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Have you heard the news? The media has been reporting that Botox, the extremely popular wrinkle reducer, actually can cause wrinkles!

The truth is, this “news flash” originated in a 2002 paper written by dermatologist David Becker, MD, clinical assistant professor of dermatology at Weill Cornell Medical College.

It appears that Dr. Becker’s paper has surfaced again, all these years later, to the dismay of some dermatologists — and their patients — worried about whether their efforts to look younger might end up making them look older.

IT’S TRUE…

Given the millions of dollars being spent each year on Botox, I thought it important to find the truth, so I checked in with Ellen Marmur, MD, who has worked closely with Dr. Becker and is now the chief of dermatologic and cosmetic surgery at Mount Sinai Medical Center in New York City.

She is also the author of the book Simple Skin Beauty.

Why Botox causes wrinkles: Dr. Marmur explained to me that our faces have about 40 muscles, many of which are in interlaced groups.

Dr. Becker’s theory is that when Botox is injected to deaden one group (thereby eliminating certain wrinkles), the patient’s brain sometimes adjusts by “recruiting” other muscle groups in the same part of the face to frown or laugh or do whatever the treated muscles once did.

The temporary result is… new wrinkles! Dr. Marmur told me that this happens most often after Botox injections between the brows — when the person attempts to frown, the brain recruits muscles next to the upper nose creating what’s been described as “bunny lines” on either side.

Why bunny lines? Because the face looks like a sniffing rabbit. Other unwanted new visitors to your face may include vertical lines above the middle of the eyebrow or a deepened horizontal forehead line right above the eyebrows.

Dr. Becker suggests for patients who already have this problem that an additional shot of Botox (or two) targeting the new problem area may be the solution.

Dr. Marmur concurs… but added that for a dermatologist working with a new patient, the best strategy is to start with a “less is more” approach to learn the minimum amount of Botox needed to smooth out wrinkles.

Botox can take a few weeks to achieve its full effect, so starting with a minimal amount can let doctors see which patients develop bunny lines or other new wrinkles and then try to eliminate them with small additional injections.

Dr. Marmur noted that, when it’s all done right, you will have a natural, refreshed look — but that Botox therapy is always a work in progress.

So expect that a touch-up about two weeks after the initial injection might be necessary… or even that you might let one area wear off and not do that site next time. As our faces age, the treatments are likely to change.

BE CAREFUL OUT THERE

Choosing to have Botox for cosmetic purposes is a personal decision, but it should not be a casual one.

If you are interested, be sure to select a dermatologist who is highly professional about medical procedures and the use of Botox.

This would include taking your complete medical history… advising you on what to expect as well as alternative noninvasive treatments that might be more appropriate…

performing the procedure at a facility that is appropriate for medical procedures and capable of handling medical emergencies.

You should have Botox done only by a trained cosmetic doctor, such as a dermatologist.

There are a lot of nondoctors administering Botox these days in spas and kiosks at the mall, and there even are self-injections that you can buy off the Internet — as if getting Botox is just a breeze.

It isn’t — it’s a toxin that’s injected into the body… safe for most people, but only if administered correctly.
Source(s):

Ellen Marmur, MD, chief of dermatologic and cosmetic surgery, Mount Sinai Medical Center, New York City, and author of Simple Skin Beauty (Atria).

I just want to send a personal shout out to President Obama’s staff and thank him personally for he has done and what he is doing to help the people of Guam towards self-determination.

No other President has even considered our cause. This is another reason why Mr. Robert was correct when he stated that having a country run by only WHITE MEN has left most OTW issues non existent in the eyes of the country.
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Guam – The commission on decolonization met today to discuss it’s plans for educating the public on self-determination. these plans all hinge on one major thing…money.

The meeting began with the welcoming of it’s newest member, Dr. Michael Lujan Bevacqua will now head the task force on independence after Trini Torres handed over the reigns saying she would like to pass the torch to the younger generation.

The commission spent the day discussing how they plan on educating the public about decolonization also known as self-determination.

Self-determination is the selection of Guam’s political status something that will take a vote known as a plebiscite to accomplish.

Guam law provides that the island choose between statehood, free association or independence. Currently the island is an unincorporated territory of the United States.

In order to educate the public on self-determination the commission is planning on moving forward with an aggressive public outreach an educational campaign but this campaign will cost money. A lot of money.

“It’s gonna be an expensive campaign as we all know advertising is not cheap and we definitely have to have print and media in this campaign grass roots is good too but print and media will get a lot more mileage but it’s gonna be expensive it’s gonna be well over two million dollars,” said Commission Director Ed Alvarez.

Obama has committed $250 thousand dollars to assist Guam in education efforts but other than this the commission really has no money.

Governor Eddie Calvo explains. “Understanding the budgetary issues that are affecting the community that budget request was slashed by about $140 thousand dollars and we are having some difficult times in terms of budgetary constraints,” explained the governor.

So there is essentially no money for the commission for this fiscal year. The governor says that this means the work the commission does will be primarily happy labor and soft work until the commission gets properly funded something he hopes will happen by next fiscal year.

In the meantime they will try to educate the public via PBS, the legislative channel, and any other free mediums they can utilize. Former senator and commission member Eddie Duenas asked his fellow members to pin down a date for the plebiscite or vote for political status.

“Personally and I’ve stated publicly a timetable for 2014 particular to a general election that is something that I would see as I would be favorable to as if it were to be a vote that was taken,” said Governor Calvo.

Ultimately the commission didn’t vote on a particular date for the election as commission members had more questions as to the ability to properly educate and register enough people before 2014.

The commission will meet on every first and third Thursday of the month at four p.m.
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Thank you Mr. President for all you have done for Guam and for the unbiased way you have led the nation.

Peter

Vina is a black lady, and all her girls are black, though her clientele is exclusively white. It is normal for black harlots to be wickedly exploited by American brothel madams.

But Vina pays her women an excellent percentage of the take, and in return they except the extraordinary discipline which has made her house safe and successful.

Every three days Vina holds a court of enquiry. Girls who have been drinking, soliciting from the windows, lounging the room in a state of disordered undress, or otherwise misbehaving, are fined or given domestic duties to preform.

Serious offenders are dismissed. It is Vina’s proud and true – boast that no client has ever been robbed or cheated in her house.

In addition, Vina uses her personal wealth to alleviate the suffering of others. She supports her own sisters and their husbands in the “Jim Crow” south.

And with a notably severe winter setting in, she has opened her house to the homeless of Chicago in the evenings, Providing free meals for the destitute.

As many as 200 men at one time have eaten from her benevolence.

Mr. W.T. Stead, editor of the Pall Mall Gazette, has been visiting Chicago and its infamous red light district to collect material for his continuing crusade against prostitution and the white slave trade.

And yet even he remarks, “She is probably as good as any woman can be who conducts so bad a business.”