Best Things to Do in Culver City, California

Culver City covers nearly five square miles all the way through Los Angeles County. It was initially established as a planned community in 1917 by Harry Culver and quickly became a main center point for Hollywood shooting, known today as the location of both the MGM and Sony Pictures Studios. In last years, the area has become a hub for pedestrian-friendly traditional attractions, counting upscale gastro pubs and a walkway scene that has been compared to New York City’s Chelsea neighborhood.

Meet in Paris

Meet in Paris is a modern French bistro in Culver City, opened in 2009 by French settlers Sebastien and Cecile Cornic. The restaurant superiorities itself on its concentrating service and charming and attractive atmosphere, raising the style and vibe of a classic Parisian bistro. Full menus are served at brunch, lunch, and dinner, highlighting French classics such as croque monsieur, cioppino, and steak and frites.

The Kirk Douglas Theatre

The Kirk Douglas Theatre is one of Los Angeles’ utmost remarkable earlier movie theater facilities, originally built in 1946 as a Streamline Modern movie theater proficient in seating up to 1,160 customers. Known as the Culver Theatre all the way through its initial motion picture run, the theater was an epicenter of Hollywood’s entertainment community throughout the mid-20th century until it ceased operations in 1989.

The Wende Museum

The Wende Museum is an art museum and historical place that was established in 2002 by Justinian Jampol as a source of items related to the Cold War and the previous Soviet Union. The nonprofit museum, which is named for the German word for “turning point,” contain a assortment of more than 100,000 artifacts associated to the Soviet Union and Eastern Bloc, containing major collections donated by activists Alwin Nachtweh and Ulrike Wolf. Collections and exhibits represent the political and cultural histories of former Eastern Bloc countries such as Czechoslovakia, Poland, Hungary, Romania, and East Germany, including expansive collections of Cold War-era artworks by Eastern artists. 

The Museum of Jurassic Technology

The Museum of Jurassic Technology is an much-admired and unique museum situated in Los Angeles’ Palms District, originally founded in 1988 by David Hildebrand Wilson and Diana Drake Wilson. The museum is an addition of Hildebrand Wilson’s cultural interest’s collection, representing unusual exhibits on a variety of topics and peculiarities in the vein of Ripley’s Believe It Or Not museums, including collections of micro-miniature sculptures and outdated pseudoscientific medicinal tonics and information on peripheral psychological and biological theories. Though the museum’s demonstrations strain scientific integrity at times, it is acclaimed as a unique examination of the experience of knowledge-gathering and museum culture, receiving the prestigious MacArthur Foundation Fellowship award in 2001.

Culver City Park

Culver City Park is a 41-acre entertaining park that is open to the public daily, containing a high-profile children’s playground developed by Danish company KOPMAN that deals a Scandinavian-style jungle gym and play space. Old-style playground spaces with swings and slides are also obtainable, along with a basketball court, softball field, and skate park area. Tourists may also make use of the park’s walking and jogging paths, along with its covered picnic area and dog-friendly Pooch Path or visit Pacific Palisades.

Holy Cross Catholic Cemetery

Holy Cross Catholic Cemetery is a historic 1939 Roman Catholic cemetery that is situated within Culver City and supervised by the Roman Catholic Archdiocese of Los Angeles. The 200-acre cemetery serves as the final resting place for a number of well-known Hollywood figures of the 20th century, including Bing Crosby, Rita Hayworth, Lawrence Welk, and Bela Lugosi. Most celebrity grave sites are located at The Grotto, which is situated in the cemetery’s southwestern corner atop a small hillside sloping lawn. The Grotto features a volcanic stone archway at its entrance, which contains an altar with statues of the Virgin Mary and St. Bernadette.

If you are considering plastic surgery near Culver City California contact board certified Santa Monica plastic surgeon Reza Nabavian MD 6.4 miles away.

Best Things to do in Pacific Palisades California

Fabulous ocean views, stylish homes, and dusty canyons describe this wealthy area, comfortable between Santa Monica and Malibu. Even though there is a downtown village of sorts south of Sunset Boulevard, natural land is the main draw here, attracting visitors to hiking trails or along the Palisades’ winding roads.

Here is the List of Things to do in Pacific Palisades:

Getty Villa

Impressively balanced on an ocean-view hillside, this museum in a replica 1st-century Roman villa is an attractive, 64-acre showcase for Greek, Roman and Etruscan ancient times. Dating back 7000 years, they were combined by oil tycoon J Paul Getty. Galleries, peristiles, courtyards and greenly landscaped gardens entrench all style of decorations, busts and mosaics, millennia-old cut, blown and colored glass and brain-bending geometric shapes in the Hall of Colored Marbles. Other tourist attractions include the Pompeii fountain and Temple of Heracles.

The upper terrace has the best sight of the attractive courtyard garden neighboring a shiny pool – and down to the ocean – and there are plays and events in the more modern amphitheater.

Saddle Peak Lodge

Country side as a Colorado mountain lodge, and placed into the Santa Monica Mountains with a stream running underneath, Saddle Peak Lodge work for up elk, beef, buffalo and other game in a setting observed over by mounted versions of the same. Though the fittings are rustic timber, this is adequate dining, so don’t come here after a day on the trail.

Hidden Treasures

This one-of-a-kind store pops from the Topanga Canyon roadside, thanks to skeletons and dummies dressed like Egyptian eunuchs and Viking warriors, standing sentry amongst the old wagons and icon poles out front. Intimate it’s a widespread old-fashioned boutique of (mostly well-curated) sweaters and coats, sweatshirts, ponchos and wool flatteries, denim jackets and leather bombers – all the retro-hippie basics or visit Brentwood CA.

El Matador State Beach

Malibu’s most stunning beach is El Matador Beach, where you park on the hillsides and stroll down a trail to stonework rock towers that rise from bright green bays. Topless sunbathers swim through the tides, and dolphins breech the surface beyond the waves. It’s been wedged by coastal attrition, but you can still find a sliver of dry sand tucked against the bluffs.

Will Rogers Park

Will Rogers well paid actor purchased his Ranch in 1930 which is now known as the Will Rogers State Historic Park. Guided tours of the ranch house are obtainable at select times, or for families who desire, they can travel the ranch on a self-directed tour. The Tourist Center offers exhibitions about the past of the site. Hikers can relish a reasonable 2-mile loop to and from Encouragement Point. The Rivas Canyon Trail also provides a moderate 2.1 mile hike to Timescale Gateway Park. Polo games are occur every weekend, excluding Memorial Day, the 4th of July, and Labor Day, from May to mid-October.  The Polo field at Will Rogers is just one of the park’s numerous delightful structures. The grass covered expanse is 20 yards shorter and a few yards thinner than a directive polo field and is carefully preserved by park staff. 

Los Lioness Trail

If your family loves hiking, try the Los Leones Trail. It’s a steady climb which will recompense you with extraordinary sights of the Pacific Ocean. The hike is said to be 1.3 miles with an elevation gain of 550 feet. While hiking, be on the lookout (and use caution) for a number of living being including lizards, birds, snakes, and more. Don’t forget to bring more water than you think you’ll need, snacks, and sunscreen.

If you are considering a plastic surgeon near Pacific Palisades California contact Reza Nabavian in Santa Monica California.

Best Things to Do in Brentwood, California

Brentwood is one of the most prosperous area in Los Angeles. Downtown Brentwood is an ideal destination to shop, dine, and enjoy social activities and style. Here are the Things to Do in Brentwood on many events like Hometown Halloween and the Winter Walk-About and Holiday Parade bring the whole citizen of the city together. You are definite to have an enormously enjoyable and outstanding experience as you visit the places like travel vineyards, golf clubs, and outdoor spaces.

Harvest Park Bowl

Harvest Park Bowl established in 1994, Harvest Park Bowl is a family-friendly entertaining epicenter filled with state-of-the-art facilities to confirm everybody has an enjoyable time. The 32-lane center is open each single day of the year, providing everyone plenteously of chance to show off your proficient bowling skills on one of their well-maintained lanes. Furthermore to the lanes, Harvest Park Bowl is also place to a pro shop, snack bar, and the Spare Time Lounge & Sports Bar; visit Extra Time to contribute in their energetic events such as karaoke and Wednesday Night Trivia. If you’re in Brentwood for an extended amount of time, you may want to consider joining one of their leagues or participating in a tournament.

Deer Ridge Golf Club

The Deer Ridge Golf Club gives the perfect golfing practice in Brentwood CA, on the base of Mount Diablo among oak-dappled mountains. The outstanding course was constructed by promising young architect, Andy Raugust, and verifies to be one of the greatest inspiring and satisfying greeneries in the area. It’s perfect place for players of every skill level and has become a preferred between the area’s golfers, with the 18-hole layout measuring at over 6,300 yards and playing to a par of 71. After a day on the remarkable golf course. Join their Players Program or participate in a golf tournament or buy the latest gear at their retail Golf Shop.

Round Valley Regional Preserve

A portion of the East Bay Area Parks system, the Round Valley Regional Preserve is one of Brentwood’s most prevalent outdoor spaces. It was created in 1988 and now enlarges over 1,900 acres. You can participate in several events while you’re there such as hiking, horseback riding, camping, and bicycling, which may be restricted in some zones. The preserve is also the parting point for tours into Vasco Caves Regional Preserve or visit Culver City CA.

Hannah Nicole Vineyards

You can find the well-known Hannah Nicole Vineyards & Winery in the wealthy Bay Area on the slopes of Mount Diablo. Based in one of California’s flourishing farming societies, the landmark winery retains the century old legacy of winemaking alive. You’ll get to tour the winery where it all starts and discover the vineyard and meet the people behind it. Afterwards, head over to their Tasting Room to get a taste of their delightful rose, sauvignon blanc, cab sauvignon, and meritage. Events are held all over the year so check out their calendar for fun happenings like line dancing, their Boot Scoot’N Western BBQ, and concerts.

Sawa Spa

Devote a day at the Sawa Spa for the definitive relaxing experience. The spa concentrations on faintly mixing the elements of nature such as heat, stone, and water with modern relaxation practices to guarantee that your time at the Sawa Spa is unlike any other. You’ll be preserved with exclusive ingredients and fragrances which were concocted based on native fundamentals from nature and with recipes which were used by the natives. There are four treatment rooms, an outdoor spa, the Serenity Terrace, and a nail room which you are encouraged to spend. Contained treatments are the Sawa Signature facial, hot stone massage, and their full-body cleansing wrap.

If you are considering a plastic surgeon near Brentwood Los Angeles area consider Reza Nabavian MD 11 minutes away.

Things To Do In Ocean View Park

Ocean Park is a region in Santa Monica, California. Ocean Park is in Los Angeles County and is one of the best places to live in California. Living in Ocean Park compromises residents an urban feel and most residents rent their homes. Pacific View Ocean Park was a twenty-eight acre nautical-themed delight park built on a pier at Pier Avenue in the Ocean Park section of Santa Monica, California, which was planned to compete with Disneyland. After it closed and fell into disorder, the park and pier anchored the Dog town area of Santa Monica. In Ocean Park there are a lot of bars, restaurants, coffee shops, and parks. Many young professionals live in Ocean Park and residents tend to be generous. The public schools in Ocean Park are highly rated.


Located on the pier, the Pacific Park amusement park features a five-story West Coaster roller coaster, the nine-story Pacific Plunge tower ride, the only over-water miniature golf course, and the nine-story Pacific Wheel Ferris wheel – the only over-water Ferris wheel in California, and the first solar-powered wheel in the world. More than 6 million visitors a year stop at this iconic Santa Monica attraction and popular photo spot.

Santa Monica Pier Aquarium 

The Santa Monica Pier Aquarium is located at beach level under the historic Carousel. Featuring hands-on presentations and interactive exhibits, the Aquarium is a part of Santa Monica’s own “Heal the Bay” program, an initiative to educate, inspire and empower its visitors to be stewards of the environment.

Night Life in Ocean Park

Stick around past sunset and you’ll find the city shifts and changes. Locals from all over the LA area head to Santa Monica, where the combination of walkable and casual make for a memorable evening Scene no matter what the occasion. Start with happy hour on a rooftop bar overlooking the Pacific Ocean, such as onyx at Hotel Shangri-La or Sonoma Wine Garden at Santa Monica Place, and end the night dancing at Circle Bar or Bar Copa, or sidled up to the counter at one of the city’s dive bars, such as Chez Jay’s.



The long, wide expanse of Santa Monica Beach is distinguished from other Southern California shorelines by the sheer extent of activities one can enjoy. Both sand and ocean are clean and beautiful, making for some grade-A beachcombing, swimming, and surfing. But that’s not all. Bike down The Marvin Braude Bike Trail, with the wind at your back and the crash of the waves in your ears, indulge in some seaside chess, try your hand at a game of beach volleyball, or stop to enjoy the outdoor activities offered at the Annenberg Community Beach House. After a day out, stick around for the finest Santa Monica attraction of all—a fiery beachside sunset.


The Marvin Braude Bike Trail, also known as The South Bay Bicycle Trail or The Strand, is a 22-mile long, paved trail that starts in Santa Monica and finishes at the Torrance County Beach while passing through Venice, Hermosa and Redondo Beach. Bicycle rentals, bike tours and hotel loaner programs are available for visitors. 

If you are searching for a plastic surgeon near me when in Santa Monica contact us today.

Things to Do in Santa Monica California

Santa Monica California

There are lots of towns in the state of California that are valuable to visit. But if you’re seeking for a bit less excited than downtown Los Angeles or less urban than San Francisco, Santa Monica is the place for you. This beachfront city is entirety that you could think of California to be. It’s sunny; it’s chill. It’s got a vibe that’s going to make you want to visit outdoors and appreciate what Mother Nature has blessed California with. Santa Monica is an attractive place to stay, and if you’re visiting the city for the first time, here are the some things you must absolutely do or see.

The Pier of Santa Monica

This is perhaps one of Santa Monica’s most famous attractions—if not the most. This is why this place gets so crowded. The crowd is certainly value it, though. You can’t leave Santa Monica without devoting some time and doing lots of things at the Pier. There are lots of things to see and do at the Pier, so make sure you allot a good quantity of time. Pier offers food, novelty shops, street performers, and a lot of fun. The pier is open 24 hours a day though each shop keeps their own hours.

Palisades Park

You can appreciate both California Southern coast and the Santa Monica Mountains at the Palisades. In such, you won’t get a better view somewhere else. This park will take you away from the extremely popular spots and help you get enough quiet to really breathe it all in. It’s the perfect spot for winding down.

Santa Monica State Beach

If you’re going to visit California, it’s only true that you enjoy its waters. Santa Monica State Beach is massive, so it’ll never feel crowded whatsoever—except for the areas closest to the pier. The beach contain the entire length of Santa Monica, so chill out a bit or a lot if you desire. The original Muscle Beach is still situated near the pier with workout services for bodybuilders. Bike riders and skaters zoom along on the Marvin Braude bike trail Los Angeles a covered path that winds through the back part of the beach.

Tongva Park

If you’re considering for something exclusively Santa Monica, Tongva Park will give you just that. It’s a delightfully luxuriant space that supervises the Pacific Ocean. There are paths, playgrounds, and even waterfalls at Tongva Park. The dramatic topography of rolling hills and braided paths inspired by the arroyo wash landscape makes the park feel much larger than 6 acres, helpful a range of uses that advantage the health and wellbeing of community members and visitors of all ages. You could easily spend an entire day of fun and relaxation at this place.

Santa Monica Stairs

You might fare better here if you’re a Santa Monica native; but if you’re visiting for the first time, make sure you can handle the pressure before you go. If you want to go through with the challenge, you can choose between 199 concrete steps or 170 wooden steps. Either way, you’ll definitely break a sweat here. The twin Santa Monica stairs are a center for hard bodies and weekend fitness warriors who also jump rope, stretch, jog and power through pull-ups, push-ups and sit-ups in between climbing. Be sure to bring whatever you need as there are no facilities.

California Heritage Museum

If you’re itching to just do something indoors, a visit to the California Heritage Museum will definitely do you good. The California heritage Museum is a good place to spend some time while you are in Santa Monica. The museum is in a converted home dating from the Victorian era and is in a quaint area of the city and offers some additional history to the visitor. This museum is located in a restored 1894 Victorian house, and the exhibits you’ll see are all about California. The exhibits rotate constantly, so you’ll probably never see the same thing twice—unless you go back to back.

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Things To Do in Mid-City Los Angeles California

Mid-City Los Angeles California

Mid-City is a district in Los Angeles, California. Living in Mid-City gives its citizens an urban feel and most citizens rent their houses. In Mid-City there are a lot of restaurants, coffee shops, and parks. Many young professionals live in Mid-City and citizens tend to be generous. Mid-City LA isn’t the most fashionable part of LA, but it also isn’t completely awful. Lately, the Expo Line train was built (and is still being expanded). Since it goes from Downtown LA to Santa Monica, there’s many stops in Mid-City that makes it easier to get to your stop. In Mid-City there are lots of places to visit and things to do.

Los Angeles County Museum of Art (LACMA)

The Los Angeles County Museum of Art (LACMA) is an Art museum situated on Wilshire Boulevard in the Miracle Mile, Los Angeles, California. The deepness and lots of the collection at the biggest museum in the western US is fabulous. LACMA holds all the key players – Rembrandt, Cézanne, Magritte, Mary Cassatt, Ansel Adams – plus millennia’s worth of Chinese, Japanese, pre-Columbian and ancient Greek, Roman and Egyptian monuments. Recent attainments contain enormous outdoor installations such as Chris Burden’s Urban Light (a surreal selfie backdrop of hundreds of vintage LA lights) and Michael Heizer’s Levitated Mass, a unpredictably inspiring 340-ton boulder perched over a path. LACMA is the largest art museum in the western United States. It develop interest’s almost a million tourists annually. It holds more than 150,000 works across the history of art from ancient times to the present. In addition to Art exhibition, the museum features film and concert series.
Hotel Wilshire

The Hotel Wilshire is one of LA’s great hotels valued by the visitor’s even if you’re not staying the night, but a reservation certainly wouldn’t hurt. Hotel guests are treated to a wine happy hour each evening, and non-guests can head up to the roof deck. One of the best performance features of the hotel, the rooftop deck (and pool and hot tub) offers wonderful sights spreading from the Hollywood Hills to the ocean.
Petersen Automotive Museum

A four-story ode to the auto, the Petersen Automotive Museum is a luxury even for those who can’t tell a piston from a carburetor. A headlights-to-brake-lights futuristic makeover (by Kohn Pederson Fox) in late 2015 left it justly shiny from the outside; the external is undulating bands of stainless steel on a hot-rod-red background. The once-dowdy inside is now equally gripping, with floors themed for the history, industry and artistry of motorized transportation.

When in Los Angeles County and in search of a top plastic surgeon in Santa Monica Ca contact Dr Reza Nabavian.

Things to do in Santa Monica, CA

Santa Monica California

When you are traveling through the picturesque town of Santa Monica CA you might be wondering what types of things there are to do. If splashing around in the water is your thing then you might want to take the time to visit Santa Monica State Beach. Just west of downtown Los Angeles, it boasts 3.5 miles of beautifully soft and maintained sand, making it the perfect spot to kick back, relax and catch some rays. Afterwards, you can kick things up a notch by visiting the Santa Monica Pier, which is chock-full of activities that the whole family can enjoy. Perhaps the most famous part of the pier is the amusement park that is located directly on the pier. It features several thrilling rides, including the world’s only solar-powered Ferris wheel, an arcade with over 200 games and a plethora of restaurants to satisfy any hunger. If the beach scene is not your cup of tea, there are plenty of other things to do to keep you busy.

If shopping is at the top of your list, visiting downtown Santa Monica is guaranteed to delight. One area, aptly named, “Third Street Promenade” is a shopper’s dream, with the shops ranging from the eclectic style to high fashion and everything in between. As an added bonus, the promenade is filled with a superabundance of street performers that will captivate you with their talents. If you head south on the Third Street Promenade, you will end up at Santa Monica Place, an outdoor mall featuring a full three-levels filled with 100 retail shops and restaurants. Be sure to make use of the mall’s same-day delivery so that you don’t have to carry your purchases from store to store. In addition, the mall is pet-friendly so feel free to bring your four-legged kid with you.

Perhaps you would like to avoid the beach and shopping. If this is the case, why not visit the Santa Monica History Museum? Featuring six galleries and over one million historical items, you will walk away knowing everything you need to know about Santa Monica CA. An absolute must-see during your visit is the Santa Monica Pier Aquarium. Featuring hands-on activities, educational programs, and over 100 species on exhibit, including graceful seahorses, mesmerizing moon jellies, adorable moray eels, and a whole lot more. This aquarium is sure to gratify the whole family.

This is a very short list of things you might want to do during your visit. Santa Monica is flooded with all kinds of hidden gems, just waiting for you to find them. As a matter of fact, you can start your day by visiting the Santa Monica Visitors Center, located at 2427 Main Street, Santa Monica CA and they will provide you with a guide to all the things you can see and do during your visit. There are so many options, you might want to plan your itinerary for two or three days! Happy Site Seeing!

Q: Thermage Hands – Will It Tighten Skin?

I have loose skin on the backs of my hands and would like it tightened. Would Thermage work for this?

A. Thermage has limited efficacy for hand skin…

Thermage can help tighten hand skin when there is mild to moderate looseness. If there is significant loss of elasticity, it is unlikely that Thermage can make a significant difference.

Contact a LA County Plastic Surgeon

Q: Fat Transfer Using Inner Knee?

Does taking fat from the inner knee and injecting it into the face mean the fat survives better that fat taken from the abdomen?

A. Generally, Fat Survival Is Mostly Related To The Technique.

Small studies suggested that fat from different body sites might have a different survival pattern.  I do not think we know enough to make a substantial claim.  I like the inner knees as donor site; most women like the contouring effect.


Q: Natural Look After Mid Face Lift And Fat Transfer Swelling?

I have had Cheek implants for 4 years and I have been happy with these. My eyes looked very hollow though and a fat transfer was performed 25 days ago to remedy this. I also had A mid-face lift at the same time.

Right now my cheeks are massive. I am really frightened that they are still so huge after 25 days and I’m beginning to doubt if the result will be natural/normal.

My plastic surgeon has said that the result will be normal but I would really appreciate some other input. Can I expect to look natural in 6-8 weeks?

A. You Would Expect Significant Swelling After The Procedure.

Combination of midface lift and fat transfer can result in the expected post-operative swelling. With previous cheek implant surgery, drainage patterns may be affected and the resulting swelling may take longer to clear.

Your surgeon should be able to determine whether there is any localized fluid collection that is contributing to the swelling. You may also ask your surgeon whether gentle lymphatic massage could help clear the swelling. If there are no unexpected complications, you can expect to see significant reduction in the swelling by week 6.


Q: Liposculpture Vs Liposuction?

How does liposculpture compare to liposuction?

A. No. Liposculpture is the same as liposuction

Liposculpture is just another term for liposuction. It might imply that there will be attention to details but technically, it is the same.

Important factors to achieve a great liposuction results are:

1) Good patient selection. Patients with excess fat deposits and good overlying skin quality are good candidates.

2) Good judgment. Removing the correct amount from the correct area obviously works the best. Overzealous suction, especially in the superficial planes can lead to significant deformity. Doctor must be able to correlate the findings while the patients are standing vs when they are lying down during surgery

3) Good technique. Gentle technique with smaller cannula allows better contouring. It may take a bit longer for the surgeon, but certainly worth it for the patient.

For more information contact Santa Monica Plastic Surgeon Reza Nabavian

Q: Would It Be Safe To Have Four Cosmetic Procedures Done At Once?

I’m considering getting Rhinoplasty (just tip work), Breast implants, an inner thigh lift and Liposuction to the flanks/mid-section. I’d like to save cost and do them all at once. Is this safe and/or possible? I’m a young, healthy woman in my mid 20’s. I have lost weight in the past and have flabby skin on my thighs and deflated breasts that can’t be remedied through exercise.

A. Length of surgery and the type of cases to be combined need to be considered.

In your case, the thigh lift has the highest morbidity in relation to DVT. Combination with liposuction slightly increases that risk. Nose surgery adds to the time. My guess is the entire case would take near 5 hours.

My advice would be to take one of the procedures off the table for now. Maybe do the liposuction another time. If you decide to combine, you will need to stay in a nursing overnight recovery center.


Health Care Reform in the United States

Health Care Reform in the United States        By Dr. Reza Nabavian

Via The Huffington Post

The discourse on the responsibility for health care delivery centers on this question: is access to health care an individual “right” or is it a “privilege”? What is not clarified in this question is from whose perspective is it being asked! In typical fashion, the pundits divide along the liberal vs. conservative way of interpreting any complex problem in our society. Instead of simplifying this issue into another hot topic like social security, abortion, gay marriage or gun rights, I suggest we break it down and analyze it from a higher resolution perspective.

From the point of view of a physician, it is in fact a “privilege” to care for another human being. If you read every single “personal statement” by every student who has ever applied to medical school, the pervasive theme is that of an individual who is intensely motivated to care for fellow human beings. I believe that this is a genuine feeling that helps a student put in the long hours of hard work over the many long years that it takes to become a practicing physician. Why else would these bright individuals enter such difficult and demanding line of work? Their cohorts studying business, law, finance, marketing, management, etc., seem to have found a much smoother and easier path to join the “1%”. So from the standpoint of the health care provider, we have a work force that is smart, motivated and for the most part dedicated to the well being of others.

As a patient, I believe it is also a “privilege” to be cared for by a highly trained and caring physician. So if the “economics” were surgically removed from the equation, these two positions of privilege seem highly cohesive! This synergy is very evident in the dynamics of medical “relief” work. I can speak from my own experience working in Haiti in the aftermath of the recent earthquake. But the reality does involve economics and that bring us to the question of “right” to health care.

We may agree or disagree on whether “free market” is the answer to everything. The fact is some services such as “responding to fire emergency” may not have an intuitive supply-and-demand solution. So is the right to health care similar to the right to “fire intervention” or is it more along the lines of a right to housing, food or transportation. From the perspective of a physician, is there a right to free market competition when it involves the health of an individual? Does a patient have a right to the best medical care despite the ability to pay? It is the question of “right” that provokes strong emotions and reverts the issue back to the fundamental principles of capitalism vs. socialism.

With health care costs around 17% of GDP in the United States, it is time to seriously question the wisdom of “for-profit” insurance system. An insurance company has a conflict of interest with both the patient and the physician. It is time to eliminate it. This is not a question of personal “right” to income, care or choice. It is a question of the structure that mediates the patient-doctor interaction. While the government may be too inefficient to manage the country’s health care system, a non-profit health care administration system may be the solution. There is a successful model for this in Kaiser Permanente health care system. While Kaiser is not the government, it is also not mandated to turn in a profit. It just needs to maximize its efficiency. The efficiency comes from having the highest number of members and participants. Imagine if the entire health care apparatus of the country was a united system operated by health care professionals to deliver the best care with maximum efficiency. The patients would have choice. The providers and the supporting industries would be adequately compensated. The system would be inherently efficient because there would be no impetus to take resources (profit) out of the system.

This is both our “right” and our “privilege.”

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Dr. Nabavian in SecondAct, “Stop the Clock: Lift and Tighten Without the Knife”

“Stop the Clock: Lift and Tighten Without the Knife”

By Melinda Fulmer

Forget the facelift. In the last five years, a flurry of new noninvasive cosmetic procedures have come along, promising to turn back the clock on aging skin without as much risk and recovery time as surgery.

From fillers to lasers, 83 percent of all cosmetic procedures performed in the offices of cosmetic plastic surgeons in 2010 were nonsurgical, according to the American Society for Aesthetic Plastic Surgery.

Of course, not all of the wrinkle-busting, skin-tightening treatments out there are worth the time and money. And because most require refreshing every few months or years — or look better used in combination with each other — they can be as expensive as surgery in the long run.

Unlike surgical lifts that simply pull the skin or muscles tight, however, these no-scalpel treatments increase the collagen and elastin in the skin, making it feel younger. “Some of these devices are changing the quality of the skin,” says New York City dermatologist Neil Sadick.

SecondAct enlisted the help of Sadick and two of the country’s top plastic surgeons to discuss which nonsurgical procedures are most effective at treating the most common aging-skin complaints.

Here are their picks:

Skin Tightening

While wrinkles get most of the attention when the topic of aging comes up, the lack of elasticity in aging skin is also a big issue. This is where the new crop of radiofrequency (RF) treatments comes in.

Thermage, Titan and Pelleve treatments use hand-held radio frequency energy devices to heat the underlying layers of loose skin, tightening the existing web of collagen and stimulating new growth while keeping the surface cool and intact so there’s no peeling or time off work needed — although the skin may appear a bit red or flushed. These treatments can be performed on the face, abdomen, backs of the hands, and even the knees.

Some improvement is immediately visible as the collagen contracts and will build over the next six months as more is created. The effect can last up to several years, says Dr. Reza Nabavian, clinical assistant professor of surgery at the University of Southern California Division of Plastic Surgery.

While this treatment can’t provide the same dramatic results as a facelift, it can take up some of the slack and improve skin texture. Indeed, some facelift patients use it after surgery to tone and tighten the skin.

There may be a bit of pain involved as the device zaps the energy into your skin. The amount of that discomfort varies with the treatment and method. Some procedures such as Thermage only require one visit and may be more painful, while others such as Titan or Pelleve require three visits using less power and more passes over the area.

New Jersey plastic surgeon Dr. Barry DiBernardo even uses Pelleve to do a nonsurgical eyelift, tightening droopy skin on the upper and lower lids.

A similar treatment that is relatively new, Ulthera, uses ultrasound to heat and tighten the underlying layers of the skin and stimulate new collagen growth. The difference with this treatment is that the device has a screen allowing doctors to see underneath the skin to the places where they should deliver the sound waves.

“If you don’t want a facelift, but need some tightening of the tissue under the jaw line, cheeks or brow,” this could be the treatment for you, DiBernardo says.

There haven’t been a lot of head-to-head studies to identify which of these treatments are the most effective, says Sadick, and different doctors favor different methods and machines. However, most are effective for mild cases of sagging, the doctors say.

Cost: $1,800 to $35,000, depending on the area

Wrinkle Fillers

These injectable substances — some natural, some synthetic — pad the age-related hollowing under the eyes, fill in marionette lines around the mouth, and plump up thinning lips, forehead creases and acne scars.

The most commonly used fillers (Restylane and Juvéderm) are made from a natural protein called hyaluronic acid that lasts for about 6 to 9 months.

“It is perhaps the biggest bang for the buck,” Nabavian says, and provides an immediate effect, unlike some other treatments.

Radiesse, made of calcium-based micro-spheres, is a bit denser and may last longer, Sadick says. It is used mostly to plump up cheeks or in the deeper creases along the mouth. There is a chance of bruising and swelling around the injection site, and in some rare cases patients have developed small bumps or infections under the skin.

Cost: $500 to $600 per syringe

Wrinkle Relaxers

Botox, Dysport and the newly approved Xeomin temporarily reduce wrinkles or expression lines on the forehead, near the eyes and between the eyebrows when injected around these areas.

The effects of these Botulinum Type A toxins usually last for about three to six months, after which time additional injections are necessary to maintain the results. Side effects are rare but could include swelling, bruising, allergic reactions and weak or drooping muscles near the injection site. A topical Botox-like gel is still awaiting FDA approval.

Cost: $400 or more per area

Sun Spot Slayers

Laser treatments are good for patients with excess pigmentation and coarse, leathery skin from decades of unprotected days outdoors. Fractionated or ablative lasers remove the outermost surface of the skin with light energy, allowing brighter, less-pigmented skin to come through.

Some of the most dramatic results come from the more aggressive carbon dioxide lasers such as Fraxel re:pair that vaporize small columns deep within the skin to resurface and tighten skin.

Unlike radiofrequency treatments, fractionated or ablative laser treatments (or ones that destroy the top layer of skin) do require more care and up to a week of downtime as the old skin peels and flakes off to reveal new, more even-toned skin. There is more risk of blistering, hyper-pigmentation or scarring with major treatments such as Fraxel re:pair, but the results are more definitive.

Not all fractionated lasers are as aggressive. A new at-home fractionated laser, Palovia, was rolled out last year to big chains such as Bloomingdale’s. The $500 device claims to zap fine lines and wrinkles around the eyes in 30 days of nightly treatments and should provide a small degree of tightening, Sadick says.

Conversely, nonablative lasers such as Laser Genesis, have no downtime because the skin is not burned, but mainly treat milder complaints such as uneven skin texture, redness and fine wrinkles. These treatments can be done on a lunch hour and require four to six sessions.

Intense Pulsed Light (IPL) Treatments (often called photofacials) also diminish excess pigmentation, tighten pores and stimulate new collagen growth. However, the effects of these treatments are more subtle than with peels or ablative laser treatments, and they happen over time. Nabavian says this should be done three to six times a year, with at least three weeks in between treatments for maximum results.

Cost: $250 to $400 for each IPL or Laser Genesis treatment; $3,000 to $5,000 for Fraxel re:pair

SecondAct contributor Melinda Fulmer writes regularly about issues of health and wealth for publications such as the Los Angeles Times and web portal MSN.