VOL 7A a Rucker MD & Enza Medispa Publication ruckermd.com enza.com

Your TOP Skin Problems SOLVED

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GIVEAWAYWINNER

Page 5.

When InsuranceCovers BreastReduction

SurgicalTreatments

of Veins

Training ForYour FirstMarathon

Plastic surgeons assist people with making life-changing choices. We are called upon to recon-struct a breast after cancer, rescue a smile from dis-figurement or reinforce a foundation of self-confidence.

Through Profiles I wish to educate readers about the possibilities of reconstructive, plastic and cosmetic surgery, as well as non-invasive options. I hope that Profiles will encourage you to develop a life plan for looking and feeling your best. Your comments are always welcome.

Rucker MD Plastic Surgery Clinic

Joseph Rucker, MD, FACSCosmetic & Laser Surgery Reconstructive Plastic Surgery

Ooo…Spring is almost here! I love it. The best part about this season is the opportunity to stop to smell the roses and decide what areas of your life need to change. The most important question is, “How will you do it?” Focusing realistically on where you want to go makes it easier to put one foot in front of the other and most of us need support to reach those goals. We are here to help!

Does the new season have you wanting to look your very best? It is not easy to break old patterns, change habits, or stick with new routines. Enter the doors of the Enza Medispa where Dr. Rucker and his team are ready to set a plan in motion to help you blossom beautiful skin!

I am so proud of the plans we are setting in motion for your skincare needs. Make a commitment to you this spring!

Deb

Enza Medispa& Enza Essentials Skin Care

Deb MarkhamParamedical Skin Care Expert

Rucker MD Plastic Surgery ClinicEnza Medispa

3221 STEIN BLVD EAU CLAIRE WI 54701

1687 EAST DIVISION RIVER FALLS WI 54022

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800.456.8222 | 715.833.2116 | 715.832.1774

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Correction to Profiles Winter 2012: Under Thanks to Our Sponsors, Oak Leaf Surgical Hospital was incor-rectly listed as “Oak Leaf Medical Clinic”

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This publication provides general health related information and is not intended to be substitute for professional medical care. If you have questions or concerns, contact your physician or healthcare provider.

Your questions and comments are always welcome. Please write to: RUCKER MD/Profiles, 3221 Stein Blvd., Eau Claire WI 54701 or info@ruckermd.com

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Help! I have BREAKOUTS! You thought you escaped acne when you left your high school days behind you. However, this is not the case! Dr. Rucker recom-mends a double cleanse. “Everyone knows that you wash your face once to wash away surface pollutants, but that second cleanse will rid the toxins in your skin.” When all else fails, try Enza Essentials Spot Extractor, $25, formulated with Salicylic Acid to gently exfoli-ate, cleanse and fight bacteria.

Skin ProblemsYour Top

SOLVEDStop stressing over an imperfect complexion and

correct it! The girls at the Enza Medispa share what products and tips will help you perfect your skin.

Help! I have BAGS & DARK CIRCLES!Age, genetics and sun exposure all play a role in the dark circles and puffy eyes you are experiencing. Help your skin revitalize by feeding it powerful peptides. Natural ingredients such as sea lettuce and locust bean can also make the eye area instantly feel brighter and tighter. Try Enza Essentials Eyebright Anti-Puffiness Gelée, $55.

Help! I have FINE LINES & WRINKLES! Your aging skin can benefit from natural stem cells from botanicals, and also Resveratrol, one of the strongest antioxidants out there. Look for a power-house product that can do it all. Try Enza Essentials Tripeptide Cell Activator, $150.

Help! I have REDNESS!If you are suffering from Rosacea or your skin just easily reddens, it is time to fight back. So besides avoiding triggers such as spicy food, alcohol and heat – a serum formulated with soothing agents can work wonders for you and bring your skin back to normal. Try Enza Essentials RosaCalm, $50, a clinically proven, award-winning formula.

Help! I have DRY, FLAKING SKIN!Has the winter air taken a toll on your skin? Your skin will need extra moisture and also a soothing agent, such as Willow Bark, to repair it. Try Enza Es-sentials Hydra Gel, $50, under your moisturizer for best results.

Help! I have AGE SPOTS! All those years spent in the sun have given you more than just a temporary tan. Anti-oxidants will not only stimulate collagen production, they will also play a major role in cellular turnover for new and healthy skin cells to replace irregular pigment-ed spots. Try Enza Essentials Vitamin C Serum, $95.

For serious age spots, schedule an appointment with an esthetician for a microderm. A microderm can help slough away dead skin and turn over cells more rapidly.

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For more tips and solutions, check out our Facebook page at www.facebook.com/enza4u or our website at www.enza.com or call 715.832.1774

PLASTIC BREAST SURGERY FOR women is often a misunderstood proce-dure that can be performed for various reasons, both functionally and cosmeti-cally. No matter the reason, a woman’s de-cision to have plastic breast surgery may cause her stress: physically, emotionally, and financially. However, this stress can be lessened if she is presented with the right information, including a description of when a procedure is necessary, symptoms that may hint towards surgery, how she may obtain insurance coverage, and what she can expect going through the surgery. With these pieces of information, a wom-an can be comforted by her knowledge of what to expect in her journey through plastic breast surgery.

There are two types of plastic breast sur-gery: the functional procedure and the cosmetic procedure. Functional breast surgery will typically be covered by an insurance carrier due to the condition’s symptoms that prove to be detrimental to a woman’s health. Cosmetic breast surgery only improves the contour or the size of the breast. Because it is not performed to improve one’s health, this procedure would not be covered by an insurance carrier. The person inquiring about breast reduc-tion surgery is usually referred by a friend or her primary care doctor, as it is consid-ered functional breast surgery. This type of patient has been large breasted since her teenage years, and as a young adult

PLASTIC SURGERY ruckermd.com

by Joseph Rucker, MD, FACS

When Insurance Covers

Breast Reductionhas begun to notice symptoms that she at-tributes to her size. She has found it dif-ficult to be active in sports and tends to wear certain clothing to conceal her size. As she moves into child bearing years, her symptoms usually worsen due to further breast enlargement during pregnancy. The most common symptoms, in order of frequency, are as follows: • Chest wall heaviness • Neck strain • Bra strap irritation • Upper or lower back pain • Poor posture • Tingling or numbness of the fingers

Most candidates for this procedure begin as a D cup or higher and wish to be re-duced to a C cup or smaller. To combat the symptoms, the patient may have tried a course of treatments, designed to reduce the discomfort. Most commonly: • Chiropractic care • Physical therapy: massage, heat treat-ments, muscle stretching exercises • Oral medications: muscle relaxers, pain medication, anti-inflammatory drugs

If, after a trial of these conservative treat-ments, there is no improvement in their symptoms, she should be referred for a consultation regarding a breast reduc-tion procedure. At the initial consulta-tion, particular attention is focused on the symptoms, the conservative methods that

“I should have done this years ago!”

LIVING ruckermd.com & enza.com

ExperienceMy

We are excited to share with you an update on the winner of “The Great Pellevé Giveaway” contest we held on our Enza Medispa Facebook page back in September! Our winner, Betsy, just finished her 3rd treatment in December and continues to see gradual results everyday. Read on to see what she had to say.

Q: What was most intriguing about the Pellevé treatment?A: The fact that there was no downtime and that it’s pain free. I’m starting to show my age, so this seemed like it would really benefit me.

Q: How was your first experience with the Pellevé treatment?A: The Pellevé felt so good! I felt like I was getting a spa treatment. I was only there for an hour and there truly was no downtime. Even that same day I had it done, you wouldn’t be able to tell. Anyone could do this on their lunch hour and no one would know. There’s no bruising, no burn marks - nothing.

Q: Did you see improvement right away?A: Yes, the best part about my experience was the instant results!

Q: Where did you see the biggest improvements?A: I think around my eyes. The area is a lot thinner and showed results more quickly.

Q: After finishing three Pellevé sessions, what differences do you see in your skin?A: My skin has definitely improved. It’s been gradual. My goal is to come back in another seven months or so for maintenance.

Before Immediately after 3x

Find out if Pellevé is right for you! Call us at 715.832.1774.Check out the Pellevé special on the back!

may have been used to reduce them and her height, weight and cup size. Additionally, an estimate is made regarding the amount of breast tissue that should be removed in order to reduce her breast weight. This information is forwarded to the pa-tient’s insurance carrier and a decision is made relative to coverage. The most impor-tant factors in attaining coverage, in order of importance, are as follows: • The estimate describing the amount of reduction from the procedure (most patients will go from a D or DD cup to a C cup) • A detailed list of the symptoms present and their duration • Any records of a non-successful conser-vative treatment period • Documentation regarding her condition and her attempt to reduce symptoms from her primary care doctor

In the 2,000 breast reduction cases that I have performed, when all of these pieces of information are submitted, the patient has a 75 to 85 percent chance that her breast re-duction surgery will be covered. The two and a half hour procedure can then be scheduled.

The expected outcome after plastic breast surgery will include: • Overnight stay in the hospital • Pain level roughly between two and five on a scale of one to ten • A return to work within around two to four weeks (dependent upon the patient’s type of employment) • Anticipation of partial or full return of nipple sensation and ability to breast feed in 90 percent of my patients • The breast shape lifted as well as reduced

During my 30 years as a plastic surgeon, the breast reduction procedure has been by far the most appreciated by my patients. I at-tribute this to the fact that they not only feel better with the reduction of symptoms, but they also have an improved appearance. The most frequent statement that we hear after the procedure is: “I should have done this years ago.”

To schedule a consultation at the RUCKER MD Plastic Surger y Clinic, please call 715.833.2116.

Over 30 million Americans are affected by varicose veins yet do not seek treatment due to the belief that the treatment of varicose veins is often seen as simply cosmetic, but this is not so. When varicose veins are left untreated, symptoms such as pain, swelling and fatigue may worsen. In the past, “stripping” - a process of bluntly remov-ing the vein with a long wire- was a surgical procedure to remove painful, enlarged vari-cose veins. Fortunately “strip-ping” has been made obsolete by new and advanced surgical methods.

Today’s TreatmentI believe the best way to treat varicose veins currently is to use radio frequency ablation or heat destruction. Radio frequency ablation can be per-formed as an outpatient proce-dure with a simple, local anes-thetic. It is a minimally invasive procedure that takes typically under an hour. In the proce-dure, controlled heat is deliv-ered to the vein wall so that the collagen in the wall shrinks and the vein closes. This forces the blood to re-route itself to healthy veins. The new ad-vancement results in a much better patient experience with much less pain, bruising and a quicker recovery – typically only a few days. In fact, most patients report feeling little, if

PLASTIC SURGERY www.ruckermd.comLIFESTYLE ruckermd.com & enza.com

any, pain during and after the procedure. Patients can go on and start living a life free of the pain of varicose veins.

Qualified CandidatesThe first step in deciding if you are a qualified candidate for this treatment is testing

whether or not you have Ve-nous Reflux Disease. Venous Reflux Disease develops when healthy leg veins become dys-functional and cannot prop-erly assist blood back to the heart. When left untreated, varicose veins can lead to

symptoms such as restless legs, heaviness and fatigue, leg or ankle swelling, pain, cramping, burning or itching of the skin, skin changes and ulcers. Other factors that may play a role in whether or not you are sus-ceptible to varicose veins can include age, obesity, multiple pregnancies, gender, heavy lift-ing, family history and stand-ing profession. To determine if venous reflux is present, an ultrasound scan is required. Most insurance providers and Medicare will cover this vari-cose vein treatment if the pa-tient has been diagnosed with venous reflux.

If Venous Reflux Disease is af-fecting you or someone you know, don’t hesitate to call our clinic and set up a consulta-tion. Take the first step in your return to enjoying life pain-free.

Dr. Daniels is a surgeon with Evergreen Surgical in Eau Claire. He has practiced at Sa-cred Heart Hospital for over 14 years and is the recipient of the 2012 Physician of the Year by Sacred Heart Hospital.

Pre-treatment 3 months post-treatment

Advancements in Varicose Vein Treatments

Dr. Richard Daniels shares the new advancements in treating Venous Reflux Disease so you can enjoy a life without the pain of Varicose Veins.

Call 715.832.1044. to schedule a consultation

with Dr. Daniels

HEALTH & FITNESS ruckermd.com

Get a physician’s clearance. This should be the first thing you do, especially if you have any health or medical issues.

Hire a trainer. A certified trainer that specializes in long distance running (whether for general health/fitness or training for races) will assess your body mechanics, muscle imbal-ances, flexibility and core strength. All of these factors affect your running efficiency. Improper strength, flexibility, core strength and posture can lead to injuries.

Do not run every day. Even advanced runners often make the mistake of not going every other day. Use your days off for cross train-ing (biking, elliptical) and completing balance, core and resistance exercises.

Find your perfect running shoes. Everyone’s feet and gait are different, so it is important to find a pair that gives you enough support. Try going to a specialty shop or asking your trainer for assistance.

Increase your distance properly. A typical guideline is to increase no more than 10 percent of your mileage from one week to the next. For example, if you run a total of 12 miles one week, you will add 1.2 miles for a total of 13.2 miles the next.

Don’t just run. Incorporate foam rolling, flexibility, balance, core and strength training. Your trainer can help you custom-ize a routine that is suitable for your body and goals.

Use the run/walk method. Based on your 1 mile time, your “run” day can be a combination of running and walking. For example, run 3 minutes followed by a 1 minute walk and continue the pattern for a specific time du-ration (ex: 30 minutes.) This will help to stave off injury.

Aim to just complete it. Once you have completed your first half or full mara-thon, then become more specific with your goal when it comes to timing.

Lori Heck is is the owner of ASPIRE Personal Training & NASM-CPT . She can be reached at lori@goldsgym-ec.com or 715-271-9678.

Training For Your

First MarathonSetting a goal to run your first half or full marathon is exciting, admirable, nerve-racking and, perhaps, daunting. If you train smart and safely, you will enjoy the journey on race day and will cross that finish line with an immense sense of accomplishment! Below are a few tips and pieces of advice that will help you to get started.

LIFESTYLE ruckermd.com & enza.com

by Lori Heck, ASPIRE Personal Training

Call 715.832.1044. to schedule a consultation

with Dr. Daniels