Parkbench Interview with Dr. DePasquale

Meet Dr. Kalpana S. DePasquale, DO at Avanti Medical Spa

Are you looking to combat the aging process of Mother Nature? If so, then you are at the right place. Avanti Medical Spa can help you reverse the hands of time and enhance your natural beauty. To revitalize your appearance, we offer the following cosmetic procedures:
Botox
Fraxel
Facials & Peels
Dermal Fillers
Visia Skin Analysis
Facial Waxing
To learn more about our spa services, contact us at 904.461.6797, or better yet come see us:
In St. Augustine, Monday thru Friday between 8:30 AM to 4:30 PM (NOTE: Office is closed for lunch from 12 PM – 1:15 PM). Avanti Medical Spa St. Augustine is located on Anastasia Island, 1.5 miles east of Flagler Hospital at 1301 Plantation Island Dr, Suite 401A, St. Augustine, FL.

What do you love most about the neighborhood?

There are so many different people constantly moving into this area so I feel like we’re in a small, big town. I meet people from Europe, people who are on vacation who come to me with a specific problem sometimes, or people who’ve recently moved from the North or West Coast. I just love the melting pot of all kinds of people from diverse backgrounds–I think that’s my favorite thing!

The Entrepreneurial Life Chose Me

I was trained  to be an Ear, Nose, and Throat physician, but the life of an entrepreneur chose me.
 
My employee mindset changed as a result of an interview during residency. The interview was with a private practice physician, who I had known during my training. He had first-hand knowledge of my assets as a physician: surgical skill, sound judgment, physician-patient rapport and superb communication skills. Despite my positive attributes, his job offer for my annual salary was significantly less than the price of the Porsche 911 he was driving and much less than the MGMA (Medical Group Management Association) standard for physician compensation. MGMA is the resource leader for healthcare salary compensation.
 
This experience left me baffled and humiliated but I realized something very important… I didn’t have the employee mindset that most physicians do.  I wanted the freedom  to create and design my own practice and there was no reason I couldn’t do that. I thrived on risk to experience a greater reward. I despise rules, structure and predictability. I wanted to change the world, not just have a job. Failures in my mind were setbacks and an opportunity to learn. Despite all the challenges I have faced over the years, starting my own practice was the best decision of my life. I was able to build a team and office culture of stellar employees.  I was able to tailor my practice to the aspects of ENT that I enjoyed most – minimally invasive procedures to treat chronic sinusitis and improve nasal obstruction. My patients are so thankful to be offered minimally invasive solutions to avoid the downtime, healing, and expense of more aggressive surgical alternatives.
 
Once my ENT practice was successful, my next venture was adding a Medical Spa to my practice. So many patients would not consider cosmetic rejuvenation procedures because of artificial and unnatural looking results. My goal was to achieve a well- rested youthful appearance without the obvious tell-tale signs that a procedure was performed. This difference in approach allowed me to attract patients that were looking for intervention that appeared natural, not artificial.
 
Things were going so well for me until I was diagnosed and treated for Thyroid cancer at the age of 34.  I had surgery to remove my entire thyroid gland and I had radioactive iodine treatment. Because the exact cause of thyroid cancer is unknown, I suspected that my diet and choice of personal care products I used could be a contributing factor.  I decided to detox my life by eating better quality food and avoiding pesticides. I reviewed my personal care products that I was using; like shampoos, lotions, deodorants; and eliminated chemicals as much as possible.
 
I reviewed the ingredients in the skin care products I was recommending to my Medical Spa clients and I was appalled that some products didn’t clearly list their ingredients and all of them contained chemicals that I didn’t approve of.  I was appalled when I found out that there is no federal regulation of ingredients to protect the consumer from dangerous chemicals.
 
From my frustration with the cosmetic industry, my next entrepreneurial venture was born.
 
I set out to create a skincare line that addressed common anti-aging issues such as dark spots, loss of elasticity, blemishes and more. The ingredients would be plant and mineral based, contain no harsh ingredients or chemical preservatives. The ingredients needed to work synergistically to provide superior results. KalVera Skincare was created to provide consumers with healthy skin care and to support my mission to educate consumers about hazardous ingredients found in personal care products and empower them to make safer choices.
 
My journey as an Entrepreneur has been euphoric but it is not the lifestyle for everyone. Entrepreneurship is often a lonely, risky, anxiety-provoking and ever humbling expedition. It can also be addictive. Although KalVera Skincare is my most recent creation, I doubt it will be my last entrepreneurial endeavor.
 
*Cheers*
-Dr. D
 

Does Your Spouse Have Selective Hearing?

I just love when my patients tell me they have “selective hearing” as if it is a real medical condition. Although the medical literature doesn’t recognize selective hearing as a condition, the Urban Dictionary defines it as the ability that humans have (mostly males) to selectively hear what serves their interests.
 
Patients will state that they “don’t have hearing loss” and that they can “hear what they want to hear”. Apparently, being deaf is a choice. They can turn it on and off like a light switch. People with “selective hearing” are in denial about the real problem – hearing loss.  
 
Twenty percent of adults (48 million) in the United States report some degree of hearing loss. At age 65, one in three adults with hearing loss are in the work force or in an educational setting. They have many excuses about why they can’t hear:
 

  • Women speak too softly
  • Their grand kids mumble
  • They can hear if you talk loud enough (you need to scream)
  • The TV is on too loud because no one speaks clearly anymore

 
Studies show that seniors are three times more likely to have a cosmetic procedure performed than seek treatment for hearing loss.  A hearing test is as popular as a colonoscopy when it comes to routine health checks.
 
Why are seniors in denial about their hearing loss?
 

  • They don’t think their hearing is bad enough to warrant hearing aids
  • It’s part of aging  and not life threatening, so it’s no big deal
  • They don’t want to look old
  • They lack trust in hearing aids because they know people who have had poor experiences.

 
Seniors don’t realize how much hearing loss adversely affects their quality of life.  It results in depression, isolation, anger, and cognitive decline. They avoid people they can’t hear and situations in which they can’t hear.
 
As an Otolaryngologist, wife, and mother, I find this denial concerning. Hearing loss needs to be identified and treated.  The stigma of hearing aids needs to be removed because they are helpful when fitted and adjusted properly. Modern hearing aids are small and discreet.  They are actually less noticeable than glasses!
 
If you know someone that who has “selective hearing”, urge them to see an Otolaryngologist and obtain a hearing test. The proper diagnosis and treatment plan, in addition to the right physician, can significantly improve their quality of life and yours.
 

Revive Aging Skin from the Inside Out

Aging is a fact of life, but beauty and well-being is a choice.  As we age, our hormone levels can shift resulting in decreased estrogen levels. The result on the skin is thinning, sagging, dryness, and wrinkling.
Here are some suggestions to keep your skin looking radiant and youthful during the aging process:

  1. Hydrate inside and out: The older you get, the thirstier your skin gets. The skin’s oil glands aren’t as active as they were in your younger years.  In order to keep your skin hydrated, drink  at least 2 to 3 liters of water per day.  
  2. Eat up: Nutrition plays a major role in the condition of your skin. Among the most beneficial food elements for aging skin are antioxidants, which can help combat the effects of the loss of skin-plumping collagen. Antioxidants are found primarily in brightly colored fruits and vegetables.  An antioxidant supplement should also be considered, such as Vinali, which contains grape seed extract, Vitamin C and Acerola Cherry to protect against free radical damage, or Beauty Boost, which contains Dermaval, a proprietary blend of extracts from nine superfoods.
  3. Stay active: Exercise tones more than your muscles. It boosts circulation of oxygen-rich blood needed to help your skin look brighter and healthier.
  4. Bust stress: Stress is a proven primary factor in aging. It can dry out your skin, making it more sensitive and prone to wrinkling. Regular exercise is a great stress-buster, as are meditation;, adequate sleep (aim for eight hours of uninterrupted sleep nightly), and – believe it or not – laughter. A great laugh boosts heart rate, stimulates blood circulation, and aids muscle reaction.http://https://youtu.be/eggJndE6S38

Reviving aging skin requires a multi-factorial approach and a commitment to health and well-being.  It is a commitment you won’t regret as the golden years approach.

Why Do Celebrities Look So Strange?

Celebrities set the standard of beauty in magazines, television, and on the runway. The general public expects celebrities to set this standard.
But what happens when we see celebrities look like caricatures of themselves with excessively plumped cheeks and lips. Celebrities can afford the best, but is this what all that money buys you?
My suspicion is that this overdone, unnatural look is created by the mindset of the client and the physician performing the procedure.
The client wants perfection and doesn’t understand that our imperfections are what make our faces unique and interesting. The physician does not want to disappoint the client and does exactly what the client asks for, instead of suggesting that injecting too much filler will actually make them appear less attractive. Unfortunately, this confuses the general public into thinking that all cosmetic procedures look unnatural.

In my medical spa, I take a different approach with my clients. First and foremost, my patients choose me to perform their procedures because they want to look refreshed and rejuvenated.  They do not want to look as if they had a procedure done.
When filler is injected properly, keeping the client’s unique facial balance in mind, no one can tell  a procedure was performed.  Friends and family will assume that you look younger because you went on vacation, or that you did something different with your hair or makeup. You look younger and more vibrant, but they just can’t pinpoint why.
On the contrary, when filler is overdone, it changes your face by changing the unique facial characteristics that make you special.  It looks “fake” or “overdone”.  This phenomenon can be easily avoided by speaking with the Physician, Physician Assistant, or Nurse Practitioner performing the procedure.
Make sure their ideas about your final result are congruent with yours.  Also, conduct a thorough visual survey of the person injecting you. Do they appear to practice self care? Do they look older or younger than they are? How well do they take care of their skin? Do they look natural or overdone?
These two things will likely tell you everything you need to know about how your final result will look.

Confessions in a Medical Spa

The number of clients I see in my medical spa increases rapidly from September to December.  Everyone wants to look great for their holiday parties and look amazing when they spend time with family members, ex- husbands and ex-wives.
 
Women Confess “Biggest Secret”
I often hear quite a bit about the lives of my clients and their incentives for keeping up their appearances. Recently, I have had several women confess some of their biggest secrets. “I need to look as good as I can because my husband is over twenty years younger than me!”
 
This was a confession that I don’t hear often. So needless to say, it caught my attention. “Isn’t that stressful?” I asked. “Not at all!” my client replied, “I just need to keep up on my preventative maintenance.”  What was most interesting to me was that my client felt she needed to confess her marriage to a younger man. She wasn’t necessarily ashamed by it, but she felt she needed to confess to avoid being judged.
 
Double Standard Alive and Well
In contrast, my male clients boast about being married to a younger woman. Perhaps society is more accepting of this phenomenon. After all, it is much more common, but it reflects a common double standard in our society.
 
Men tell me that they are attracted to younger women because they are more attractive (aka haven’t let themselves go like women in their age group), and they participate in similar activities. They feel younger women are more compatible with them from an energy and vibrancy standpoint.
 
This doesn’t just apply to women, as I have certainly seen my fair share of men who have completely given up on themselves and on life. So the question is, when will the double standard become extinct? What’s good for the goose is good for the gander, isn’t it? And who are we to judge what makes others happy?  
 
Live Your Life
I personally appreciate how honest my clients have been with me over the years, as it has expanded my perspective and changed the way I viewed things in the past.  My personal opinion is that people should be able to live their lives fully in the way they see fit.  The judgment of others is inconsequential.  But I guess I will only know how I really feel if my son brings home a woman twice his age.  
 

Skin Health – Can Vitamin and Mineral Supplements Help?

[vc_row][vc_column][vc_column_text]Dr. D joined WJXT to discuss Skin Health and how good vitamin and mineral supplements can really make a huge impact on your overall skin health.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_video link=”https://www.youtube.com/watch?v=tFrFKkApzr8&feature=youtu.be”][/vc_column][/vc_row]