed through the body orally and do not cause harmful side effects. DeRosa says hormone pellets are the best supplemental treatment for both estrogen and testosterone replacement because they do not pass through the liver as with oral supplements; instead, they continually release hormones your body can regulate.

Gena Lee Nolin is a thyroid patient advocate who spreads awareness of the disease through her Facebook page “Thyroid Sexy.”

WINTER 2013

ScottSdale living

By Kendall ong

BEAUTY

4 tips to treating dry, winter hair 1. TRIM THOSE ENDS The cold air of winter, lack of humidity and central heating causes hair to dry out and become brittle. The drier the hair, the more susceptible it is to splitting and breaking. You can get rid of those frizzy ends with a healthy trim. Better yet, it’s a new season, and that is a good reason to change up your hairstyle. 2. GET A GLOSSING TREATMENT Winter hair can be dull and lack shine. Product and mineral buildup can take the luster out of hair. To turn the lights back on, so to speak, get a glossing treatment. My favorite is the Illumina Gloss. It is the latest technological innovation from the German color line Wella. Minerals are encapsulated on the hair shaft and then rinsed off. Using Illumina Gloss, you can enhance your color, or just add some shine. 3. ADD A MOISTURIZING, DEEP CONDITIONER Hair’s winter blues often come from using the wrong shampoo and conditioner. In the winter, it is always a good idea to step up your moisturizing program. If you are not moisturizing, and your hair is noticeably drier, jump-start your way to healthier hair with a deep conditioner. Aveda’s Dry Remedy moisturizing Treatment masque instantly improves dry hair up to 63 percent. 4. PROTECT YOUR HAIR The sun and hot styling tools wreak havoc on all hair types. Bumble and Bumble’s Styling Balm provides UV protection from the sun’s harmful rays. It seals the hair’s cuticle, which keeps it safe from the heat of blow dryers and irons. If you color your hair, the Styling Balm’s nourishing formula minimizes fading, keeps tones true and adds shine. To learn more about the expert in this story, turn to page 34.

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Braids, waves and parts — this spring, hairstyle trends are all about deep side parts, loose curls and sleek ‘dos, but with a twist. Head to ScottsdaleLivingMagazine.com for photos, step-by-step directions and howto videos on this spring’s hottest styles, demonstrated by stylists at Mane Attraction Salon and Drybar in Phoenix. A Drybar hair stylist creates the Cosmopolitan, a style offered at the blowout bar in Phoenix. Photo: Cory Bergquist.

THIS ISSUEâ&#x20AC;&#x2122;S EXPERTS

NEW YOU Pg. 6

these are the experts that the Scottsdale living writers interviewed and utilized as sources during the information-gathering process for this issue of Scottsdale living. the experts were chosen because of their background, experience and knowledge relating to each individual story topic.

Dr. Jennifer Geoghegan

Dr. Todd Malan

Dr. James Nachbar, M.D., FACS

Dr. Jeffrey Ptak, M.D., FACS

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ESSENTIALS Pg. 8

ESSENTIALS Pg. 10

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ESSENTIALS Pg. 8

Scottsdale plastic Surgery (480) 289-5300 plastic.org

ESSENTIALS Pg. 8

Oasis plastic Surgery (480) 264-6428 oasisplastics.com

Dr. Jeffrey Clark

Dr. Paul Douglas

Dr. Ann Sielicki

Dr. Kris DiNucci

REJUVENATE Pg. 16

Ankle Center of Arizona (480) 342-9999 arizonafoot.com

ESSENTIALS Pg. 10

Sonoran Dental Design (480) 419-9595 sonorandentaldesign.com

ESSENTIALS Pg. 10

Douglas Family Dentistry (480) 948-3680 douglasfamilydentistry.com

ESSENTIALS Pg. 10

Scottsdale Dental Excellence (480) 585-1853 jclarkdds.com

Dr. Mark Forman

Dr. Steen Johnsen

Dr. Doug Meyrose

Dr. Lee P. Laris

Arizona Foot and Ankle (480) 423-8400 arizonafootandankle.com

34 ScottSdale living

WINTER 2013

The Orthopedic Clinic Association (602) 277-6211 tocamd.com

Foothills Sports Medicine physical Therapy (480) 706-1161 foothillsrehab.com

phoenix Skin Scottsdale (480) 473-9111 phxskin.com

REJUVENATE Pg. 16

SHAPE Pg. 18

Dr. Susan Van Dyke

Dr. Martin Blume

Dr. Michael Carlton

Dr. Daniel Shapiro

PREVENTION Pg. 20

Shapiro plastic Surgery (480) 451-1700 shapiroplasticsurgery.com

PREVENTION Pg. 20

phoenix Cool Body (602) 910-6889 phoenixcoolbody.com

PREVENTION Pg. 20

The Blume Skin Centre (480) 699-7999 blumeskintreatment.com

PREVENTION Pg. 20

Van Dyke Laser & Skin (480) 948-5045 vandykelaser.com

Dr. Alex Bigham

Dr. Toure Knighton

Dr. Paul Lynch

Dr. Mark Spiro

Dr. Deborah Wilson, MD

Kendall Ong

Derosa Medical (480) 619-4097 derosamedical.com

(480) 860-4791 drwilsonobgyn.com

Pg. 32

BEAUTY

Dr. Angela DeRosa

Integrative Health (480) 657-0003 integrativehealthcare.com

Pg. 30

CONNECTIONS

Dr. Alan Christianson

Pg. 30

CONNECTIONS

Ironwood Cancer & research Centers (480) 821-2838 ironwoodcrc.com

Pg. 24

Dr. Clayton Palowy

Scottsdale Medical Imaging (SMIL) (480) 425-5000 esmil.com

Pg. 24

Dr. Daniel Maki

Scottsdale Healthcare 480-323-1387 shc.org

Pg. 24

Dr. Mike Janicek

Pg. 24

HOSPITAL CARE

Valley pain Consultants (480) 467-2273 valleypain.org

HOSPITAL CARE

Arizona pain Specialists (480) 563-6400 arizonapain.com

HOSPITAL CARE

The pain Center (623) 516-8252 thepaincenter.com

HOSPITAL CARE

Novocur (480) 515-1886 novocur.com

Mane Attraction Salon (602) 956-2996 maneattractionsalon.com

WINTER 2013

ScottSdale living

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Healthy heart.

Preventative measures to maintain heart health.

Skin Care guide.

Dermatologists share tips and treatments.

Top denTiSTS/denTal guide. The best Scottsdale dentists.

For additional information, call 602.277.6045 or visit ScottsdaleLivingMagazine.com

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WINTER 2013 | S C O T T S D A L E L I V I N G

EDITOR’S LETTER CREATING A HOME RETREAT

f you’re like me, you’re part of a growing trend of people who are opting to put more money into our homes and enjoy the results for years to come rather than going on expensive vacations that will give us a quick pick-me-up, but won’t leave any lasting results on our day-to-day-lifestyle. As an Ironman triathlete, I spend a lot of time training, which translates into a lot of time being sore while I recover. Quick translation: That means I have totally embraced the trend to create spa-like bathrooms in our homes. I’m not alone. In Kristine Cannon’s story in this issue of Scottsdale Living, Ann Lyons of Sun Valley Interiors in Scottsdale says she has seen a 20 to 40 percent increase of homeowners opting for a spa-like bath in the last year to year and a half. “It also gives the homeowner a great return on their investment,” Lyons says. Here’s what my master bathroom includes now: A double-headed shower, vessel sink, deep bathtub that allows me to soak away my soreness, and a redwood sauna to help cleanse all the toxins. Next up: I’m going to have the bathroom wired for sound and possibly add a flat-screen TV near the tub. After all, what’s a spa without the sound of NFL football in the background?

Michael Gossie

Editor in Chief (602) 424-8829 michael.gossie@azbigmedia.com

Table of Contents WINTER 2013

8 BATH Create a retreat, go green and add tech 10 KITCHEN MAKEOVER Integrate your appliances with a streamlined kitchen 14 KITCHEN COUNTERTOPS Natural stone countertops are costeffective and look great 18 KITCHEN CABINETS Homeowners are gravitating toward untraditional, modern cabinetry 20 KITCHEN APPLIANCES Three kitchen appliance trends for 2013 22 TRENDING Monitor your home with Cox Home Security on the Go: ON THE COVER:

Sub-Zero and Wolf 4

S C O T T S D A L E L I V I N G | WINTER 2013

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BATH

S C O T T S D A L E L I V I N G | WINTER 2013

The Triple Threat Remodeling your bathroom? Create a retreat, go green and add tech By Kristine Cannon

on’t ask what you can do to your bathroom. Ask, “What can it do for me?” Does it provide an escape from your day-to-day? How about the ability to turn on a showerhead or receive an oxygen facial with just the touch of a button? Or, does it have eco-friendly features that save water or reduce heat, in turn, saving you money on your next utility bill? Now you can say “yes” to all three. Homeowners are not only transforming their bathrooms into a replica of that much-needed relaxing spa they visited on their last vacation. Homeowners are also incorporating technology and “green” features into their master baths — in turn creating a more efficient, hygienic and ultimately enjoyable experience.

Bring the spa home

“If you think about some of those memorable spots that you experienced on vacation, those beautiful hotel and resort spas, it’s a timeless and relaxing atmosphere,” says Jeffrey Lake, vice president and national director of architecture and community design for Standard Pacific Homes, the creator of Quisana, a new master-planned community offering all-new architecture in Troon North. Spa-like bathrooms are so popular, in fact, Ann Lyons of Sun Valley Interiors in Scottsdale has even seen a 20 to 40 percent

(Left) Jason Hydrotherapy Microsilk bathtub. Photo: Jason International (Top Right) Neorest 550 electronic toilet. Photo: TOTO (Right) Create an open environment for a spa-like feel. Photo: TOTO

increase of homeowners opting for a spalike bath in the last year to year and a half. “More people are staying home rather than going on vacations and putting their money in their homes, and this is one way they can enjoy this room,” Lyons says. “It also gives the homeowner a great return on their investment.” Beginning with the tub and shower, spa-like features in the master baths include large showers with his-and-her entries, rain heads and double-headed showers. Some luxury homes, including Quisana, even include a no-step entry into the walk-in showers. As for the tubs, homeowners can consider drop-in tubs with a granite tub deck, also found at Quisana, versus the

standard one-piece tub. Lyons adds that calm colors, proper lighting and an open space for more of an open feel can also help create that spa-like environment. Lake adds, “Plenty of light is preferred in the bathroom as well because when you think about a beautiful spa, you don’t really think about a dark atmosphere; you think about something light and bright.” As for the sinks, if one were to take a cleaner, more tailored path to the design, Lake suggests vessel sinks. “The look is cleaner, more progressive, the materials themselves are cleaner, and there’s not as much movement from a pattern standpoint.” Materials include natural materials such as tumbled marble, granite and rich woods. WINTER 2013 | S C O T T S D A L E L I V I N G

BATH

(Top Right) Luxury’s at your fingertips with Moen’s ioDIGITAL digital shower control. Photo: Moen (Far Right) Drop-in tubs with a granite tub deck found in Quisana’s master bathrooms. Photo: Cory Bergquist. (Bottom Right) Brizo’s 65675LF, a modern touch faucet designed by fashion designer Jason Wu. Photo: Brizo

Let’s get technical

Enhance your experience — and adding a touch of technology can help achieve just that. “What we’re seeing are clients coming in and wanting to make their house personal to them,” says Jeremy Smith, sales manager at Central Arizona Supply in Scottsdale, “and the technology is something that is already in their life, so therefore isn’t a giant leap like tech in the bathroom once.” Smith goes on to say that many of the “techy” products aren’t simply replacing manual technology such as pressing a button to turn on your shower versus turning a lever or knob, they are incorporating technology that didn’t exist before. “For example, controlling a stereo, aromatherapy and chromatherapy from a touch pad in the shower or an oxygen facial essentially for your body in a bathtub,” Smith says. “These are things that may be saving you trips to get a massage or getting to the gym.” Smith adds to “buy technology because it has a function that you will enjoy for the life of your home, regardless if there is a future, techier way of doing it.” Two popular items over the past year? Toto’s Washlet G500, which has an integrated toilet. Its features include a lid that automatically lifts and closes, hands-free flush, adjustable seat temperatures, a warmair dryer, personal memory settings and more. The other, according to Smith, is the Microsilk bathtub from Jason Hydrotherapy, which releases oxygen-rich microbubbles. “These oxygen bubbles attach to your skin and remove carbon dioxide from under

S C O T T S D A L E L I V I N G | WINTER 2013

the surface of the skin and makes your skin softer and more robust,” Smith says. “It’s like getting an oxygen facial for your entire body. This is all operated from a floating remote control that can also turn on the whirlpool feature or the chromatherapy or the TV mirror you place in front of the tub. “What is most exciting about bathrooms today is that we are looking at them as a place to get away from our stresses and start the day right or end the day peacefully,” Smith adds. “Technology in the bathroom can help you do that — or maybe just a good lock on the door.”

An eco-friendly environment

From your faucets to your windows, going green isn’t just great for the environment, it lightens up your wallet — and your bathroom — as well. Let’s start with the windows. Instead of your typical, single-pane window with a metal frame, consider dual-paned, Low-E windows with a vinyl frame. These dualframe, Low-E windows trap argon gas between two panes of glass to provide better insulation, and the Low-E coatings decrease emissivity, reducing the radiant heat that comes through the sun’s rays. According to APS and its Standard Plan, for a typical 2,000-square-foot Phoenix area home without exterior or interior shading, the annual energy cost for a double-pane, Low-E window is about $700. The singlepain, clear metal frame window is about $1,200 a year. “These windows are much more

durable and efficient,” says Steve Troth, vice president of sales and marketing for Standard Pacific Homes. “If (homeowners) wanted to do something on remodeling end, it’s a great place to start.” Next, look at your faucet. At Central Arizona Supply, Smith says one item that has sold consistently is the touch sensor kitchen faucet in the bathroom, specifically Brizo’s Odin Single Handle Lavatory, designed by fashion designer Jason Wu. “Essentially it is an easy way to save water because just by tapping the faucet it will turn on or off,” Smith says. “Plus, if your hands are full or dirty, it is easy just to tap with your arm or something to turn the faucet off.” So, which do you prefer? No need to choose just one; incorporate all three trends for that triple-threat lavatory.

Central Arizona Supply 4750 N. 16th St., Phoenix (602) 943-3488 centralazsupply.com Sun Valley Interiors 2716 N. 68th St., Scottsdale (602) 381-1289 sunvalleyinteriors.com Quisana by Standard Pacific Homes 1029 E. Bent Tree Dr., Scottsdale (480) 513-3693 standardpacifichomes.com

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KITCHEN MAKEOVER

Streamlined Design Contemporary kitchens hide appliances for a sleek, organized look By Travis McKnight

hile the economy continues recovering and the housing market rebounds, homeowners are looking at ways to improve their home’s value and aesthetic appeal. One of 2013’s projected enhancement trends is streamlining the kitchen’s design by matching appliances and cabinets for a contemporary European look. The streamlining trend began about four years ago, but when the housing bubble collapsed in 2008, much of the renovation market disappeared underneath the rubble, says Mark Dixon, a project consultant at Legacy Design Build Remodeling, a home renovation company in Scottsdale. Over the last four months, streamlining has resurrected itself in force, but Dixon says

10 S C O T T S D A L E L I V I N G | WINTER 2013

he isn’t sure if the style went on hiatus and is now coming back, or if the original surge is intensifying.

Choosing quality ingredients: How to decide upon a design

The design process can be the most difficult and time consuming aspect of revamping a kitchen. From choosing colors and a cabinet brand to deciding upon appliances, a price point and a contractor, renovating can be overwhelming. This is where designers come into play, but before enlisting their services, several options are available to narrow down possible choices. “A homeowner needs to sit down and write these things out: What do I love about my kitchen, but what do I not like about it that I really want to see changed,”

says Donna Liddle, CFO and marketing manager at Distinctive Kitchen & Bath, a renovation design firm in Phoenix. When homeowners don’t know exactly what they want their kitchen to look like, Liddle recommends investigating cabinetry companies’ websites, most of which have a design floor simulator that allows people to match colors, cabinet styles or other elements. Another option is to visit community-driven design websites like Houzz.com, which displays completed remodeling projects.

Success is in the presentation: Achieving the streamlined effect After gathering a project idea, home and interior designers are necessary to successfully achieve the optimal design.

Whether homeowners opt for an all-white kitchen, or they mix-and-match materials and finishes, integrating appliances into one's kitchen allows for a less cluttered, more organized and streamlined design. (Photos, clockwise from immediate right: Poggenpohl, Sub-Zero and Wolf, Poggenpohl, Sub-Zero and Wolf, Poggenpohl.).

WINTER 2013 | S C O T T S D A L E L I V I N G 11

KITCHEN MAKEOVER

(Top left) Interior designer Angelica Henry works with Kitchens Southwest to match a refrigerator to the surrounding cabinetry. Photo: Michael Woodall (Top right) One way to achieve a streamlined look is by using cabinet panels to cover the appliances. Photo: Legacy Design Build Remodeling

“It’s helpful to bring in someone with a computer program who can lay the kitchen out and make a rendering of what it’s going to look like,” says Don Wilkerson, owner of Complete Kitchen and Bath Remodeling, a home remodeling company in Phoenix. The program distinguishes floor space and any walls that might need to be moved. Afterward, “you have to decide what appliances you want, and then a lot of times design around the dimensions and colors of the appliances,” Wilkerson says. To counteract appliances’ limited color scale, the renovation industry has shifted toward a trend of putting cabinet panels on refrigerators, dishwashers and trash cans to blend them with the cabinetry, Dixon says.

Baking at high elevation: Remodeling challenges to expect The process of remodeling a kitchen has many unforeseen challenges. From finding cabinets and appliances that fit, to termites or mold and the house itself, several hindrances can pop up costing time and money. Homeowners who educate themselves in the remodeling process won’t struggle as much compared to those who don’t, Liddle says. One of the biggest trials that many homeowners don’t expect is the original design of their house, Wilkerson says. For example, if someone wants to turn an older-style kitchen or a design that is not contemporary into a contemporary look, they’ll have to alter the original design of their house. Th is often includes reorganizing plumbing and moving walls, which can extend the process by weeks,

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says Carrie McCoy, a senior designer at Kitchen Southwest, a custom cabinetry designer in Scottsdale.

Making sure it doesn’t burn: Quality restoration isn’t quick, or cheap

Remodeling a kitchen is expensive and can take upward of a month from start to finish. If the design is straightforward and only new counters, cabinets and appliances are being added, the project will likely take three to four weeks and cost between $12,000 and $25,000, McCoy says. The price also depends on the size of the kitchen and the value of the home. For an average gut and remodel of a kitchen, Dixon says homeowners shouldn’t expect to spend less than $25,000 or $30,000. During the renovation McCoy says people need to be aware of the constraints placed upon their daily eating habits. “On average, they don’t understand the process to remodel their home,” she says. “They don’t know how long it takes, how much they will be eating out for the next two to three weeks.” Understanding that remodeling projects require a real budget, and not a figure of what’s in a homeowner’s bank account, is crucial to a project’s success Wilkerson says. “If someone is serious about doing something, I think they should do a little research on market costs,” he adds.

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KITCHEN COUNTERTOPS

Perla Modena with Karma 952 glass tile backslashes and white chocolate wood refacing on the cabinets.

THE NATURAL STONE AGE By Julia Swem

Natural stone countertops are a cost-effective way to update the look of your kitchen

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ant to transform your kitchen for your family and friends to enjoy while simultaneously increasing the value of your home? Think twice about gutting it floor to ceiling; install a natural stone countertop instead.

Go with granite

According to Robin Fallone, co-owner of Fallone Building & Remodeling in Scottsdale, granite countertops have been a popular choice among homeowners for quite some time. “We’ve been in business here for about 10 years, and since we’ve been here, we’ve seen that granite has been about 95 percent of the way people go. People love it,” Fallone says. Ariadna Papagno, manager of Papagno’s Marble & Granite, Inc., says installing natural stone countertops is an inexpensive way to update one’s kitchen and give it an entirely new look. “It looks a lot more elegant, and it brings out life in the kitchen,” Papagno says. “The granite warms it up, and it feels like you are

bringing something from the outside in.” Ediveth Saenz, interior design consultant for Aracruz International Granite, agrees; she says it adds character to a kitchen.

Unique and practical

Natural stone comes in a variety of colors as well as one-of-a-kind patterns, including veins and minerals like quartz and mica, which can give the granite a sparkle effect. Isac Libardi, one of the owners of Aracruz International Granite, says each and every color will have a different look. “It’s like a fingerprint; every slab is unique,” Libardi says. “It brings a whole different style to the house because you’re bringing something inside from Mother Earth; you have a natural piece of the mountain in your house.” Not only do natural stone countertops look beautiful, they are practical as well. “I think it’s a really nice, durable surface that you can do anything to and it will still look new,” Papagno says. “You don’t have to worry about scratching it, burning it or anything else that can happen with other common countertop materials.”

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remodel for yearsVIDEOS and I amAT honored they put their trust in What products and servicesPRE-I doesNTERVI your business in? OURa INF EW Uspecialize S , WATCH ORMATIVE us to put their dreams into action. The smiles at the end of W WW.A RI ZONA KITCHENSANDREFACING.COM We focus on kitchen remodeling and solid wood cabinet our projects are still the best part — we get a lot of satisfacrefacing. Whether replacing or refacing, we offer6 0quality2 . 5 4 8 . 8 8 5 0 | ROC # 1 8 4 2 8 4 tion out of making people happy! oriented solutions to match the needs of our clients. We know we are the best cabinet refacing company in the Valley. What What makes you stand out among the competition? makes us better is the quality of the materials we choose and We are a boutique kitchen remodeler in that we work and the extensive selections we offer. We bring the showroom to focus on several quality-oriented projects per month, allowing us you! We offer 5 lines of cabinets in every price point, including to focus on every detail. Together, our experienced team memboth European-style frameless cabinets and face-frame style bers and trade partners have worked with us on hundreds of construction. We also specialize in environmentally friendly projects and as a result, we deliver an exciting remodeling expericabinetry for the kitchen and bath. We have completed more ence. We have a perfectly clean contractor’s record for a reason! than 600 projects over the last decade and are still going strong despite the economy. What else would you like readers to know about your business? What inspired you to go into the business? We are looking for great clients! With Arizona Kitchens and My grandfather was a furniture maker and I grew up on Refacing you can leverage our extensive experience and our a shop bench working with him during summer vacations work ethic toVIDEOS get the kitchen as a child. I have been inPRE-INTERVIEW the business for overUS, 30 years and OURhands-on WATCH INFORMATIVE AT you have been dreaming of. Give Keith a call at (602) 548-8850 and let’s talk today! I still enjoy going to work everyday! In college, I thought I WWW.ARIZONAK NDREFACING.COM would major in corporate law. But on a summer holiday,ITCHENSA I admired the architecture in Europe and realized would88be5 0 | R O C # 1 8 4 2 8 4 602.I 548. PRE-INTERVIEW US, WATCH OUR VIDEOS AT much happier working with my hands. I discovered early on that if you truly listen to your clients and deliver a project WWW.ARIZONAKITCHENSANDREFACING.COM that exceeds their expectations, you can have a positive impact on their lives. Often, a client has been thinking about 602.548.8850 | ROC # 184284

KITCHEN COUNTERTOPS

Vetro Moretti with Liberty Ochre glass mosaic backslashes and Summer Flame RTF (rigid thermal foil) cabinet refacing.

Mix and match 5 TIPS FOR CHOOSING THE PERFECT COUNTERTOPS: Don’t know where to start? Dawn Atchison of Granite Transformations of Arizona offers these helpful tips when looking for the best countertops for your kitchen.

 Research and find a reputable, licensed, bonded and insured company that will stand behind and warranty their products.  Go with a company that uses only their own certified employees and doesn’t subcontract the work.  Choose something that won’t go out of style tomorrow.  Go with a countertop that will make your life easier by choosing a maintenance-free material.  Seek help when you find yourself overwhelmed from someone knowledgeable — i.e., make an appointment with a certified design consultant.

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One popular trend is mixing more than one color or material. Papagno says she’s seen people mix granite with stainless steel, concrete or glass, creating a sophisticated look. She’s says they’ve even done granite integrated with wood inserts and butcher blocks. Fallone adds that granite countertops are also great to help achieve a modern, contemporary look. “If people are going toward the modern look, they’re going for the dark cabinet with straight lines with dark floors, and then they’re going with a backsplash that is very contemporary and granite countertops,” Fallone says. Dawn Atchison of Granite Transformations of Arizona in Phoenix adds that, regarding countertops and backsplashes, a contrast of materials will be popular in 2013 — “i.e., granite with recycled glass or mosaics and recycled glass countertops and splashes that create an ambiance of elegance, diversity and depth.” As far as color schemes go, Saenz says contrasting colors, and mixing and matching lighter and darker shades, are popular trends. However, Papagno suggests not to get carried away with too many patterns. “I always tell people if they want to do different colors, think about it as if you’re

wearing something,” Papagno says. “You wouldn’t wear plaid with flowers; so you always want to do something solid and something with design.”

An educated decision

Pricing for slabs can range from a couple hundred to a couple thousand dollars depending on the slab. Papagno adds that the difference in price is due to the design of the stone not the quality. The most inexpensive slabs are going to be the standard colors and the most expensive slabs have a lot of veining and unique characteristics. Most suppliers and designers recognize that character can bring a kitchen to life but also understand that so many choices can become overwhelming to the client. Papagno says client involvement is key to their happiness. “We feel that educating customers empowers them to make the right decision,” Papagno says. “We want to ensure our customer is happy with what they are getting and that they are fully informed when they make their choices.” For more information on these products go to papagnos.com, aracruzgranite. com, fallonebuilding.com and granitetransformations.com.

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KITCHEN CABINETS

Wild, Wild

Wood

Clean, crisp kitchens call for modern, untraditional cabinetry By Kristine Cannon

18 S C O T T S D A L E L I V I N G | WINTER 2013

(Left) Poggenpohl's +ARTESIO kitchen combines wood with metal. Photo: Poggenpohl (Above) This +ARTESIO kitchen has an open design consisting of white cabinets and wooden walls. Photo: Poggenpohl (Below left) The untraditional cabinets shown give off a dramatic effect. (Below center) Poggenpohl's +MODO kitchen is centered around the island, which has plenty of surface area and storage. (Below right) Combining varying types of wood can create movement in the kitchen.

hen times get tough, spice up your kitchen. And over the past two years, both Steve Johnson, owner of Atelier Inc. in Scottsdale, and Allan Rosenthal, owner of Linear Fine Woodworking in Phoenix, have seen homeowners do just that — breathing life into their antiquated kitchens. “They just want something different,” Johnson says. “Every few years, people get sick of seeing the same thing, so they push the envelope, wanting something different.”

Creating drama

As homeowners streamline their kitchens, integrating their appliances for a more clean, organized look, they are honing in on an important element of the overall design — the cabinets. “Cabinets set the mood of the home,” says Tina James, sales and marketing manager of Custom Creative Marble and Granite. And according to Rosenthal, homeowners are moving away from the mainstream woods and gravitating toward the untraditional, including tamo ash, macassar ebony and block-mottled makore.

“They’re holographic, so when you walk by them, they actually move,” says Rosenthal. “They have a beauty to them unlike anything else, and they’re just spectacular materials.” Tamo ash, from Japan, has an unusual, swirly-grain pattern and is famous for its “peanut” figure. Macassar ebony is somewhat similar to Zebrawood with a reddish-brown body and darker brown to black stripes. Block-mottled makore is deep reddish brown in color with a block-pattern figure. All three types of wood give off a dramatic effect. Rosenthal goes on to say that not only can these untraditional woods last forever, but they can also handle moisture well, especially the areas around the sink.

The laminate look

Johnson, on the other hand, says he’s seen much more movement away from the woods altogether, with homeowners opting for laminates that look like wood. These laminates give kitchens a simple look; plus, they’re easy to clean, maintain and repair. “If a wood door got damaged, and you had to replace it several years later, it’s very difficult to find one to match 100 percent,”

Johnson says. “Whereas with the lacquer finishes, you could change it up 10 years later, and it’s still going to match.” Laminates are also a great element for creating what Johnson says continues to gain popularity: an all-white kitchen. “People are going more and more to white kitchens in the last two years,” Johnson says. “People just want that clean, crisp, white look. They’re tired of the down economy, and they don’t want their home to look heavy and dark, and they just want light, bright white — clean and uplifting. White never goes out of style.” James agrees, saying she’s seen a growing trend in white. “But my favorite that I think will catch on more next year is grey. Contemporary, more modern styles are getting to be more popular.” What has gone out of style, according to Rosenthal, is the Tuscan-inspired design. “Tuscan is gone for the most part, and modern will be around for a long time because it’s timeless. You never get tired of it.” Visit linearfinewoodworking.com, scottsdale. poggenpohl.com and customcreativegranite.com for more info. WINTER 2013 | S C O T T S D A L E L I V I N G 19

KITCHEN APPLIANCES

What’s Cooking for 2013? A look at three kitchen appliance trends for the year By Arselia Gales

ecorating your home may seem like a difficult task, but turning your kitchen into one of the highlights of your home doesn’t have to be. For those who want to stay abreast of the hottest kitchen appliance trends, take a look at what’s on tap for 2013.

Black appliances ¶

It seems like not too long ago everyone wanted a kitchen filled with stainless steel appliances. However, stainless steel appliances require a lot of maintenance, and black appliances are beginning to slowly make their way into the kitchen. “It’s a great, neutral color, is easy to clean and shows less fingerprints,” says Pam Josey, marketing manager for Milestone Distributors. (Left) Photo: Sub-Zero and Wolf (Above) Photo: Bertazzoni (Below) Photo: Sub-Zero and Wolf

Integrated appliances · Point-of-use appliances ·

Instead of having a traditional kitchen layout, homeowners are beginning to design their kitchens depending on their specific needs. Instead of having just one area for the refrigerator, you can have an under-the-counter refrigeration/freezer drawer in areas outside of your kitchen to have everything you need more accessible. 20 S C O T T S D A L E L I V I N G | WINTER 2013

While it may be nice to be able to identify every single appliance in your kitchen, nowadays appliances are beginning to blend in with your counter space. “It’s what you don’t see that’s truly impressive,” says Marisa McClure, marketing coordinator for Sub-Zero and Wolf Southwest. Instead of large appliances filling your kitchen with bursts of colors, they now seamlessly blend into your kitchen for a more polished and organized look. For more information about Sub-Zero and Wolf and Milestone Distributors, visit subzero-wolf.com and milestoneappliance.com.

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Tour Tickets - $40 Tour will showcase exquisite kitchens of six upscale North Scottsdale homes. View some of the best designed kitchens, sample signature dishes prepared by Valley chefs, and view beautiful creative tablescapes. Help choose Best Kitchen Design, Best Cuisine & Best Tablescape!

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Celebrate the Tour at the Kick-off Reception Friday, February 22, 2013 Home & Design Idea Center, Scottsdale Tickets $60 Ticket packages available