Wednesday, December 2, 2015

Introducing our new aesthetician, Audra!

Please join me in welcoming our new aesthetician, Audra! You can book appointments with her starting this Friday. 501-228-6237

 Audra offers various facials, dermaplaning, facial peels, micropeels, eyelash extensions, DermaFrac, full body waxes, brow tinting and paraffin waxes for the hands and feet. Audra can also recommend specific products to help your complexion and is very familiar with our Skin Therapeutics and Epionce skin care lines. Call 501-228-6237 to schedule your appointment.

Tuesday, November 10, 2015

Fantastic Ultherapy Results!

This is a good friend who had full face Ultherapy done three months ago. She also had a peel and IPL treatments done for the hyperpigmentation. We were VERY pleased with the lifting she achieved as well as the brow lift and definition along her jaw line! Call today for your appointment with Dr. Trussell. 501-228-6237

Tuesday, October 20, 2015

Hate your Neck? Got a Turkey Neck?

Ultherapy is your answer!

A good Ultherapy candidate has mild to moderate skin laxity where the skin begins to feel and look less firm. Examples include a lowered eyebrow line, loose skin on the neck, sagging under the chin, and lines or wrinkles on the chest. Of course, the best way to find out if you're an Ultherapy candidate is to consult with Dr. Trussell. - 501-228-6237

Monday, October 19, 2015

BellaFill...Dermal Filler with FDA approved 5 year data!!

BellaFill is now the only dermal filler with approved 5 year safety data. This is BellaFill's second ground-breaking FDA approval this year, the first one being for the correction of acne scars. This 5 year safety data approval involved 23 centers, 1008 subjects, and 83% patient satisfaction at the end of 5 years.  This is the largest and longest prospective dermal filler study ever completed.

As a national trainer for BellaFill, I was already convinced of its effectiveness and safety, and this recent study data makes me even more confident in this correctice filler. Check out some before and after pictures below:

BellaFill cosmetic

BellaFill for acne scars

Before and After 5 years BellaFill cosmetic

BellaFill works in two ways:

Bellafill® is made up of 80% purified bovine collagen gel

  • Immediate, visible lift and fill.
  • Low immunogenicity (the denatured collagen is processed without cross-linking or telopeptides).
  • Injection comfort enhanced with 0.3% lidocaine.
  • Over time the injected collagen is resorbed while new collagen is formed by your own body between the microspheres

PMMA microspheres comprise 20% of Bellafill®

  • PMMA is one of the most widely used biocompatible synthetic materials in the world.
  • For 65 years, PMMA has been used in extremely sensitive areas of the body, such as intraocular lenses for cataract patients.
  • Once the collagen gel carrier has been enzymatically degraded by the body, PMMA microspheres remain in place, and are fully encapsulated and integrated into the dermis to become part of the tissue.
Call today for your consult with Dr. Trussell. All fillers are $50 off the month of October!

Anne R Trussell MD

Wednesday, September 30, 2015

Why won't anyone believe I have a thyroid problem?!?!

I get that question all the time. Most health care providers check a T4  and a TSH. If they fall within the lab's normal range, you're told you are normal. But there is more to it than that. There are other labs; there are "optimal levels" vs. "normal levels" and your thyroid function is tied to the rest of your endocrine system, especially your adrenal glands. I'll go through some of these things below.

TSH (thyroid stimulating hormone), which is produced in your pituitary, is not the most sensitive test. Free T3 is the best clue. There are also thyroid antibodies to be checked, T4, RT3, etc.  But labs have to be clinically correlated with the patient. How a patient feels is the best indicator of what's going on.

Free T3 is the active hormone. T4 is a pro hormone. T4 must convert to the active T3 hormone. T3 is needed for fat loss. It protects against arrhythmias. T3 decreases with stress and aggressive dieting and with heart disease and congestive heart failure.

Synthroid (generic is levothyroxine) is a commonly used medication for hypothyroidism (underactive thyroid). It contains only T4.  Replacing T3 + T4 provides many people a better quality of life, because many factors decrease T4 to T3 conversion including: dieting and stress, zinc, selenium and iodine deficiency, and certain drugs such as amiodarone, beta blockers and dilantin.

If you're reading this blog, you probably already KNOW the symptoms of hypothyroidism. But common ones are shown above. There are multiple causes of hypothyroidism. Secondary hypothyroidism is caused by failure of the pituitary to regulate the thyroid. Tertiary hypothyroidism is caused by failure of the hypothalamus (a region of the brain) to regulate the pituitary.  Primary hypothyroidism, which is most common, is caused by failure of the thyroid itself.  As mentioned above there can be failure to convert T4 to T3. There is also a condition called "thyroid resistance" where the receptors for thyroid hormone fail. And finally, adrenal insufficiency can cause hypothyroidism, because lower cortisol levels affect thyroid production, conversion and receptor uptake. 

Patient before and after thyroid replacement

Hypothyroidism can mimic menopause, andropause and adrenal fatigue. Normal lab values are not necessarily "optimal values". 
If you are experiencing any of the symptoms above, schedule an appointment and get checked out! It's time to stop making excuses and quit blaming normal aging for how you feel.


If there are any other topics you would like for me to cover, post below!

Anne R Trussell MD

Sunday, September 27, 2015

What is your real risk for a heart attack or stroke?

The way most doctors test for heart disease is with a lipid panel. I'm sure you have all seen them. Your doctor talks to you about keeping your total cholesterol under 200, lowering your LDL (the bad cholesterol), raising your HDL (the good cholesterol) and the ratios among these different lipids. But are traditional lipid panels and known risk factors like smoking, obesity, high blood pressure and diabetes enough to really predict your risk of heart disease and stroke? And what if you've already had a heart attack or stroke? Are these numbers enough to manage your disease?

You may be surprised to learn that 50% of people with normal cholesterol levels have heart attacks. That's why we offer the Berkeley HeartLab advanced lipid and genetic testing. You can't change your genetics, but you can modify your risk factors. For example, the actual LDL (bad cholesterol) number may be low, let's say 100, but the number of particles and the size of the particles that make up that number can vary widely. We want fewer particles and larger particles because they don't cross the artery membrane to form plaques leading to atherosclerosis. You can't determine that with traditional testing. If you KNOW what you're dealing with, you can often take supplements such as Co-Q10, and omega 3s to shift the particles to a safer size.

This is just one thing we look at on a Berkeley HeartLab profile. We look at your risk of developing diabetes; your Vitamin D level; your genetics tell us if you are at risk for aneurysms and Alzheimer's disease. And if you already have plaque buildup, it will tell us if that plaque is stable or prone to rupture which causes heart attacks and strokes. Many patients are time bombs that feel perfectly normal.

The Berkeley Heart Lab Cardio IQ Solution offers a comprehensive approach to heart health. We assess your baseline risk to individualize your cardiovascular disease risk.

We can offer personalized therapy by using your advanced testing and genetics to help determine the therapy you need to achieve better health now and in the future, such as initiating or intensifying medications, identifying opportunities for adjunct therapy, and helping you set diet, exercise and lifestyle targets. We always want to work with your primary care physician or cardiologist, sharing these results, so that you get the best treatment possible. 

We can then monitor your response to therapy.

There is ongoing patient support through Clinical Educators that help patients further understand what their test results mean for there lifestyle and work to help you adopt reasonable and realistic goals individualized to your likes and dislikes.

The 4myheart Program is available at no extra cost for patients when you have testing done. This includes online and personalized support from the Clinical Educators. 

Pictured above are my parents. They will be 78 years old this year. They are still very active and volunteering in the community in various ways, besides helping out with our four kids. My dad has had carotid artery surgery, heart stents and a bypass, plus diagnosed with an aneurysm. But he has not had a stroke, nor a heart attack nor an aneurysm rupture because I was able to assess his risk for these based on genetics and advanced testing parameters. With no symptoms and no advanced testing, he could have died before we were able to diagnose him correctly. 

Quest Diagnostics, who actually performs the Berkeley HeartLab testing will bill your insurance for the tests. Although our office does not accept insurance nor file insurance, we can provide you with a coded receipt for your office visit to submit to your insurance yourself.

Call today to schedule your appointment or for more details....501-228-6237.  Know what your real risk is for heart attack and stroke!

Anne R Trussell MD
Sei Bella Med Spa

Wednesday, September 23, 2015

Stressed? Need to pamper yourself? Get the Trussell Special Facial

One day at the office I had 50,000 things going. I was stressed and apparently talking 90 miles a minute. Sound familiar? We all have those days whether we are stay at home parents, work from home or drive to an office or multiple offices everyday. Prolonged stress is not healthy for us. It stresses our adrenals and leads to adrenal fatigue, creates anxiety and sometimes depression, all of which has adverse affects on the appearance of our skin. We have to be healthy on the inside to look our best on the outside. So what can you do to fix both? Get a facial!!

Our wonderful aesthetician, Kristi, created what she calls the Trussell Special Facial. I first got into a comfy robe, under some nice warm blankets, in a cool, dark room. The soft music in and of itself was so relaxing. Kristi has such a soft, sweet voice too. I truly was asleep before she was done. The hand and arm massage was an added bonus! Kristi used a pomegranate massage cream and Celadon Meridian Crown & Mountain Shan Tools to relax my muscles to the consistency of noodles......

For the facial treatment she used a deep cleansing oil followed by a balancing toner and then did a second cleanse with an AHA rejuvenating cleanser. I also got a wonderful rejuvenating mask with Himalayan red rice stem cells, peptides and soothing botanicals. She completed this hour long facial with Skin Therapeutics' Cell C-10, a hyaluronic vitamin moisturizer, an oil-free lotion and clear sunscreen. There were multiple other steps in between. I just hit the highlights. Kristi has the perfect touch when doing a facial massage. This is truly the most relaxed I have ever been with a facial.

Do your body, face and arms a favor. Or help a friend! Get them a gift certificate. Spend an hour getting a facial from Kristi. She can customize a facial just for you. Check out some of the options and prices on our website. Or.... if you want just what I had, say you want the Trussell Special Facial....$110.

And hey....this isn't just for us girls. Guys get facials all the time and reap the same benefits we do!

Anne R Trussell MD
Sei Bella Med Spa

Monday, September 21, 2015

What exactly is bleaching cream?

When you hear the term "bleaching cream" it is most often referring to hydroquinone, the most effective skin lightening agent on the market. Hydroquinone is best known for its ability to lighten and reduce the appearance of brown spots and improve overall skin tone. It is a naturally derived antioxidant found in a wide variety of plants and foods such as berries, wheat and grains, beans, tea, coffee, red wine, broccoli and onions. While these darker areas are not life threatening, they can definitely make us more self-conscious.

Melanocytes, the color- producing cells within the skin, can sometimes produce excess color called melanin. This causes the brown spots we see on our face. Hydroquinone works by inhibiting these color-producing cells, thus lightening the brown spots. So hydroquinone doesn't actually "bleach out" the brown spots, rather it works to keep the brown spots from forming in the first place.

Hydroquinone is FDA approved and classified as a skin-lightening ingredient used to lighten areas of darkened or discolored skin.

Hydroquinone has been used as a treatment for skin discoloration in the US since the 1950's. Millions of patients have used products that contain it. A prescription from a physician for 4% hydroquinone is required or it may be purchased directly from the physician's office. At Sei Bella we carry several products that contain 4% hydroquinone.  Buying off the internet often results in receiving products that are expired or bottles containing something other than what you think you've bought, so be very wary of deals that look too good to be true. And remember 4% hydroquinone can only be dispensed or prescribed by a physician in the U.S.

Hydroquinone has long been regarded as the gold standard for treating skin discoloration. Numerous clinical studies have proven its safety and efficacy over the years. Uncommon side effects could include transient skin irritation, dryness, minor redness or a mild burning sensation. I've used Obagi c-Clarifying serum for at least 10 years and never had a reaction. I started using it after one of our babies was born to get rid of melasma and then I've kept using it for maintenance and to keep my skin more even-toned since then.

As with any prescription, you need to use it as directed.  Do not use it at the same time you are using other skin lightening products.  If you are pregnant or nursing it is not recommended you use hydroquinone products. Always use sunscreen after applying hydroquinone to the skin.  I personally like to use it twice a day, so I do not apply the sunscreen at night, but definitely do in the morning.
If you have dark spots due to pregnancy, hormone replacement, birth control pills or due to sun damage, then 4% hydroquinone is the best choice to get rid of them. Other things you can do to enhance the 4% hydroquinone treatment is microdermabrasion and a series of milder facial peels. Our expert esthetician, Kristi, can help you choose just the right one for your skin type.  We have 4% hydroquinone creams, lotions and serums to choose from and can advise you on the correct one. Call or come by today!

Anne R Trussell MD

Friday, August 7, 2015

Estrogen Replacement.....The Good, The Bad and The Ugly

All estrogens are not created equal. Some are good, some are bad and some are just downright ugly! Below is a short synopsis about these and what you can do to keep your good estrogen up and your bad estrogens down.

 1. E1 (estrone)- this is the main estrogen made in menopause. It is also the most potent estrogen. Increased levels of E1 increase the risk of breast cancer, thus the reason we see more breast cancers in postmenopausal women. E1 is further subdivided in the section below.

2. E2 (estradiol)- this is the estrogen that serves over 400 functions in the body.

3. E3 (estriol)- this estrogen is 80 times weaker than E2, but is very protective against breast cancer and protects the ovaries as well.  It does not however afford protection to the brain, bones or heart. Estriol is so beneficial to breast tissue that in Europe it is used to treat breast cancer!

When E1 is metabolized in the body there are three main "estrones" it becomes. There is 2-hyroxyestrone (2-OH estrone), 4- hydroxyestrone (4-OH estrone) and a 16-hydroxyestrone (16-OH estrone). Not only are the levels of each important, but also their ratios.

2-OH estrone is good in that it does not cause breast cells to proliferate and therefore helps protect against breast cancer. It is the main estrogen in premenopause.  To increase this estrone you need a good intake of omega-3 fatty acids like fish oil, moderate exercise, broccoli derivatives (I3C, DIM), B6, B12, folate, rosemary, turmeric, flax seed, kudzu, Vitamin D and high protein diets.  However too much 2-OH estrone can lead to osteoporosis.

4-OH estrone is the ugly one. It damages DNA leading to breast cancer and causes uterine fibroids. Synthetic estrogens, like Premarin, metabolize to 4-OH estrone. Synthetic estrogens are made from the urine of pregnant horses! There are over 40 different estrogens in them, none of which the body can metabolize properly.  And this is the reason I won't prescribe synthetic hormones and I sure don't want them in my body! Betaine supplements will lower 4-OH estrone. 

16-OH estrone is bad but not quite as ugly as 4-OH estrone. Obesity, hypothyroidism, pesticides and increased omega-6 in the diet without enough omega-3s can elevate 16-OH estrone levels leading to increased risk of breast cancer. 

Bio-identical hormones like those in the HTCA pellets are the exact same chemical structure you are born with therefore they do not increase your risk of breast cancer, or if you're a man, prostate cancer. They also are cardioprotective meaning they actually protect against heart disease and stroke, and do NOT increase the risk of disease like synthetics. In North America bio-identical hormones like our HTCA pellets are made of yams (in the south we call those sweet potatoes). In other areas of the world pellets are made from yams and soy, but in the U.S. it's almost impossible to find non-GMO soy. Understand that natural hormones are NOT the same as bio-identical. Synthetic hormones, sometimes referred to as "natural hormones" by pharmaceutical companies, are only chemical substitutions. They are not the same in function nor structure to our own bodies' hormones. Oral synthetic estrogens also increase the risk of blood clots, gallbladder disease and abnormal lipids. 

I hope this has given you a little insight into the complexity of our hormones. I didn't even touch on progesterone, progestins, testosterone, DHEA, pregnenolone, androstenedione and many other sex hormones in our body. It's very important NOT to put synthetic hormones in your body and important to consult a physician who deals with bio-identical hormones on a daily basis. Hormone levels, metabolites and your symptoms should be monitored. Don't add any medication or supplement to your regimen without first checking with your physician.

Call today for your consult with Dr. Trussell regarding HTCA bio-identical hormone replacement pellet therapy. Start feeling better and start being healthier! 501-228-6237

Anne R Trussell MD

Tuesday, July 28, 2015

Dr. Trussell's 3 week Ultherapy results

These are my before Ultherapy and 3 weeks after Ultherapy pictures. Normally we do not do after pictures for 3 months, but even after three weeks the office staff were telling me they could see a difference. So we took a picture! I had my lower face and upper neck treated. I'll be really excited to see what my 3 month pictures look like!

Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrow. Now also FDA-cleared to improve the appearance of lines and wrinkles on the d├ęcolletage, Ultherapy can help you achieve a fresher, more youthful look from your brow to your chest! 

Call us today for your consult! 


Anne R Trussell MD
Sei Bella Med Spa

Tuesday, July 21, 2015

FREE Ulthera offer for July!

Purchase a full face package in July
 and receive a FREE $500 Ultherapy treatment in October
 on any area you would like!

Ultherapy is the only FDA cleared device for lifting of sagging skin. Dr. Trussell treats lax and sagging skin on the brow, chin, face, neck and chest. It builds collagen deep within the skin for a more youthful, natural look.

 There is no downtime at all!

Ultherapy has had 46 clinical studies and 30 published peer review articles. 
16 years of extensive research and clinical experience.
6 ongoing clinical trials using Ultherapy on other areas of the body. 
Voted best in office treatment and best skin tightening treatment by New Beauty!
NO surgery! NO needles!

Call today to schedule an appointment or consult
with Dr. Trussell

Monday, July 20, 2015

What Supplements Does the Doctor Take and Why?

I am asked all the time which supplements I take, so I thought I would share the what and why with you of my medicine cabinet. Understand that hormones, supplements and vitamins needed to be individualized for each person. I have added and subtracted various ones as the need arose over the years. If you are part of our HTCA bio-identical hormone replacement pellet therapy program or have had your advanced lipid and genetic testing done through our Berkeley Heart Lab or had BRCA testing done to evaluate your risk of ovarian and breast cancer, then you have been given recommendations about hormones, supplements and vitamins based on your own results. This blog can be a good guide for you, though, and hopefully will encourage you to think about becoming healthier!

1. ADK vitamins- a capsule taken daily containing 5000iu Vitamin A, 5000iu Vitamin D, and 500mg Vitamin K. The vitamin D is primarily for healthy bones. My vitamin D level was low, and the Vitamin A and K are needed to help vitamin D work properly. In it's active form- 1,25 (OH)2 D3-vitamin D can also help lower blood pressure. More than one study has shown Vitamin D deficiency to be associated with worsening symptoms of Parkinson's Disease and Alzheimer's disease.

2. Vitamin C-  1000 mg per day. This vitamin is extremely important for collagen synthesis which is why I started taking it. Vitamin C applied topically helps decrease wrinkles and dryness. It is also important for wound healing and supports our immune system. Vitamin C will increase iron absorption, decrease the risk of cataracts and help lower blood pressure.

3. Vitamin E- 1000iu capsule each day. I started taking this years ago for the benefits to my skin and also to decrease cysts from fibrocystic breast disease. It is also effective in reducing LDL (the bad cholesterol). Absorption is best when taken with a meal.

4. Astragalus- specifically TA-65. This is the newest supplement I've started based on what I've learned for the board exam in anti-aging medicine. It works for anti-aging by decreasing telomere shortening in the DNA. Breaks and failed repairs in our DNA is what ages us. Astragalus is taken as 100 units per day in capsule form. It is also an immune stimulant, is used in some cancer treatments, enhances digestion, and helps treat peptic ulcer disease. One drawback....the cost. 30 capsules is $100. There are other brands of astragalus that are cheaper, but I chose to stick with TA-65 because this was the one used in research studies.

5. Iodine Plus- 12.5 mg capsule each day. 72% of the world has an iodine deficiency. Why? There is an environmental decline in iodine. Plus, diets are loaded with pasta and breads which contain bromide and fluoride and these compete with iodine for binding in the thyroid. Iodine is needed for the thyroid to work properly so for those who are hypothyroid, like myself, iodine supplementation is often needed. Iodine supplementation is beneficial in a host of other diseases as well, such as fibrocystic breasts, fatigue, migraines, ovarian cysts, parotid duct stones and sebaceous cysts.

6. B complex vitamin- one tablet a day. I don't have a specific brand I prefer. I take this for a variety of reasons. B6 helps decrease blood pressure and improve insulin resistance. B vitamins also help in the conversion of T4 (a thyroid hormone) to active T3. Ridges on the nails can be associated with a low vitamin B6. Vitamins B2, B6, B12 and folate help estrogen break down into a safer form that is less likely to cause breast cancer. Vitamin B6 is also used as a treatment for PMS and as an adjunct for overactive adrenal glands.

7. Krill Oil-  2000mg each day. Krill oil is packed with omega-3 fatty acids. I prefer it over fish oil because I don't tend to get those fishy taste burps with Krill oil. Omega-3s have so many benefits that they almost deserve a blog post of their own. They decrease the risk of heart disease and heart attacks and act as anti-inflammatories as well as improve the body's sensitivity to insulin and decrease blood pressure. Studies have shown that prenatal vitamins containing omega-3s result in fewer children with ADD, dyslexia and higher IQs.

8. L-carnosine-  one tablet a day.  Carnosine is found primarily in the brain and muscle. It is a powerful anti-oxidant. I take it to improve the appearance of my skin and to increase muscle strength and endurance since I am a runner. I just recently started this one, so I'll keep you updated on how "speedy" I become! It has also been touted as an anti-aging supplement working similar to astralgus mentioned above. L-carnosine has been shown to reduce cataracts and help heal peptic ulcer disease when combined with zinc.

9. Reservatrol-  one capsule a day. There are many functions of this supplement derived from red grapes and found in red wine, peanuts, mulberries, blueberries and cranberries. Reservatrol decreases blood pressure and risk of cardiovascular disease. It decreases glucose, HBAIC and neuropathy while increasing insulin sensitivity in patients with diabetes. It has anti-cancer properties and helps decrease amyloid plaques in Alzheimer's patients.

10. CoQ-10- 200 mg per day. Vital for patients who take statins to lower their cholesterol, CoQ-10 also helps reduce blood pressure. It is a potent anti-oxidant. Our levels of CoQ-10 decrease as we age. CoQ-10  has been shown to increase cancer survival, decrease blood pressure, help heal periodontal disease, and slow the decline of Parkinson's and Alzheimer's Disease.

These are just a few of the many supplements out there. You may need one, all or none of the above. Again it depends on your underlying medical conditions and your genetics. Since I am menopausal, have hypothyroidism, run and have a bad genetic profile on my Berkeley advanced lipid and genetic testing, I chose some of the supplements above. Because of my interest in aesthetics, I chose some of the others for their anti-aging properties. I strongly advise everyone to check with their doctor before starting a new vitamin or supplement to ensure it is right for you and that there are no drug interactions with your other medications.

Anne R Trussell MD

Thursday, July 16, 2015

The Top 10 Life Extension Nutrients and Drugs

According to the 2013-2018 Edition of "Anti-Aging and Regenerative Medicine" published by the American Academy of Anti-Aging Medicine, there are 10 nutrients and drugs that can extend your life when combined with a healthy diet and exercise. We all have genetic and environmental factors that determine longevity, and there are things we can do to enhance or overcome those factors. As with any medication, vitamin or supplement, you should consult your own physician to see if the following are right for you!

1) Metformin-  a medication derived from the French lilac. Most commonly prescribed for diabetes, metformin also reduces cancer incidence, lowers insulin levels, and treats PCOS (polycystic ovarian syndrome).  There are studies showing decreased incidence of cardiovascular deaths, probably due to decreased LDL and triglycerides (bad lipids). Metformin increases the body's repair mechanisms as well.

2) Statins- this class of medications which includes Crestor, Lipitor, Zocor and Pravachol, inhibit cholesterol synthesis and are potent anti-inflammatories. This is the most commonly prescribed drug class for people with elevated lipid profiles. In Alzheimer's patients, increased cholesterol is associated with increased amyloid plaques in the brain, characteristic of Alzheimer's Disease. Statins also promote DNA repair, can help prevent first heart attacks, decrease the risk of blood clots and decrease the risk of breast and prostate cancer. As these medications can cause muscle aches and fatigue, CoQ-10 is often prescribed along with them.

3) CoQ-10- a fat soluble vitamin found in high levels in the kidneys, heart, pancreas and liver. It is a potent antioxidant, and has been shown beneficial in treating congestive heart failure, diabetes, periodontal disease, high blood pressure, and increasing cancer survival. In Alzheimer's patients it increases their cognitive function, while in Parkinson's patients it slows their decline and lessens their disability. CoQ-10 can have drug interactions with chemotherapy agents, blood pressure medications and blood thinners. So even though CoQ-10 may be purchased at your local pharmacy, please do not start it without first checking with your doctor.

4) EPA/DHA- these are omega-3 fatty acids and are found in cold water fish (herring, haddock, salmon, mackerel, tuna, trout, and cod), seafood, flaxseed, and human breast milk. They are potent anti-inflammatories. They increase insulin sensitivity and decrease blood pressure, pancreas inflammation and triglycerides.  DHA is one of the building blocks of the brain and retina. Dosage is usually about 3g/day.

5) Astralgus- this is an adaptogenic herb which assists in adrenal function and digestion. It is an immune system stimulator and has been found useful in chronic upper respiratory infections, HIV and cancer treatments. It enhances digestion and helps in the treatment of peptic ulcer disease. 

6) Vitamin C- extremely low Vitamin C levels are associated with scurvy which causes inadequate collagen synthesis. This is rarely seen in the modernized world because this vitamin is so common in the fruits we eat. Vitamin C is a water soluble antioxidant which helps with wound healing as well, but is probably best known for building up the immune system and preventing infection. It is also very beneficial in reducing wrinkles and dryness when applied topically. Vitamin C will help enhance iron absorption, decrease the risk of cataracts, and lower blood pressure. 

7) Vitamin D3- very low vitamin D is associated with rickets which causes weak and fragile bones, so Vitamin D is very important for decreasing fracture risks. Vitamin D  has been used to stimulate the immune system during the treatment of tuberculosis, viral upper respiratory infections, and multiple sclerosis. Low Vitamin D levels have been associated with Alzheimer's and Parkinson's Disease. Vitamin D has also been shown to inhibit the proliferation of some cancers and decrease cardiovascular disease risk. Dietary sources of Vitamin D include tuna, salmon, sardines, mackarel, catfish, eel, and cod liver oil.  Vitamin D requires calcium for normal bone metabolism. 

8) Reservatrol- found naturally in red grapes, red wine, peanuts, mulberry, blueberries, and cranberries. Reservatrol has been shown to decrease blood pressure and cardiovascular disease risk. It decreases glucose, increases insulin sensitivity and helps with diabetic neuropathy.  And reservatrol is another agent shown to decrease amyloid plaque in Alzheimer patients. 

9) DHEA- is is an endogenous steroid (meaning our own bodies produce it) secreted by the adrenal glands as well as the gonads and brain. It is a precursor to testosterone and estrogen. DHEA increases sexual interest, sexual thoughts and mood while decreasing fatigue and joint pain. So it is often used in menopause and andropause. However, let me caution you!! Men who take DHEA need to have regular prostate exams and PSA screening. Women require a lower dose than men. I personally noticed a lot of anxiety and agitation when I took a low dose at 5 mg. DHEA is extremely beneficial when prescribed and taken correctly, but please consult a health care professional who is VERY knowledgeable about DHEA and hormone replacement before you buy it and start taking it!

10) Carnosine- is found primarily in the brain and muscle. It is a very potent antioxidant and red meat is the chief dietary source. It decreases LDL (bad cholesterol), reduces cataract formation, improves the appearance of the skin, increases muscle strength and endurance, and helps heal peptic ulcer disease when combined with zinc.  

I hope you found this blog helpful. At Sei Bella our motto is Health|Wellness|Beauty.
There is no substitute for a healthy diet and regular exercise, however the above medications and supplements may enhance your quality of life and longevity. Again, please consult your own physician before starting any vitamin, nutrient or other supplement.

Anne R Trussell MD

Wednesday, July 15, 2015

Bio-identical's not just for hot flashes!!

When I went through menopause at 45, I just suffered through, because I didn't want to take synthetic hormones which increase the risk of breast cancer and heart disease. I knew about bio-identical creams and gels, but frankly I didn't think I was disciplined enough to rub them on my body everyday, and I worried about the rates of absorption if I was out running, sweating, swimming or if it happened to be in the dead of winter. Then I learned about bio-identical pellets...a LOT about pellets! I trained on them in Texas, talked to lots of patients and other doctors and then got them myself. What a difference it made in my life! Dr. Bayles has joined us at Sei Bella and would be happy to give you his perspective on them as well. There are so many benefits to bio-identical hormones, other than relieving hot flashes. And you only have to have them inserted 2-3 times per year in a quick, simple, painless office procedure. 

The average weight gain at menopause is 20 lbs due to loss of estrogen and testosterone. Women complain of memory problems, as do men who go through andropause and develop low testosterone. Women who are thin lose estrogen even faster. Estrogen has over 400 functions in our bodies. Some important ones include helping prevent Alzheimer's, increasing your metabolic rate, decreasing risk of cataracts, maintaining collagen in the skin (which keeps us looking young), decreasing risk of tooth loss, as well as decreasing the risk of heart disease and colon cancer.

Both men and women need testosterone. Besides the obvious symptoms of low testosterone we know about such as decreased libido, erectile dysfunction and fatigue, a low testosterone can cause other problems as well such as droopy eyelids, sagging cheeks, thin lips, and anxiety. Testosterone helps decrease fat and build muscle mass, maintains memory and supports bone strength. Medications such as birth control pills and statins (Crestor, Zocor, Pravachol, etc.) can lower tetosterone levels. I'm not advocating you stop these medications, just be aware. Endometriosis can also lower testosterone. 

Although progesterone is not given as a pellet, it can be taken orally or as a compounded cream. Synthetic progesterones are called progestins and can increase your appetite, lead to hair loss, and acne. Natural progesterone acts as a natural diuretic, increases libido, and helps you sleep. If you have a uterus and take hormone replacement therapy of any kind, you need progesterone to protect your uterus. Even if you have not had a hysterectomy, progesterone is necessary to balance your hormones.

And this is a very important thing to remember....balance is the key! Your hormone levels need to be evaluated and your bio-identical hormone therapy individualized for YOU! Bio-identical hormone replacement pellet therapy has been proven safe, effective and convenient to relieve the symptoms and consequences of menopause and andropause. Hormone replacement is not a one size fits all kinda game. With HTCA, we not only check the hormones mentioned above, we also check a full thyroid hormone panel, Vit D, B12, metabolic panel, lipid panel and CBC. You will not feel good and you will not be healthy if your hormones aren't balanced. Call us today for your consult!! 501-228-6237

Anne R Trussell MD

Monday, July 13, 2015

HTCA Bioidentical Hormone Replacement Pellet Therapy

At Sei Bella we focus not only on your outward appearance, but also strive to help you be more healthy on the inside. That's why we offer HTCA bio-identical hormone pellets. Bio-identical hormone replacement therapy is exactly what it sounds like. It is using hormones that are identical to the hormones naturally made by your body. Bio-identical hormone replacement therapy (BHRT) has transformed the healthcare of men and women as they enter the second half of their lives. It provides an alternative to hormones that are synthetic, like injectable testosterone, or concentrated from horse urine (Premarin). Patients receiving BHRT have their pellets prepared by specialty compounding pharmacists, and their pellets can be given in dosages tailored to their individual need, instead of the narrow choices available with mass-produced hormone therapies (one size fits all). You can read more on our website at  Call today for your consult with Dr. Trussell......501-228-6237

Thursday, June 25, 2015

Come see our new event room at Open House today!

Our event room is all ready! Come check it out and our whole new larger space at 10310 West Markham, Suite 202, Little Rock. Today, June 25th, 3-7 pm! We would love to visit and thank you in person for your support over the last 5 years!

We will have some great door prizes! Our reps are offering some great specials, and we will of course have lots of food and beverages!

Monday, June 22, 2015

Sei Bella Med Spa Open House/5 Year Anniversary Ceelebration

Sei Bella Med Spa open house....Thurs., June 25th, 3-7 pm.
10310 West Markham, Suite 202, Little Rock
Door prizes, refreshments, specials from our vendors. Free facial peel demonstrations!
Come visit with us! 

Monday, June 8, 2015

Ultherapy.....Finally a Solution for Skin Tightening on the Face, Neck and Chest!

At the end of June or first of July we will be offering Ultherapy!!

This is the only FDA-cleared non-invasive procedure to LIFT skin on the BROW, CHIN and NECK and improve fine lines and wrinkles on the chest!

Below are some frequently asked questions:

What is Ultherapy?
Ultherapy is a safe, non-surgical ultrasound treatment that counteracts the effects of time and gravity on your skin. Ultherapy uses the body's own regenerative response to gently and gradually lift skin on the eyebrow, under the chin and on the neck, and smooth lines and wrinkles on the decolletage.

What is unique about Ultherapy?
Ultherapy is the only non-invasive treatment cleared by the FDA to actually lift skin. Ultherapy is also the only cosmetic procedure to use ultrasound imaging, which allows us to see the layers of tissue targeted during the treatment to ensure the energy is deposited where it will be most beneficial.

With the addition of the new Ultherapy Decolletage  Treatment, Ultherapy is also now the only non-invasive procedure specifically indicated by the FDA to improve lines and wrinkles on the chest.

Can Ultherapy replace a facelift?
Ultherapy treats the deep foundational layer addressed in cosmetic surgery, but won't duplicate the results of a facelift. Ultherapy is a great alternative, however, especially for those not ready for surgery or if you are looking to extend the effects of cosmetic surgery. 

How does Ultherapy differ from laser treatments?
Ultherapy uses sound energy - tried-and-true ultrasound -which has unique properties that allow it to bypass the surface of the skin to treat depths not matched by any other non-invasive cosmetic device. Ultherapy ultrasound stimulates collagen production in the skin's foundation, resulting in a clinically significant lift of tissue over 2-3 months.

Lasers rely on energy, which can not reach deeper skin layers at an optimal temperature, so laser treatments typically only treat superficial skin and are not FDA-cleared to lift skin. Since the two technologies often treat different types of skin issues, they're actually very compatible.

How does Ultherapy stimulate the creation of collagen?
Ultherapy deposits focused ultrasound energy deep beneath the skin at the optimal temperature for collagen rejuvenation. The treatment jumpstarts a natural process, known as neocollagenesis, to produce fresh, new collagen. Ultherapy doesn't involve any creams, fillers nor toxins; it just relies on your body's own collagen-building process for natural, noticeable results.

How long does Ultherapy treatment take?
This depends on the area being treated and your individual treatment plan. A face and neck procedure typically takes 60-90 minutes, while a chest treatment takes approximately 30 minutes. 

Will I need to take time off?
There is no downtime! After your procedure, you can resume your normal activities immediately,
 without having to follow any special post-treatment measures. 

What does Ultherapy treatment feel like?
As the ultrasound energy is delivered, you will feel tiny amounts of energy being delivered to precise depths, indicating that the collagen-building process has been initiated. Comfort levels vary from person to person, but the sensation only lasts while the ultrasound energy is being delivered. 

When will I see results? How long do they last?
After your Ultherapy treatment, you may see some initial effect, but the ultimate results will take place over 2-3 months, as your body naturally regenerates collagen. Since the procedure stimulates your own collagen production, how long the results last really depends on you. The treatment produces new collagen on the inside, but your natural aging process will dictate how long that translates into visible results on the outside. 

How many Ultherapy treatments will I need?
Most patients only need one treatment. However, based on the severity of your skin laxity, the biological response to ultrasound energy and your own collagen-building process, you may benefit from additional treatments. Because our skin continues to age, future touch-up treatments can help you keep pace with your body's natural aging process. Dr. Trussell can give you many pointers on how to further slow down the aging process. 

Are there any side effects?
You skin might appear flushed at first, but the redness should disappear within a few hours. Some patients may experience slight swelling, tingling or tenderness to the touch, but this is temporary. Other, less common post-procedure effects may include temporary bruising or numbness on small areas of the skin. As with any medical procedure, there is the possibility for other rare effects, which Dr. Trussell will go over with you. For even more information visit

Is Ultherapy safe?
The FDA-cleared Ultherapy procedure has been used safely in over 350,000 treatments worldwide. Ultrasound therapy has been used safely in the medical field for more than 50 years. In addition, Dr. Trussell and her nurse received extensive training in Ultherapy.

How much does an Ultherapy procedure cost?
Cost depends upon the area being treated. The treatments are very personalized so it is best to talk with Dr. Trussell about your specific concerns. A price guide will be posted on the website in the near future, so keep checking the

Who is a good candidate for Ultherapy?
A good Ultherapy candidate has mild to moderate skin laxity where the skin begins to feel and look less firm. Examples include a lowered eyebrow line,loose skin on the neck, sagging under the chin, and lines or wrinkles on the chest. But the best way to find out is to ask Dr. Trussell!! 501-228-6237

Sei Bella Med Spa
10310 West Markham
Suite 202
Little Rock, AR 72205