Extreme Makeover: Coming to a Beach Near You (cont.)

Sandal Season Strategies

Feet. The latest statistics show that cosmetic foot surgery is on the rise, even though organizations -- including the American Academy of Orthopedic Surgeons -- strongly caution against such cosmetic procedures. "I do tend to do a lot more surgeries before summer because it's sandal season and a lot of women want to get their feet looking nice for summer and they may be in bad shape from winter," says New York City podiatrist Oliver Zong, DPM.

"The most common is little pinky toe surgery called toe tuck," he says.

It involves a pinky toe that is painful from being cramped in a shoe and as a result, has become crooked, fat, pudgy, red, and really painful and we make it straight and slimmer, and you are able to wear heels and look better without shoes," he says.

Also, "a lot of women get toe shortening of the second toe, which may be very long, and either they don't like the way it looks or it jams in their shoe and becomes crooked," Zong says. Other foot procedures include collagen injections that add temporary padding to the soles of the feet.

Sayonara, Cellulite?

There are new treatments that may be a viable way to get rid of cellulite once and for all, experts tell WebMD.

They include mesotherapy, lasers, and combinations thereof.

"Mesotherapy is a technique where we inject medication, plant extracts, and vitamins into the mesoderm layer of the skin to break-up the amount of cellulite that's visible," explains Marion Shapiro, DO, president of Mesotherapy Associates in New York City and West Orange, N.J. The mesoderm is the middle layer of the skin. "We break the band in skin that causes the lumpy appearance and melt the fat to give a smoother appearance," she says. Shapiro regularly performs mesotherapy on legs, arms, backs, and abdomens.

"You typically see results in four weeks depending on how severe the cellulite is and it costs roughly $500 a session," she says. "It is the only method of permanently getting rid of 50% of cellulite," she says. And it only takes 20 minutes.

"With mesotherapy, you can finally take your sarong off and reveal your new you," she says. When it comes to cellulite, 80% of women have cellulite and the other 20% think they do, quips Tina Alster, MD, director of the Washington Institute of Dermatologic Laser Surgery in Washington. The next big thing in cellulite removal may very well be a new technique called Velasmooth that combines radiofrequency waves, a laser, and a mechanical massage to break up the fat and mobilize the water from tissues to improve the appearance of cellulite. Alster is currently conducting clinical trials using Velasmooth twice a week for a month.

"I think that as soon as we show our results in the Fall, this is going to be a big deal," she predicts. "It is the closest thing I have seen to a viable treatment option for cellulite." Stay tuned.

Bruce E. Katz, MD, medical director of the Juva Skin and Laser Center in New York City, likes the triActive laser for treating cellulite.

"In 10-12 treatments, the cellulite is gone," he says. The laser action breaks up cellulite and helps to increase drainage of lymph and blood cells, so fat cells aren't backed up with the fluid that leads to a cottage cheese appearance, he explains. In addition, the treatment also involves a mechanical massage that may result in a tighter appearance in the treated areas. Then, the system's localized cooling aids in smoothing the appearance of cellulite.

Tummy Be Gone

"Liposuction increases big time in Spring -- especially in the hips, inner and outer thighs, chin, and neck area," Chugay says.

"Any contouring surgery [gives] as a tremendous boost in morale and helps people feel better about themselves," Chugay says. But alone, it's not enough. "It will take more than liposuction, you also need to start exercising and change diet to maintain a new slimmer figure. According to ASAPS, liposuction was the No. 1 surgical cosmetic procedure performed in 2003.

Fake and Bake

We all know that sun bathing can increase risk of skin cancer and tanning salons are major culprits. The beauty of airbrush tanning is advocates say it's all the tan and none of the risk.

"It's the same idea as airbrushing a photo," Panariello says.

"It can make you look leaner and create cleavage," she says. The system that she uses, Arubatan, is time-released, involves no ultraviolet radiation and lasts for seven days, she tells WebMD.

Airbrushed tanning is incredibly popular, agrees Sasha Kaminik, co-owner of Le Boe European Day Spa in Coral Springs, Fla. She uses a system called Fantasy tan.

"A technician controls the intensity and color," she says. "It costs $35 a session and most people do it once a week to keep it up," she says. "The tan shows up within two hours and lasts about seven to 10 days -- if you don't scrub -- and it fades naturally." The active ingredient in Fantasy tan is dihydroxyacetone (DHA), which is commonly used in some self-tanning creams, and reacts with amino acids on the outermost top layer of the skin to produce a tan color.

As surgery increases, so too does scarring, [and] "we do scrubs and microdermabrasion of all body parts to hide scars and the airbrush tanning also camouflages scars," Kaminik says.

Male Bikini Wax?

While women have been suffering through the Brazilian bikini wax for years, media reports suggest that in several major metropolitan areas including New York, Los Angeles, Atlanta, and Washington, men are paying up to $100 for bikini waxes that take it all off.

For women, the Brazilian wax chiefly involves the buttocks, pubic area, and everything else save for about an inch long just above the vaginal area. "We have several technicians who do it so men can wear Speedos," says Kaminik.