Pasta can be a very filling and tasty meal to have. But, the pasta itself is high in carbs and calories. For example, angle hair pasta (my favorite) has 200 calories per serving.
Fortunately, there are substitutes for pasta that taste almost exactly like pasta. For example, Costco sells Healthy Noodles. On the box, there’s a recipe for Italian Marinara using these healthy noodles. The noodles are precooked and each box contains 6 packs.
Nutrition-wise, they only contain 30 calories per serving. Plus, it’s got zero carbs because all of the carbs are from fiber which doesn’t get digested by the body and simply passes through. This is ideal if you are on the Keto diet.
Preparation is very easy. Just rinse the noodles and use them since they’re precooked. I tried this out with Rao’s marinara sauce and surprisingly, it tasted about 90% the same as regular pasta. I still prefer the taste of regular pasta, but for the calories saved by using Healthy Noodles, it’s worth the small difference in taste.
You can also try Shirataki Noodles by Miracle Noodle. They sell an angel hair style noodle containing only 5 calories per serving. No wonder it’s called Miracle Noodle!
UPDATE: I actually tried making pasta with Miracle Noodle Angel Hair style noodles. The shape wasn’t like angle hair pasta at all but more like spaghetti. More importantly, the texture wasn’t particularly good. It was too sticky. I think the Healthy Noodle option above tastes better.
You can also Nasoya Pasta Zero spaghetti but like the Miracle Noodle Angel Hair style noodles, I didn’t care for the texture which tasted like rubber.
Of all the ways to address hair loss, the most natural and permanent but most expensive solution is by getting a hair transplant. It has become extremely popular and no longer limited to the rich and famous. Following are different types of hair transplant options to consider before you spend thousands of dollars.
FUT (Follicular Unit Transplantation) / Strip Procedure
This method involves cutting a rectangular strip of scalp from the back of your head then stitching the opening closed. The hairs on the strip and separated and transplanted one by one to the recipient (bald) area. This method is the quickest and so it’s likely the cheapest but it will leave a noticeable scar on the back of your head unless you wear your hair long to cover it up.
Classic FUE / Follicular Unit Extraction (FUE using a micro motor)
This method involves using a punch tool to extract individual hair follicles from the back of your head. After sufficient follicles have been removed, they are transplanted one by one to the recipient area. As a result of using a punch tool, you will not see an obvious scar like in the FUT method but you will see minor dot-shaped scars if you have short hair.
Sapphire FUE (FUE using a sapphire blade)
This method is the same as the regular FUE method except it uses a sapphire blade which allows for creating smaller holes in the scalp into which hair will be transplanted. The smaller holes allow for creating holes that are closer to each other resulting in higher density.
Implanter size: 1.0 – 1.5 mm using sapphire blade
DHI FUE (FUE using a Choi Implanter Pen)
Unlike the FUT and FUE methods, where all follicles are removed before they are transplanted one by one to the recipient area, with the DHI method, each follicle is removed and immediately transplanted thereby reducing the amount of time the follicle remains outside the body. Furthermore, the tool used to implant the follicle is a choi pen.
Implanter needle size: 0.8-0.9 mm
Advantages of DHI Technique
Among its advantages indicated by some hair restoration experts are as follows;
Higher density of transplanted hair compared to FUT and FUE.
Reduced time of grafts remaining outside the body, thus ensuring strong and healthy placement of the grafts.
Adequate hair follicles survival rates.
Reduced bleeding during the creation of the recipient area. Reduced trauma during graft handling, thus leading to less damage in the blood supply to the implanted area.
Fast recovery during the postoperative phase, the patient can return back to his/her normal routine quicker.
The recipient site does not have to be shaved, as it is a more suitable procedure that enables this condition.
This method involves only extracting a portion of each hair follicle from the back of the head. As a result, there are no scars. Also, one follicle results in two hairs – a hair in the donor area and a hair in the recipient area. In this way, the number of hairs is multiplied (doubled).
PL-FUT is better suited if
small donor area
want higher density, e.g. in eyebrows, beards, mustache
Implanter needle size: 0.5 up to 0.6 mm
HASCI claims to have a better preservative solution to preserve the follicles.
In an article by Dr. Gho titled Donor hair follicle preservation by partial follicular unit extraction. A method to optimize hair transplantation the abstract reads
There are different stem cell pools located in the hair follicle. Objective: To try to determine whether follicular units can survive a partial extraction and whether this partial extracted follicular unit can regenerate new hairs. Methods: From five individuals, between 100 and 150 grafts were harvested from the occipital area of the scalp. Suitable grafts were implanted into the recipient area. Hair growth and characteristics in the donor area and the recipient area were observed at different intervals. Results: After 3 months, between 92.1% and 104.1% (mean 97.7%) of the partial follicular units in the donor sites survived and produced hairs with the same characteristics. After 1 year, 91.1–101.7% (mean 95.9%) of the implanted partial follicular units regenerated hair growth with the same characteristics as the hairs in the donor area. Conclusions: We revealed that extracted partial longitudinal follicular units transplanted to the recipient area can be used as complete follicular units to regenerate completely differentiated hair growth with the same characteristics as in the donor area. We also revealed that the partial follicular units in the donor area can survive and produce the same number of hairs with the same characteristics. This technique enables us to generate two hair follicles from one follicle with consistent results and preserve the donor area.
In the article by Dr. Gho titled Improved hair restoration method for burn the abstract reads
Background: Extracted partial longitudinal follicular units can be used as complete follicular units to regenerate completely differentiated hair growth. The partial follicular units that remained in the dermis in the donor area can survive and produce hairs. This technique enables us to multiply hair follicles in vivo, while preserving the donor area and therefore is suitable in persons, who have a relative small donor area compared to the recipient area, as in scalp burns.
Objectives: With this study, we try to determine if partial longitudinal follicular unit transplantation (PL-FUT) can be used for facial and/or scalp burns.
Materials and methods: Four burn victims (age 22–39 years, mean 27.75 years) were treated in the face (eyebrows, and beard) and/or on the scalp with PL-FUT. The grafts were harvested with hollow wave-tipped needles with an inner diameter of 0.6 mm from the occipital area of the scalp. The suitable longitudinal partial follicular units were impregnated with a preservative medium, and implanted into the recipient area. Hair growth in the donor area as well as the recipient area was observed before treatment, and at intervals of 1 week, 3 months and 1 year after the treatment.
Results: After evaluation of the donor area, sometimes a few little white spots were visible, but almost all hair follicles in the donor site re-produce hairs after 2 years. All treated patients had satisfactory or very satisfactory cosmetic results in the treated area.
Conclusions: Longitudinal partial follicular unit transplantation (LP-FUT) may represent the first reliable patient-friendly method to generate two hair follicles from one hair follicle with consistent results and preservation of the donor area. Therefore, this method is very suitable for people with facial and/or scalp burns.
This method is patented and only offered at Hair Stem Cell Clinic.
Getting a hair transplant may seem like a painful experience because thousands of micro holes are made in your scalp using needles. However, the process is painless due to the local anesthesia that numbs your scalp. But, traditional local anesthesia is applied using a needle which can be extremely painful. To administer local anesthesia, a doctor would give you around 10 injections in the donor area and 10 in the recipient area. Fortunately, there is a new, painless method for administering local anesthesia using a needle-free, pressure-based injector called Dermojet.
Where to Get a Hair Transplant
Hair transplant costs in the US and Europe are very expensive. You can easily spend $10,000 to $15,000 for 2000 – 2500 follicles. Turkey has become the hair transplant capital of the world. You can get a quality hair transplant for 3000 euros which will transplant 4000 hairs.
VeraClinic (uses traditional needle-based anesthesia which is painful)
2. Skin Moisturizer Apply skin moisturizer to your entire face. This is necessary because the next step using benzoyl peroxide will make your skin red and very dry. The moisturizer will help prevent redness and dryness and will only slightly limit the effectiveness of the benzoyl peroxide. Up&up Daily Moisturizing Lotion– $2.00
3. Benzoyl Peroxide (BP) 10% Apply a thin layer of 10% benzoyl peroxide (BP) to entire face. Don’t go out in the sun with BP without sunscreen as sunlight hitting the BP could darken your skin. Don’t get BP on your eyes and hair. BP has a bleaching side effect and can cause dark fabric, e.g. towels and clothes, to appear bleached. BP is considered the best OTC (over the counter) acne medicine. Max. Strength 10% Benzoyl Peroxide Gel Acne Medication – 1oz – Up&Up – $3.50
4. Sleep Put a pillow cover, ideally one that is benzoyl peroxide resistant, over your pillow.
If you have nasal congestion, which could also cause coughing, then one of the best medicines to take is Sudafed. However, be careful which one you get.
Sudafed (behind the counter)
This kind of Sudafed has the active ingredient Pseudeophedrine which can be used to illegally make methamphetamine (meth / “speed”). As such, it can only be gotten behind the counter, i.e. by talking to a pharmacist at Walgreens. You can get 4 hour Sudafed and 12 hour Sudafed. If you are impatient and can’t wait 12 hours to take the 12-hour version, then just buy the 4-hour version. Psychologically, taking medicine more often may make you feel better. One doctor told me that this version of Sudafed (Pseudeophedrine) is better than the kind below (Sudafed PE). Also, you can get a cheaper generic brand like Wal-Phed since all that really matters is the active ingredient, not the brand.
Sudafed PE (over the counter / off the shelf)
This kind of Sudafed can be gotten over the counter / off a shelf because its active ingredient is phenylephrine which can’t be used to make illegal drugs. That’s why it has the PE acronym in the name.
Of all the types of facial plastic surgery that can be done to one’s face, rhinoplasty is probably the most popular. In general, though people’s faces vary in many ways, the nose is the most noticeable and varies the most compared to other facial features. It’s also the one feature that makes the biggest difference in one’s facial aesthetics.
Two countries where rhinoplasty is extremely popular are Iran and South Korea. Iranian women tend to have very large, protruded noses so they undergo rhinoplasty to make their noses smaller. South Korean women tend to have small, flat, and sometimes wide noses so they want to enlarge their noses. This post will examine different types of noses and what surgical techniques are commonly done to improve each nose type.
Diagram of Nose Parts
Shallow / Low Nose
A shallow nose can make one’s face appear flat. For people with a shallow nose, as in many Asians and Africans, the desire is to increase the height of the dorsum. This can be done to improve the comfort when wearing glasses. This solution is to add an implant or, preferably, rib cartilage to the existing nose dorsum to project it outwards.
Hump on Nose Dorsum
People who have a hump on their noses can have the hump removed. This is often done by shaving or grinding down the nose bone where the hump is.
A wide nose can be a nose where the nose sidewalls are wide and/or the nose nostrils are wide.
Wide nose sidewalls
If the nose sidewalls are too wide, then an osteotomy can be performed. In an osteotomy, the base of the left and right nasal sidewall bones are cut or cracked so that the sidewalls can be pushed closer together. After some time, the nose bones will heal.
If the nostrils are wide, then alarplasty can be performed. There are a few different techniques but in general, the nostrils are cut where they are connected to the face and then stitched closer together. If necessary, a wedge of the nostril tissue is removed to also reduce the diameter of the nostrils.
Short / Upturned Nose
When the nose tip is upturned, tipplasty can be performed. With tipplasty, septum or ear cartilage is added to the nose tip to reshape the tip and bring it down a bit.
Understandably, it is not possible to reduce the length of the nose from the eyebrows to the tip by cutting the tip of the nose. However, it is possible to raise the nose tip because, in most cases, the nose tip is faced downward. By raising the tip, even though the length of the nose is the same, it may still look better than when the tip is faced downward.
Usually people with bulbous noses have nose tips that are big and round. This is due to having thick skin and/or large tip cartilage. To improve the appearance of the tip, doctors can remove excess cartilage and, if the skin is thick, remove excess fatty tissue under the skin.
Some people’s noses are not straight. This could be caused naturally or due to trauma (an accident). In many cases, the nose is bent. An osteotomy (breaking / cutting the nose bone) can be done to reposition and straighten the bones.
A deviated septum is when the inside wall separating both nasal passages is not straight and centered. This can affect breathing by reducing the amount of airflow or causing an imbalance in the amount of airflow through each nostril. This can be fixed by straightening the septum.
Asian / African Nose
One common feature of Asian and African noses is their noses are wide and low (both bridge and nostrils) and the tips are bulbous. Below is an example before and after picture of an Indian man who had revision rhinoplasty using rib cartilage.
Thick vs Thin Skin
Some people have thin skin and some people have thick skin. There are pros and cons to each.
Allows for detailed refinements to be made
Subtle irregularities and mistakes are more noticeable
More difficult to see the result of subtle refinements
Subtle irregularities and mistakes are more noticeable
For the bulbous nose tip, must remove excess fatty tissue
Following are what I’ve found to be the best rhinoplasty clinics. Note that the cost of rhinoplasty in the U.S. is very expensive. Korea is considered the plastic surgery capitol of the world and the costs are a fraction of what they are in the U.S.
Not only can you fix issues with your nose, but it’s not possible to improve other parts of one’s face, especially in Korea.
Before going under the knife, you should consult with multiple surgeons. Following is a case study showing different responses by different rhinoplasty doctors. The patient wanted a narrower, more defined nose with the following changes:
Alarplasty (to reduce with of nostrils)
Tipplasty (to improve shape of bulbous nose)
Osteotomy (to narrow the nose)
Bridge augmentation (to slightly increase the height of the bridge) using rib cartilage
Removal of fibro-fatty tissue at nose tip due to thick skin
Donald B. Yoo
A virtual consultation was done with Dr. Yoo. Dr. Yoo specializes in rhinoplasty and agreed that he could perform each change.
No CT scan was done to examine the bone structure.
He did not feel it was necessary to augment the bridge because the patient’s nose bridge was already high.
For the bridge augmentation using rib cartilage, he would dice the cartilage and wrap it in fascia.
For the alar reduction, he would remove just a little bit of skin on both nostrils.
For the osteotomy, he would only do it on the lower half of the nose.
Total surgery time would be about 6-7 hours.
The video consultation costs $150 and that cost would go towards the surgery cost.
The total cost would be about $33K.
Dr. Kim specializes in rhinoplasty.
No CT scan was done to examine the bone structure.
He did not feel the need to remove fibro-fatty tissue under the nose tip skin.
He was uncomfortable performing an osteotomy.
The in-person consultation cost $150.
A Kaiser doctor who specializes in rhinoplasty would perform all changes except bridge augmentation.
No CT scan was done to examine the bone structure
He didn’t feel the need to do an osteotomy. However, he was open to the idea of doing an osteotomy.
He didn’t mention anything about removing any fibro-fatty tissue.
He seemed rushed and not particularly interested.
His quote was $10K.
The in-person consultation cost $100.
Dr. Yong-Hae Seong (GNG Hospital)
Dr. Seong founded GNG hospital. He specializes in rhinoplasty.
A CT scan was done to examine the bone structure and airways.
For the tip, he would shape it. However, doing so would result in the tip being higher than the bridge. However, the bridge augmentation in the amount of 2mm would result in the bridge being straight from top to tip.
The sides of the bridge would be straight, not bumpy.
For the bridge augmentation using rib cartilage, he would dice the cartilage, shape it, and glue it together using a liquid from the body. He would not wrap the cartilage in fascia.
For the alar reduction, he would remove 1 mm of skin on both nostrils.
For the osteotomy, he would only do it on the lower half of the nose and push the bone in by 1 mm on each side for a total narrowing of 2 mm. This is the maximum narrowing he recommended based on the CT scan image because he wanted to be safe and avoid breathing issues that could be caused by aggressive narrowing of the base.
Even though 1mm and 2mm reductions seem like a little, the end result will be very noticeable.
GNG hospital always uses general anesthesia on patients, not sedation.
Total surgery time would be about 5 hours.
The in-person consultation was free, however, the meeting time with Dr. Seong was only about 5 to 10 minutes.
The total cost would be about $10K however, you’d get 8% VAT back at the airport when leaving Korea.
Kim, Sung-Sik (JK Plastic Surgery)
No CT scan was done to examine the bone structure and airways.
He did not want to do an osteotomy because he said that the area needing to be narrowed was cartilage, not bone, and that he could only try to remove some fibro-fatty tissue to help narrow the nose.
He would do alar reduction.
He did not want to do bridge augmentation because he felt that the bridge was already high enough. He would do the bridge augmentation but not with rib cartilage because he said rib cartilage was for the tip. He preferred to use a silicone implant for the nose bridge. However, he felt that augmenting the bridge wouldn’t result in a narrower-looking nose but just a larger nose.
The in-person consultation was free.
His quote was $7.5K
The patient would undergo sedation as opposed to general anesthesia.
Suh, Man Kun (JW Plastic Surgery)
Dr. Suh founded JW Plastic Surgery. He specializes in rhinoplasty.
A CT scan was done to examine the bone structure and airways.
He would do an osteotomy from bottom to top of nose. At the bottom, he would only push the nose in by about 1mm on each side since bring the nose in narrower may result in breathing problems. He would not just do an osteotomy on the top half of the nose because that would result in a stair-step nose where the top is narrow and the bottom is wide.
He would cut some of the lower left and right bridge cartilage and align it to make it appear narrower.
The CT scan showed clear airways and a normal nose structure and only a slight deviated septum which is normal.
Since the CT scan showed somewhat large airways, the doctor would try to bring lower left and right bridge wall cartilage inwards to be narrower.
For alar reduction, the doctor would remove about 2 to 3 mm on each nostril.
The doctor did not feel the need for bridge augmentation but would do it with rib cartilage if desired
If not bridge augmentation would be performed, the patient would undergo sedation, otherwise, general anesthesia.
The doctor would remove some of the fibrofatty tissue at the tip of the nose to help shape it and make it less bulbous.
The doctor was very nice and the time spent consulting with him was about 20 minutes.
The cost without bridge augmentation would be about $7500. With bridge augmentation, it would be about $“11000. This includes a 10% discount so you would not be able to get 8% back at the airport upon leaving Korea.
December is a busy time for plastic surgery in Korea because it’s cold so everyone stays home and students are off school. The best time to visit Korea and do the surgery is in either May or October.
East Asians often have small eyes with no eye fold. Some people also have eyes that make them look sleepy. As a matter of fact, everyone’s eyes will change shape as we age due to eyelid stretching and the weakening of eye muscles.
It’s now possible to address these issues using various techniques.
As we age, our eyes tend to become baggy.
Square Jaw Reduction
Some people naturally have very square jaws. It’s possible to remove part of the jaw bone to create a more attractive jaw shape.
Some people have very small chins. An osteotomy can be performed to bring the chin forward.
If your chin is protruding, an osteotomy can also be performed to remove excess bone that’s causing the protrusion. In the images below, you can see that the chin bone is cut and reattached.
Some people have wide cheekbones resulting in a non-smooth facial contour. Cheekbone reduction surgery can be performed to remove excess bone and move the cheekbones inwards.
Bumpy or Recessed Forehead
If you have a bumpy or recessed forehead, you can improve the shape by transferring fat to your forehead or by getting a silicon implant.
Apparently, fasting for 2 to 3 weeks while only drinking water can oftentimes permanently cure diseases like diabetes, hypertension and rheumatoid arthritis. It can also expedite the curing of cancer and other diseases. You basically starve the cells causing the disease. This extreme type of fasting must be done in a supervised environment with doctors checking your health periodically.