Alexander Straulino/Trunk Archive
We lift the veil on the world of nonsurgical anti-aging procedures—what they can do, whether they'll hurt and how much of a dent they'll put in your wallet.
We all get older; it's a fact of life. But do we need to look older? The answer is no. Nonsurgical cosmetic procedures such as laser treatments and Botox injections can minimize wrinkles, remove excess fat and plump up and tighten skin. But they're also a bit taboo, because isn't it frivolous to want to "fix" your hard-won lines and sun-darkened brown spots? Our advice: Do what makes you feel good—you're the only one who gets to have a say about your appearance. We offer a breakdown of your treatment options, just in case your curiosity (or your frown lines) gets the better of you.
SLEEPLESS BEAUTY ("I LOOK TIRED")
If you see an exhausted face looking back in the mirror every single day, the culprit is probably your peepers. "The eyes are the very earliest place affected as we age," says Toronto-based plastic surgeon Dr. Jerome Edelstein. In order to brighten your appearance, you'll need to minimize dark circles, frown lines and crow's-feet.
To deal with wrinkling in the upper part of the face, try injections of botulinum toxin (a.k.a. Botox or Dysport), which relaxes the muscles that allow wrinkles to form and reduces the appearance of lines. It's possible to customize the number of units and injections so that your upper face will be completely frozen, be able to move slightly or be fully capable of movement, though more movement means less overall improvement.
Next, try a dermal filler to restore volume in your tear troughs, the areas under your eyes, which can appear dark and hollow. Dr. Andrea Herschorn, who works with Dr. Edelstein, recommends starting with half a syringe of soft, fluid Emervel, or Teoxane's Teosyal or PureSense Redensity II.
Pain and downtime: Injections of botulinum toxin feel like minor pinpricks. You might have a slight headache for a few house or days.
$$$: $12 per unit of Botox or Dysport. Forehead treatment costs between $300 and $600.
Lasting effects: Three to four months.
WEIGHTY MATTERS (SAGGING SKIN AND JOWLS)
There are two main reasons for jowls and sagging in the lower part of the face: skin laxity (due to loss of collagen and elastin) and decreased volume in the cheeks (caused by fat atrophy and thinning of the cheekbones). All of these changes are a natural part of getting older.
Usually, a two-pronged approach is best for treatment. The first step is dermal filler being injected into the cheeks. "I call it building a foundation," says VIctoria-based dermatologist Dr. Mark Lupin. "You start deep and work toward the surface." Adding volume back to the cheeks with one to six syringes of filler will lift the skin in the lower part of the face.
Then, your doctor or medical esthetician will likely recommend a skin-tightening treatment that uses radio-frequency technology. Thermage and ReFirme, for example, heat the collagen deep in the skin, prompting it to contract and tighten and kick-starting the skin's natural renewal process.
Pain and downtime: Pain is minimal, though some patients will take an oral analgesic.
$$$: $1,500 to $2,100 for one Thermage treatment. Most people require one treatment, but some may opt for a second treatment three months later. Meanwhile, each ReFirme treatment costs $250 to $500. Six treatments, each one or two weeks apart, are required.
Lasting effects: Up to two years for Thermage, and about a year for ReFirme.
YOU MISSED A SPOT (THE NECK)
Most of us spend so much time focusing on our mugs that we forget another important area: the neck. Your neck requires just as much love as your face, and many of the aforementioned treatments can be used to make it look slender and elegant. Botulinum toxin injections can correct vertical lines (also known as vertical banding or turkey neck) and create a more defined jaw line, and radio-frequency technology can tighten sagging skin. Meanwhile Fraxel laser treatments can smooth fine lines and correct papery texture.
One procedure that's exclusive to the region between your chin and your collarbone is Belkyra, a brand-new injection that uses deoxycholic acid (a bile acid that emulsifies fats for absorption in the intestine) to destroy fat cells responsible for the look of a double chin.
Pain and downtime: Belkyra is relatively painful. It will feel like burning in the neck for five to 10 minutes. There will be swelling and slight bruising that typically last for about a week but can last as long as a month, so winter is a great time to try this treatment (hello, scarves and turtlenecks).
$$$: Approximately $1,200 to $1,500 per treatment. Two to four treatments, each eight weeks apart, are required.
Lasting effects: Belkyra's effects will last forever; fat will never deposit in your double-chin region again—even if you gain weight. Can we get some of that for our thighs? Health Canada says no...for now.
PEAKS AND VALLEYS (DEEP-SET LINES)
"As we age, volume loss makes us look older, and most of that volume loss happens as a result of fat atrophy," says Dr. Cory Torgerson, a facial plastic surgeon based in Toronto. The loss of fat, in addition to increased skin laxity and repetitive muscle movements, can cause defined lines in certain areas of the face—especially above the lips (known as smoker's lines), along the sides of the nose to the corners of the mouth (nasolabial folds), and from the corners of the mouth down the sides of the chin (marionette lines).
For plumping up, all deep lines will need dermal filler injections, though each type of wrinkle requires a slightly different treatment process. There are several brands (for example, Juvéderm, Restylane, Emervel and Teosyal) that use the go-to ingredient hyaluronic acid. Doctors will have their preferred brands, depending on their personal experience, but each line has a full range of density options, such as a thicker, more structured filler for cheekbones and a thinner, fluid one for under the eyes. And if you don't like the results of your injections, don't worry; the hyaluronic acid fillers can be broken down with an injection of the enzyme hyaluronidase.
Pain and downtime: Dermal fillers are one of the more painful nonsurgical treatments available. However, most offices order syringes that also contain lidocaine, which numbs the tissue and minimizes pain.
$$$: $600 to $800 per syringe. As a ballpark, one to four syringes can usually treat the nasolabial folds in a single appointment, with each syringe containing only one cubic centrimetre, or one-fifth of a teaspoon, of product.
Lasting effects: Six to 18 months.
Before considering a visit to the doctor's office, try these recommendations for a better at-home regimen.
Eye spy: Look for an eye-care profuct that contains a vitamin-A derivative, such as tretinoin or retinol, which will stimulate collagen production and target skin laxity. Olay Pro-Retinol Eye Treatment, $40, well.ca.
Here comes the sun: Protect your skin by applying a sunscreen with SPF30 or higher to ensure the results from your procedures last. SkinCeuticals Physical Matte UV Defense SPF50, $44, skinceuticals.ca.
Bright idea: Look for a serum or oil packed with vitamin C. The antioxidant helps brighten, repair and protect from free radicals. Ole Henriksen Pure Truth Vitamin C Youth Activating Oil, $56, sephora.ca.
In the neck of time: What did we say about taking care of your neck? That means moisturizing! StriVectin TL Advanced Light Tightening Neck Cream, $99, shoppersdrugmart.ca.
Carbs can be healthy! Image by: Getty Images
No matter your craving—pizza, pasta, chocolate—we've got a healthy carb substitute that's good for you.Low-carb diets affect our mood and energy for a reason—carbohydrates are the most important source of energy for our bodies. But our carb carvings aren’t just biological, they’re a learned response in the brain, says Christy Brissette, a Toronto-based registered dietitian and president of 80 Twenty Nutrition. "Research has shown that when we give in to our cravings over and over we map an automatic response in the brain." The good news is you can create a new, healthier pathway with nutritious alternatives that satisfy your carb cravings without any negative side effects like low energy or weight gain. Here are a few handy suggestions.
Make a homemade veggie pizza using whole wheat pita and low-fat mozzarella or ricotta cheese. "It's already personal size so there's no chance of overeating," says Brissette. Spread tomato sauce on your pita (if desired), and top with finely diced veggies and cheese. Bake until crisp, melted and irresistible. Carb-curving bonus: Eating whole wheat carbs can lower your risk of diabetes and heart disease. Try this recipe: Double Mozzarella and Spinach Pita Pizzas.
Chocolate chia pudding couldn't be easier to make. "Just add skim milk or a milk alternative, cocoa powder and your choice of sweetener to chia seed, stir it up and put it in the fridge," says Brissette. The chia seeds absorb all the liquid, take on the cocoa flavour and gel into pudding consistency, she adds. Carb-curving bonus: Chia seeds are rich in omega-3 fatty acids and protein, which will help keep you feeling fuller longer. Find out more about chia seeds.
Prepare your own sweet potato fries. Cut up sweet potatoes, toss in olive oil, add a dash of salt and bake until crispy, says Brissette. The salty, sweet, rich treat will more than satisfy your fix. Carb-curving bonus: Sweet potatoes contain more fibre and fewer total carbs than white potatoes. Try this recipe: Baked Herb Sweet Potato Fries.
"My latest obsession is 'nice cream'," says Brissette. "Take a frozen fruit, bananas work well, and add skim milk or a milk alternative like almond milk until the drink is the consistency of ice cream. It really helps kick sweet cravings." Carb-curving bonus:Fresh fruit is fibre-rich, which provides "bulk", slowing digestion and making you feel full longer. Try this recipe: Pineapple Berry Smoothie.
Spaghetti squash makes a great substitute for pasta noodles, says Brissette. Just steam, separate the strands with a fork, and add your favourite pasta sauce. Carb-curving bonus:You'll get a host of vitamins from the squash, including vitamin A, vitamin C and beta-carotene. "If you're craving lasagna, I use sliced zucchini in place of the noodle," adds Brissette. Try this recipe: Spaghetti Squash with Roasted Tomatoes.
Make your own popcorn with olive oil spray and sprinkle with salt and herbs, or, for a cheesy hit, add nutritional yeast. "You can buy nutritional yeast in bulk stores and health food stores," says Brissette. "It's just like sprinkling Parmesan cheese flakes onto your popcorn." Carb-curving bonus:Nutritional yeast is rich in B vitamins such as riboflavin and niacin. "Plus, it gives you a ton of flavour without a ton of fat," adds Brissette. Find out how to make popcorn the old-fashioned way.
Eat a handful of your favourite nuts along with one or two squares of dark chocolate. Nuts won't trigger the same serotonin release that carbs do, says Brissette, but they will keep you satisfied. "Just make sure you stick to a handful because nuts are high in calories." Carb-curving bonus: The natural fats in the nuts and protein will curb your appetite while the dark chocolate will satisfy your sweet craving. Find out everything you need to know about nuts.
Photography by Davina Choy Image by: Photography by Davina Choy
Put your slow cooker to work and save time with these 20 easy and satisfying recipes.
Serve this saucy pulled pork as sandwiches: piled high on buns, with bowls of garnishes, such as pickled jalapeños, sour cream, shredded cheese and thinly shredded red cabbage (or better yet, red cabbage slaw), and let guests build their own sandwiches.
This recipe can easily be left to simmer away in a slow cooker for eight hours before adding the chicken. It yields a large quantity of sauce that freezes well if you're feeding a smaller group. Serve over hot steamed basmati rice.
This roast, inspired by a classic Belgian stew, is juicy and tender over mashed potatoes, and the leftovers make the ultimate hot sandwich. Cook the bacon and onion mixture the night before so it's ready to add to the slow cooker in the morning without a lot of fuss.
This beanless regional specialty is a point of pride in Cincinnati, where fierce loyalty divides the city over which restaurant serves the best version. Cooked low and slow, with the distinguishing flavours of cinnamon and cocoa, the meaty, saucy chili is served over spaghetti.
This mild, sweet curry has all the comforting flavours of a curry without too much spice, making it a great choice for the entire family. Serve over steamed rice or with warmed naan bread.
You won't believe how tasty and easy it is to make this classic dish in your slow cooker. A piping bag - or plastic bag - makes easy work of stuffing the manicotti. Serve with a tossed salad and garlic bread for an easy family-style dinner.
A brisket needs to be cooked slowly, so using a slow cooker makes perfect sense. Ensure tender slices by cutting the brisket thinly across the grain.
Inspired by Portuguese caldo verde, this hearty, richly flavoured soup is a yummy way to use up an entire bunch of kale in one go. It freezes well, so leftovers make quick and easy lunches all week. The soup thickens as it stands; thin with water and adjust the seasonings as desired when you reheat it.
My mother, Shu-Lai Fong, makes famous pressure-cooked black bean spareribs. They're the inspiration for this recipe, which is just as delicious but uses a slow cooker. You'll find bite-size bone-in pork spareribs at most Asian grocery stores, or you can order them at your butcher's counter.
This hearty sauce is best served over a short pasta with lots of nooks and crannies it can tuck into and cling to. This ragu also makes a delicious lasagna filling when layered with sheets of fresh pasta and ricotta and mozzarella cheeses. Cost: $2.15/cup
There are few things more comforting than a bowl of rich, creamy seafood chowder. Sweet, licorice-like fennel naturally complements the seafood. Serve with oyster crackers or crusty bread and a simple green salad for a complete meal.
Chorizo sausage and flavourful spices make this chili a real treat to come home to. Stirring in chopped herbs at the end adds a welcome touch of freshness.
Slow-cooked then quickly finished on the grill, sweet and sticky glazed ribs are guaranteed to impress your guests. Pork side ribs are also called St. Louis–style ribs, but back ribs are equally delicious.
Finally a flavourful risotto that doesn't need any stirring! Dried mushrooms work perfectly to create an earthy aroma, we've used dried porcinis here as they're readily available, but any dried mushroom will do. Hearty pot barley makes adds a healthful twist and doesn't become overly mushy - even after 8 hours.
Sweet honey and tender shallots mellow the typically strong flavour of lamb shoulder. Serve with roasted potatoes and steamed greens for a complete meal.
We've swapped beef broth for chicken broth and onions for tender leeks but kept all the flavour in this lighter version of classic French onion soup. When you get home, just toast the baguette, broil the cheese and enjoy!
This veggie-loaded chili is so hearty that even meat lovers will ask for seconds. To freeze it, cook as directed, but don't add the mushrooms. Cook them separately and add to the chili after reheating it. Serve with crusty bread to soak up every bit of sauce.
Inspired by the traditional Mexican tacos served with spicy thin pork slices and pineapple, this slow cooker version features pork shoulder broken into tender bite size chunks. If you don't want to serve these as tacos, try serving the pork on top of steamed white rice instead.
This all-in-one meal is a roast version of classic beef and barley soup. The barley thickens the cooking liquid to make a delicious gravy.
Using stewing beef instead of ground meat adds delicious bulk to this otherwise classic chili. Serve as is or use it as a topping for baked potatoes.