Otolaryngologist, Head & Neck Surgeon, Cosmetics & Plastic Surgery
K. Kay Durairaj, M.D., F.A.C.S.
Hello, and welcome to my website! My name is Dr. Kay Durairaj, and I am a board certified otolaryngologist (or ear, nose, and throat specialist) and facial plastic surgeon, located next to Huntington Memorial Hospital in beautiful Pasadena, California. I specialize in the diagnosis and treatment of a wide range of conditions which affect the face, ears, nose, throat, organs of the neck, and skin, for both children and adults. With the help of my caring and friendly staff, we provide state-of-the-art medical care to patients from all over Southern California, and beyond!
My experience and education, combined with that of my colleagues and associates, allows me to provide my patients with the latest advances in head and neck surgery. With many generations of family serving in the medical field, I am proud to carry on the tradition of excellence and service, and it honors me to treat each and every patient that I am privileged to see.
We provide many diagnostic services, hearing and balance assessment, professional voice evaluations, diagnostic imaging, and state-of-the-art outpatient surgery. Again, thank you for stopping by … I look forward to taking care of you.
~Dr. Kay Durairaj
Specials & Bulletins
Spring Into Action
Betinoids are derivatives of vitamin A, which occurs naturally in your skin and is important to its health. However, as you age, the levels of vitamin A decrease, especially if your skin has been damaged by the sun. Using products containing retinoids can help repair skin damage, such as fine wrinkles, brown spots and roughness. Retinoid products, which are typically sold as a cream or lotion, work in two ways. They cause skin cells on the outer layer of your skin (epidermis) to grow and die faster, increasing how fast your skin replaces itself. They also cause the second layer of skin (dermis) to become thicker. Making the dermis thicker is important because aging causes the dermis to lose collagen and thicken the skin, and they're approved for treating skin problems due to aging.
What are the top five reasons you believe everyone should wear sunscreen?
1. The ozone layer is depleting and your body needs shielding from harmful rays.
2. Skin cancer rates are on the rise and sunscreen has been proven to decrease the development of skin cancer.
3. It helps to prevent facial brown spots and skin discolorations.
4. It also helps to reduce the appearance of facial red veins and blotchiness.
5. It slows down the development of wrinkled, premature aging skin.
How often do you apply your sunblock?
How often SHOULD you apply your sunblock? Every two hours!
Fall into Fabulous
1. Reassess your body cleanser
In the summer, fruity shower gels are a popular treat, but just be sure that your current favorite isn’t going to dry out your skin when the dry cold weather comes in. You’ll want to find a shower gel that is soap-free as well as hydrating. In the fall and winter, put away the gels and bring out a creamy body wash.
2. Try an oil-based scrub
Oily based scrubs are perfect for fall and winter because you are getting the exfoliating benefits with the extra bonus of hydrating oils. When it comes to oily based scrubs, the choices are endless! You can find scrubs that have a lot of oil swimming on top all the way to scrubs that are more of a solid consistency. Try using this in conjunction with Clarisonic, it has the power to remove 30x more age-accelerating pollutants than manual cleansing.
3. Moisturize every single day
If you want to keep dry skin at bay, you must hydrated your skin on a daily basis. The best time to apply your lotion is right after you’ve dried off after your shower or bath. Seal in the moisture that’s already been absorbed into your skin. For your face try our Restorative Bio-Therapy cream- full of hyaluronic acid. This absorbs moisture up to 1000x its weight and deeply hydrates.
4. Analyze your skin
When the seasons change, you may notice your skin type changes as well. This is the time where some with oily skin might notice their skin turns a bit normal, or those with normal skin might consider their skin is suddenly dry. Watch your skin as the weather turns cold to see if you need to change up your skin care products and switch them accordingly. If you aren’t sure whether your skin needs a new regimen, ask Dr. Kay!
5. Don’t forget sunscreen
Just because you may not be at the beach it doesn’t mean you can forget the sunscreen for the next 6 months. Sunscreen is a daily essential, so don’t set it aside. Use moisturizer with SPF 15 at the minimum and reapply with a facial sunscreen throughout the day as needed. We recommend Intellishade, it reverses aging while blocking UVA & UVB rays and acts like a BB cream for beautiful look.
6. Remember your feet
Your feet are going to be stuck inside your boots and heals for months to come, and if you continue taking care of them and exfoliating them on a regular basis, you’ll have no problem popping back on your sandals when the time comes. Plus, having nice feet just makes you feel good, so grab a foot scrub and keep it in your shower. Dr. Kay loves Baby Feet, the physician strength foot peel that removes every trace of callused skin.
7. Invest in cuticle oil
One tell- tale sign of cold weather is dry cuticles. And many times your regular hand cream isn’t heavy duty enough to tackle dry cuticles. By investing in cuticle oil, you can quickly take care of the cracked skin and avoid that painful condition that’s so wide spread in the cold months. Just apply oil to your cuticles and rub it in. Do this a couple times a week for best protection.
8. Ditch the pastel polish
Fall is a great time to take a look at your nail polish collection and see what you are lacking in terms of deep colors. Pack away the cotton candy pinks and pastels and bring forward the burgundy’s. plums or even grab a chocolate brown, which is bold, but easier to wear than black.
9. Indulge in a new hand cream
Your hands are in and out of water on a very regular basis, so you need to apply moisturizer more frequently to your hands than the rest of your body. That’s why it’s so important to have a hand cream in your handbag when you are out and about and need to wash your hands, you’ll have the hand cream by your side instead of at your sink. Use Radiesse filler to instantly plump areas where your hands look thin and give away your age.
Get Healthy, Thick, Gorgeous Hair
On average each strand grows about a half inch in a month. But hair doesn’t grow like that nonstop; it grows in cycles. At any given moment, about 85% of follicles are in the anagen (growing) phase. The rest of the follicles are in either the catagen (transitioning) phase or the telogen (resting) phase. For some individuals, the growing phase lasts as long as seven years, for others, it’s as little as two. At the end of this stage, the strands fall out, and its follicle remains dormant and hairless for about three months. After that, a sprig of hair finally sprouts, and the growth process starts again. If your hair never gets past your shoulders, chances are, you have a shorter anagen cycle than others do.
What slows growth: If you come from a family of women with Rapunzel-like locks, but yours are not, the problem may be external. Here are some factors and ways to counteract them to consider.
Split ends: Turns out that the old adage is partly true: if you cut your hair, it won’t grow longer, but its more likely to achieve its fullest potential. The ends, which have been styled and colored the most (since the farther a strand is from its root, the older it is), are vulnerable to splitting. When you don’t trim regularly, hairs can split right up the shafts and break off, even though the follicles are still in the growth phase. A quarter-inch trim every 8-12 weeks should keep your ends in one piece. Fine, curly hair, which tends to split more easily that other textures, is best cropped bluntly. Razor cutting which creates thinned out layers can precipitate frayed ends.
Extensions: Over time both the types that are glued in and those that are sewn into tight braids can pull on follicles, injuring them and slowing growth. Consider temporary clip in pieces to get a longer look if your hair breaks easily.
Bleaching: Peroxide, ammonia, and other oxidizers used to lift hair cuticles and remove pigment may also allow natural moisture to escape, leaving strands brittle. Condition at least three times a week.
Stress:Anxiety increases your level of the stress hormone cortisol. This can cause nerve cells to release chemicals that, in the case of chronic stress,(which affects eating and sleeping habits) may shift follicles from the growth phase to the resting phase.
Medications: Some antidepressants such as Zoloft may shorten the anagen phase. Other drugs such as contraceptives and medications for thyroid and cholesterol conditions can compromise growth as well. See your doctor for alternatives.
Hair Helpers: Hair grows longest when healthiest. Consider these factors. Diet: Hair is made of protein built by enzymes that are activated by iron. So eat a balanced diet that includes 46 grams of protein and 18 milligrams of iron a day. Steak, turkey and black beans offer generous doses of both. The hair follicle is among the top cell turnover sites in the body and demands many nutrients and hormones to function adequately. Try Revivogen, a hair loss solution that specifically combats Androgenic Alopecia, the most common form of hair loss.
Supplements: There’s no scientific proof that hair grows faster when you take in more nutrients than what is in an already healthy diet. You get more than enough of certain vitamins, for example biotin, a B vitamin found in hair growth supplements- simply by eating well. Biotin is found in such common foods as eggs, avocados, and salmon. Still, some users are convinced that hair growth supplements work. If you’re eating poorly, the extra boost, taken as directed might help.
Scalp treatments: Hair looks more voluminous when follicles are not blocked by dirt, dead skin cells, and product build up. Once a week, treat your scalp to a clarifying shampoo that also moisturizes.
Dr. Kay's Top 10 Foods for Gorgeous, Thick Hair!
Just like every other part of your body, the cells that support strong, vibrant hair depend on a balanced diet. With hair, it can take a few months for a nutritional deficiency or the effects of a crash diet to show up. The nutrients you eat today help to fortify the hair follicle and the scalp that surrounds it. Smoking, hormonal imbalances, and not enough sleep can also affect how your hair looks and feels. If you eat a balanced, varied, protein rich diet that focuses on these ten foods you’ll be giving your hair the TLC it needs and deserves.
Salmon: Besides being rich in protein and vitamin D the omega 3 fatty acids found in this fish are a superstar. Your body can’t make those fatty acids which your body need to grow hair. About 3% of the hair shaft is made up of these fatty acids. Omega 3’s are also found in cell membranes in the skin of your scalp, and in the natural oils that keep your scalp and hair hydrated. You can also get essential fatty acids from fish like herring, sardines, trout and mackerel, as well as avocado, pumpkin seeds, and walnuts.
Walnuts: These are the only type of nut that have a significant amount of omega 3 fatty acids. They’re also rich in biotin and vitamin E, which helps protect your cells from DNA damage. Since your hair rarely gets much shielding from the sun, this is especially great. Too little biotin can lead to hair loss. Walnuts also have copper, a mineral that helps keep your natural hair color rich and lustrous.
Oysters: Oysters are rich in zinc-- a lack of which can lead to hair loss- even in your eyelashes, as well as dry, flaky scalp. You can get zinc through fortified cereals and whole grain breads, but oysters can boast a good level of protein too. Hair is about 97% protein. Without enough protein, your body can’t replace the hairs that you naturally shed every day and what you do make can be dry, brittle or weak. Get your fill of zinc with also nuts, beef and eggs.
Sweet potatoes: Sweet potatoes are a great source of the antioxidant beta carotene, which your body turns into Vitamin A. Every cell of the body cannot function without enough A. It also helps protect and produce the oils that sustain your scalp, and being low on vitamin A can leave you with itchy dandruff.
Eggs: A great source of protein, eggs are loaded with four key minerals: zinc, selenium, sulfur, and iron. Iron is especially important, because it helps cells carry oxygen to the hair follicles, and too little iron (anemia) is a major cause of hair loss, particularly in women. You can also boost your iron stores with animal sources,including chicken, fish, pork, and beef.
Spinach: The iron, beta carotene, folate and vitamin C in spinach helps keep hair follicles healthy and scalp oils circulating. Also try nutrient rich dark, leafy vegetables such as broccoli, kale and swiss chard.
Lentils: Tiny but mighty, these legumes are teeming with protein, iron, zinc, and biotin, making it a great staple for vegetarian, vegans, and meat åeaters. Other options are to toss beans such as soybeans, edamame, and kidney beans into your soup or salad.
Greek yogurt: Cruise the dairy aisle for low fat options such as greek yogurt, which is high in hair friendly protein, vitamin B5 and vitamin D. Emerging research links Vitamin D and hair follicle health, but exactly how that works isn’t clear. Other options include cottage cheese, low fat cheese and skim milk also fit the bill.
Blueberries: Exotic super fruits may come and go but when it comes to vitamin C, its hard to top this nutrient superhero. C is critical for circulation to the scalp and supports the tiny blood vessels that feed the follicles. Too little C in your diet can lead to hair breakage. Other options include Kiwis, sweet potatoes, tomatoes and strawberries.
Poultry: This everyday entrée is extraordinary when it comes to protein, as well hair healthy zinc, iron,and B vitamins to keep strands strong and plentiful. Because hair is nearly all protein, foods rich in protein are literally giving you the building blocks for hair. Other options include lean cuts of beef.
- Juicing helps you absorb the maximum amount of nutrients from vegetables. Most of us have impaired digestion as a result of making less than optimal food choices over many years. Juicing will help to ”pre-digest” vegetables for you so you can get the most nutrition out of the vegetables you eat. Juices retain most of the vitamins, minerals, and plant chemicals or phytonutrients that would be found in the whole versions of these foods. These nutrients can help protect against cardiovascular disease, cancer, and various inflammatory diseases.
- Cooking and processing food destroys micronutrients by altering their shape and chemical composition. The goal of juicing is to avoid all processed foods and eat only organic vegetables and fruits whenever possible.
- Remember to consider calories and sugar content. A medium piece of fruit has about 60 calories. A cup of vegetables has about 25, and 3 cups of leafy greens have about 25 calories. Each 60 calorie serving of fruit equals aobut 4 ounces of juice. A typical juice is usually 12 to 16 ounces. Those calories add up. If you use vegetables to juice the calories are a lot less. The exception is lemons and limes which have virtually no offending sugar and fructose, while still being amazing at eliminating the bitter taste of the dark, deep green leafy vegetables that provide most of the benefits of juicing.
- Juicing allows you to consume an optimal amount of vegetables in an efficient manner. Many people eat the same vegetables in their salads every day. This violates the principle of regular food rotation. Variety is the spice of life and you should add a wider variety of vegetables in your diet. With juicing, you can juice a wide variety of vegetables that you may not normally enjoy eating whole. You will want to be creative and use veggies and fruits of every color, rotating the different kinds constantly in order to extract a diverse rainbow of nutrients and vitamins.
- Unless you’re juicing as part of a fast or detox, aim to eat two whole fruits and two to four vegetables a day. They should come in different colors, as the colors represent varying antioxidants, vitamins and minerals.
- Don’t forget that juicing removes the fiber containing pulp of produce which is beneficial. You can add some of the leftover pulp back into the juice or use it in cooking- some people add it to muffins or to make broth for cooking soup, rice, and pasta.
- Juicing is a great way to squeeze fruits and vegetables into your diet if you typically don’t like them. When making juice, you can add fruits and vegetables that are about to spoil. That way, you don’t waste produce (the food we waste the most money on each year).
- Alternate between juicing and blending. If you are juicing as a way to detox, think about blending after a few days so that you get fiber from the fruits and vegetables. Fiber is a necessary factor in healthy digestion. When blending you can also add protein. Juicing has very little protein so adding protein is a healthy component to balance your diet. Excellent sources of protein for blending smoothies are whey protein, cottage cheese, yogurt, flaxseed, peanut butter and almond milk. Use a log to ensure that you are getting all of the required vitamins, minerals and protein in your various juices and drinks.
Beauty Resolutions you should make ASAP
Use Retinoids. Retinoids (Vitamin A) should be your new best friend, included in every skin care regimen. Retin A provides the vital component you skin needs to improve the appearance of skin imperfections caused by exposure to the sun, environmental assaults and aging. Skin becomes smoother and thicker, minimizing the appearance of fine lines and wrinkles. Dark spots on the face become lighter, resulting in a more even skin tone.
Use lotion after lathering. Warm showers strip your skin of oils so its important to restore them after you’re done. Since moisturizing your body can be an annoying extra step, try storing your body lotion in the shower so you’ll remember to apply it once you turn off the water. Your skin will absorb it better and the move will make this part of your routine so much easier to do. Also, make sure that you are targeting problem areas by using a separate cream and moisturizing your hands and neck, these are generally the first three areas to show premature aging.
Add a growth factor to your daily skin care regimen. This is important because growth factors are proteins that are present in skin in a physiologically balanced combination to maintain a healthy skin structure. Through normal aging, the production and level of growth factors decrease. A growth factor will help to reduce the appearance of fine lines a wrinkles, diminish the appearance of age spots and dyspigmentation, improve skin texture, tone and elasticity as well as reduce roughness and photodamage.
Take off your makeup at night. This is nothing new, we all know not removing your makeup can lead to pesky breakouts. The problem is doing it late at night when you’re exhausted. Do it right when you get home not after you in bed watching tv, when all else fails use a face cleansing wipe. Keep them in your nightstand so they are close by.
Have patience with your skin care routine. If you’ve recently switched face creams or are finally getting religious about using one, don’t freak if you don’t see instant results. Good anti-aging creams take around six weeks to work, and this includes skin brightening and acne products. After you’ve hit the six week period, you should see improvement, if you don’t, move on to the next.
Clean your makeup brushes. This one of those little tasks that never seem to make it to the top of our to do lists, but consider the consequences: your makeup brushes are breeding grounds for bacteria that can cause irritation and zits. Fix this by washing them with a baby shampoo monthly and spritzing them with an antibacterial spray weekly.
Exfoliate. It’s often hard to keep up with our skin. One minute we are smothering it in moisture and the next its back to being dull and flakey. To compliment your moisturizer and ensure that your skin stays lovelier for longer, make sure you leave extra time to exfoliate daily. Skin continually produces new cells and, as the new cells appear, the dead ones tend to sit on top of the skin making it appear dry and dull. When this happens, there’s not much point in moisturizing. Try buttering up after you’ve buffed the old cells off and you’ll notice a drastic change.
Ditch your vices. Many of us spend a fortune on beauty products to help keep our skin youthful and glowing. However, the most effective way to improve your appearance could be by making lifestyle changes. Smoking allows 4000 toxic substances into the body during every puff. Alcohol, sugar, salty foods, and late nights can also take their toll on your appearance. Too much alcohol causes the skin to dry out and eyes to become puffy. Sugar consumption is also up there with sun exposure and smoking when it comes to major causes of wrinkles. Try cutting out or down you vices and see what a difference it makes to your looks. This is a sure fire way to improve the skins elasticity, reduce puffy eyes, look younger and more beautiful.
Secrets to Great Skin – Skin Care Tips for Every Age!
Skin Care tips for your 30's
1.) Speed Up Cell Turnover- As we move into our 30s our cell renewal rate tends to slow down. Exfoliating with ingredients like Alpha Hydroxy Acid and Retinol help remove dead skin cell layers which helps speed up skin renewal.
2.) Show antioxidants some love- Antioxidants help repair and prevent damage to the skin. They also increase collagen production, promote healing and help to reduce fine lines and wrinkles. Antioxidants like those found in the Vivite skin care line, repair the skin, remove sun damage, and help you to glow.
3.) Protect and strengthen the skin- Hopefully at this stage your are wearing sunscreen on a daily basis because unprotected sun exposure will cause wrinkles! Now is the time to bump it up a notch and reapply as needed throughout the day. Try Tizo Mineral Fusion SPF 40 for smooth, non greasy coverage that is non comedogenic.
Skin Care tips for your 40’s
1.) Combat hyper-pigmentation- Skin pigment problems like sunspots and uneven tone become increasingly common in our 40s. Products containing hydroquinone can help cut down on any darkness or blotchiness in the skin. Hydroquinone, Lactic, Kojic, and Azelaic acid aid in reducing pigmentation. Vitamin C also aids in decreasing hyper-pigmentation and is a great anti-inflammatory. It improves elasticity, helps build collagen and provides extra protection against UV damage. Try White Lightening, an excellent, organic serum that removes brown spots.
2.) Reconsider your skin type- Teens are not the only ones with acne! Oil production tends to slow down as we go through a number of hormonal changes in our 40’s. It’s important to note that breakouts may occur during this time of life due to changes in hormones. Keeping products with Salicylic Acid, Alpha Hydroxy Acid and Retinol on hand are recommended. Dry skin also becomes more common during this stage of life, even if you formerly were someone with oily skin. Hyaluronic Acid is a water binder, it holds and maintains up to 1000 times its weight in water so products containing this are great hydrators without being heavy.
3.) Treat texture- Using Retinol to help speed up that cell turnover rate is key. Retinol is an anti-aging ingredient derived from vitamin A which encourages a younger and more radiant complexion by assisting with cell turnover, cell regeneration and growing new collagen.
4.) Take care of your eyes- This is an extremely important time to take care of your eyes. Your windows to the soul are a very delicate part of your body and you may notice fine lines and wrinkles beginning to form in this area. Help treat this part of your body with eye creams containing hyaluronic acid, stem cell growth factors or even Botox. Youth Eye Complex hydrates, smoothes, firms, tightens and refines. It contains powerful antioxidants and builds collagen for immediate and long term results. Botox works great and lasts for 6 months to literally erase crow’s feet.
5.) Smooth away the wrinkles- Natural collagen is what gives skin a smooth, supple, youthful appearance. As you age, natural collagen breaks down, resulting in wrinkles and loss of facial volume. The best way to refresh your appearance is by replenishing the volume your skin has lost. This diminishes wrinkles, resulting in a more youthful look. Juvederm or Radiesse filler are ideal choices to help this. In addition to providing immediate volume correction, they also stimulate production of your own natural collagen. The results are immediate and last a year in many patients.
Skin care tips for your 50’s
1.) Don’t forget the neck- the neck is any area we often forget to treat but is a vital part of keeping skin looking fresh and youthful. There are less sebaceous glands in the neck and thus less oil production in this area which leads to dehydrated skin. Don’t let neck wrinkles creep up on you! Use products that help to treat, firm and hydrate the neck area and act as a skin brightener to assist with age spots as well.
2.) Get more advanced- It’s time to bring in the big guns. Get the ultimate in anti-aging with SkinMedica’s TNS Essential Serum. This is formulated from naturally occurring stem cell growth factors, antioxidants, soluble collagen, cytokines and matrix proteins clinically proven to reduce the appearance of fine lines and wrinkles, diminish the appearance of age spots and dyspigmentation as well as improve skin texture, tone and elasticity. TNS Essential Serum is an unprecedented combination of the renowned stem cell growth factor formula TNS Recovery complex in one chamber and a potent mixture of antioxidants, peptides and other innovative anti-aging ingredients in the other. It promotes the skin’s natural regeneration process.
Skin care tips for your 60’s
1.) Get your beauty sleep- getting enough rest is an important part of the skin’s health and vitality. Sleep not only helps rejuvenate both the body and the spirit but also helps prevent puffiness and dark under eye circles and regulates metabolism. Make sure that you are getting at least 8 hours of uninterrupted sleep per night and your body will thank you.
2.) Tighten up and get rich- The breakdown of collagen and elastin is more prominent at this age. Focus on rich, emollient moisturizers with extra anti-aging and tightening additives to help repair skin. Use products with Retinol which is found to help to promote collagen re-growth. Focus on collagen stimulation with Sculptra Aesthetic, a facial injectable that replaces collagen lost during the aging process. Sculptra is the only volumizer scientifically designated to stimulate natural collagen growth and lasts more than 2 years. Sculptra replenishes lost volume by stimulating growth of your own natural collagen to treat the underlying causes of facial aging.