Dr. Steven Levine gives us the boob-job 411.

By: Hannah Baxter

In the world of plastic surgery, breast augmentation—otherwise known as a “boob job”—is consistently the leading procedure year after year. According to an annual report from the American Society of Plastic Surgeons, of the 1,811,740 cosmetic surgeries in 2018, over 17 percent (or 313,735) were breast augmentations. That number increased 4 percent from 2017 to 2018, and a whopping 48 percent from 2000.

Clearly, there is no lack of interest in increasing, refining, and perfecting the shape of one’s breasts (we were surprised by the amount of interest just in our office), but it is important to remember that this surgery, like all surgeries, is not to be taken lightly. Being an informed patient is crucial for safely achieving your desired outcome, in whatever form that takes. To help guide you through the process, from pre- to post-op and everything in between, we spoke with one of New York’s top plastic surgeons, Dr. Steven Levine. Keep reading for everything he had to say about breast augmentation.

BREAST AUGMENTATION BASICS

Whatever you want to call it—boob job, augmentation, mammaplasty, etc.—the procedure involves the careful placement of implants within the patient’s breasts. And while you might assume that most breast augmentations involve a significantly larger implant than the patient’s natural size, Dr. Levine assures us that that is very much the opposite of his aesthetic. “Most people I see want small augmentations.”

Breast implant size is measured in cubic centimeters, or CCs. He explains that the majority of sizes he uses are in the 140 CC to 250 CC range (for context, a 5 CC difference is roughly a teaspoon in volume). The correct size, which is altogether objective, is determined during your initial consultation.

“It’s all about implant selection and implant size,” he says. “I’m sure you’ve seen implants where people have sort of circular-looking breasts. What’s happening there is that the implant is overriding the actual breast tissue and giving you that circular shape. If I put in an implant that is smaller than the base width of the person’s breast, that means that they get to keep their natural breast shape for the most part, and all we’re doing is pushing things forward.” When done well, your breasts will retain their natural teardrop shape after the augmentation, regardless of size.

WHAT TO ASK AT YOUR INITIAL CONSULTATION

The primary focus is to discuss exactly how you want your breasts to look after the procedure, as well as what makes you unhappy about your natural size or shape. And while you may find it helpful to bring in a photo of your favorite celebrity to a haircut, Dr. Levine does not recommend doing so for an augmentation. “Frequently what they see in photos is either photoshopped or somebody is wearing a bra, so it’s not particularly helpful. But most women who come in have fantasized, at least somewhat, about what they’re going to look like after surgery. Whether it’s how you look when you get out of the shower or how you look in a certain type of dress or bathing suit, those are the things that are really helpful to convey.”

To help inform a patient who is considering various implant sizes, many doctors, including Levine, use 3-D imaging to provide a sample “after” image. “It’s a quick 3-D scan—it takes [about] a minute, and you can show someone a catalogue of implants. It’s really helpful to be able to show somebody how they’re going to look without clothes.”

3 DECISIONS TO MAKE PRE-SURGERY

Aside from the implant size, there are three other major decisions to make ahead of your breast augmentation: a silicone versus saline implant, the location of the incision, and placement of the implant above or below the muscle. The patient can weigh in on the type of implant, but the latter two will be primarily determined by your doctor.

1. SILICONE VS. SALINE

Do you want a silicone-filled implant, or a saline-filled implant? Both contain an outer silicone shell, but saline is filled with sterile salt water. Saline implants are inserted into the breast empty and filled once they’re in place. Silicone implants are pre-filled with silicone gel, which closely resembles the feel of human breast tissue and fat.

Says Dr. Levine, “I tell all my patients, silicone is just a better product; it’s a better device, and it feels more natural. They’re better built than they used to be, so in general I put silicone implants in almost everyone.” They also come in three different shapes and textures: smooth round, textured round, and textured anatomical teardrop. Textured implants have recently been linked to a very rare non-small-cell lymphoma, ALCL, which is why many surgeons, including Levine, no longer work with them. Silicone implants are also not FDA-approved for patients under the age of 22.

In terms of additional risks for each type, if a saline implant ruptures, you will know right away because the implant will deflate almost immediately. With silicone, you likely won’t know if they rupture unless you get a mammogram or an MRI. It won’t deflate as quickly, if at all.

2. INCISION LOCATION

There are four possible places for the incision. The two most common are the inframammary fold (the crease beneath the breast) or the periareolar, which is around the height of the areola. The third, which Dr. Levine says is the least common of modern accepted techniques, is the transaxillary—an incision in the armpit. The fourth is a belly-button incision—a procedure called a tuba—which can only be done with a saline implant (because it is empty and filled once in place).

“Ninety-five percent of my augmentations are done with a small, 3 cm incision in the inframammary fold,” says Dr. Levine. “It gives me the best visibility to put the implant in under the breast tissue, and nothing is more important than your surgeon’s visibility. You’re creating a space that didn’t exist, so the better visibility I have, the better results you get. It heals incredibly well, with all types of skin tones. It basically blends into the natural skinline.”

3. OVER OR UNDER THE MUSCLE

The majority of Dr. Levine’s patients have their implants placed below the muscle, especially if they don’t have a lot of breast tissue to begin with. “If you choose the position over the muscle, which is a perfectly acceptable thing to do, your chances of seeing and feeling that implant are very high.” Your percentage of body fat and breast tissue will help inform your doctor of the proper placement for your implants.

BREAST IMPLANT RISKS

As crazy as it may seem, there is a chance that your implant could migrate through the body due to a technical error during surgery. If they do so, it’s often downwards (thanks to gravity). The decision of where to dissect the tissue and create a pocket either above or below the muscle is the single greatest indicator of whether or not this complication will arise. As Dr. Levine explains, it’s not as simple as “making a big pocket and throwing an implant in there. There is finesse to this surgery.”

AFTER THE IMPLANTS ARE IN PLACE

Says Dr. Levine, “Whenever you put a foreign body in someone—this is true for a hip replacement, knee replacement, etc.—the body forms scar tissue around it. That scar tissue is called a capsule.” He explains that, for many people, “capsule” is a dreaded word and something to be avoided, but what you actually need to be wary of is a capsular contracture. This is when the capsule becomes thick and can displace or misform the implant, thereby causing pain and disruption of the normal contoured implant.

Luckily, given 21st-century advances in the procedure, these are now quite rare, although every patient will inevitably still create a thin capsule around their implant (like a shell). If you’re still wary, consider this: If you have a rupture of your implant, it will most likely be contained by the capsule, thereby preventing the silicone or saline from migrating elsewhere in the body.

DAY OF THE PROCEDURE

Dr. Levine works out of a private operating room at his Manhattan practice, which functions similarly to a hospital. After his patients change into a robe, he marks them standing up so he knows where to make the incisions and where the perimeter of the breasts naturally fall. A nurse will take your blood pressure, and you’ll meet with the anesthesiologist to go over your medical history. Once you’re in the OR, you’ll get an IV and be placed under a deep sedation, or general anesthesia, if you prefer. The procedure takes about an hour and a half, and then you’ll wake up in the recovery area.

POST-OP BASICS

“You feel like someone is sitting on your chest, and then it’s usually three to five hours after surgery that 50 percent of my patients tell me that they have almost no discomfort at all. The half that do have discomfort say it’s really rough for about 24 hours. [Instead] of narcotics, I usually tell people to take Valium, because it’s a muscle relaxant, and what you’re not liking is the fact that your muscle feels stretched. And just try not to use your arms.” That means giving yourself plenty of time to rest, so plan your work and social life accordingly. He also advises his patients to avoid the gym for three weeks.

FOLLOW-UP APPOINTMENT

Every surgeon has different after-care protocol, but Dr. Levine requires his patients to return one or two days after their procedure. “I’d have you come in another four times over the next six weeks or so to make sure that the implants are dropping the way I want.” Why so frequently? Because young, healthy women have well-developed pectoral muscles, and when the muscles are engaged, they will push the implant up. “Almost everybody has an implant that rides a little high to begin with. So frequently, I will give you what’s called a breast band—a piece of elastic that you put over top of your breast that applies a bit of counterpressure to your pec muscles.”

RECOVERY TIMELINE

Everything will fully settle in about a year, says Dr. Levine. Three months is typically when the implants have migrated downward to the ideal location—the changes that happen during the remaining time can usually only be detected by a professional, if at all.

NO NEED FOR REPLACEMENTS

The old lore was that breast implants needed to be replaced every 10 years, but Dr. Levine explains that that is no longer true. “There is data that supports up to 30 percent of women get a second surgery within 10 years.” However, there is no additional research into why those women seek out another surgery. Some of them may have had children and just wanted a breast lift or decided they wanted bigger implants. “The health answer to ‘Doc, I’m 50 years old, I had these implants placed when I was 25, do I need to change them?’ I say, ‘Are they bothering you? No? Then you don’t have to change them.’”

AVERAGE COST

Like other cosmetic procedures such as rhinoplasty or liposuction, the cost can vary greatly depending on where you live. For major cities like New York, Miami, and Los Angeles, the price can top $16,000 (although that also includes your initial consultation, pre- and post-op care, as well as follow-up appointments). For breast augmentation, like all cosmetic surgery, price should not be the deciding factor in choosing your physician. Quality of care, similar aesthetics, and safety are all priorities to consider, in addition to cost.

BREAST AUGMENTATION MYTHS

“I think the biggest misconception is that breast augmentation has to look fake, and that’s just not true. I think it can look augmented, if that’s the look that you’re going for, or it can look very natural. The second would be that you really do have a big say [in your augmentation]. The size that you choose is a huge factor in how you look afterwards. So if you don’t get good guidance in helping you choose [your] size, then you’re kind of stuck. It’s your body, and you should do whatever you want with it, but you want to make sure that you have the same aesthetic as whoever is operating on you.”

[Editor’s Note: As ever, we are not doctors or medical know-it-alls. And everybody is different, so make sure to check with a doctor before trying anything new.]

By: Jolene Edgar

If you’ve ever watched a web of spider veins vanish before your eyes, you’re perhaps already familiar with sclerotherapy. (Thank you, Instagram.) During the treatment, doctors inject an irritant solution into offending veins, which damages their linings, causing them to collapse and shrivel, or close up altogether. Calves and ankles have long been popular targets, but hands, it seems, are the next frontier.

“I find most people’s biggest complaint is the unsightliness of the veins,” says New York plastic surgeon Steven M. Levine, MD. With light sclerotherapy, “we can significantly shrink the visible surface level veins on the backs of the hands.” (Published data is scant, however.)

These vessels may look important, but Dr. Levine contends they can be diminished without impacting the hand’s function: “Known as reticular veins, they have a great amount of redundancy, specifically within the deeper venous system below the muscles.” Due to their size (between 2 and 5 millimeters), the aforementioned disappearing act may not happen with hands. “The veins typically lighten with the inflow of the sclerosant, and then contract, but can take up to three weeks to fully resolve,” says Dr. Levine (following one to three treatments).

The procedure generally isn’t painful enough to warrant numbing cream, but for those wanting to distract from the needle sticks, “we can use cold and mechanical pressure to overload sensory nerves,” says New York vein specialist Luis Navarro, MD. Following injections, hands are wrapped for a day or two to minimize swelling. “The treated veins usually don’t come back,” adds Dr. Navarro. “In the small percentage of patients who do see them recur, it’s five to 10 years later.” 

By: Baze Mpinja

Back in the day, plastic surgery often meant older male doctors dictating the noses, cheekbones, and breasts of the women who came into their offices. Now a new generation of surgeons puts listening and subtlety at the forefront.

You only have to walk a few blocks in Manhattan’s Upper East Side to figure out that the neighborhood is the city’s plastic surgery district. Seemingly every other building has a discreet, gold-plated sign with a surgeon’s name on it (and often an even more discreet side door clients).

While many of these offices look similar from the outside, more and more doctors are changing what’s happening on the inside. Dara Liotta, MO and Steven M. Levine, MD, are two New York City-based plastic surgeons in the new guard: doctors who don’t just work on patients but work with them by listening before suggesting and keeping a light hand. Their approach has earned them a following among editors, actresses, politicians, and bankers around the world (both travel internationally), and now Li- Otta and Levine—both age 40, and former high school buddies—will open a practice together this month. “We both approach our job as a collaboration with the patient,” Liotta says. That is very new in the plastic surgery world.”

The idea of going to a salon and letting a hairstylist do whatever he or she wants is unfathomable for most women, and yet this is essentially the situation many plastic surgery patients faced in the past, even though going under the knife is much riskier than getting bangs. “Plastic surgery used to be more paternalistic,” Levine says. “You went to your doctor, and your doctor told you what to do. End of story.” Although there were vestiges of the doctor-knows-best approach in his training that wasn’t the worst of what he saw. Levine says he witnessed older colleagues making “tone-deaf” comments to female patients, dismissing their concerns as ‘crazy,” and even at- tempting to capitalize on their insecurities. “The older guys taught us in school that women fear losing their beauty and being alone,” Levine says. “I’ve them play on these fears.” He and Liotta, who began working as partners in January (in an interim office), do the exact opposite, going out of their way to put patients at ease.

During consultations, Levine positions his chair slightly lower than the patient’s seat to signal that he’ll never talk down to them.

Liotta has cultivated a warm, friendly Instagram presence and gives every client her cell phone number. She encourages her patients to text her “anything,” before and after surgery.

Part of what häs changed the plastic surgeon—patient relationship is the greater access to information. “Fifteen or 20 years ago, plastic surgery was very mysterious,” says Chicago-based plastic surgeon Julius Few, MD, 51, who has been in practice for 20 years. “Now you can plug it into Instagram, and you’ll be overwhelmed with examples. It has made prospective patients more assertive because they know more about what’s involved.” These well-informed patients come in with specific ideas and aren’t shy about asking questions which makes the initial consultation feel less like a lecture or sales pitch and more like a mutually respectful nvo-way conversation.

The evolution also benefits patients unhappy with previous surgery, as they can have a do-over with a doctor who actually welcomes

their input. “A lot of the revision rhinoplasty that I do is for women in their late twenties or early thirties, who had a rhinoplasty when they were 16 by an ‘old man plastic surgeon’ who just did what he wanted to do,” Liotta says. “Not all ofthem have bad results; it’s just that nobody asked them what they wanted.”

Besides a doctor who listens, one thing that more people seem to want now is to go under the knife versus the needle as the limitations of injectables become more clear. “There’s been a return to facelifts, eyelid surgery, and rhinoplasty,” Li- Otta says. “People are learning that tweakments [with filler and neuro- toxins] aren’t the definitive answer to everything.” While injectables have become mainstream over the last 15 years, the downsides of the temporary tweaks have also become evident, sparking a renewed interest in permanent solutions. “I have patients who come in and say, ‘I’m tired of using fillers because it’s re- ally expensive [over the years] and I don’t look like myself’ ” says Melissa Doft, MD, a 41-year-old plastic sur- geon based in New York City. “They let the fillers dissolve and want a facelift instead.” She also uses the opportunity while a patient is under anesthesia for a facelift to layer on additional, agreed-upon treatments for a more natural-looking result.

“For example, I’ll add in fat grafting at the same time to plump the or use lasers to smooth out skin tone and texture,” she explains.

“If you think of incorporating all these technologies and techniques together like a symphony, the surgeon is like the cond u ctor:” Levine has also made adjustments to the traditional facelift “to minimize my incisions, which speeds up recovery.” He notes that the procedure has come a long way. “I don t see that overpulled look from the ’90s much anymore,” he says.

Rhinoplasty methods have evolved, too. Doft says there’s a better understanding of the nose structure and an emphasis on “preserving function first,” so that patients have a nose that looks good yet doesn’t restrict breathing. In Few’s office, he’s using a combination of liquid rhinoplasty (i.e., using filler) and surgery to reshape the noses of patients while still “maintaining the ethnic signature” of those clients who request it. In addition to the changes in technique and bedside manner over the past several years, all the docs says that attitudes about plastic surgery have shifted as well: There’s less of a stigma. Patients openly discuss procedures and post their own pre and post-op photos on social media platforms. “When the experience is positive and collaborative, people are more likely to talk about it and be proud of it,” Liotta says. And that might just inspire even more plastic surgeons to march with the new guard.

By: Maya Singer

The annual tech trade show CES wraps up today in Las Vegas, and this year, the biggest news to come out of the event had to do with a product that wasn’t there: Osé, a robotic vibrator, was banned from the show by organizers who deemed the toy some combination of “immoral, obscene, profane” and/or “not in keeping with” the “Mom ‘n’ apple pie” image of the Consumer Technology Association. An association that, at last year’s CES show, took great pride in debuting Harmony, Abyss Creations’s hyper-realistic, AI-enabled sex doll. That gender double standards exist in the male-dominated tech industry isn’t surprising, exactly—but what the Osé contretemps points up is the danger that technology invents a future where such double standards worsen, or at the very least, persist.

Meredith Danluck’s short doc Sex Object ventures into the fraught territory where gender, sexuality, and technology intersect. Two character studies are juxtaposed in the film: David Mills, a West Virginia–based author, introduces us to his sex doll, Taffy, and model, actress and Instagram star Caroline Vreeland contemplates the fine distinction between a sex object and a sex symbol. Along the way, Danluck inquires into the ways technology—be it interactive sex dolls, plastic surgery, or Instagram filters—serve to reaffirm conventions around femininity and female sexuality, and may be replacing our desire to connect IRL.

“It’s becoming a surrogate for intimacy,” notes Danluck, a longtime documentary director whose first narrative feature, State Like Sleep, was released last week. “Your phone can give you the same hit and high as a relationship—but on-demand. So what happens when you bump up against the reality of a person and all of her needs?”

Women, Danluck is quick to point out, are just as susceptible to the convenience of a Tinder swipe as any man. But when dating apps and social media platforms encourage women to package themselves as products, how can they compete against the likes of Mills’s Taffy? What happens when a commonplace technology exists that gives men the power to design “woman” to spec, made just to please?

“It’s easy to read David as an outlier, or extreme,” says Danluck, who discovered Mills in a stand-up video he posted that costarred Taffy. “But . . . okay, it’s like, Michael Shannon is one of the stars of my movie, and when we were doing press, he was talking about the fact that he plays a lot of weirdos and villains. And he was saying, these people, they don’t fall out of the sky. Our culture created them. We created them. So,” she adds, “we need to understand them if we want to understand ourselves.”

Director: Meredith Danluck
Director Of Photography: Jake Burghart
Editor: Ian McGee

By: Lauren Levinson

In Spotlyte’s series Her Regimen, influential individuals divulge their most trusted resources for every aspect of their beauty, skincare, and wellness regimens. Consider it your pre-vetted primer to all things gorgeous.

If you ever see a hot pink reusable bag with large white block letters on it that spell out “ABMC,” then you know — Alison Brod was here. Using memorable, eco-conscious totes to send editor and influencer gifts is just one of the genius marketing tactics the founder of Alison Brod Marketing & Communications (ABMC) is responsible for. If you live in NYC — or the Tri-State area — you We likely seen these bags somewhere. (I once found them storing hamburger buns in the freezer of a friend’s Jersey Shore home.)

Currently, ABMC employs about 70 people who represent 60-70 clients at a time — one-third of them being beauty brands. ‘Itiese are the big players: the L’Oréal US. umbrella (Urban Decay, Kérastase, Garnier, etc), Huda Beauty, Bliss, GlamSquad, and more. The majority of the well-manicured staff work out of the impeccably decorated ABMC NYC office, which feels like Willy Wonka for beauty lovers, complete with an open-air product closet and a shampoo room for blowouts. But she also has employees located in Nashville and Los Angeles.

That said, there’s only one Alison. The forty-something native New Yorker (and mom of two boys!) got her start about 20 years ago. It was serendipitous. “I was in an elevator, eavesdropping on a conversation that a man was having about re-launching a fragrance,” Brod says Of her first solo PR opportunity. “I was working at an agency doing beauty PR, and I asked him for details. He said, ‘I don’t know who you are, but why don’t you give me your card”

About two weeks later, the gentleman called Brod. He admitted, “l realize
that I never hear from my publicist. Would you ever want to take a
meeting?” So Brod met him at Four Seasons. “At the end of a two-hour
meeting, he told me, ‘if you want to Stan your own agency, I’ll be your first
client,'” she recalls. ‘”Ihe rest is history.”

Benjamin Stone

The brand was Burberry; and yes, Brod landed the client (the company also distributed Escada and Van Cleef & Arpels fragrances). She goes on, “It was an incredibly lucky break for me, because now we see brands remade every single day. It’s part of branding and marketing. But back then, people weren’t taking those risks to dust off old brands.

After working with Burberry Beauty, Brod says her career skyrocketed. Next, she landed Ralph Lauren’s Polo fragrance, which was then sold to L’Oréal. And that’s how L’Oréal became her client.

When it comes to staying relevant in 2018, she advises to find your point of difference. are lots of pictures of girls out there looking pretty in their clothing,” Brod says. “And lots of great pictures of amazing lips and eyes. But is that what will differentiate you? Think really hard. Add a sense of humor to it.”

Levity is part of Brod’s world — especially in her family life. “I have two boys (11 and 13) they’re hilarious,” she gushes. “They’re fascinated with what I do. They come into the office all the time, and we ask for their marketing ideas. It’s nice to have them want to understand what goes on behind-the-scenes. “

Will they one day take over the ABMC empire? “Maybe — they could do it pretty soon for me. I wouldn’t mind,” she jokes.

Want more advice from Brod? Read on to learn all of the places she goes for beauty, wellness, and aesthetics treatments!

Benjamin Stone

Haircut: “Edward Tricomi. “Precise yet feminine cuts. And you get to listen to his stories about legendary shoots in St. Barths and rock ‘n’ roll icons. He can also cut hair to the beat of electric rock.”

Hair Color: “Liana Damiano at Warren Tricomi@ at The Plaza. Never brassy, always on target for what you wanted but didn’t even know.”

Blowouts: “GlamsquadTM. Never had a bad blowout, they key is showing photos. I actually had a two-chair hair salon built into my office, so I get cool there. “

Skincare, Makeup, and More: “I’m not somebody who uses 14 types of moisturizer or 14 types of cleansers. Although, [I’m a] big believer in shampoos that highlight for color. I always do my own makeup, and use my fingers — never brushes. I use my fingers for everything; and I use one finger as I’m responding to emails on the same time. It’s all about things being super fast.

I wear lipgloss from the time I finish brushing my teeth in the morning until I brush again before going to sleep. And highlighter is no joke. There is a reason every brand now makes them, [I wear it] on apples of [my] cheeks. A dab on your nose makes you look sunkissed. [I’m a] big believer in bronzer, highlighters, illuminators, self-tanner — anything that adds a golden sheen. SkinCeuticals@ SPF was the only thing I’ve ever found that doesn’t make me break out in the world. I think it’s the best product ever. ”

Injectable treatments: “I got my first injectable treatment in my early thirties. These doctors look at your face, and it’s amazing to me (the things that I wouldn’t have realized) that they’re able to treat.

Benjamin Stone

It was hidden in the past that people were getting treatments, but now everybody is a bit more open about it — by replacing lost volume and filling in lines.

Obviously, go to a trusted doctor and spend a lot of time talking to that doctor. I think the techniques have softened a bit. Nobody wants those gigantic, pouty lips anymore. Just [subtle] touches.

I am for better or worse an incredibly expressive person — usually happy, I’d like to think. I also — for some reason — don’t wear sunglasses as much as I should, so I’m always squinting at the sun. I have deep grooves [moderate to severe wrinkle]. It sounds cliché, but injectable wrinkle reducers were a game-changer for me [to temporarily treat my moderate to severe frown lines]. Dr. Misbah Khan is the woman who treats me using syringes. Dr. Steven Levine does everything else.

[Editor’s note: Injectable wrinkle reducers are used to temporarily smooth the look of moderate to severe wrinkles in certain areas of the face. Like any medical treatment, they have potential risks and side Be sure to talk to a licensed provider to see if they ‘re rightfor you. Have more questions? Chat with our team of trained aesthetics specialists now.]

Also, glycolic acid is also a beautiful thing. Use it. You can certainly go to a dermatologist for it, and there are also fantastic products that are over the counter for in-between refreshening.”

Nails: “NO polish, I just buff because who wants to deal with chipped nails and color selections that seemed cool on Tuesday but completely wrong on Friday? On my toes, always matte gold, and always Glamsquad because of course, get your pedicure at home, why would you not if you could

Lash extensions: “I used a lash-growth serum

Spray tans: “Kara Maculaitis at my home. Text her (203-915-7592), because spray tans take off five pounds. My secret is that I actually do them almost weekly and she brings a tent into my home.”

Eyebrows: Yaz Ibrahim of Yaz Beauty Studio (646-791-5224). “She comes to our office salon and almost the whole offices uses her. She’s precise and super fast. “

Exercise: “I never used to really exercise — unless you consider walking and texting a workout. And when I decided it was time, I wanted something where I wouldn’t have to sweat. My fashion VP suggested Pilates. And Pilates became my gateway drug into exercising seven days a week and pushing my trainers to making me sweat. I do Pilates jump board sessions — which I highly recommend — with two spirited women: Moreno, a modern dancer, and Katie Lovell at Erika Bloom.

On weekends, I do Tracy Anderson’s Attain class. If you don’t live by a studio, you can stream it. “Ille class is in 90-something degree heat, so you not only sweat — you pour with sweat. I didn’t even know that could happen, but somehow, it is just great. You do have to know how to dance, and every teacher is a professional dancer with their own funky style. The music is always a surprise and badass. Her ‘method’ truly understands the female body. You don’t get sore as the floors are sprung, the heat makes your body flow, and the silent instructors allow you to grasp the moves and not be distracted. When you need a full body workout but don’t want to sweat and have limited time, FlyBarre’s 45-minute class is the answer.

Diet: “My diet control: “RXBars@ in Chocolate Sea Salt. I buy by the case and keep refrigerated. Dates add the texture and sweetness; and when cold, they are extra chewy and take longer to eat so you become more satisfied. ”

Wellness: “I don’t meditate, acupuncture, spiritually heal, or do yoga. I make energizing playlists of music I love that inspire me. And I take power naps. “

Mantra (she has 7): “These are my guidelines for how I live my life in business, and how I would like people in the office to live. Here are my tips: Dress up. Read up. Follow up. Always act like you’re on the up and up. Clean up. Man up — and what I really mean by that, is own up to anything and head off problems at any point. And then — this is a key — sometimes just know when to shut up.”

By: The Editors

These talented surgeons from across the country are the masters of the subtle lift and tweak that will turn back time—without making anyone do a double take.