Healthier You

June 2017

Writer / Ann Craig-Cinnamon

Warmer weather has finally arrived! After spending the cold, dreary winter months inside, people are spending more time outdoors and living a more active lifestyle again. But are you ready to wear fewer clothes and face the public with confidence? We have some ideas from experts for how you can look and feel your best.

Indiana Vein Specialists

Do you have leg heaviness, aching, ankle swelling, painful or restless legs, or muscle cramping? If so, you may have venous disease. More than half of all women and about 45 percent of men will suffer from varicose vein disease in their lifetime. For many people, varicose veins are a source of pain and discomfort and may impact daily chores or exercise. For others, varicose veins or its milder form, spider veins, are a cosmetic concern. A family history and aging increase one’s tendency to develop varicose veins. Other factors include a sedentary lifestyle, weight gain, prolonged standing and pregnancy.

Varicose vein disorders are not always visible to the naked eye, so the first step is to take a venous history with a physical examination. Diagnostic ultrasound vein mapping is also helpful in determining the cause and severity of your vein problems, especially since significant leg swelling and advanced dermatitis may obscure these problematic veins in certain patients. The treatments to address chronic venous disease and varicose veins have improved dramatically in recent years. No longer do patients need to endure painful surgical vein stripping or the risks and costs associated with general anesthesia. State-of-the-art corrective treatments include endovenous laser treatment (EVLT), VenaSeal®, Varithena® and ultrasound guided sclerotherapy. With these procedures there is minimal downtime and no sedation, so patients are able to return to their daily activities immediately.

EVLT eliminates the abnormal saphenous vein, which is the source of most varicose vein issues. Using ultrasound technology, a thin laser fiber is guided into the vein through a very small opening to deliver energy to the diseased vein wall, causing the vein to close and eliminating backward blood flow, also known as reflux.

VenaSeal is a medical grade tissue adhesive that is injected into the vein using a small catheter under ultrasound guidance. The glue seals the defective vein, which will be gradually absorbed by the body.

Varithena treats the defective veins by injecting a special medical foam under ultrasound guidance to improve the symptoms of reflux and improve the appearance of the veins. After injection, the vein closes and blood is routed to other healthier veins.

Sclerotherapy is a treatment in which a tiny needle is used to inject veins with a medication that irritates the inner lining of the vein and causes it to close. Ultrasound guided sclerotherapy uses an ultrasound to locate the veins below the surface of the skin while the medication is injected. This procedure is often used in addition to EVLT and Venaseal treatment.

There is no way to completely prevent varicose veins but improving your circulation and muscle tone can reduce your risk. For healthier veins watch your weight, exercise regularly, eat a diet high in fiber and low in salt and wear compression stockings.

For a consultation to determine if you have varicose vein disease and the appropriate treatment for you, call 317-348- 3020.
Indiana Vein Specialists

11876 Olio Road, Suite 700
Fishers, IN 46037

10485 Commerce Drive, Suite 100
Carmel, IN 46032

Turkle & Associates

The one thing that gets more attention in the summer months is your skin. Is yours in the best shape it can be? Turkle & Associates Plastic Surgery and Dermatology can help rejuvenate your skin. Turkle & Associates along with Phases Skin Care and Laser Center, located at 11455 N. Meridian St. in Carmel, specializes in non-surgical rejuvenation treatments such as BOTOX Cosmetic, soft tissue fillers, non- invasive body sculpting, laser skin resurfacing and other procedures.

“These treatments are ideal for those who do not want or need surgery but do want a healthier, more youthful-looking appearance,” says Dr. Jan Turkle, owner of Turkle & Associates and a board-certified plastic surgeon. Dr. Turkle says the non-surgical rejuvenation treatments are custom designed for each patient to meet his or her goals, and her center uses the highest quality and latest technology in Indianapolis.
Dr. Turkle was inspired to establish Phases Skin Care because of the lack of availability of non-surgical treatments for skin that really work. Her philosophy is using a conservative approach can be the best approach. Unlike at traditional spas, the aestheticians at Phases provide medically based skin care treatments for the face and body.

“These treatments offer an improved appearance and increased self-esteem. A more youthful and rested appearance is certainly achievable. Our goal is to help the patient look as good as they feel,” says Dr. Turkle. “Over time, the patients and their friends and family will definitely see a difference and a more youthful and rested appearance.”
A skin care evaluation performed by Phases medical aestheticians can be scheduled by calling 317-848- 0001.

The Synergy Spa of the Guyer Institute

Another approach to looking younger is a brand new stem cell facelift called ALMI that is only offered at the Synergy Spa of the Guyer Institute at 836 E. 86th St. on the north side of Indianapolis. ALMI uses fat extraction, collecting the stem cells from the fat and combining them with a person’s platelet rich plasma. Denise Kaler, the CEO of Synergy Spa, says it is a revolutionary, all-natural technique of skin rejuvenation, and the results have been phenomenal.

During the ALMI procedure, a small sample of blood and adipose tissue (fat) are extracted from the body, spun in a centrifuge to isolate regenerative stem cells and growth factors, and then injected into specific areas such as the face, neck and hands. “ALMI is the most exciting thing to come to the aesthetic industry since platelet-rich plasma (PRP) therapy,” she says. “The treatment minimizes the appearance of fine lines and wrinkles, restores youthful volume and leaves your skin looking smooth and youthful.”

Dr. Guyer also uses stem cell therapy to treat painful musculoskeletal issues. “The beauty of the ALMI procedure is that a person can turn back the clock with a stem cell facelift,” says Dr. Guyer. “And during the same visit, a person with a bad knee, hip or shoulder can have stem cells extracted and injected into injured areas – all in about one hour.”
Synergy Spa recently became the first in Indiana to offer the ALMI procedure. For more information, call 317-580-9355.

The Laser and Skin Surgery Center of Indiana

Skin Surgery Center Medical Director Dr. C. William Hanke
The Laser and Skin Surgery Center Medical Director Dr.
C. William Hanke

Summer sun can also lead to skin problems. The Laser and Skin Surgery Center of Indiana provides effective skin cancer treatment and surveillance through MOHS Micrographic surgery and other alternative treatments.

The center also offers aesthetic services such as laser treatments, cosmetic injectables/fillers, tumescent liposuction and CoolSculpting, among other services. Laser and Skin Surgery Center Medical Director Dr. C. William Hanke says looking good makes you feel good. “When you are confident in your appearance, you feel good about yourself and have an improved sense of self. We strive to make our patients look and feel their best through anti-aging and rejuvenation treatments,” says Dr. Hanke.

The Laser and Skin Surgery Center, located at 13400 N. Meridian St. in Carmel, offers physician- administered fillers/injectables for facial anti-aging and rejuvenation, including dermal fillers for facial revolumization (such as Juvederm and Restylane) and wrinkle relaxers (such as BOTOX and Dysport). All injectables are administered personally by Dr. Hanke. “We strive to provide natural-looking results with minimal downtime, minimal discomfort and no complications. When we are able to achieve all four of these goals, that is a success,” says Dr. Hanke.

The Laser and Skin Surgery Center of Indiana, which has been around since 1997, also has a first-class dermatology research department and has participated in various clinical trials for many years, including the initial clinical trials for BOTOX Cosmetic and KYBELLA.
For more information, contact the Laser and Skin Surgery Center of Indiana at 317-660-4900.

Smile Arts Dental

A great smile and a healthy mouth can go a long way to making you feel and look your best. And that’s where Dr. Alex Balaban at Smile Arts Dental comes in. The office, located at 200 Medical Dr. in Carmel, performs bonding, veneers, same day crowns, root canals, periodontal surgeries, implants and bone grafts. Dr. Balaban and his staff are certified in Chao Pinhole Gum Rejuventation and the Six Month Braces technique.

Dr. Balaban says they do it all to make their patients’ lives healthier and happier. “We would like to emphasize the role of a healthy mouth to promote whole body health and a youthful appearance. By having a healthy smile, you can stop the aging process,” says Dr. Balaban. “The main role in this is to keep the facial bone healthy. We strive to prevent losing teeth since it helps reset facial aging.”

Smile Arts Dental emphasizes early detection of gum disease and oral hygiene, which plays a major role in the prevention of dental problems in the future. Dr. Balaban stresses that ideal oral hygiene is crucial for the improvement of a person’s social life and better health internally as traveling infection may affect the heart, liver, GIT and joints and may cause a higher rate of stroke. Dr. Balaban says his patients improve not just their appearance but their health in general. For more information or to schedule an appointment, call Smile Arts Dental at 317-575-1995.

Read January 2017 Issue of Healthier You Special Section