NSIDE Austin Medical September/October 2012 by NSIDE Publications

G R E AT E R A U S T I N

NSIDE

BEAUTY THROUGH WELLNESS KELLY HARRISON

SEPTEMBER.OCTOBER 2012

Plastic Surgery, Austin-Style

DRS. MAHLON KERR AND AMY BEKANICH FOOD FOR THE FUTURE THE BENEFITS OF SUPER FOODS STOP EATING YOUR EMOTIONS EIGHT EASY STEPS

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5 Elements ELITE Medi-SPA’s, WORLD CLASS SALON, Galleries and Boutiques of 5 Elements Wellness and Beauty, Austin, TX 512.266.3883

100% Guarantee on all 5 Elements Elite Services (Does not include Extensions or Lashes)

AUSTIN’S NEW 6 STAR LOCATION

5 Elements Elite Spa

Meet Kelly Harrison, RN, an industry leader and master in “The Artisty of Injectables via Application of Medical Aesthetics.”

kelly@5elementsbeauty.com 4500 Steiner Ranch Blvd. ★ Austin, TX. ★ 5elementsbeauty.com Our mission of Sustaining Beauty is achieved, maintained and attainable through WELLNESS and your WORKING MASTERS of 5 Elements ELITE Medi-SPAs and SALONs; Your true Artisans of Beauty. Working Managers taking clients Per Your Request @ 512-266-3883 Thomas Manning - Owner - thomas@5elementsbeauty.com, 5 Elements ELITE SPAs Kelly@5ElementsBeauty.com - 6 Star Masters; "Nurse Kelly" Harrison RN, Injectionist Trainer to P. Surgeons/Doctors, Michael Rosario-#1 Stylist, Ms. Victoria Fuentes-Colorist Trainer 14 years, Stacie Houser Lmt-Massage (body Svcs., 50 types of Massage all certified ME#2416 Injury, Sports, Medical, Energy Work for Military Wounded & more..) 2 N S I D E A U S T I N M D Corina Corbelle RN - Laser Specialist (Beverly Hills to Austin), Thomas J Manning - Dr. of Inspiration/Chief Servant Officer

Surprisingly more than what youâ&#x20AC;&#x2122;d expect from a dental visit

4200 North Lamar, Suite 145 (next to Uchiko) Austin, Texas 512.459.5437 / www.drmoossy.com

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We fight frivolous claims. We smash shady litigants. We over-prepare, and our lawyers do, too. We defend your good name. We face every claim like it’s the heavyweight championship. We don’t give up. We are not just your insurer. We are your legal defense army. We are The Doctors Company.

The Doctors Company built its reputation on the aggressive defense of our member physicians’ good names and livelihoods. And we do it well: Over 82 percent of all malpractice cases against our members are won without a settlement or trial, and we win 87 percent of the cases that do go to court. So what do you get for your money? More than a fighting chance, for starters. To learn more about our medical professional liability program, call (800) 686-2734 or visit www.thedoctors.com.

N S I D E AD. U S TFrancis IN MD 4 Robert Chief Operating Officer, The Doctors Company

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NSIDE

nsidethisissue september/october 2012

NSIDE Austin MD Magazine September/October 2012

PUBLISHER Angela Strickland

executive EDITOR Erin O’Brien

creative director Elisa Giordano

graphic designer David Hassmann

account executives

cover story | Drs. Mahlon Kerr and Amy Bekanich

Stephanie Hawley Dianna Kumm Mandy McFarland

contributing writers Bailey Bounds Taylor Davis Jenn Hatch Kevin Kinkade Dr. Lianne Marks Jody Joseph Marmel Adrien Paczosa Daniel Ramirez Tim Valderama

PHOTOGRAPHY Deann Hoeft Michelle Loconto Ruben Morales Jared Tennant

events marketing manager

18 cover story

Drs. Mahlon Kerr and Amy Bekanich

Bringing the most innovative and advanced techniques to Austin and responding to the new era in plastic surgery, these physicians and philanthropists continue to build on their successes at the helm of Synergy Plastic Surgery.

22 profile Kelly Harrison

Through her extensive skills and training and affiliations with Monterone 5 Elements ELITE MediSPAs and SALONs, the Austin Surgery Center and Allergan, “Nurse Kelly” works to make others feel beautiful on both the inside and the outside.

departments 08 14 26 32

nonprofit events health & wellness patient

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Martha Morales

collegiate assistants Alexia Dabdoub Kathleen Delgrande Taylor Green

NSIDE is a proud member of the Austin Chamber of Commerce.

www.getnside.com For advertising and/or editorial information, please call 512.506.1248 or email adminatx@getnside.com.

AUSTIN NSIDE Publications Austin • San Antonio • Corpus Christi Copyright © by NSIDE Magazine Inc. All rights reserved. Reproduction without the expressed written permission of the publisher is prohibited.

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Interim Homecare 800.678.5711 / 512.454.5711 AustinN S I D E A U S T I N M D

[ nside / nonprofit ]

“CharityVolunteers has a direct impact on the community while providing a fun, rewarding feeling of accomplishment.”

A Summer of Fun Philanthropy

Citizen Generation provided Austinites with unique opportunities to give back over the last few months with several successful CharityVolunteers, CharityLadies and CharityBash events. By Taylor Davis

June CharityVolunteers recap “It’s easy to donate $5, $10 or even $20 for a good cause, but you are talking about a whole different ballgame when you give your time, roll up your sleeves and get dirty. There is a certain sense of closeness you feel when doing manual labor to better the community.” Austinite Adam Zeplain gets what volunteering is all about. He recently put his brawn and leadership to use as a CharityVolunteers community leader. June marked the official one-year anniversary of CharityVolunteers, and this installment was again successful. Volunteers were up bright and early the Saturday morning of June 9 heading to three different sites – the Multicultural Refugee Coalition, Susan G. Komen Austin and the Austin Zoo and Animal Sanctuary – to offer a helping hand. Whether it involved painting soccer goals at the Multicultural Refugee Coalition, prepping the

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zoo animals’ food and habitats or sorting materials for Susan G. Komen’s biggest event of the year, volunteers worked up a sweat they cooled off with Deep Eddy cocktails at Doc’s on South Congress afterward. The after-gathering also gave the volunteers a chance to recap the day, with community leader Brandon Chistensen noting that he supports CharityVolunteers because it has “a direct impact on the community while providing a fun, rewarding feeling of accomplishment.” Stay tuned to participate in the October CharityVolunteers, which is sure to feature more unique volunteer sites and cooler temperatures.

July CharityLadies recap July featured Citizen Generation’s women-only event, CharityLadies. Benefiting the Susan G. Komen Austin affiliate, more than 100 ladies filtered

into specialty lingerie boutique Teddies for Bettys, with in-kind donations for local breast cancer patients such as blankets, pajamas, warm socks, headscarves and H-E-B gift cards. The ladies sipped champagne, mingled and browsed the store while enjoying the almost-toocute-to-eat mini cupcakes from Sara Belle’s Bakery. Komen Austin’s executive director Christy Casey and Ford Warrior in Pink and breast cancer survivor Natalie Young spoke about the important of women’s health and preventative care, creating an empowering and inspiring atmosphere. By featuring entrepreneur and owner of Teddies for Bettys Ashley Kelsch and her team, as well as supporting and raising awareness for Komen Austin, this night accomplished CharityLadies’ goal of women empowering women. This unique Citizen Generation event will be back in December, and we hope to see all of you ladies there.

benefited BookSpring, a local nonprofit turning this statistic around. Each year, BookSpring serves more than 21,000 children in Austin through partnerships with AISD campuses, Head Start centers and doctors’ offices. Through BookSpring’s various programs, children around Austin who may not have access to books receive them, helping eliminate the barrier to basic education and literacy skills because of socioeconomic status. BookSpring arranges for children to get books via pediatricians at their well child checkups from ages 6 months to 5 years. Children get the opportunity to pick out their own new books based on their interests, and can later swap books with classmates. In addition, BookSpring encourages reading as a family activity early in children’s lives, increasing creative thinking, cognitive skills and literacy among parents through several programs, including Shared Beginnings, which helps teen parents know how and what to read to their children.

August CharityBash recap Did you know that 61 percent of low-income families have no age-appropriate books in their homes for their children? The August CharityBash

Coming up: Fourth Annual CharityBash Live Auction

and bachelorettes, who will each auction off their one-of-a-kind date packages to attendees, with proceeds benefiting the Center for Child Protection and BookSpring. Both beneficiary organizations directly help children in the Austin area who have been abused or neglected, have witnessed violent crime and/or have incarcerated parents through crucial services like forensic interviews and counseling, mentoring, college prep and school beautification. Bachelors and bachelorettes have been hard at work since early summer putting together their unique date packages filled with exclusive experiences, tickets to the best concerts and sporting events, gift cards to the hottest spas and restaurants and more, which are sure to bring in top dollar for these nonprofits. So please join us on Nov. 9 at the Fourth Annual CharityBash Live Auction as Ballet Austin transforms into a catwalk for our bachelors and bachelorettes to strut their stuff and vie for the highest bid on their date packages. Come enjoy drinks and food, and of course, be ready to “paddle up” to support two of our hometown nonprofits.

Citizen Generation’s biggest event of the year is back and bigger than ever on Nov. 9. The Fourth Annual CharityBash Live Auction will feature close to 20 of Austin’s most successful, philanthropic, social and – let’s be honest – good-looking bachelors

For more information or to purchase tickets, visit the Citizen Generation website at www.citizengeneration.org. NSIDE AUSTIN MD

[ nside / nonprofit ] According to utexas.edu, the primary purpose of the African American Breast Cancer Outreach Project (AABCO) was to refine, implement and evaluate a culturally sensitive communitybased model for coordinated outreach and case management to encourage African American women’s participation in early detection and follow-up services for breast cancer. “We knew we were not reaching the numbers of African American women,” Adams said on the website. “Specifically, we wanted more African American women to get mammograms as a way to save lives and positively impact families and communities.” This five-year campaign resulted in more than 8,000 breast cancer screen-

Project Breast CARE

The Alliance for African American Health in Central Texas looks to close the gap between African American women and breast health care. By Jenn Hatch

Breast cancer. These two words were once so taboo that they were barely spoken. Today, that’s no longer the case. Most will argue that even with the advances made in the education, diagnosis and treatment of breast cancer, there are still barriers to overcome, especially in minority communities. This is the most common cancer among African American women, and while incidence rates are lower than non-Hispanic white women, this community continues to have the highest mortality rate for breast cancer. Thanks to a community grant from the Austin affiliate of Susan G. Komen, the Alliance for African American Health in Central Texas is hoping Project Breast CARE is the start of change for those statistics in the Austin area. “The data points to the need for targeted interventions to reach African American women, as we continue to have more incidences of late-stage diagnosis, which is a key factor contributing to higher mortality rates,” said Marva Overton, executive director of the alliance.

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Cancer awareness, referral and education are the cornerstones of Project Breast CARE. Cancer awareness, referral and education are the cornerstones of Project Breast CARE. “The goals are to raise awareness about the continued disparity in breast cancer deaths for African American women, reach and refer the uninsured women in this community to get annual screening mammograms and educate more African American women about breast health,” Overton said. Project Breast CARE is patterned after an evidence-based model developed by Dr. Mary Lou Adams, an associate professor of clinical nursing at the University of Texas at Austin School of Nursing.

ings and the identification of 100 cancers that were successfully treated in African American women from Dallas, Houston and Tyler. “A key component of this model is getting African American women involved in promoting breast health messages and screening services to other women in their community and circle of influence,” Overton said. In addition to researching cultural barriers through surveys and focus groups, the desired results of Project Breast CARE include: • Refer 50 African American women who are 40 or older, uninsured and have not had a mammogram in over a year to get screened for breast cancer and continue annually thereafter • Reach at least 2,520 women with educational messages about breast health • Recruit and train 50 women as advocates for breast cancer awareness “Within the Austin area, we are focusing many of our outreach efforts in zip code 78723, which is in the northeast portion of the city,” Overton said. “Data has shown this area to be among

those having disproportionately higher mortality rates from the leading causes of death such as cancer, heart disease and stroke.” Overton recognizes that although the population of African Americans in Austin has declined over the past 10 years, this area still has a higher number of residents from this ethnicity. “This program has an opportunity to reduce mortality from a disease that touches so many lives,” she said. “If someone’s life is saved or quality of life enhanced because of Project Breast CARE, the individual and community benefit as a whole.” Overton, who studied psychology at Vanderbilt University and received her MBA in information technology from the McCombs School of Business at the University of Texas at Austin, changed her career path after pursuing her longtime interest in community engagement. “While understanding that disparities in education, employment, housing and health are impacted by the historical context of the African American experience in the United States, I wanted to gain better insight into how in today’s environment, African Americans are addressing these critical issues,” Overton said. “I fully recognize that these issues cannot nor should be ours alone to solve. However, we have to be at the forefront of bringing about solutions.” Through the alliance, Overton is dedicated to doing her part to engage community members to outreach, educate and advocate for personal lifestyle and environmental and policy changes that will lead to better health outcomes and quality of life. She was named executive director in 2007. Due to limited funding and staff, she had to wear many hats and contributed countless volunteer hours to ensure the continuation of the alliance. “I often say that I wish this organization did not need to exist,” Overton said. “However, when African Americans are consistently first in mortality from the leading causes of death in Travis County, it is clear that more has to be done.”

The alliance will host the Seton Mobile Mammography Unit at East 19th Baptist Church on Saturday, Sept. 29, from 8 a.m. to 4:30 p.m. For more information, call 512-494-0645.

J O I N U S I N C E L E B R AT I N G T H E

6th Annual Gayla’s Gala THURSDAY, NOVEMBER 8, 2012 LEON SPRINGS DANCE HALL, 6PM - MIDNIGHT DINNER, LIVE AND SILENT AUCTIONS • MUSIC BY THE BROKEN DUCKFEET BAND • MASTER OF CEREMONIES: RANDY CARROLL OF KJ97

Transplants for Children (TFC) invites you to kick off your holidays Texas style at our Sixth Annual Gayla’s Gala, to be held Thursday, November 8, 2012. We hope you will consider signing on as an event sponsor and join us for this exciting, fun-filled evening at Leon Springs Dance Hall!

Zoey, 6 Liver Transplant Recipient

Gayla’s Gala, in its 6th year, is being held in memory of GAYLA LUMMUS LEONARD, a wonderful wife, mother and a friend to so many. Our hope is that this year’s event will continue to honor Gayla and her contribution to Transplants for Children, while raising money for our organization.

Sponsored by Dyezz Survelliance

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[ nside / events ]

The Elements of an Ethereal Evening Thomas J. Manning and Monterone 5 Elements ELITE Medi-SPAs and SALONs hosted the soiree of the season at the Monterone Mansion on Aug. 25, 2012, celebrating the most lavish medi-spas and salons and featuring a gallery of fine art from both famous and local fine artists. Photography by jared tennant

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New Era in Plastic Surgery

With their keen understanding of Austin culture and extensive expertise, Drs. Mahlon Kerr and Amy Bekanich provide Austinites with modern surgery and classic beauty at Synergy Plastic Surgery.

by Daniel Ramirez photography by michelle loconto

here’s always something hindering a person from having an ideal selfimage. Often it is something cosmetic and minute, immaterial to both who we are and how we’re perceived, yet inescapable to our own regard. Whether it is part of one’s genetics, the result of a life event or the slow and deliberate passage of time, there are things nearly everyone would alter about their appearance, were it within their power. Dr. Mahlon Kerr of the Austin area’s Synergy Plastic Surgery explains the inexplicable benefit to his patients: “The psychological outcome of having plastic surgery and fixing something that’s bothered you with regard to confidence is probably the biggest reward. It may seem superficial, but it clearly changes people’s lives. It can change how they feel about themselves and how they interact with others. It can be profound.” And while modern medicine has made many such corrections available, plastic surgery has occasionally carried the stigma of Hollywood-driven artificiality and opulence, often executed too brazenly to easily maintain subtlety or humility. Even when the industry creates a shift in nomenclature, rebranding itself as “cosmetic surgery,” the notion has lingered. That perception, however, is eroding and giving way to a new era in plastic surgery. Thanks in part to Kerr and his partner, Dr. Amy Bekanich, excess is now giving way to subtle correction and looks that blend

seamlessly into one’s natural form. These aren’t the corrective surgeries of the 1990s or even of other regions in the United States. Austin has its own sound, its own mindset and definitely its own style. And Synergy Plastic Surgery, led by Kerr and Bekanich, is addressing the cosmetic pursuits of the Central Texas area with a definitively Austin flair. “I think that the high-glam, gaudy and overdone plastic surgery just doesn’t work in this town,” Kerr remarks when asked what makes Austin unique. “We do it differently here. Most implants that we do are not super-large. We work to fit the patient’s frame. A lot of women are just looking to restore volume rather than be showy. It clearly reflects the difference in the Austin population.” Naturally, this makes Synergy Plastic Surgery an ideal fit for the Austin market, but the area still manages to follow national trends, as Kerr is keenly aware. The more common procedures are just as commonplace as anywhere else. Synergy Plastic Surgery adheres to its ethic of incorporating cosmetic procedures into one’s natural look, but the majority of patients still scrutinize the same body regions. “The biggest trend in Austin is breast and body. Breast augmentation is still the most common thing that I do,” Kerr continues, though he is aware of the shift in rationale for such procedures. “A lot of the people in the area are doing a ‘mommy makeover,’ which is kind of a new trend. The concept is usually an abdominal procedure combined with a breast NSIDE AUSTIN MD

“Plastic surgery can change how people feel about themselves and how they interact with others. It can be profound.” operation. People like the idea of combining multiple procedures to limit your downtime.” The Synergy Synergy Plastic Surgery team’s expertise is not restricted to cultural trends, however, and they offer the same quality attention and care to any cosmetic procedure. Also, their arrangements with hospitals rather than isolated clinics only benefit the quality of care they deliver. “We operate primarily out of North Austin Medical Center, but we also operate at all the St. David’s hospitals,” Kerr says. “It’s a tremendous advantage for us because almost everyone else in town is going to operate out of a surgery center, which is fine unless a patient needs an unplanned overnight stay for nausea or in the rare chance of a something goes wrong or, heaven forbid, there’s a more serious problem.” Kerr applauds the refined processes and qualified staff of a hospital system like St. David’s. A hospital environment also allows patients to stay overnight,

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a convenience not afforded in clinic settings. Kerr and the Synergy Plastic Surgery team have every reason to take pride in the arrangement. As he explains, “We have the ability to have all of the resources of a fully staffed hospital.” Providing cosmetic procedures to the Austin area is only half of the story, just as Kerr is only half of the foundation that powers Synergy. With the help of Bekanich, Synergy Plastic Surgery is pioneering the use of an innovative method for breast reconstruction for use on mastectomy patients seeking alternatives to implants. It is currently the only organization in Texas offering the method known as BRAVA-AFT, and Bekanich is an expert in the method’s precise use. “It uses a patient’s own fat, harvested with liposuction techniques liposuctioned from various places on their body,” Bekanich explains. “There’s no implant used and no need for an extensive surgery like there is with a

microvascular-free flap.” The revolutionary method, first used by Dr. Roger Khouri of the Miami Breast Center, is best explained by Bekanich, who studied in Miami under the visionary doctor. She outlines the process: “A woman in a typical scenario will have a mastectomy, and at the time of the mastectomy, after the breast tissue is removed, I do liposuction of wherever is the easiest place at that time (usually it’s the belly, as that’s how a patient is situated), and that fat is then placed in the area that is left after the mastectomy. This begins to beinsthein the reconstructreconstructive process and restores what we call a ‘social breast.’” The BRAVA-AFT treatment has significant benefits, as Bekanich illustrates. “Vascularity is increased in the area, which is important for the survival of the fat we inject. To “survive.” Still, the greatest of the process’ advantages is most likely the lack of foreign body implantation on a patient and of need for surgery in the future.

Regardless of the benefits, it is a demanding regimen to pursue this course of action, to be certain. Bekanich takes care to explain that a good deal will be asked of those who elect for the course of action. The disclaimer Bekanich offers is simple: “It takes a little bit of a commitment on the part of the woman to wear the device 10 to 12 hours a day, usually at night.” She reassures apprehensive patients that “it doesn’t hurt, but it does take some thought.” The BRAVA device essentially envelops the breast in a carefully maintained pressure environment, regulated by electronics and seated beneath a very sophisticated sports bra. The device is worn for varying lengths of time, depending on a number of factors, including the severity of the damage, time during the reconstruction process and the desired result. But the results are, in a word, astonishing. As Bekanich explains, a patient

can expect that “at the end of all the reconstruction, she has a soft, natural-looking breast that is sensate, is a remarkable advantage compared to other current methods of breast reconstructions.” In comparison, other methods that have been prevalent in plastic surgery have met with more limited success than BRAVA-AFT offers. “Often, with a lot of the other reconstructions, it feels like patchwork: The skin of the breast can’t be felt, or the area is very hard,” the doctor concludes. Having brought the method with her to Texas, it wasn’t long before Bekanich trained her partner. Today, Synergy Plastic Surgery is steadily increasing the use of the BRAVA device. One might think, with the attention to culture, detail and innovation that both Kerr and Bekanich offer, as well as with the enlisting of hospitals for medical procedures, the cosmetic surgery procedures would be reserved for the wealthy. Kerr responds to that presumption, proclaiming, “The goal of Synergy Plastic Surgery is to make plastic surgery available to everybody. You’re not a number or a dollar sign.” The actions and experiences of both doctors speak directly to that maxim, as well. Both have been active in philanthropic endeavors that make the best use of their proficiencies and their ethic. “We see patients who have limited funding for breast cancer, and Synergy Plastic Surgery is one of the founding partners of the LOTUS Circle, a group of donors who primarily fund Austin’s Breast Cancer Resource Center, which provides counseling and support for breast cancer patients, Kerr reveals. Additionally, the duo’s charity extends beyond the city limits and even the national border. According to Kerr, “both Amy Dr. Bekanich and I have been on international missions to do cleft lip and palate work on children.” With such a commitment to innovative techniques, a firm grasp on the Austin culture and a dedication to helping others where their abilities and time allow, the Synergy Plastic Surgery team is poised to continue building on the successes they have experienced for years to come.

“The goal of Synergy Plastic Surgery is to make plastic surgery available to everybody. You’re not a number or a dollar sign.”

For more information, visit Synergy Plastic Surgery at 170 Deepwood Drive, Ste. 102, Round Rock, Texas 78681 (Round Rock) or 805 E. 32nd St., Ste. 101, Austin, Texas 78705 (Austin); call 512-244-1444; or go to www.synergyplasticsurgery.com. NSIDE AUSTIN MD

Adorning Austin

[With Class and Style] Kelly Harrison, R.N., enhances both inner and outer beauty and teaches clients how to achieve that beauty through wellness at Monterone 5 Elements ELITE Medi-SPAs and SALONs. By Jody Joseph Marmel photography by jared tennant stylist: stephanie hawley

onterone 5 Elements ELITE Medi-SPAs and SALONs is a unique blend of facial artistry coupled with a plethora of wellness services to enhance inner and outer beauty at the same time. A highly respected registered nurse in the field of injectables, Kelly Harrison has extensive experience and training that have brought her a faithful following of Austinites who want to look and feel good. Add the respect she has within the medical field by physicians, nurses, medical assistants and medical staffs throughout the city, and it is no wonder Harrison brings astounding results to the clientele she has worked with. At 5 Elements, Harrison’s talents are bringing in her loyal guests, along with new clients who keep her schedule full. And the doors have just opened at this elegant medi-spa. Harrison is ready to help all of her guests with her formula of looking younger and feeling better with a treatment of Botox or other injectable fillers as needed. The magic she weaves is a gift, and Harrison is performing her skilled art form

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with infinite accolades for her accomplishments. Graduating from the Institute de ‘Beaute, a prestigious school located in Hammond, La., that focuses on skincare and makeup artistry, Harrison says, “I was fascinated with how beautiful I could make skin become. Knowing that I could teach those who knew nothing about taking care of their skin and preventing aging from happening too fast, my focus was on beautiful, flawless faces and the shapes of faces.” Her career as a licensed medical esthetician specializing in skin and body care began in 1982. Years later, Harrison’s father urged her to attend nursing school. She furthered her educational background while attending Louisiana State University Nursing School. Her studies led her to the field of plastic surgery, where she has been able to continue her dream of making others feel beautiful. Captivated with the advancements in plastic surgery, Harrison explains, “the field of actually being able to change a client’s appearance by moving the skin and tissue to make permanent changes was the area of medicine that I wanted to further study. I was

immersed in the before and after pictures and how I could perform this via different techniques.” This carved the way into specializing and becoming certified as a plastic surgical nurse. With this advanced degree, Harrison was able to work with plastic surgeons, and she saw the wonderful results, as well as the joy each patient was given. Having 18 years of experience as a registered nurse specializing in plastic and reconstructive surgical nursing, Harrison has worked with and assisted Austin’s well-known top surgeons. Serving as the director of Austin Surgery Center since 2007, she has actively participated in all aspects of the center. From the planning and building stages to having the facility accredited by the American Association for Accreditation of Ambulatory Surgical Facilities, Inc., Harrison has gone well beyond the expected. Yet, she is taking her talents to a higher level by joining forces with 5 Elements. This venture will enable her to spend her time and give her infinite devotion to the art of injectables, her true love that she

“Aging is inevitaLable, but aging well is an art form.”

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shares with the guests. They have been more than pleased with the results. And it is through her medical and artistic knowhow that her skills have become highly recognized in the Capitol City. As Harrison is the first ArqueDerma clinician in Austin to train at the InjectAbility Institute for ArqueDerma™ in California, the methodology and art involved creates outstanding results. “Learning the technique of injecting fillers and moving the facial tissue to a more youthful position

“CONFIDENSE IS AN ESSENTIAL INGREDIENT IN THE BEAUTY FORMULA.” (under the skin) has enabled me to move ahead in this field of medical injectables.” Harrison is a firm believer in and practitioner of achieving beauty through wellness. “I always believed that looking and feeling your best went handin-hand. To feel optimum beauty and wellness, there is a balance of natural energy that beautifies from within.” Combining conscious efforts of healthy living choices helps in the overall outcome desired. Beauty becomes a natural lifestyle for all of those wanting to live well and age well. As Harrison says, “Confidence is an essential ingredient in the beauty formula.” Harrison’s aesthetics and medical training has allowed her to use dermal fillers in a way that has reestablished time by creating a more youthful facial structure. If guests at 5 Elements did not have the confidence prior to visiting with Harrison, they are guaranteed to have it by the time they leave this divine destination. “Aging is inevitable, but aging well is an art form,” Harrison says. “Clients tell me that their self-esteem is enhanced from the work that we do together. ArqueDerma is an artistic restoration lift. It is considered a filler lift for the face without the traditional invasive techniques of surgery. With a few injections, the results are long-lasting.” Harrison recommends touchups every nine to 12 months. Utilizing “current FDA-approved dermal fillers, the ArqueDerma™ procedure uses principles found in physics and architectural engineering. We use this to artistically reconstruct the face to reflect natural beauty.” Redirecting excess facial volume that has dropped into an upward direction results in the most aesthetically appealing site. Add in the other sight, as well. This technique provides a natural and revolutionary result that is “unachievable from traditional methods.” The procedure is proof that medicine is advancing in ways that were once thought impossible. Harrison is a trendsetter who always keeps upto-date on the happenings and discoveries in the medical world. Her continuing medical education is an ongoing process, and she shares this knowledge with her clients as she keeps them updated on cutting-edge technology. Harrison shares her love of an initial consult. “I don’t force; I listen. I let the client explain what both-

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ers them. I tell them what I can do to help correct the problem. I will also suggest what I see that they may not notice that would be esthetically pleasing, and we devise a plan as a team. I estimate expected costs, and we go from there.” Harrison is honored to be recognized as a master in the field and to have become a prestigious national trainer for Allergan. Very few practitioners hold this elite position. Future plans include traveling all over the nation to train nurses and physicians to do injectables. Harrison has an outstanding support system at 5 Elements with years of experience shared by leaders in the world of beautification. Constantly studying the aging process, Harrison is always up-to-date and beyond with knowledge on what best protects the skin and the techniques that best fit her clients. “While I find people are scared of injections due to the fact that many Hollywood stars have such fake-looking work done, I understand my clients in all aspects. My goal is to give a natural transition that other people would not notice. The clients start getting compliments on how good they look and how rested they feel.” Her symbiotic beliefs in refining both inner and outer beauty at 5 Elements are shared by many. This outlook defines what Austin symbolizes: a natural, glowing beauty that is omnipresent throughout this eclectic city. Harrison and 5 Elements have made this opulent oasis of beauty possible. And that is another step in the right direction for the medical-beauty sector and that extra-special step reserved just for you.

Monterone 5 Elements ELITE Medi-SPAs and SALONs is located at 4500 Steiner Ranch Blvd., Austin, Texas 78732. For more information, call 512-298-4095.

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[ nside / health & wellness ]

There are no “good” or “bad” foods. All foods can be part of healthy eating. After-school snacks are a must even after junior high. This is a great time to offer fruit and vegetables, along with some protein to help them power up for after-school sports and activities or study.

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Kids evolved in sports MUST eat pre- and post-activity to make sure they are not damaging their growing bodies and muscles. If you are not sure what that nutrition should be, please reach out to a registered dietitian.

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Eating Well and Living Well

Some people believe that over-weight people are bad, sick and out of control, while thin people are good, healthy and in control. This is not true, and it is unfair and hurtful.

by Adrien Paczosa

As you pack your kids’ back-toschool lunch boxes, don’t forget to add good nutrition to help power their brains, bodies and self-esteem. Never hesitate to reach out for direction from professionals. Remember, 60 to 80 percent of your and your kids’ health comes from what you eat. Nourish your body. Nourish your life. As always, if you suspect your child may be struggling with body image issues or disordered eating, please consult a professional who can make an appropriate diagnosis. Have a wonderful new school year!

This school year, keep your teenagers eating well and feeling good about themselves by paying attention to both their physical health and emotional health.

Do you remember when you entered middle school and high school? Besides new schools, new teachers and more homework, add hormonal changes, the dramas of teenage relationships and the demands to be treated like an adult, but not acting like one. The teenage years can be a rather challenging time for both you and your kid. So often in transitional periods, we forget about our physical and emotional health. In my work as a dietitian, I have seen transitional times as a source for possible eating disorders and disordered eating. And adolescence is a good example of such a time. Because of all the changes and demands that occur during this period of development, teenagers can – and do – turn to eating disorders to help achieve a sense of control – control over their changing bodies,

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tumultuous relationships, scholastic and athletic demands, and a search for a separate identity from their peers. This sense of control is a false one, of course, since what is really in control is the food. Here are some tips for you and your kids about eating well and feeling great. I encourage everyone to make an effort to live well. Have fun! Too often, we give food too much power and control in our lives. Enjoy food for the way it tastes and the conversations and laughs you have while sharing it.

✔

Eat when you are hungry. Stop eating when you are satisfied. Listen to your body.

✔

Think variety. All foods can be part of healthy eating. There are no “good” or “bad” foods, so try to

✔

eat lots of different foods. Teenagers are growing and will need different amounts of nutrition as they grow, develop and increase their activity.

✔

If you are sad or mad, or have nothing to do (and not really hungry), this is a good time to practice checking whether it is emotional hunger or physical hunger.

✔

Good health, feeling good about yourself and having fun go hand-in-hand.

✔

Remind yourself that healthy bodies and happy people come in all sizes, and that no one body shape or size is a healthy one. People come in many shapes, colors and personalities.

✔

Appreciate yourself for all you are – we should all respect and like ourselves, enjoy playing and being active and eat a variety of healthy foods.1

✔

Adrien Paczosa, R.D., L.D., is a consulting dietitian for Cedar Springs Austin, an eating disorder treatment center located in the Westlake area of Austin. For more information, please call 877755-2244 or visit www.cedarspringsaustin.com. National Eating Disorders Association (www.nationaleatingdisorders.com)

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[ nside / health & wellness ]

Food for the Future

Looking for increased energy, mental clarity and overall health? Consider adding super foods to your daily diet. by kevin kinkade

Many of us remember the old Jetsons cartoons, where George Jetson would sit down at the table for dinner and there would be a single pill sitting on his plate. We found it hard to imagine that such a thing could be a reality one day, but with super foods, that seems to have come true. Super foods can’t replace an entire meal, but when added to your daily diet, they can provide nutrients that aren’t always found in most food today – nutrients that can boost the immune system, increase energy, balance hormones and detoxify the bloodstream. What is a super food? It is not something that comes from a test tube or a laboratory. Super foods are natural elements found in the world around us. Chlorella, maca, mineral salt and sundried fruits like mango and papaya are the best known and most widely used. Other super foods include acai, cacao, goji berries, flax seed, spirulina and hemp seeds, to name a few. Chlorella is a single-cell freshwater algae that

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is dried and cooled or jet sprayed, splitting the cell walls to allow the nutrients to enter the blood stream more quickly and giving the full benefit of the vitamins, amino acids and proteins available. Chlorella contains as much as 10 times the amount of chlorophyll as other green vegetables. Some of the benefits are increased mental clarity and energy, but for some people, the most important benefit is the tremendous ability to detoxify the body of chemicals from pesticides and heavy metals such as lead, mercury and cadmium. Chlorella growth factor is a benefit to athletes for tissue growth and repair, immune system enhancement and the increased ability to absorb nutrients. Maca is a root vegetable grown in the volcanic soil high in the Andes Mountains of Peru. It is rich in minerals and amino acids and contains an abundance of protein and enzymes. Its ability to heal wounds and help in digestion is one of the benefits, but the most widely known

use is its ability to enhance the libido and increase energy. It’s a great benefit for bodybuilders, as it increases testosterone levels. Its ability to balance hormones makes it especially beneficial for women undergoing menopause. Gelatinized maca is sun-dried, removing many of the starches and making it more potent. Both chlorella and maca can be taken in capsule form or added to smoothies. Maca has a spicy, butterscotch flavor, and a teaspoon added to a cup of hot, distilled water will give you an energy boost all day long without the jitters one sometimes gets with coffee. Unlike most salt, which is either derived from the sea or just manufactured sodium chloride, pink mineral salt is mined in the Himalayan Mountains. It is far tastier than table salt and has many more nutrients and minerals. It is a great source of salt for people suffering from acid reflux or ulcers, as it doesn’t have anticaking agents that come in so many salts today. It is the purest and most potent salt available. Once you try it, you will find it hard to go back to traditional table salt. Organic sun-dried mango and papaya are non-perishable and available year-round. They are great for packing in a lunch box or carrying on the trail as a snack. Besides the fact that they taste great even when unsweetened, they provide plenty of vitamin C and other vitamins and amino acids. These are just a few of the super foods available today. Organic super foods are the best, as they do not contain any of the pesticides that are found in many other fruits and vegetables that are grown conventionally. If you are looking for increased energy, mental clarity and overall health, you should consider adding super foods to your daily diet.

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[ nside / health & wellness ]

tips for controlling emotional eating:

➊ Try to relax through yoga or walking outdoors.

➋ Do any activities that bring you happiness and pleasure.

➌ Read a book, listen to music or paint.

➍ Talk to your best friend who supports you.

➎ Maintain a food log; record when emotions are high and why.

➏ When you get the urge to eat

tips from the trainer:

Maintain a healthy relationship with food by following eight simple steps to stop emotional eating and unnecessary snacking. by Tim Valderama

Is food your enemy? Or do you make it your lover? If the answer to either is yes, the first step is to process that. Having awareness is key to responding correctly when a situation comes up. Do you eat when you’re upset? Nervous? Indecisive? These mental states and processes that follow could be leading you into a downward spiral of weight gain that will take work to change. To overcome cravings, you must identify what you’re really feeling. Second, distinguish what the body is telling you. Is it physical hunger or emotional starvation? To conquer your state of mind, you must pay attention to the signal calling. When you let yourself get really hungry, the stomach starts growling. You might start to feel lightheaded and weak – this is “physical hungry.” Listen to what your body has to tell you. In order to stop emotional eating, it’s key to recognize when you’re physically hungry and when you are eating in response to a situation. If you are an emotional eater, you may not be allowing yourself to get physically hungry because you’re eat-

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ing all the time. If your job or personal life has continuous stress, you may be eating more often than necessary. Emotional eaters will not wait for their bodies to get hungry or allow their stomachs to process the signal for hungry. To stop emotional eating, you must find another outlet. Understand the difference between physical hunger and emotional hunger. To halt emotional eating, you must listen to your body’s signals. Emotional eaters don’t listen to their bodies. They think they have no options. Emotional eating is unnecessary snacking. It is often preceded by feelings of guilt and shame. Recognizing these feelings is a start. Emotional eaters don’t feel satisfied or full after they eat. They feel incompetent! Emotional hunger can happen instantly. Do any of these situations sound familiar: a bad day, unfair treatment at work, a failing relationship, regret or losing your job? At the end of the day, all you want is to satisfy the body due to failing by eating a pint of ice cream, ordering a pizza and sitting on the couch.

Why do you crave certain foods? What drives the emotions behind it? Now that we have the possible diet wreckers in mind, what are the feelings that accompany them: sadness, overwhelm, anger, hurt, rejection, hopelessness – what is the issue? Researchers have found that our moods can dictate what we eat, according to JR, a medical doctor and recovering food addict. Here is a list of food cravings and the moods they address, according to research: If you reach for or crave:

You may be feeling:

Meat, hard and crunchy foods

Angry

Sugars

Depressed

Soft, sweet foods like ice cream

Anxious

Salty foods Bulky, filling foods (crackers, pasta)

Lonely, sexually frustrated, stressed

Anything and everything

Jealous

when you’re not hungry, find a comfort food that’s healthy instead of junk food. ➐ For some, leaving comfort foods behind when they’re dieting can be emotionally difficult. The key is moderation, not elimination. When craving comfort food, eat a small amount and save the rest for later. ➑ Channel your emotions through exercise; release good hormones and serotonin. At the end of the day, reflect on the best way to treat this problem. Accept the problem exists and have an outlet in mind – something you can do as readily as eating. Once you have done this, log the trigger points and find ways to cope and means to overcome it with more than one outlet. You’re not the only one: Emotional eating is something most people do when they’re stressed, unhappy or sad. It might be ice cream or a pizza, but whatever the food choice, learning how to control it and using moderation are key. Don’t let emotional eating sabotage your health. Focus on fixing the issue with healthy eating and exercise to help maintain a healthy balance.

Tim Valderrama, fitness expert and CEO of Austin Executive Fitness, has been in the fitness industry for 15 years. He graduated from Texas State University with a degree in exercise science, and he was featured in Austin Fit Magazine as a top trainer in 2010 and 2011. Valderrama is a fitness expert for the National Academy of Sports Medicine, where he works on various case studies. With more than 10,000 hours dedicated to personal training, he constantly stays busy working with the top executives in Austin, helping them channel their stress through proper nutrition and exercise.

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[ nside / patient ]

What if my doctor never mentioned it? Bring up the subject yourself, ask for a referral to get a mammogram or contact a local facility directly. Am I too old to get a mammogram? No. You may be surprised to learn that your chance of getting breast cancer increases as you get older. That makes it even more important to get a mammogram. What if I cannot afford a mammogram? Most insurance plans, including Medicare, cover screening mammograms. There are many free and low-cost programs. Call your state department of health for information about low-cost programs. Local resources: Texas Department of Human Services 512-458-7796 www.dshs.state.tx.us\bccs\default.shtm Susan G. Komen for the Cure 512-473-0900 www.komenaustin.org How to get a mammogram in five easy steps:

What is a Mammogram? Everything you need to know about the X-ray, which is currently the most accurate screening tool for the detection of breast cancer by Dr. Lianne Marks

A mammogram is an X-ray picture of the breast, and it is the best screening tool used today. A mammogram can find cancer at an early stage when it is small and easier to treat. The American Cancer Society recommends that all women start getting a mammogram every year starting at age 40. If you are under 40 and have a family history of breast cancer or other concerns about your breasts, talk to your doctor about when to start getting mammograms. If you have a breast problem, a mammogram can also be used to help diagnose it. Mammogram images can be stored on film or to a computer. The X-ray uses very little radiation. A radiologist looks at the images for signs of breast cancer. These changes may be small and hard to see, so it is best to have a mammogram every year. That way, your images can be compared from year to year to see if there have been any changes.

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Mammograms are very accurate, but they are not perfect. Mammograms find many breast cancers before they can be felt. It is also important to be aware of any changes in the look or feel of your breasts between screenings and notify your physician of any changes.

Facts for life: mammography Common questions about mammograms: Why would I want to find out if I have cancer? Finding cancer early makes it easier to treat. A mammogram can find cancer before you notice any problems in your breast. Is it painful? To get a good picture, the technologist needs to compress the breast. You may feel uncomfortable, but it only lasts a few minutes.

1. Pick a good time A mammogram may be uncomfortable if you have sensitive breasts. If you are still menstruating, plan to have your mammogram the week after your period, when your breasts are less tender. 2. Gather your information When you make your appointment, you will be asked about: • Date and location of prior mammogram(s) • Personal history of breast cancer • Current breast problems • Past breast surgery 3. Know what to expect During a mammogram, each breast is pressed between two plastic plates in at least two views. These plates compress the breast tissue so that a good picture is taken. This will not harm your breast. In fact, compressing it reduces the amount of X-rays needed. Although it may be uncomfortable, be sure to tell the technologist if the pressure becomes too painful. Call now to schedule your next mammogram: Scott & White, Round Rock: 512-509-9100 Scott & White, Georgetown: 512-819-0500 Scott & White, Taylor: 512-352-7311 4. Come prepared • Wear a shirt that you can take off easily. • Do not use deodorant, talcum powder or lotion on your underarms or breasts, as these may affect the image quality. • If you have had mammograms before at a different facility, obtain and bring them with you. If you cannot bring your past mammograms,

please provide the name and address of the facility where they were taken. 5. Get your results If you do not have your results within three weeks, call your doctor or the mammography facility.

For more information, contact the American College of Radiology (ACR) at 1-800227-5463 or www.acr.org; the Food and Drug Administration (FDA) at 1-888-4636332 or www.fda.gov; or the National Cancer Institute at 1-800-422-6237 or www. cancer.gov.

Getting Your Annual Mammogram Just as you’d make a yearly appointment to get your skin checked and your annual physical, mammograms are an important part of your yearly check-ups to evaluate any unusual changes in the breast. Mammograms can also help your physician decide if a lump, growth or change in your breast needs further testing, and they are used to look for lumps that are too small to be felt during a physical. Mammography screening should be offered annually to women beginning at age 40, according to breast cancer screening guidelines issued by the American College of Obstetricians and Gynecologists (ACOG). The practice bulletin, titled “Breast Cancer Screening,” was published in the August 2011 issue of Obstetrics & Gynecology. These guidelines replaced the 2003 ACOG recommendations, which were that women should have mammograms every one to two years beginning at age 40, and every year beginning at age 50. Mammography is still the best defense against breast cancer because it can detect the disease in its early stages, before it can be felt during a breast exam. Experts agree that mammograms can help reduce a woman’s risk of dying from breast cancer by finding cancer early when it can be treated more successfully. If you have certain risk factors in your family history that make you more likely to get breast cancer, your doctor may suggest that you have a mammogram at a younger age than 40. For example, women who have a personal or family history of breast cancer, or who have inherited the BRCA1 or BRCA2 (say “BRAH-kuh”) genes, are more likely to get breast cancer. There’s been a lot in the news media about when a screening mammogram should be done, so talk to your physician about any questions or concerns you have about screening. He or she can help you decide when to have your first mammogram and how often to have mammograms going forward. Breast cancer screening with mammography results in a significant reduction in breast cancer mortality, according to long-term follow-up results of a largescale Swedish trial. The results were published online in 2011 in the journal Radiology: For every 1,000 to 1,500 mammograms, one breast cancer death was prevented.

For more information, contact your primary care provider or call Dr. Lianne Marks of Scott & White Healthcare – Round Rock at 512-509-0200. You may also visit www. roundrock.sw.org.

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[ nside / patient ] for those with braces, periodontal disease or the elderly who may have difficulty maneuvering a manual toothbrush. The oscillating heads of electric toothbrushes rotate more times per second than people can brush manually, so these often do a better job of removing plaque and tartar buildup.

Ask the

Doctor

Dr. Michael Moossy answers some common questions about dental health and hygiene.

Special to NSIDE

How do whitening toothpastes work, and how effective are they at whitening teeth? Whitening toothpaste uses either peroxide or baking soda. Both can be used to remove surface stains (coffee, tea, soda, etc.). However, the bleaching does not reach the inside of the tooth, which is where most of the dark color resides. Whitening toothpaste can be good for day-today stains. Whitening provided by your dentist can actually whiten from the inside (darkness from genetics, medication staining). If you decide to use a teeth-whitening toothpaste, make sure it contains fluoride for extra protection against tooth decay.

Beyond simply changing the color of my teeth, I’m interested in changing the shape of my teeth. What options are available? Most doctors can make some small adjustments that make a big difference in the appearance of your teeth using very simple methods. We are able to lengthen, widen and shape the tooth right in the dental chair. Using bonding material, the dentist is able to add and re-contour the tooth for minor aesthetic improvements.

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More than 25 percent of all oral cancers are developed by people who do not smoke and who only drink alcohol occasionally.

I see cosmetic dentistry advertised; what are some more cosmetic options? Cosmetic dentistry typically refers to dental work that improves the appearance of the teeth rather than the function. Examples of cosmetic dentistry include whitening, veneers, ortho (in certain cases) and sometimes implants.

Why is oral hygiene so important during pregnancy? When should I take my child to the dentist for the first time? Good oral hygiene is extremely important during pregnancy because the increase in hormone levels can cause problems such as pregnancy gingivitis. Symptoms of pregnancy gingivitis

are usually bleeding and swollen, red and tender gums. Good oral health during pregnancy could also be important to your fetus. Some researchers have suggested that the serious stage of gum disease, periodontitis, could cause premature birth and low birth weight.

How often should I change out my toothbrush? Does an electric toothbrush really make a difference? You should change out your toothbrush/head every three months, whether it is electric or manual. Electric toothbrushes are great

I’ve been a cigarette smoker for a number of years and am concerned about the possibility of developing oral cancer. What are the signs and symptoms of oral cancer? First, it’s important to note that more than 25 percent of all oral cancers occur in people who do not smoke and who only drink alcohol occasionally. Symptoms include: + Swellings/thickenings, lumps, bumps, rough spots/crusts/ eroded areas on the lips, gums or other areas inside the mouth + The development of velvety white, red or speckled (white and red) patches in the mouth + Unexplained bleeding in the mouth + Unexplained numbness, loss of feeling or pain/tenderness in any area of the face, mouth or neck + Persistent sores on the face, neck or mouth that bleed easily and do not heal within two weeks + A soreness or feeling that something is caught in the back of the throat + Difficulty chewing or swallowing, speaking or moving the jaw or tongue + Hoarseness, chronic sore throat or changes in the voice + Ear pain + A change in the way your teeth or dentures fit together – a change in your “bite” + Dramatic weight loss It’s important to visit your dentist regularly so your hygienist can perform oral cancer screenings.

Dr. Michael Moossy’s practice is located at 4200 N. Lamar, Ste. 145, Austin, Texas 78756. For more information, call 512-459-5437 or visit www.drmoossy. com.

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