The holidays are over and here you are… a new year and a new opportunity to make this time your most successful transformation. Totum Health has carefully put a panel of health specialists together to help you reach your own goals for health and wellness in 2017. Together, we can help you break down barriers and destroy bad habits. Sometimes, the smallest step in the right direction ends up being the best step of your life.
Are you tired of being “sick and tired”? Is your weight not moving in the right direction on the scale? Are you looking for more energy and vitality? Having new health concerns? Totum Health has the solution!
Personal success takes time and commitment. Join our 10-week Wellness Series for this life changing event. Our professional panel will guide you on your journey and offer a step by step plan that will give you the results you want. Each lesson is an essential component to your health and wellness. Find the courage to commit and follow through. It’s never too late to become the best version of yourself!
Did you know that Winter time is the ideal season to undergo any type of cosmetic surgery? Rest, recovery and staying out of direct strong sunlight are important after any facial procedures. Winter time and long holiday weekends offer you the perfect chance to take time off to rejuvenate yourself.
Thanks to innovative skin care technology, the effects of aging on the skin caused by heredity, lifestyle and environmental factors no longer have to be permanent. Today, many new techniques are constantly evolving to keep up with the increasing demand of patients looking to reverse signs of aging and restore a more youthful appearance. At City Aesthetics, we offer the top 3 facial rejuvenation procedures that you could consider this winter season.
Botulinum Toxin Injection ( BOTOX) is the first and most common non-surgical procedure in the world. Botox can be used to reduce or eliminate fine lines and wrinkles in face, including frown lines, forehead creases and crow’s feet. After the treated skin area has been cleaned, Botox is injected through a small needle. Botox is an in-office procedure that takes only minutes to perform and shows its full effects after 4-7 days.
Injectable fillers can be a perfect complement to surgery or other procedures that are used to replace volume loss, or augment volume in multiple places on the face. There’s a variety of different types of facial fillers, including Juvederm products (hyaluronic acid), and Radiesse (hydroxyapatite). When performed well, fillers can give you a natural result that lasts up to 6-9 months on average, sometimes lasting up to 2 years.
Face lift and necklift surgery deliver the most impressive rejuvenation of the face, jawline and neck. It targets the lower two thirds of the face, cheeks, nasolabial folds, jowls, jaw line and loose skin of the neck. The surgery is performed using general anesthesia and the expected recovery time is approximately 3 weeks. Face lift and neck lift surgery is an excellent choice for those looking for a more natural and youthful appearance.
For more information on Botox, injectable fillers, and facelift and necklift please contact us today. Dr. Liotta can meet with you for a confidential consultation to answer any questions you may have and find an appropriate treatment for you.
What is Eustachian Tube Dysfunction (ETD)?
ETD occurs when the Eustachian tube, an area extending from the middle of the ear to the nasopharynx, cannot open like it should. Some of the causes for ETD include sinus infections, nasal allergies, and common colds.
What are the symptoms of ETD?
Patients with ETD may experience symptoms anywhere from a few days to a couple of weeks. However, severe cases may last even longer. Symptoms include:
- Continuous feeling of clogged ears
- Hearing problems
- Impaired hearing
What are non-invasive treatments for ETD?
- Nasal sprays
- Decongestants and Antihistamines
- Cold medication and cough medicine (Guaifenesin)
What is Balloon Dilation of the Eustachian Tube?
For patients experiencing chronic cases of ETD, a more invasive surgery may be required. The physicians at Lexington ENT at Totum Health begin by inserting a small FDA approved catheter with a balloon at the tip into the Eustachian tube. The balloon is then inflated to physically open the Eustachian tube, and is then deflated and removed.
The procedure is commonly performed under general anesthesia and takes approximately 15-20 minutes. Physicians who have used the Balloon Dilation of the Eustachian Tube technique in adults suffering from severe ETD reported that the procedure is safe and causes a short-term and, perhaps, a long-term resolution of symptoms.
For more information please call our patient engagement professionals today at 212-288-2222!
With the cold weather quickly making its way in, it’s time to start bundling up again! During this season, it’s common for pesky colds to get in the way of our daily activities. Taking precautions such as frequently washing your hands, eating a well-balanced meal, and exercising can help keep colds away and while in some cases, we can quickly recover, there are times when a cold can turn into sinusitis.
What is Sinusitis?
Sinusitis occurs when the air cavities around your nasal passages become inflamed. Common causes for sinusitis include common colds, allergies, and infections. If you are experiencing a simple or acute sinusitis, symptoms such as nasal congestion, sinus pressure or pain, headaches, fever, or a sore throat may occur. These cases usually last approximately 2-4 weeks and can be treated with:
- Nasal sprays
- Over-the-counter decongestant and antihistamines
- Warm compresses and hot beverages to help ease the pain
If symptoms get worse over time, it might be best for you to visit a doctor. Your doctor may prescribe you antibiotics, however, if symptoms last for more than 8 weeks, you could be diagnosed with chronic sinusitis.
How to Treat Chronic Sinusitis:
In cases where treatment and medication do not improve symptoms, your ENT doctor may recommend Balloon Sinuplasty Surgery. Balloon Sinuplasty is a minimal invasive procedure used to treat chronic sinusitis. This effective and FDA approved technology uses a small, flexible, sinus balloon catheter to open up blocked sinus passageways, restoring normal sinus drainage. When the sinus balloon is inflated, it gently restructures and widens the walls of the passageway while maintaining the integrity of the sinus lining.
To learn more or see if you are a candidate for this procedure, contact a patient care coordinator today at 212-288-2222!
As we move closer to holiday months, a number of images come to mind. The crisp afternoon breeze, colorful leaves, pumpkin carving, and various holiday functions are some of the pluses we get to look forward to. However, while we not-so-patiently await these engagements, let’s also stay mindful of our health in these exciting moments.
You know that stuffy-feeling that seems to conveniently throw off our big weekend plans year after year? So do we. Nasal congestion and sinus pressure don’t discriminate. In fact, in 2014 the CDC reported 29.4 million adults have been diagnosed with sinusitis, and that is in the U.S. alone. Below we’ve included some tips to keep you on top of your health this fall, and allow you to breathe freely again.
When you’re stuck inside on that flurry December day, the heated indoor air dries out the membrane in your nose. When this occurs, mucus dries up, making it thicker and more likely to clog your sinuses. We suggest getting a cool-mist humidifier for your bedroom and letting it operate while you’re running the heat.This will create moisture and should help relieve the pain and pressure significantly.
Water can be used manipulated greatly to assist your sinus problems.There are a number of ways in which water can serve as a proponent for healthy living:
- Drink plenty of fluids.
- Consuming water will thin out your mucus build-up and flush other toxins out.
- Take a warm shower.
- This can be replicated by covering your face with a warm wash cloth and taking deep-relaxed breaths. The moisture should alleviate some pressure and open up spaces in your sinuses.
- Wash your hands.
- Viruses and bacteria are the most common causes of sinus infection. Keeping a good hygiene will do you and everyone else a favor, by preventing the spread of an infection.
Getting a good night’s rest can feel like labor when troubled with sinus pressure. Although, there are ways to counteract these problems and wake up feeling fresher.
- Keep your head propped up.
- Having your head rest at a slight upward angle will decrease blood flow pooling in the nose. When we lay flat, mucus tends to build-up and give us that stuffy morning feeling.
- Cut out the caffeine.
- Sorry coffee people, if you want to get rid of that sinus pressure you may have tone back on the caffeine. Caffeine is a stimulant which provides energy, making it tougher to get the crucial sleep you need. We advise consuming caffeine no later than 2pm if you can’t fight the urge. Caffeine also dehydrates the body, making congestion worse. Switch to herbal teas as a substitute for your caffeine beverages.
If your problems do not subside within a week or so, it may be time to see a doctor. Severe congestion and sinus pain for more than a week could be a sign that you have a sinus infection that requires more aggressive treatment. Seeing an otolaryngologist (ear, nose, and throat doctor) will surely give you the answers you need.
Now that fall is here, you may be noticing some of the damage done to your skin over the summer. City Aesthetics at Totum Health offers a variety of cosmetic skin procedures to help reinvigorate and repair the damage done to your skin after a long summer. All procedures are performed by Double Board Certified, Facial Plastic and Reconstructive Surgeon, Dara Liotta, MD.
One of the most popular ways to improve your skin is through a simple procedure known as a chemical peel. The chemical solution is used to smoothen the outer layer of your skin by removing the outer damaged layers. It is most commonly used on the face, but this procedure can also be performed on the skin of the neck and hands.
MicroLaserPeel Skin Resurfacing
A MicroLaserPeel is a quick and effective procedure where a beam is scanned over the damaged area of skin which removes a very thin layer on the surface, making the skin change from looking dull to vibrant. The MicroLaserPeel skin procedure can offer better results than chemical peels because they are administered with great precision and depth.
Fractional Laser Resurfacing
Deeper than a MicroLaserPeel, Fractional Laser Resurfacing uses a tiny laser beam to create thousands of pinpoint injuries to your skin. Since only a fraction of the skin is directly treated with the laser, the surrounding untreated tissue promotes rapid healing to treated areas.
Broadband Light (BBL)
BBL is an effective treatment for brown spots caused by age or the sun. While using highly specialized filtered light, BBL targets specific skin lesions, while minimizing trauma to the surrounding skin. We offer different filters that target specific skin conditions and concerns. After the treatment, pigmented spots will become darker and flake off within 2 weeks.
It’s always important to make sure you’re taking the best care of your skin, especially after being exposed to sunlight.
If you have more questions about what you can do to repair or maintain healthier skin or would like to schedule an appointment to receive one of our top skin procedures, please contact us at (212) 288-2222 or visit https://livetotum.com/contact/appointment-request/ to schedule a consultation with Dr. Liotta.
Spirox Latera Device to Help Nasal Breathing – it’s like a Breathe Rite Strip Inside the Nose!
Spirox Latera is a dissolvable implant that is placed inside the nasal tissue to strengthen the nasal walls. It really helps breathing. And an NFL player just had it done!
Totum Health has been chosen to be one of the first Ear, Nose and Throat medical groups to offer Spirox Latera. We’ll provide you with more information as we receive it.
FOR IMMEDIATE RELEASE
Spirox Announces First US Cases with Minimally Invasive Device for Lateral Cartilage Support in Patients with Nasal Valve Collapse, a Major Cause of Nasal Obstruction
MENLO PARK, Calif. – July 14, 2016 – SpiroxTM, Inc., a company committed to transforming treatment of nasal obstruction, today announced the first US cases with the LATERA Absorbable Nasal Implant following its FDA clearance. LATERA provides ENTs and facial plastic surgeons with a new minimally invasive option to support the upper and lower lateral nasal cartilages. Weak lateral cartilage can result in nasal valve collapse, an important, but often undiagnosed, issue affecting the majority of patients1 undergoing nasal obstruction procedures today.
“Nasal obstruction takes a significant toll on patient quality of life, but is often undertreated and underdiagnosed. If we don’t look for nasal valve collapse in these patients, we’re not addressing the entire problem. By providing an intuitive and effective way to support nasal lateral cartilage, LATERA has the potential to improve breathing for our patients,” said Dean Toriumi, MD, professor of Otolaryngology-Head and Neck Surgery at the University of Illinois at Chicago, and past president of the American Academy of Facial Plastic and Reconstructive Surgeons (AAFPRS).
Pablo Stolovitzky, MD, clinical assistant professor at Emory University and past chairman of the Board of Governors of the American Academy of Otolaryngology-Head & Neck Surgery (AAO-HNS), was among the first physicians to perform a LATERA case in the US. He noted, “LATERA is an important development for nasal obstruction patients when a standard procedure treating the septum and turbinates is often not enough. LATERA provides us with a minimally-invasive solution to support nasal lateral cartilage. I was able to place the implant on my first attempt, and I expect that the physician learning curve will be short.”
Prior to these US cases, a multi-center clinical study conducted in Germany showed that patients that received a LATERA implant alone experienced a reduction in nasal obstruction symptoms at one year, with results in the range of more invasive techniques and without a cosmetic downside.
“We have worked with physician leaders to find a solution to a major clinical need. The research and development behind the innovation is complex, but the technique is elegant and intuitive,” said Duke Rohlen, Spirox chief executive officer. “LATERA gives physicians a new option to support lateral cartilage, enabling a more complete means for addressing their patients’ nasal obstruction symptoms.”
About Nasal Airway Obstruction
Nasal airway obstruction can be caused by several factors, including septal deviation, enlarged turbinates, and weakened upper and/or lower lateral nasal wall cartilage leading to nasal valve collapse. The nasal valve contributes as much as 80 percent of total nasal airway resistance, and even minor constriction of this area results in a clinically significant impairment of nasal breathing for the patient.
Nasal valvular incompetence may equal or even exceed septal deviation as the prime cause of nasal airway obstruction.
LATERA is an absorbable polymer implant indicated for supporting the upper and lower lateral nasal cartilage. The minimally invasive technology is intuitive and can be delivered by ENTs or facial plastic surgeons. For a complete list of safety and effectiveness considerations reference the LATERA IFU at www.spiroxmed.com.
ABOUT SPIROX, INC.
Spirox is committed to improving the quality of life for patients suffering from nasal obstruction. The Menlo Park-based company’s first product – the LATERA Absorbable Nasal Implant – is designed to address one of the most common, yet underdiagnosed, causes of nasal obstruction today, nasal valve collapse caused by weakened lateral wall cartilage. For more information, please visit www.spiroxmed.com.
LATERA is available in the US only. Spirox and LATERA and its logos are trademarks of Spirox, Inc.
1. Bonaparte JP, Cheung L. Does the Cottle Maneuver predict outcomes after septal surgery? American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting (AAO-HNSF). 2015
2. Elwany S, Thabet H. Obstruction of the nasal valve. J Laryngol Otol. 1996 Mar; 110(3):221-4
3. Bloching MB. Disorders of the nasal valve area. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007; 6:Doc07. Published online 2008 Mar 14
4. Constanstian MB, Clardy RB. The Relative Importance of Septal and Nasal Valvular Surgery in Correcting Airway Obstruction in Primary and Secondary Rhinoplasty. Plastic and Reconstructive Surgery. 1995 Jul; 98(1): 47
It is that time of year again! The physicians and staff of Totum Health would like to invite our patients, family and friends to our beautiful backyard patio for our 7th Annual Art Show.
We will be featuring local artwork from a wide range of mixed media artists. There will be complimentary cocktails and appetizers available during the artshow.
When: Thursday, June 16th at 5:30pm – 7:30pm
Where: Totum Health | 154 East 85th Street | Backyard Patio RSVP: Please call the office at 212-288-2222
Show Off Your Artwork
We encourage our patients, friends and family to contact us directly about showing artwork! Last year our featured artists spots filled up quickly so be sure to contact Kim Diaz at 212-288-2222 to reserve a spot.
As of March 27, prescriptions will no longer be handwritten or called in to the pharmacy. There are some exceptions, such as during disasters or in the event of technological or electrical failures. In those case, prescriptions can be handwritten but only on an official New York State prescription form.
All prescriptions written in New York must now be transmitted electronically from the prescriber to the pharmacy, as part of the state’s I-STOP initiative (Internet System for Tracking Over Prescribing. Its aim is to stem the flow of legal drugs into illicit markets.
WHAT IS AN ELECTRONIC PRESCRIPTION?
A prescription signed and transmitted directly to a pharmacy from the point of care through a secure e-prescribing tool or electronic health record system.
WHAT IT’S NOT
- A prescription sent to a pharmacy in an email
- A prescription that’s faxed to a pharmacy from a computer (e-fax)
- A prescription written on a computer, printed and hand-delivered to the pharmacy
DOES I-STOP MANDATE ANYTHING OTHER THAN ELECTRONIC PRESCRIBING?
In brief, I-STOP requires a prescriber to consult the State’s Prescription Drug Monitoring Program (PMP) database prior to prescribing or dispensing a controlled substance, it reclassified a number of controlled substances, it created the Prescription Pain Medication Awareness Program and it mandated the DOH to establish a consumer program for the safe disposal of controlled substances.