What is Silhouette InstaLift®?


Gravity, oh gravity! Thou art the bane of our existence! Think of your skin like a beautiful building whose foundation has started to sink over time. Our skin has 3 key components.  Collagen, Elastin and Hylauronic Acid comprise the foundation of our skin.  As we age, this foundation sinks and our face begins to sag.

Thankfully, we have many options to rejuvenate your face at Bawa Medical.  We have a truly anti- aging skincare line that is far superior to the average “medical grade” skincare on the market. We perform laser and energy based procedures using Candela Medical devices, such as the Profound® radiofrequency  microneedling non-surgical facelift, CO2 resurfacing, IPL photofacial, and so much more. We use SkinPen ® for our microneedling, as well as our Vampire Facial®  and Vampire Facelift ® procedures. We also offer medical grade HydraFacial ® that is fine-tuned to your individual needs such as anti-aging, sun damage, rosacea, acne, etc. These are all life-altering procedures that are dramatically anti-aging. We also offer injectables such as toxins (wrinkle relaxers), and dermal fillers that restore Collagen under the skin such as Radiesse ® .

And then of course, we have Silhouette InstaLift®. So, you ask, “What is Silhouette InstaLift®?” This is extremely advanced microsuspension technology that uses tiny cones made from a natural substance called PLLA (commonly referred to as Sculptra).  This is essentially a sugar.  Your body absorbs the sugar and the process leads to Collagen and Elastin production under the skin.  This internally rejuvenates you by restoring volume, and giving you a more youthful appearance.  What makes Silhouette InstaLift ® unique is that it gives you an immediately visible lift while building Collagen and Elastin proteins under your skin over time.

Silhouette InstaLift ® is the only available FDA-approved non-surgical technique with a dual mechanism of action by which the absorbable suspension suture delivers an immediate lift, followed by an ongoing volumizing effect that improves over time. Silhouette InstaLift ® is also the only absorbable suture that is FDA-cleared for cosmetic facial procedures. The many threads available on the market do not have the FDA’s blessing for the procedures they are being used in, and certainly don’t possess the micro suspension technology that Silhouette InstaLift®  provides. Scary, but true.

Coming back to that building we were discussing, Silhouette InstaLift ® therefore helps rebuild and restore the foundation that was sinking, and lift it back to where it belongs.  I am sure that you are wondering if Silhouette InstaLift ® is right for you.  If you would like to avoid a surgical facelift and actually improve the quality of your skin instead of simply stretching it tighter, then Silhouette InstaLift® is for you.  This rejuvenates your skin from the inside out instead of leaving you with scars from skin that has been stretched tight but not rejuvenated. Silhouette InstaLift  literally builds volume under your skin and therefore gives it the appearance of being fuller and younger.  This is a quick and minimally invasive option to restore the youthful lift in your midface that you lose over time.

Your next question is “How is Silhouette InstaLift ® performed?”  We first temporarily mark you face with a pen.  We then apply a local anesthetic followed by the actual procedure.  This is a relatively short procedure.  Many call it the lunchtime facelift.  You now ask, “How long does Silhouette InstaLift last® ?”  You will see an immediate lift but full results can take 2 to 3 months as you face builds Collagen and Elastin and restructures itself. The results can last up to 2 years.

The natural next question is “Is Silhouette InstaLift ®  painful?”  This procedure involves minimal discomfort because we anesthetize you extremely well.  Silhouette InstaLift is a minimally invasive procedure and does not require general anesthesia unlike a regular surgical facelift.

And then you ask, “How much downtime should I expect after Silhouette InstaLift ®?”  You may experience minor pain, swelling and some bruising.  The recovery time is short with most people returning to normal activities within 2 to 4 days.  We recommend avoiding high-impact sports such as running for 2 weeks.  Beyond that, most people return to normal activities almost immediately.

Bawa Medical takes great pride in serving the residents of South Florida and beyond.  Our patients come from Boca Raton, Delray Beach, Fort Lauderdale, Palm Beach, Miami and other neighboring cities.  We also have patients flying in from various parts of the world to benefit from our expertise in state-of-the-art anti-aging and rejuvenation techniques.  We offer multiple anti-aging and rejuvenation techniques because we do not believe in a one-size-fits-all mentality.  We do not perform cookie-cutter medicine at Bawa Medical. We are here to make you the best version of yourself. You look natural and refreshed, not stretched and artificial.

We invite you to come to our beautiful Boca Raton rejuvenation practice Bawa Medical so that we can fully assess your needs and goals, and help you achieve them.  Please email me at info@bawamedical.com with any questions about Silhouette InstaLift® , Bawa Medical or our various services ranging from skin and intimate rejuvenation to hair restoration.  Thank you for stopping by.  Till we meet again.

What is HydraFacial®?


It was a hot summer afternoon in Verona. Italy.  I was traipsing down an alley with my sons when we descended upon yet another gelateria.  I picked melon gelato, or gelato di melone as it’s called in Italian (sounds so much fancier!). As we walked away from the gelateria, I took a bite of the gelato. It was like I had a burst of flavor in my mouth.  I could literally taste that ripe melon.  I knew that this had no artificial anything in it.  I had eaten plenty of gelato before that moment and God knows, I have eaten plenty after, but I have never experienced that burst of flavor again.


I had exactly that experience with my first HydraFacial®. I had had plenty of facials at that point but nothing compared to the experience of getting a Hydrafacial®. And so, not only did I vow to start getting regular HydraFacials, I also decided to buy the HydraFacial®Elite machine instead of a basic HydraFacial® machine (commonly found at spas) for my practice Bawa Medical in Boca Raton. Nothing but the best for my patients! It was one of the best decisions I have ever made. HydraFacial®has become the very foundation of all that I do. We consider HydraFacial®basic skin prep and maintenance at Bawa Medical.


So, what is a HydraFacial®?  This is the only hydrodermabrasion procedure that actually combines cleansing, extraction, hydration and antioxidant protection simultaneously.  This technology also allows us to detoxify the skin and the insides with lymphatic drainage. Coming back to gelato, just as there are multiple flavors you can choose from, there are many types of HydraFacial®to choose from.


The Signature HydraFacial®is the first type. The very first step is to cleanse and peel. The second step is to extract and hydrate. This step removes debris from pores using comfortable suction, while also nourishing Bawa Medical patients with intense moisturizers.  Of note, HydraFacial® uses a patented vortex fusion delivery system which easily dislodges and extracts the impurities in your skin while simultaneously adding hydrating and nourishing boosters with strong antioxidants. The third step is to fuse and protect.  This helps you detoxify and protect the skin from environmental free radicals.  It also replenishes the skin’s natural hydration and elasticity.


The second type is the Deluxe HydraFacial®.  The first 2 steps remain the same.  We cleanse and peel, and then extract and hydrate.  During the third step of fusing and protecting, we add an additional booster. We can use a booster based on your individual needs. We can assist with fine lines and wrinkles, minimize the appearance of dark spots, improve the appearance of skin tone, texture and elasticity, and so on.  We also add LED light which is both anti-aging (red LED light) and antibacterial (blue LED light).


The third is my absolute favorite.  It is what I get every 2 weeks myself.  Ladies and Gentlemen, I present to you the Platinum HydraFacial®.  In this, you begin with lymphatic drainage therapy to kick start the detoxification process.  Then, you get a Deluxe HydraFacial®which deeply cleanses, extracts and hydrates the skin.  It also addresses your specific skin needs with a booster.  And again, this ends with anti-aging and antibacterial LED light.


“How often should I get a HydraFacial®?”  is a very common question in my office.  I highly recommend getting a HydraFacial every month.  I personally get a Platinum HydraFacial® every 2 weeks.  I firmly believe that it is a major factor behind my skin being as beautiful as it is.  Maintenance is everything.  And an ounce of prevention is better than a pound of cure.  We address many factors before they become an issue. Take teen or even adult acne as an example.  We can address it before it becomes a bigger problem.  It leads to poor self-esteem as well as high potential for scarring long-term. It even helps with fine lines. Remember, getting HydraFacial®regularly is anti-aging in and of itself.


A HydraFacial® also complements every procedure in my office. It is a great adjunct to fractional ablative lasers such as our CO2 (Candela CO2RE®) and Sublative (Candela elōs Plus®).  It is also excellent when used with energy based devices such as radiofrequency (Candela  Profound®, Candela elōs Plus® Sublime) and IPL (Candela elōs Plus®).  It works great with microneedling (Candela  Profound®, SkinPen®),Vampire Facial®, Vampire Facelift®, chemical peels, dermaplaning, injectables (toxins and fillers), and so on.  The list is endless.  Simply put, HydraFacial®makes everything else that much better.


Everything we do at Bawa Medical is medical grade.HydraFacial®will not even make all its products available to spas and salons.  We can do special medical gradeHydraFacial® treatments such as that for rosacea.  We also do a much stronger peel than you can get at a spa.  There you would get a 7.5% peel but with us you get a 30% peel.  That is a significant difference. As a medical facility, we can get absolutely any booster based on the individual needs of our patients.


We also offer HydraFacial®Perk which rejuvenates the eye and lip area, and shows them some love.  It loosens dirt, oil and dead skin cells just like HydraFacial® elsewhere on the face or body.  It gently cleanses and hydrates the delicate eye and lip areas.  It delivers antioxidants and nutrients to the skin as well.  It brightens and refreshes the eye area, and lightly plumps lips.


An often ignored area on the human body is the scalp. Bawa Medical Boca Raton is one of just a handful of practices in the world to offer HydraFacial Keravive. “What is HydraFacial Keravive?” you ask.  It cleanses the scalp and hair follicles to remove dirt, oil and dead skin cells.  It stimulates scalp circulation.  It also nourishing scalp and hair follicles with growth factors and skin proteins.  It complements and enhances other hair restoration treatments.  It also supports keratin production. I get HydraFacial Keravive once a month as part of my own hair restoration journey. Both hair restoration and transplantation bring me great joy.  Giving someone suffering from hair loss their hair back, is like handing them their life back on a silver platter.


HydraFacial® is a quick procedure and can even be done on your lunch hour.  There is no downtime, and you can wear make-up immediately after your facial.  HydraFacial® helps to achieve healthy skin and is great for all skin types.  It is not painful in the least, and is noninvasive.  I always preach my mantra of rejuvenation from the inside out, and Hydrafacial® truly embodies that.
Please email me at info@bawamedical.com with any questions about Bawa Medical or our medical grade Hydrafacial®experience.  Thank you for stopping by.  Till we meet again.


What is an O-Shot®?



I want you to close your eyes for a second and picture Meg Ryan in that famous diner scene from When Harry Met Sally.  She faked an epic orgasm that made cinematic history.  This is, unfortunately, a scene that is repeated in many bedrooms around the world. Up to 90% of all women fake orgasms.  Statistically, women find it harder to orgasm in a casual relationship compared to a committed relationship, but even those in a committed relationship are faking orgasms more often than men would like to believe.

Did you know that only 18% of women orgasm with vaginal sex? And that only 14% of women ever talk to any of their physicians about sex? About 40% of women suffer from sexual dysfunction of some sort. They fantasize about having a Meg Ryan moment but precious few, clearly, do anything proactively to achieve it.  There are psychological and stress-related reasons as to why women may not orgasm but we will focus on the anatomical reasons for this week’s blog.

Let’s start with a quick anatomy lesson. The clitoris hides under a hood. Below it is the urethral opening that you urinate from. At the other end from the clitoris is the actual vaginal opening. Most women think that the G-Spot is their one and only chance at a great orgasm but that little clitoris hiding under its hood outside the vagina is where the magic happens for the overwhelming majority.

An important factor in your ability to orgasm is the distance between the clitoris and the vaginal opening. The shorter the distance, the greater your chances of achieving orgasm. Now you see why sex on your back in the missionary position does not usually work. It simply does not stimulate your clitoris. Positions such as with the woman on top or with more direct clitoral stimulation allow women a much better chance at orgasm. 

Another interesting concept I would like to introduce you to is that of clitoral size. We often think of the penis in terms of size but never the clitoris. Women with a smaller clitoris have a harder time achieving orgasm. Size does matter after all, and not just for men.

Here is something that I bet you did not know. The clitoris has about 8000 nerve endings while the penis only has about 4000. You see how much fun men have with their 4000 nerve endings. Think of what you can do with 8000.

Too many women have accepted the idea that men have all the fun in the bedroom.  Ladies, that changes right here, right now. I present to you the O-Shot®. Your clitoris is now front and center. This magical little spot with its 8000 nerve endings is about to have its moment of glory. Let’s start with the very first question in your mind. “What is an O-Shot®?” you ask. It is literally the Orgasm Shot.

“How is an O-Shot® done?” you ask next. We take blood from your arm just like any other blood draw you have ever had. We apply numbing cream down under, and while you are numbing we spin your blood down to platelet-rich plasma (PRP) in our FDA-approved centrifuge. We then take it a step further and convert it into platelet-rich fibrin matrix (PRFM) which has more growth factor, and therefore stimulates more stem cells.

We inject it directly into your clitoris and your vaginal wall. We inject PRFM into your clitoris so that the additional growth factor stimulates more stem cells and those 8000 nerve endings we discussed earlier. This makes your clitoris bigger, and more sensitive, and the vaginal tissue healthier as a whole. This therapy essentially makes the vagina and clitoris younger by activating stem cells.

The O-Shot® even helps with urinary incontinence. I ask my patients about this and more often than not, they deny having urinary incontinence. I always probe further and ask if they experience urinary leakage when they cough, sneeze or exercise, and the answer is often yes. Vaginal childbirth certainly increases your chances of suffering from it. You may suffer from mild, moderate or severe urinary incontinence but realizing that you do is the first step towards healing and recovery. We can perform the O-Shot® on you to relieve your suffering, and even take it a step further with our Candela fractional CO2 laser (CO2RE). The O-Shot® can even potentially help women who suffer from dyspareunia or painful sex. It leads to more desire as well as stronger and more frequent orgasms. The O-Shot® also leads to better natural lubrication and a tighter vaginal opening. It helps with chronic interstitial cystitis and chronic mesh pain.  The O-Shot® even helps with lichen sclerosis  which is  the chronic inflammation, thinning and tearing of the genital area.

“How much does an O-Shot® hurt?” is one of the questions I am asked most often. Well, here is some great news. I am one of the few doctors in the world actually certified as a provider of the vampire series of treatments including the vampire facial®, vampire facelift®, vampire scalp treatment® (for hair loss), vampire breast lift®, vampire wing lift® (for labial rejuvenation), the O-Shot® (Orgasm Shot for women) and the P-Shot® (Priapus Shot for men, which helps with erectile dysfunction, premature ejaculation, and more). I have been personally trained by Dr. Charles Runels, the inventor of the procedures. I have a technique that leads to an O-Shot® that is practically painless and truly effective.

“How long does an O-Shot® take to work?” is another common question. It takes about 6 to 8 weeks because you are rebuilding and rejuvenating yourself from the inside out. “Do I need more than one O-Shot®?” is the natural next question. More is better. If you have more than one O-Shot® it is more effective than a single O-Shot®, but you don’t have to have two O-Shots® to see results. You cannot overdo rejuvenation, and an O-Shot® is rejuvenating your vaginal and clitoral area naturally. Your body has in it what it needs to heal and rejuvenate itself. “What is the downtime after an O-Shot®? When can I have sex again?” is something every patient asks. There is no downtime. The O-Shot® is administered with a tiny needle and you can even have sex the same day.

After reading this blog, you now know that you no longer need to fake orgasms or suffer through a lackluster sex life..  You no longer need to live with urinary incontinence and a host of other vaginal issues.  Life is too short for that. Please email me at info@bawamedical.com for more information about how the O-Shot® and vaginal laser therapy can change your life.  Thank you for stopping by.  Till we meet again.



What Is A Vampire Facial®?


It was 2013 when reality TV star Kim Kardashian released a picture of herself covered in blood getting a facial.  It created quite a furor.  No one had seen anything like this before. Seven years later, people are still unclear as to what a vampire facial® really is. What is a vampire facial®?! And what really does a vampire facial® do for you?   When I decided to specialize in rejuvenation, I knew that skin and hair rejuvenation go hand-in-hand.  A full head of hair with aging skin or beautiful skin with thinning hair are not a winning combination in anyone’s book.


My interest in rejuvenation meant that I sought out state-of-the-art and cutting edge technology.  I invested in the finest lasers and energy devices in the world which are produced by Candela Medical. My practice Bawa Medical is located in Boca Raton, and has Candela Medical’s CO2RE fractional CO2 laser technology which is cleared for over 100 indications in 10 medical specialties including Dermatology, Plastic Surgery and Gynecology. It is FDA-approved to treat everything from wrinkles and scars to urinary incontinence.  The scope of this machine is tremendous.
We also own Candela’s patented Profound® radiofrequency microneedling device which is the only device in the world that can increase Elastin in the treatment area by 500%. It also increases Collagen and Hyaluronic Acid by at least 200%.  Not only does it provide long-lasting facial wrinkle reduction, it also improves the appearance of cellulite.  It literally snaps you back into place by rebuilding the very foundation of your skin. And then, because anything worth doing is worth overdoing in my book, I went ahead and bought Candela’s elōs Plus device that does IPL photofacials, radiofrequency and even skin ablation that is color blind and can be safely performed on people of all races. 


Vampire Facial in Boca, FLDespite having this state-of-the-art technology I felt that I needed more.  I wanted to give my patients more treatments that involve growth factor and stem cells.  As I researched the field, I became interested in the famous but poorly understood area of vampire® treatments.  I decided to go to the creator of the procedures, Dr. Charles Runels himself.  I was never going to be a Groupon medspa that went on YouTube to learn procedures from people who were doing them incorrectly to begin with. I learned the correct technique to perform the vampire facial®, vampire facelift®, vampire scalp treatment® (for hair loss), vampire breast lift®, vampire wing lift® (for labial rejuvenation), the O-Shot® (Orgasm Shot for women) and the P-Shot® (Priapus Shot for men, which also helps with erectile dysfunction).  In fact, I am one of just a handful of providers actually certified to perform the procedure in the entire world. Furthermore, Bawa Medical is a surgical facility, and so our sanitation and procedural protocols are of that caliber.


Let us come back to our friend Kim Kardashian and that scary picture.  How is a vampire facial® performed?  When you come to our practice Bawa Medical in Boca Raton, we do a quick blood draw and put your blood in a centrifuge.  We then spin it down into what many of you know as PRP or platelet-rich plasma.  Then, because our practice uses cutting edge technology, we go a step further and convert it into PRFM or platelet-rich fibrin matrix.  PRFM has more growth factor, and consequently activates more stem cells.  It also stays in the treatment area for a longer period of time thus giving the vampire facial® more time to work. We then inject this PRFM directly into your skin.  We also microneedle the treatment area using the FDA approved microneedling pen SkinPen. The majority of the people who claim to perform a vampire facial® have no business doing so.  They are not certified in the procedure, they do not use FDA-approved materials and they are certainly not following the correct protocols to provide sanitary and safe conditions during the procedure.  Some of them even give you some PRP to take home and use later which literally sends a shiver down my spine. Furthermore, the overwhelming majority of them are using tattoo pens not FDA-approved microneedling devices.


So how does a vampire facial® work?  We have discussed how I inject PRFM into your skin.  We have discussed that PRFM contains more growth factor and stimulates more stem cells than its cousin PRP.  The PRFM and microneedling together trick the body into thinking that it is injured and needs to regenerate itself. The skin that was never injured now tries to repair itself. You end up with younger looking skin because you now have new Collagen, new blood vessels, and even new fatty tissue.


The only difference between a vampire facial® and a vampire facelift® is that in a vampire facelift® I also inject some filler to give you an immediate lift.  However, unlike other providers, I do not use Juvéderm.  I use collagen stimulating fillers.  If I am going to inject you with something, I want it to help you in some way.  Juvéderm may help give you the appearance of fullness temporarily, but it does nothing to improve your skin from within.  Collagen stimulating fillers like Radiesse on the other hand, give you an immediate lift, and long term improvement.
Unlike Botox and Juvéderm, a vampire facial® genuinely improves you from the inside out, and so it aligns with my love of rejuvenation.  I do not understand the concept of applying a Band-Aid on a problem.  I believe in addressing the root cause of the issue.  That is why I believe in skin and facial rejuvenation instead of relying solely on injectables.  Toxins and fillers benefit the doctors and drug companies not you.  I have integrity, and therefore, at my practice Bawa Medical injectables like toxins and fillers are simply the icing on the cake not the cake itself.  Just as a patient chooses a doctor, I choose my patients.  I believe that my vibe attracts my tribe.  I am interested in serving those who truly want to improve and get rejuvenated from the inside out.


Please email me at info@bawamedical.com for more information about vampire facials®, vampire facelifts® and other vampire® procedures. We are Boca Raton’s premier rejuvenation medical practice for your hair restoration, and skin and intimate rejuvenation needs. We serve neighboring areas such as Delray Beach, Coral Springs, Parkland, Ft. Lauderdale, Miami and other parts of South Florida. We also have patients who fly in from within the US and overseas.
Thank you for stopping by. Till we meet again.


Premature Aging

Premature Aging

Premature Aging

The question that I am asked most often by patients and friends alike is what my own injectable regimen is.  When I tell people that I have never injected my face with a filler or toxin, they are convinced that I am lying to them.  The few that do believe me are suddenly very curious about how my skin looks the way does in my 40s without Botox or Juvéderm.  They want to know my secret.  Well, here it is.  The sun and I are not friends.  I do my best to avoid the sun as much as I can.  Even if I go to the beach, I try to sit under an umbrella.  I never ever intentionally tan, and I always use sunscreen. After all, there is no such thing as a healthy tan.

The numbers speak for themselves.  Studies have shown that 90% of skin aging is caused by the sun.  Yes, you read correctly.  A whopping 90% of skin aging is caused by sun damage. It is the number one cause of premature aging. And people, stop blaming your teenage years for bad skin.  Sun damage is cumulative. Only 23% of lifetime exposure happens by age 18. It is never too late to improve your habits. Another major offender is indoor tanning. Did you know that more people develop skin cancer because of indoor tanning than develop lung cancer because of smoking? And that two people die of skin cancer every hour? Or that more people are diagnosed with skin cancer in the US each year then all other cancers combined? Or that 1 in 5 people will develop skin cancer?

UV radiation is a carcinogen in and of itself.  To make matters worse, indoor tanning beds emit UV radiation that is 10-15 times stronger than the sun at its peak intensity.  Countries like Australia and Brazil have completely banned indoor tanning.  The people who have used indoor tanning have an 83% higher chance of developing cancer.  So, I think you get where I am going with this.  No more tanning beds!

Now you can see why I always say that an excellent sunscreen is the most important anti-aging tool in your arsenal by far.  Not all sunscreens (even with the same spf) are created alike, and I will tell you why. There are basically two types of sunscreen, physical and chemical. Physical sunscreen acts as a shield and deflects harmful UV rays. Chemical sunscreen do absorb the sun’s rays but keeps them from doing as much damage. So clearly, physical sunscreen makes more sense, and that is why we carry it at my practice Bawa Medical. Our sunscreens even contain Hyaluronic Acid as an additional anti-aging benefit not easily found in other sunscreens.

Not only should you use sunscreen every day of your life, you need to use enough at a time. Apply it liberally, and remember that it is not just for beach days.  You need sunscreen even on cloudy days.  It does not matter if you are just getting the mail or walking to and from your car.  You need sunscreen.  My patients often argue that their cars have tinted windows.  I have a tough time explaining to them that tinted windows provide inadequate protection, and that enough damage can happen just walking to and from your car.  There is also the issue of reapplication.  Sunscreen needs to be reapplied every two hours especially when you are outside, or after swimming or sweating.

The other excuse I hear most often for not applying sunscreen is that my patients’ make-up has sunscreen in it.  That is simply not enough.  It is usually SPF 15 to perhaps 30 at best, and you would need to apply way more than you think to get sufficient coverage. While something is better than nothing, please do not convince yourself that you are protecting yourself adequately when you apply make-up with some sunscreen in it.  I do not even carry under SPF 50 at my practice.  Anything worth doing, is worth doing well.  We don’t do mamby pamby at Bawa Medical.

Darker skinned people need sunscreen as much as a pale-skinned redhead.  Blacks and Asians get skin cancer just like anyone else.  Interestingly enough, melanoma is relatively rare in sun-exposed areas in Blacks and Asians but they have a higher rate of melanoma in non-sun-exposed areas.  Did you know that you can technically even get cancer in your eyeball or labia? Fun fact. So wear good quality sunglasses and rethink nude beaches. And remember that hats and umbrellas though helpful, are not a substitute for properly applied, excellent quality sunscreen and good eye protection.

It is not just southern states like Florida that need to worry about these issues. In fact, let me give you a pop quiz.  Where do you think Florida stands on the list of states with the highest incidence of skin cancer?  Number 1?  No.  Top 5?  No.  Top 10 then?  Not that either.  Top 15?  Nope.  Ladies and gentlemen, Florida is number 27 on the list. The top 5 states with skin cancer, from highest to lowest are Utah, Vermont, Minnesota, New Hampshire and Idaho. How about that?!

Let us assume that you have sun damage because we all do to some extent. What can you do about it? Every Bawa Medical patient, irrespective of why they walk through the door, gets free facial digital imaging.  I always want to know what lies beneath.  My patients do not always want to know, but I do.  And I do discuss it with them in detail.  There are various things you can do based on how much sun damage you have.  We have medications that include Vitamin C and Hydroquinone that can help with pigmentation.  Retinols are great for pigmentation and a great anti-aging tool for wrinkles and fine lines as well.  A regular HydraFacial can make all the difference in the world.  And then of course, we have energy treatments.  Lasers like our fractional CO2 and other energy devices such as IPL and radiofrequency with or without microneedling can help you with a lot of the damage you see on the digital imaging at our office.  We also do regenerative treatments with growth factors and stem cells such as vampire facials that involve PRP (platelet-rich plasma) and PRFM (platelet-rich fibrin matrix). However, you must remember that lasers themselves make you more sensitive to the sun so you have to prevent sun exposure after getting laser treatments.  My standard instructions include no direct sun exposure 2 weeks prior to or 6 weeks after any such treatment.

I specialize in skin, hair and intimate rejuvenation but a large portion of what I do depends on what you do.  The more care you take of yourself, the better your results with me will be.  Even if I am trying to reverse damage that has already occurred, your compliance with my recommendations will determine how much benefit you see from our treatments.  Consistency is key.  You have to be consistently careful and use sun protection every single day of your life.  As we discussed, people in Utah are far more likely to get skin cancer than people in the sunshine state.  No one is safe.  If you want to live a long and healthy life, with beautiful and young skin, remember what I said at the beginning.  The sun is not my friend.  It never has been and never will be. 

Avoid the sun as much as you can and use an excellent quality physical sunscreen at all times.  Reapply often, and protect yourself with a hat and good quality sunglasses.  Anti-aging begins long before you enter my office, And continues longer after you leave.  I have developed a strongly anti-aging medical grade skincare line with the highest quality ingredients such as the strongest Retinols, stem cells, Hyaluronic Acid and more, but you have to use it consistently for it to work. I learned a long time ago that you can take a horse to water but you cannot make it drink. I hope that I have gotten the point across and that my words will help you all in one way or another. May is National Skin Cancer Awareness Month and if my words save a single life, it will be mission accomplished.

Please email me at info@bawamedical.com for more information on National Skin Cancer Awareness Month. Thank you for stopping by. Till we meet again. 


Conscious Mothering

It was on a flight from Cleveland, Ohio to Las Vegas when my twin sons were still babies that I had one of my first realizations of how people perceive so-called successful working mothers. I was traveling to a medical conference, and was accompanied by my nanny. Despite my best efforts, one of my sons was having difficulty dealing with the air pressure. When all else failed, I decided to walk him up and down the aisle while consoling him. He calmed down fairly quickly and we returned to our seat. As I sat down next to the nanny, she narrated an incident to me with a smile. Apparently, the lady across the aisle pointed to me as I walked my son, and said, “You have good help.” My nanny replied, “I am the help.” I found that both amusing and offensive. Clearly, the assumption was that if I could afford a nanny, I would not be doing the physical work of caring for my children myself, and that I would delegate the harder parts of motherhood. Nothing could be further from the truth. I had a nanny simply because I needed an extra set of hands. And when I went to work, there was no family to help. It was out of necessity that I employed a nanny. However, not once did my children have any doubt as to who their mother was.

I have always been a proponent of hands-on parenting. I did not allow myself to drown in the stress of diapers and dirty bottles to the point that I lost perspective of why I was there in the first place. The initial few months with twin babies are a mind- numbing time, and I had to remind myself to be present emotionally not just physically. I decided that I needed time with each of my sons that was devoted to just him. In fact, when I went back to work at about 8 weeks, I carved out about half an hour to just hold my sons before I would leave for my shift. I would sit there in my scrubs, with one baby at a time, and simply focus on being present in that moment. Whether my son was asleep or awake, there were no other distractions. There was no TV, music playlist or cell phone. Nothing except the son I had brought into the room with me. Those few minutes of mindful connection made all the difference in the world. As the writer S.C. Lourie said, “There are some souls you connect with so much, you can hear their song from inside them, even when they’re sleeping. Some souls connect with you so deep, they bring out songs inside you, you never knew you had.” I view parenting in much the same way.

As they grew older, I began taking them to Mommy and Me. That time of the week was sacrosanct. I would not work during that time, and refused to take on any obligations that would detract from our time together. I learned for the first time in my life that no is a complete sentence. At this point, I also began taking my children on excursions. We would go to the zoo. We would go to Amish country. I thought nothing of busting them out of preschool early to take them to the rodeo for another day of classic Texan fun. It did not matter what we did. We went on trips outside the home that led to discovery of some kind. Little minds needs stimulation and my sons never lacked for it.

I believed in having conversations with my children from the time they were exceptionally young. I never baby talked with them. It will amaze you what little minds are thinking about when you actually stop to ask. We cooked together from the time they could hold a small spatula and frost a cupcake. We baked cookies together even though all they did was make a mess with the flour. They thought they helped, and that is what mattered. There was a sense of accomplishment that came from that. It built a sense of companionship between us, of shared purpose, and we had fun!

I also strongly believe in the importance of travel. My children have never owned the latest gadgets but they have traveled the world. It has always been important to me that they see the world and the beauty in it. Looking back, my style of parenting is technically called Conscious Mothering. I never knew that there was such a thing. I was simply the Mama that I wanted to be. It turns out, much of what I have done, and continue to do, falls under that style of parenting. Conscious Mothering focuses more on your connection with your child and an intuitive parenting style rather than boxing yourself into more stereotypical ideas of what a parent-child relationship should be. While I have been a figure of authority, my children have always seen me as a friend first, and I take that as a compliment. There has to be compromise on both ends. Parenting cannot be dictatorial, and should not be. Children have to respect their parents and not be brats walking all over them. There is a happy medium, and I do believe that I have found it.

When my children were barely 8 years old I decided to take them on a road trip around Italy. Many people told me that I had lost my mind. Here I was, a single mother, embarking on a journey with two young children in a foreign land, and deciding to drive on top of it all. I did not want a tourist’s version of Italy. I wanted to experience Italy. I could not think of a better way of doing it than simply getting behind the wheel of a car and driving. My boys were allowed to have tablets but I told them that if they felt the need to be on their tablets the entire time, I would feel that I had somehow failed them. At one point we were driving through Tuscany and my son said to me, “Mama, I don’t even feel the need to use my tablet because it is just so beautiful when I look out the window.” I smiled as I drove.

I have also made a conscious effort to introduce my children to classical music. It plays in our home during dinner or as we clean. Well, it’s classical music or classic rock, both Mama approved, but usually classical music in the evenings. It has become part of both my boys. We attended a Vivaldi concert in Venice and when the orchestra breaked for the intermission, my son turned to me in horror, with his eyes big and round, and exclaimed, “They aren’t done are they?!!” Relief washed over him when he realized that they would be back. At that moment, I knew that I was doing something right. That trip was epic on every level. Clearly, it was a once-in-a-lifetime opportunity but the idea remains the same. It is about time together as a family. It is about connecting on a deep and authentic level. It is about relationships that are real, about exposure to different things that hone our personality.

Again, we come back to the idea of mindfulness. I am present in my life in every way. I am a mother in every sense of the word. I am a friend and companion to my sons. I am also fully committed to my job as a physician, and the needs of my patients and colleagues. Mindfulness has to be across the board in every aspect of my life if it is to exist in any aspect of my life. I wrote about stress and its effects on our DNA last week. I believe that mindful mothering has reduced my stress level, improved my relationships, and started chiseling my boys into the men they will someday become. I don’t claim to have a perfect parenting style but it has worked for me, and worked well. People have asked me how my life will change as a result of COVID-19, and when I’ve told them that it really won’t, they think I am trying to be evasive. I did not need a pandemic to center me. I was already there. I do stop to take that picture. I do stop to smell the roses. I do stop to kiss my sons. Life is too short for anything else.

Please email me at info@bawamedical.com for more information on Conscious Mothering. Thank you for stopping by. Till we meet again. 

Stress is Killing Us


It was a glorious morning in Venice. I was running through the streets picking up a couple of things while my mother and twin sons got ready to leave. We were headed to Assisi that day. I came across Roberto, the street artist I had bought some paintings from during that trip. He insisted that we walk over to the café next door and have a cup of real coffee. “Roberto, I don’t have any time! I have to run!” Italians really don’t understand our concept of time. He looked at me puzzled. Not only was I not getting away without a cup of coffee, he knew exactly what he was getting me – a traditional Italian espresso in those tiny cups. “No café Americano!” his voice boomed in the piazza. I glanced at my watch as I held the last painting I had just picked up from him, and sighed. “OK Roberto, let’s do this,” I said.

We walked over the few steps to the café and he ordered our coffee as we stood and chatted at the bar as all good Italians do at 10 a.m. Did I mention that they don’t understand the rat race?! He laughed as I almost spat out that bitter coffee. I laughed too. It was just a short little interlude and for a few minutes I forgot that I had to be somewhere by a certain time. For just a few minutes I stopped to have a cup of bitter espresso with a painter who considered himself my new best friend. We talked about Disney (why do people always ask Americans about New York, Disney and Las Vegas?!), my boys, his boys, and when I would be back. He forced me to stop and appreciate the fact that I was in Italy making new friends, that it was a glorious summer day, and that if we got to Assisi half an hour later than planned it really wouldn’t make an iota of difference. Think about this. I was on a dream vacation in Italy, and I was rushing through parts of it hurrying to get to the next destination. What was I thinking?

Sometimes we stress ourselves out even when there is absolutely no reason to be stressed. Sometimes we have good reason to be stressed. Any way you slice it, stress has a very real effect on us. Did you know that stress actually accelerates cellular aging? It literally shortens our telomeres which are strands of our DNA.

Did you know that even the anticipation of stress can shorten those telomeres?! It’s really quite crazy when you think about the power of our thoughts. Our sympathetic nervous system is in charge of our fight-or-flight response, our need for self-preservation. Your brain perceives a threat, and you will find that there are physical responses to that perception. Your heart rate, blood pressure and respiratory rate go up. You sweat, your mouth feels dry, and you might even feel yourself shaking. There is a catecholamine release and hormones suddenly course through your body. You experience what many of us call an Adrenaline rush. It can take an hour after a stress reaction for your vital signs to normalize, and your brain to calm down. A little stress can actually keep us on our toes and make us productive, but too much stress will age us in ways big and small.

Let’s talk about those DNA strands called telomeres again. We talked about how stress can shorten them. Here’s the problem with that situation. The shorter our telomeres get, the higher our likelihood of getting heart disease and osteoporosis. Chronic stress will also increase our Cortisol level which leads to weight gain and inflammation as well as increased blood pressure and glucose levels. Inflammation has been associated with Insomnia, cognitive decline, Alzheimer’s Disease, Depression, Anxiety, and more. Night shift work is a major stressor, and night shift workers tend to get poor sleep. The physical stress associated with shift work alone has been termed a possible carcinogen by the World Health Organization. Simply put, stress can give you cancer. When you joke that the stress is killing you, think again, because it really is.

The shorter our telomeres get, the faster we age. This means that the more stressed you are, the older you will look. You will get more wrinkles than someone your age with lower stress levels. Why does this happen? Well, we spoke about Cortisol earlier with regard to inflammation, neurocognitive decline, psychological disorders, heart disease, and more. It does damage to your skin as well. It makes the body unable to repair itself like it normally would. Cortisol will even break down the Elastin and Collagen under your skin which then leads to wrinkles and sagging, and makes you look older than your age. Stress will also cause problems in relationships because people snap at each other and are less likely to forgive. Stress can make you more selfish and less empathetic. It certainly causes problems in the bedroom. Men will have difficulty achieving and maintaining erections because the fight-or-flight response does not help in the bedroom either. Poor sleep and higher stress will drop testosterone levels to those of men 10 years older in the span of a week. Yes, it happens that quickly. Stress will also make women have lower libido, and have a harder time achieving orgasm. Plus it will increase their risk of infertility threefold.

My mind takes me back to that morning in Venice sometimes. It reminds me that life does not always have to be a rat race, and that there is time for a cup of coffee. There is so much beauty in the world around us. Stop and savor it once in a while. You will certainly live longer, be healthier, and have a better quality of life. I will end with another thought about Italy and the Italian way of life. “Il dolce di fare niente” is an Italian phrase that literally translates to “the sweetness of doing nothing.” Try it sometime.

Please email me at info@bawamedical.com for The Top Ten Ways To Reduce Stress, and start living your best life. Thank you for stopping by. Till we meet again.

Sleep and Your Sex Life

Hello All! Let’s talk about another silent but deadly pandemic. Lack of sleep is killing us all. Sleep affects just about everything in our lives. Lack of it changes things on a molecular level. We don’t just feel tried and sluggish, poor and inadequate sleep literally kills us. It’s scary but true. I specialize in skin, hair and intimate rejuvenation, as well as strongly anti-aging skincare. I often tell my patients that sleep is just as important to achieve their anti-aging goals as anything I do in the office. Even my Bawa Medical skincare that they use at home, profoundly anti-aging as it is, will work far better if they are getting good sleep.

Rejuvenation does not, and simply cannot, exist in isolation. Sleep is a vast topic and we will address sleep and its impact on all parts of our life as part of our Saturday series but today we will hone in on a topic I know you want to talk about. So, let’s talk about sleep and how it affects your sex life.

Now that I really have your attention, let’s talk testicles and erections. OK Gentlemen, now you’re really listening. Did you know that men who sleep less than 5 hours a night have smaller testicles than men who sleep 7 or more hours a night? The University of Southern Denmark conducted this study on 953 healthy, young Danish men, and made another startling discovery. These young and otherwise healthy men also had a 25% drop in sperm count, and the sperm they did have had a poorer quality, with a higher number of deformed sperm. Think about this for a minute. Men who sleep 4 to 5 hours a night have the testosterone levels of men 10 years older. The scary part is that these lower testosterone levels can be seen after a single week of poor sleep. That’s how much poor sleep ages you, and that it happens so quickly is truly unnerving. Men have an easier time getting erections in the morning because that’s what sleep does. The parasympathetic nervous system takes over while you sleep, especially during good sleep.

Ladies, let’s talk about your issues when it comes to sleep. Things go haywire with us as well with lack of sleep. The multiple hormones responsible for female reproductive health are affected by sleep. We develop menstrual irregularities, painful periods, far more difficulty achieving orgasm, as well as a harder time getting pregnant and staying pregnant. We also have more premature births and lower birth weight babies. In fact, women who have sleep disorders or even sleep apnea (poor quality of sleep), have a three times higher chance of experiencing infertility than women who sleep well. Women undergoing IVF who get at least 7 hours of sleep have a higher chance of getting pregnant. Sleep is truly critical to health.

I treat sexual dysfunction at Bawa Medical. I am certified in the P-shot (Priapus Shot) for men, and the O-shot (Orgasm shot) and Vampire Wing Lift (labial rejuvenation) for women. I also do incredible vaginal laser rejuvenation. I am forced to add a caveat here. My patients and I are a team. We have the same goals. And like a team, we have to do our part to win the game.  I can do one heck of a P-Shot, O-Shot or Vampire Wing Lift on you. I can do one heck of a vaginal laser treatment on you. I can make you have better sex, stop having urinary incontinence (Hallelujah Ladies!) and reclaim the old you. However, I simply cannot do it alone. Nothing I do will work as well if you aren’t getting sleep. The P-shot, O-Shot and vaginal laser rejuvenation do increase sexual satisfaction and function, and help you get past urinary incontinence but if you are sleep-deprived, your body simply cannot benefit fully from the growth factors, stem cells and energy treatments.

So, that brings us to your next question. “But Dr. Bawa, how am I supposed to get better sleep?!!” you exclaim in exasperation. And you are right when you feel exasperated. It is easy for me to say and not always easy for you to achieve. Well, not overnight anyway (pun unintended). You can, however, start making small changes immediately that will have a huge collective impact over time. I will be happy to email you a list of The Top 10 Things You Can Do To Start Getting Better Sleep Today. This guide will truly save your life by allowing you to sleep well, and make your quality of life better as well. You can email me at info@bawamedical.com and I will be happy to email you the guide.

We live in a beautiful world, and what truly makes it worth it is our relationships. Good sleep ensures better mental and physical health for you, better relationships with others, and a long, happy and healthy life. I will do my part to improve your quality of life but you have to do yours! Together we can give you the life you deserve. Thank you for stopping by this week. Till we meet again.

Hair Loss: A Silent Epidemic

Hello Ladies & Gentlemen! I want to talk about the very real problem of hair loss. This is a silent
epidemic, not just in Boca Raton but worldwide.

** 2/3 American men have visible hair loss by the age of 35.

** 25% of male pattern baldness starts before the age of 21.

** 85% of men have significantly thinning hair by the age of 50.

** 21 million women in this country alone have thinning hair.

** 40% of women have visible hair loss by the age of 40.

** 40% of people suffering from hair loss are female.

These are sobering statistics. Hair loss is not just a male problem, it is a human problem. If you have hair, you risk losing it. I suffer from hair loss and as a woman with hair loss, there simply is not much out there for information. Hair loss is a very intimate issue for anyone but for women it is humiliating in so many ways. We are not supposed to go bald! We don’t want to admit that we have a problem with hair loss, and we certainly don’t want to talk about it. However, I am here to take the shame out of hair loss for both men and women. I have had a hair transplant myself. I started to lose hair in my early 30’s and by the time I was 39, I needed a hair transplant.

My own experience with a doctor who didn’t fully understand hair loss is what changed the course of my career. I now specialize in skin, hair and intimate rejuvenation in Boca Raton. I provide both surgical and nonsurgical treatment options for hair loss. I work closely with my patients to address the various causes of hair loss to provide a great and natural long-term result. No one needs to know that you had a hair transplant or restoration, but you will want to tell friends and family about your great results!

I have been named as the “Expert in Hair Transplantation and Restoration” by Boca Raton Magazine and Delray Magazine. I see patients from Boca Raton, Delray Beach and surrounding areas in South Florida as well as patients from as far as Australia. It takes a village. We are in this together. It’s good to talk about it! Please feel free to call our office to set up a complimentary consultation. What do you have to lose but more hair?