MedWorm: Cosmetic Surgery

The pursuit of beauty: what compels women to go under the knife?

Telegraph Health — Wed, 22 May 2013 06:00:08 +0100

Leading plastic surgeon Dr Bryan Mendelson talks to Louisa Peacock about the pursuit of beauty and what leads women to having cosmetic surgery. (Source: Telegraph Health)

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Anterolateral Thigh Flow-Through Flap in Hand SalvageAnterolateral Thigh Flow-Through Flap in Hand Salvage

Medscape Today Headlines — Mon, 20 May 2013 15:49:58 +0100

This report describes a reconstructive technique using a free anterolateral thigh flow-through flap for hand salvage. ePlasty, Open Access Journal of Plastic Surgery (Source: Medscape Today Headlines)

Surgery to get back at your ex

CNN.com - Health — Tue, 14 May 2013 11:16:39 +0100

Revenge plastic surgery -- getting back at your ex by having work done to become more attractive -- is becoming more and more common. (Source: CNN.com - Health)

Looks More Important Than Health For Young Women Seeking A Tan

Health News from Medical News Today — Tue, 14 May 2013 07:00:00 +0100

Sunless tanning - whether with lotions, bronzers or tanning pills - has been promoted as an effective substitute to dodge the health risks of ultraviolet rays, but if the products don't provide the perfect tan, young women likely will not use them, according to a Baylor University researcher. "The feeling is 'I tan, I feel good, I'll look good tomorrow . . . What's health?'" said Jay Yoo, Ph.D., an assistant professor of family and consumer sciences in Baylor's College of Arts & Sciences. He conducted a study of 182 Caucasian female college students, with an average age of 19.7 years... (Source: Health News from Medical News Today)

Getting back at your ex ... with surgery

CNN.com - Health — Mon, 13 May 2013 17:15:55 +0100

Revenge plastic surgery -- getting back at your ex by having work done to become more attractive -- is becoming more and more common. (Source: CNN.com - Health)

Advanced Dermatology and Cosmetic Surgery (ADCS Clinics) Announces...

PRWeb: Medical Pharmaceuticals — Sat, 11 May 2013 07:10:17 +0100

ADCS is a proud supporter of UCF Medical College Charter Class.(PRWeb May 09, 2013)Read the full story at http://www.prweb.com/releases/2013/5/prweb10714351.htm (Source: PRWeb: Medical Pharmaceuticals)

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Economic models for evaluating plastic surgery ideas

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 10 May 2013 06:10:20 +0100

The Miami Society of Plastic Surgeons has dinner meetings almost every other month. Our meetings have two types of speakers — visiting professors, sponsored by different national societies, and commercial speakers, sponsored by drug and device manufacturers. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Nip-tuck's extreme new face unveiled: With Britons spending £2.3bn a year on plastic surgery, the Mail on Sunday Health editor heads to America to discover the latest bizarre procedures

the Mail online | Health — Thu, 09 May 2013 17:12:09 +0100

As 43,000 Brits a year go under the knife - a figure that is rising all the time - BARNEY CALMAN visits New York, to take a look at the latest trends in plastic surgery. (Source: the Mail online | Health)

PIP Breast Implants May Harm Developing Fetus

Health News from Medical News Today — Thu, 09 May 2013 13:00:00 +0100

A recent report published in the Journal of the Royal Society of Medicine reveals that PIP breast implants do in fact pose health threats, and can cause damage to a developing fetus. The new report disagrees with the NHS medical director Sir Bruce Keogh's recent statement claiming that PIP breast implants do not have any associated serious health risks. The authors say that PIP implants have a high number of small molecules known as D4, a type of endocrine disrupting chemical (EDC). EDCs can cause damage to a fetus... (Source: Health News from Medical News Today)

Federal Register: General and Plastic Surgery Devices: Reclassification of Ultraviolet Lamps for Tanning, Henceforth To Be Known as Sunlamp Products

Food and Drug Adminstration (FDA): CDRHNew — Thu, 09 May 2013 04:00:00 +0100

The FDA is proposing to reclassify ultraviolet (UV) lamps intended to tan the skin from class I (general controls) exempt from premarket notification to class II (special controls) and subject to premarket notification, and to rename them sunlamp products (Source: Food and Drug Adminstration (FDA): CDRHNew)

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Call for improved safety data on medical implants

NHS News Feed — Wed, 08 May 2013 11:01:00 +0100

The need to improve the safety of medical devices such as hip and breast implants made the headlines today. The Daily Telegraph reports that experts are calling for an end to the "secrecy" surrounding how they are regulated. The story is based on an opinion piece published in the British Medical Journal, which calls for European data on medical devices, including their safety and any adverse effects, to be made available to the public. A second, related, article makes the point that the regulation of medical implants, and the collection and publication of related data on patient safety, fails to match that of medications. Collecting and publishing high quality data could help prevent widespread problems with medical implants, such as those seen with Poly Implant Prothèse (PIP)...

24 Hour Summary and Presentations posted for May 2, 2013 General and Plastic Surgery Devices Panel of the Medical Devices Meeting

Food and Drug Adminstration (FDA): CDRHNew — Tue, 07 May 2013 04:00:00 +0100

(Source: Food and Drug Adminstration (FDA): CDRHNew)

US warheads to get a facelift

Nature — Tue, 07 May 2013 04:00:00 +0100

Nature 497, 7448 (2013). http://www.nature.com/doifinder/10.1038/497165a Author: Jeff Tollefson Obama boosts ‘stockpile stewardship’ funds at energy labs. (Source: Nature)

Review of cosmetic procedure rules

BBC News | Health | UK Edition — Mon, 06 May 2013 12:09:07 +0100

An expert group will consider whether tighter regulation is needed in Wales of cosmetic procedures, including surgery, after a report into the breast implant scandal. (Source: BBC News | Health | UK Edition)

Topography of the greater palatine artery and the palatal vault for various types of periodontal plastic surgery

Clinical Anatomy — Mon, 06 May 2013 04:00:00 +0100

The purpose of the present study is to provide useful data that could be applied to various types of periodontal plastic surgery by detailing the topography of the greater palatine artery (GPA), looking in particular at its depth from the palatal masticatory mucosa (PMM) and conducting a morphometric analysis of the palatal vault. Forty‐three hemisectioned hard palates from embalmed Korean adult cadavers were used in this study. The morphometry of the palatal vault was analyzed, and then the specimens were decalcified and sectioned. Six parameters were measured using an image‐analysis system after performing a standard calibration. In one specimen, the PMM was separated from the hard palate and subjected to a partial Sihler's staining technique, allowing the branching pattern of the GP...

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Burns due to dimeticone with cyclometicone 5 excipient anti-lice lotion

Burns : Journal of the International Society for Burn Injuries — Sun, 05 May 2013 18:10:23 +0100

We present two patients recently referred to our department having sustained partial and full thickness flame burns to the face and scalp, following the use of anti-lice hair lotions (as shown in ). Patient A suffered 3.5% TBSA mixed depth flame burns to the forehead, all eyelids, ears and cheeks after a dimeticone 4% anti-lice lotion she had applied to her hair 4h previously ignited from contact with a lit cigarette. She had an eleven-day in-patient stay with two visits to theatre for debridement and allografting. Patient B's mechanism of injury was identical after dimeticone 4% anti-lice lotion treated hair contacted with a lit cigarette, resulting in 3% TBSA deep dermal burns to her forehead and scalp and full thickness burns to her left pinna. Also treated operatively she underwent sur...

Treatment of degloving injury of the finger with a pedicled split-thickness skin graft

Burns : Journal of the International Society for Burn Injuries — Sun, 05 May 2013 18:10:22 +0100

Avulsion of fingers are common industrial incidents and small skin flap injuries of one or more fingers are emergency room problems encountered daily . Avulsion of skin from the underlying structures is usually a result of trauma, and has a dramatic presentation. Besides the possibility of injury to other structures, there may be a problem with viability of the skin involved. The degloving injury is more significant in the hand injury. (Source: Burns : Journal of the International Society for Burn Injuries)

Kaposi's sarcoma arising in a burn scar mimicking Marjolin's ulcer

Burns : Journal of the International Society for Burn Injuries — Sun, 05 May 2013 18:10:22 +0100

Kaposi's sarcoma (KS) is an angioproliferative disorder, which is associated with human herpes virus 8 (HHV-8), also known as Kaposi's sarcoma-associated herpes virus (KSHV) . (Source: Burns : Journal of the International Society for Burn Injuries)

Editorial Board

Burns : Journal of the International Society for Burn Injuries — Sun, 05 May 2013 18:10:21 +0100

(Source: Burns : Journal of the International Society for Burn Injuries)

Development and implementation of prospective outcome monitoring in a regional burns service using cumulative sum (CUSUM) techniques

Burns : Journal of the International Society for Burn Injuries — Sun, 05 May 2013 18:10:21 +0100

This study describes a successful design for an early-warning system to monitor outcomes in a burns intensive care setting. (Source: Burns : Journal of the International Society for Burn Injuries)

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Social Media Used By Half Of US Plastic Surgeons To Market Their Practice

Health News from Medical News Today — Sat, 04 May 2013 07:00:00 +0100

Half of U.S. plastic surgeons are using Facebook, Twitter and other social media platforms in their professional practice, according to a survey in the May issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). "Social media platforms represent a dynamic and powerful tool to educate, engage, market to and directly communicate with patients and professional colleagues," writes ASPS Member Surgeon Dr. Reza Jarrahy and colleagues of University of California, Los Angeles... (Source: Health News from Medical News Today)

New Evidence On What Women Can Expect After Breast Augmentation Surgery

Health News from Medical News Today — Sat, 04 May 2013 07:00:00 +0100

Ninety-eight percent of women undergoing breast augmentation surgery say the results met or exceeded their expectations, according to a prospective outcome study published in the May issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). Women also report improvements in self-esteem and quality of life after breast augmentation, according to the study by ASPS Member Surgeon Dr. Eric Swanson, a plastic surgeon in private practice in Leawood, Kan... (Source: Health News from Medical News Today)

Which plastic surgery procedure jumped 4,000% over 10 years?

bizjournals.com Health Care:Biotechnology headlines — Fri, 03 May 2013 18:45:53 +0100

While breast augmentation remains the most popular plastic surgery among women, arm-lift surgery for women has increased more than 4,000 percent over the past decade, according to the American Society of Plastic Surgeons. The organization credits sleeveless fashions for the dramatic increase, with 98 percent of arm-lift patients being women. The average surgeon fee for the procedure is $3,939. Houston Business Journal recently reported on the trends in the cosmetic surgery industry. Click here… (Source: bizjournals.com Health Care:Biotechnology headlines)

Are your breasts covered? Plastic surgeons to offer insurance for cosmetic surgery

the Mail online | Health — Fri, 03 May 2013 16:55:11 +0100

The British Association of Plastic Surgeons have made the move to offer a policy after findings from the Government enquiry into cosmetic surgery were published last week. (Source: the Mail online | Health)

UK Plastic Surgeons Arrange to Insure Cosmetic OperationsUK Plastic Surgeons Arrange to Insure Cosmetic Operations

Medscape Medical News Headlines — Fri, 03 May 2013 16:00:00 +0100

A leading British cosmetic surgeons' association has arranged insurance for its members' patients to cover the cost of righting procedures such as breast enhancements that go wrong. Reuters Health Information (Source: Medscape Medical News Headlines)

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Many plastic surgeons view social media as important tool for promoting their practice

UCLA Newsroom: Health Sciences — Fri, 03 May 2013 07:01:00 +0100

Social media has revolutionized the way in which people and businesses interact, and it is taking on a growing role in the health care industry. A new UCLA study looking at the use of social media among plastic surgeons found that roughly half of these specialists use social media tools. Plastic surgeons have been leaders among medical specialists in the development of interactive websites to promote their practices and educate patients, said the study's principal investigator and senior author, Dr. Reza Jarrahy, an associate clinical professor of plastic and reconstructive surgery at Ronald Reagan UCLA Medical Center. But until now, there there had been surprisingly little information on whether and how they are using social media. In the study, published in the May iss...

FDA Panel Gives Unanimous Thumbs-Up to Cheek Volume Filler FDA Panel Gives Unanimous Thumbs-Up to Cheek Volume Filler

Medscape Today Headlines — Thu, 02 May 2013 23:24:07 +0100

If approved, Juvéderm Voluma XC would be the first dermal filler approved in the US for correction of age-related mid-face volume deficits. Medscape Medical News (Source: Medscape Today Headlines)

Breast implants may make cancer harder to spot

NHS News Feed — Wed, 01 May 2013 09:59:00 +0100

“Breast implants may harm breast cancer survival chances,” The Guardian warns, along with other media sources reporting on the same subject. It is important to stress that the research the media has reported does not suggest that breast implants cause breast cancer. Instead, the research suggests that breast implants may cause a delay in diagnosis in women who have breast cancer, which may increase their risk of dying from the condition. The researchers suggest that the implants could hide cancerous tissue that would otherwise be detected during screening. To test this, the researchers reviewed several small studies looking at whether having cosmetic breast implants was associated with (no causal association) a delay in diagnosis, and whether women with breast cancer who had implants ...

For Those With Psychological Issues, Cosmetic Surgery May Not Be The Solution

Health News from Medical News Today — Wed, 01 May 2013 09:00:00 +0100

Patients who have suffered from domestic violence, or who have underlying psychological issues, are more likely to undergo cosmetic surgery. Their conditions may also actually worsen rather than improve following surgery. The study, from the Institute of Education - a systematic review of all available research evidence -- comes in the wake of last year's PIP (Poly Implant Prothese) breast implant controversy... (Source: Health News from Medical News Today)

Breast Implants Can Hinder Breast Cancer Survival In Women

Health News from Medical News Today — Wed, 01 May 2013 07:00:00 +0100

Cosmetic breast implants may hinder survival in women who later develop breast cancer, according to a new small study published in BMJ. The authors suggest that these results be interpreted with caution because some of the twelve studies that were looked into did not adjust for a number of confounding elements. They emphasize the need for further studies into the long term health effects of breast implants... (Source: Health News from Medical News Today)

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Protective effect of hydrogen-rich saline on ischemia/reperfusion injury in rat skin flap.

J Zhejiang Univ Sci ... — Wed, 01 May 2013 04:00:00 +0100

Conclusions: Our findings suggest that HRS mitigates I/R injury by decreasing inflammation and, therefore, has the potential for application as a therapy for improving skin flap survival. PMID: 23645175 [PubMed - in process] (Source: J Zhejiang Univ Sci ...)

Breast implants 'increase cancer death risk,' say scientists

The Independent - Science — Tue, 30 Apr 2013 23:00:29 +0100

Women who have cosmetic surgery to increase the size of their breasts may be at greater risk of dying from breast cancer, scientists say. (Source: The Independent - Science)

Breast implants ‘increase cancer death risk,’ say scientists

The Independent - Science — Tue, 30 Apr 2013 23:00:29 +0100

Women who have cosmetic surgery to increase the size of their breasts may be at greater risk of dying from breast cancer, scientists say. (Source: The Independent - Science)

Implants May Delay Breast Cancer Detection, Raise Death Risk

MedlinePlus Health News — Tue, 30 Apr 2013 23:00:00 +0100

Study found one-fourth higher odds of being diagnosed with later-stage diseaseSource: HealthDay Related MedlinePlus Page: Plastic and Cosmetic Surgery (Source: MedlinePlus Health News)

Do breast implants raise cancer danger? They make tumours harder to spot, says report

the Mail online | Health — Tue, 30 Apr 2013 22:31:53 +0100

A review of studies found the risk of being diagnosed at a later stage of breast cancer was increased by a quarter in women with cosmetic implants, compared with those without. (Source: the Mail online | Health)

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Reach of Upper Arm Lifts Growing Among US WomenReach of Upper Arm Lifts Growing Among US Women

Medscape Today Headlines — Tue, 30 Apr 2013 22:29:50 +0100

Plastic surgeons have seen an exponential jump in demand for upper arm surgery, driven by famous women going sleeveless. Total cosmetic procedures grew by 5% in 2012, to nearly 15 million. Medscape Medical News (Source: Medscape Today Headlines)

Meeting materials posted for May 2, 2013 General and Plastic Surgery Devices Panel of the Medical Devices Meeting

Food and Drug Adminstration (FDA): CDRHNew — Tue, 30 Apr 2013 04:00:00 +0100

(Source: Food and Drug Adminstration (FDA): CDRHNew)

Upper Arm Lifts Via Plastic Surgery On The Rise

Health News from Medical News Today — Mon, 29 Apr 2013 17:00:00 +0100

A plastic surgery procedure that was documented to be on the rise between the years of 2000 and 2012 was the upper arm lift, a new report suggests. In 2012, over 15,000 upper arm lights were performed across the U.S., an increase from just 300 in 2000, according to the report released by the American Society of Plastic Surgeons. An upper arm lift, commonly known as brachioplasty, is a surgical procedure that changes the shape of the under part of the upper arm - from the underarm region to the elbow... (Source: Health News from Medical News Today)

Cosmetic Procedures for Arms on the Rise

MedlinePlus Health News — Mon, 29 Apr 2013 16:00:00 +0100

Vast majority of patients are womenSource: HealthDay Related MedlinePlus Page: Plastic and Cosmetic Surgery (Source: MedlinePlus Health News)

Protection plan for plastic surgery

HSJ — Mon, 29 Apr 2013 10:58:00 +0100

Plastic surgeons are to introduce a financial protection scheme for their patients, it has been announced. (Source: HSJ)

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More U.S. women getting arm plastic surgery

Health News - UPI.com — Mon, 29 Apr 2013 05:59:05 +0100

ARLINGTON HEIGHTS, Ill., April 29 (UPI) -- Fueled by the fashion trend of sleeveless dresses, arm lifts in U.S. women increased more than 4,000 percent in about a decade, plastic surgeons say. (Source: Health News - UPI.com)

New stats: Plastic surgery trend has women armed for spring and summer

EurekAlert! - Medicine and Health — Mon, 29 Apr 2013 04:00:00 +0100

(MediaSource) Plastic surgery for better arms in women is surging. New statistics released by the American Society of Plastic Surgeons show that arm lifts in women have skyrocketed a staggering 4,378 percent in just over the last decade. It is a trend fueled, in part, by sleeveless fashions for women and more focus on strong-armed celebrities. In 2000, more than 300 women got upper arm lift procedures. Last year, more than 15,000 did. (Source: EurekAlert! - Medicine and Health)

More women go under the knife for 'bingo wings' plastic surgery

The Independent - Science — Sun, 28 Apr 2013 21:11:36 +0100

The fashion for sleeveless dresses combined with admiration for strong-armed celebrities such as Michelle Obama has fuelled demands for a new type of plastic surgery. (Source: The Independent - Science)

United Kingdom and Australia: Half a World Away in Surgical Training

Journal of Surgical Education — Sun, 28 Apr 2013 04:12:02 +0100

Despite cultural similarities, there remains a differing approach to surgical education between Australia and the United Kingdom (UK). Having worked as an unaccredited General Surgery Registrar (postgraduate years 3-8) in Australia, and currently a Core Surgical Trainee in General Surgery and Plastic Surgery in the UK, I have been exposed to many differences that exist between the 2 systems. (Source: Journal of Surgical Education)

Long Psych Admission Wait Times a Cost-Saving Ploy, MDs SayLong Psych Admission Wait Times a Cost-Saving Ploy, MDs Say

Medscape Today Headlines — Fri, 26 Apr 2013 14:05:53 +0100

Patients who require emergency psychiatric hospitalization are often subjected to lengthy waiting periods in the emergency department waiting for their health insurance to be authorized. Medscape Medical News (Source: Medscape Today Headlines)

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MRI adds to cancer detection in women with breast implants

AuntMinnie.com Headlines — Thu, 25 Apr 2013 07:00:00 +0100

When used as an adjunct to mammography and ultrasound, MRI can find additional (more) (Source: AuntMinnie.com Headlines)

Recommendations to protect people who choose cosmetic surgery

NHS Networks — Thu, 25 Apr 2013 04:00:00 +0100

The recommendations are outlined in the Review of the Regulation of Cosmetic Interventions. The review found that, despite the popularity of non-surgical procedures such as Botox, dermal fillers or laser hair removal – which account for nine out of ten procedures in the UK – there is almost no regulation for them. This is despite the fact that they can have major, permanent effects on people’s health. (Source: NHS Networks)

'I had cosmetic surgery because I like the way I look', Louise Mensch admits

Telegraph Health — Wed, 24 Apr 2013 23:48:59 +0100

Former Tory MP Louise Mensch has revealed for the first time that she has had cosmetic surgery, claiming it was maintenance as she likes her appearance. (Source: Telegraph Health)

Maker of faulty French breast implants apologizes

Reuters: Health — Wed, 24 Apr 2013 16:00:15 +0100

MARSEILLE (Reuters) - The head of a French company accused of selling sub-standard breast implants apologized for the first time on Wednesday, just days after denying that the homemade gel used to fill them posed any danger to women. (Source: Reuters: Health)

Cosmetic treatments need new regulation report finds

NHS News Feed — Wed, 24 Apr 2013 14:18:00 +0100

New proposals to regulate cosmetic procedures were widely reported in the papers today, with the Daily Mail reporting the need to "rein in cosmetic surgery cowboys", and The Daily Telegraph warning that anti-wrinkle treatments are "a crisis waiting to happen". The stories are based on an independent review of regulations governing the UK cosmetic industry, which is worth an estimated £3.6 billion. The review was chaired by the NHS medical director, Professor Sir Bruce Keogh, who said anyone having cosmetic procedures should be better protected than at present. People carrying out cosmetic procedures should be trained to a high standard, Professor Keogh said. The review particularly highlights concerns about non-surgical cosmetic procedures, such as: dermal fillers (...

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Rein in the cosmetic surgery cowboys: NHS chief calls for new laws to protect patients

the Mail online | Health — Wed, 24 Apr 2013 11:50:15 +0100

A review led by Sir Bruce Keogh (pictured) warned filler jabs, like Botox, were subject to 'no more controls than a bottle of floor cleaner'. (Source: the Mail online | Health)

Cosmetic surgery report 'too little too late'

Telegraph Health — Wed, 24 Apr 2013 11:30:56 +0100

PIP breast implant victim Jan Spivey says the government's review into regulating cosmetic procedures is "too little, too late" for women affected by the PIP scandal. (Source: Telegraph Health)

NHS medical director: cosmetic industry needs tougher regulation

Telegraph Health — Wed, 24 Apr 2013 10:03:01 +0100

Following a report recommending tighter regulation in the cosmetic surgery industry, NHS Medical Director Sir Bruce Keogh says a patient undergoing implants or fillers has no more protective "regulation than a toothbrush or ballpoint pen". (Source: Telegraph Health)

VIDEO: 'Cosmetic surgery must be safer'

BBC News | Health | UK Edition — Wed, 24 Apr 2013 09:19:15 +0100

Everyone who carries out 'filling' cosmetic surgery treatments should be required to complete accredited training, a doctor has warned. (Source: BBC News | Health | UK Edition)

'Revision' Procedures Often Needed To Manage Facial Dog Bite Scars In Children

Health News from Medical News Today — Wed, 24 Apr 2013 08:00:00 +0100

Dog bites to the face are a relatively common injury in young children, and often require repeated plastic surgery procedures to deal with persistent scarring, according to a report in the March Journal of Craniofacial Surgery, published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. In the study, Dr. Barry L. Eppley of Indiana University Health North Hospital, Carmel, and Dr. Arno Rene Schelich of Hans Privatklinikum, Graz, Austria, review a ten-year experience of the common dog bites of the face in children... (Source: Health News from Medical News Today)

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Calls for crackdown on cosmetic surgery

Telegraph Health — Wed, 24 Apr 2013 06:00:56 +0100

Britain's most senior doctor has called for a crackdown on cosmetic surgery, with tougher controls on who can offer the procedures which have become "normalised" in the pursuit of perfection (Source: Telegraph Health)

A facelift nearly killed me: Grandmother, 59, left scarred for life after botched op

the Mail online | Health — Tue, 23 Apr 2013 12:45:03 +0100

WARNING GRAPHIC CONTENT: Shelia Simmons, 59, from Manchester, spent £10,000 on a facelift but says she was left looking like she had been 'attacked by dogs'. (Source: the Mail online | Health)

Advanced Aesthetic Rhinoplasty

Springer Medicine titles — Tue, 23 Apr 2013 06:11:55 +0100

Art, Science, and New Clinical TechniquesAesthetic rhinoplasty is among the most common aesthetic operations in the field of facial aesthetic plastic surgery, but it is also viewed as one of the most complex. This comprehensive book provides a wealth of up-to-date information on advanced aesthetic rhinoplasty techniques. After discussion of anatomy, psychological issues, and preoperative planning, a wide range of primary and ... (Source: Springer Medicine titles)

Interleukin‐17A+ Cell Counts Are Increased in Systemic Sclerosis Skin and Their Number Is Inversely Correlated With the Extent of Skin Involvement

Arthritis and Rheumatism — Tue, 23 Apr 2013 04:00:00 +0100

ConclusionIL‐17A+ cells belonging to the innate and adaptive immune system are numerous in SSc skin. IL‐17A participates in inflammation while exerting an inhibitory activity on myofibroblast transdifferentiation. These findings are consistent with the notion that IL‐17A has a direct negative‐regulatory role in the development of dermal fibrosis in humans. (Source: Arthritis and Rheumatism)

Rocklin cosmetic surgeon arraigned on 37 felony counts

bizjournals.com Health Care:Pharmaceuticals headlines — Mon, 22 Apr 2013 21:53:39 +0100

The Placer County District Attorney has filed a 41-count felony complaint against Dr. Efrain Gonzalez and Dr. Yessennia Candelaria related to care provided at Advanced Medspa Cosmetic Surgery & Laser Center in Rocklin between April 1, 2007 and their arrest on March 15. The charges were filed Friday in Placer County Superior Court. They follow a lengthy investigation by the Medical Board of California, Franchise Tax Board, federal Drug Enforcement Administration and the county attorney district attorney Gonzalez… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)

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Clinical Pathologic Conference Case 5: Unusual Severe Glossitis

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Mon, 22 Apr 2013 13:12:46 +0100

A 69-year-old white woman reported a lengthy history of painful glossitis that, according to the patient, started almost 10 years ago coincident with rupture of colonic diverticula treated with a colostomy. Subsequently, she developed an irritation of the right lateral tongue followed by involvement of the left lateral tongue. Approximately a year later, the irritation progressed to involve the entire dorsum of the tongue. The tongue was intensely painful and interfered with normal eating, drinking, and speech. The patient’s medical history included recurrent urinary tract infections, ruptured breast implant, and arthritis, which were treated with long-term antibiotic therapy. She reported sialorrhea, slurred speech, and diarrhea of unknown duration. She was a former smoker (1 pack per d...

Facial dog bites in children may require repeated plastic surgery

EurekAlert! - Medicine and Health — Mon, 22 Apr 2013 04:00:00 +0100

(Wolters Kluwer Health) Dog bites to the face are a relatively common injury in young children, and often require repeated plastic surgery procedures to deal with persistent scarring, according to a report in the March Journal of Craniofacial Surgery, published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health. (Source: EurekAlert! - Medicine and Health)

Patient-reported outcomes post axillary block dissections for skin cancer

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 22 Apr 2013 04:00:00 +0100

Conclusion: ALND for cutaneous skin cancers does not result in a significant increase in upper limb disability in the majority of patients. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Teased About Your Looks?

Psychology Today Parenting Center — Sun, 21 Apr 2013 13:51:55 +0100

How do we distinguish the angst and insecurities felt by most teenagers from the pain resulting from bullying? Does all teasing between kids warrant prohibition, or is there room for some joking and fooling around? When things clearly go too far, who should intervene -- the bullied, bystanders, parents, school administrators, state or federal governments?read more (Source: Psychology Today Parenting Center)

What a boob! Controversial breast implants turned into work of art

Telegraph Health — Sat, 20 Apr 2013 15:55:42 +0100

Hundreds of breast implants made by PIP, the firm whose faulty products caused a global health scandal, have been turned into a work of art in France. (Source: Telegraph Health)

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Maker of Faulty French Breast Implants Denies DangerMaker of Faulty French Breast Implants Denies Danger

Medscape Medical News Headlines — Fri, 19 Apr 2013 20:22:46 +0100

The head of a French company accused of selling substandard, mislabelled breast implants defended his product in court, denying that the homemade gel used to fill them posed a danger to women. Reuters Health Information (Source: Medscape Medical News Headlines)

Compartment Syndrome After Blood Gas Sample PostthrombolysisCompartment Syndrome After Blood Gas Sample Postthrombolysis

Medscape Today Headlines — Fri, 19 Apr 2013 16:00:00 +0100

A patient who had been thrombolyzed for a pulmonary embolus later develops compartment syndrome of the forearm. Was postthrombolysis blood gas sampling the cause? ePlasty, Open Access Journal of Plastic Surgery (Source: Medscape Today Headlines)

Simultaneous mastopexy in patients undergoing prophylactic nipple-sparing mastectomies and immediate reconstruction

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 19 Apr 2013 04:00:00 +0100

Summary: Background: In some patients, a satisfactory aesthetic result of reconstruction following a nipple-sparing mastectomy (NSM) is limited by breast ptosis that goes uncorrected in the early phase of reconstruction. Most plastic surgeons remain hesitant to perform a mastopexy at the time of NSM due to concerns with nipple and/or skin flap loss.Methods: From 1990 to 1995, 33 female patients underwent NSM with simultaneous mastopexy and immediate implant-based reconstruction by a single surgeon at our institution. On chart review, the following data were extracted: age, co-morbidity, indication, breast size, initial/final implant volumes, type of implant, mastopexy technique, mastectomy flap/nipple necrosis, other complications, revision surgery and follow-up. An unpaired, two-tailed t-...

The Digital Cliff

Journal of Shoulder and Elbow Surgery — Thu, 18 Apr 2013 16:11:14 +0100

You're probably reading this, if you're reading it at all, on paper. If you're like me, and now over 60 years old, that is highly probable. If you're a medical student or an orthopedic resident, it is more likely that you are reading this on silicone, and by that, I make no references to plastic surgery but instead refer to an iPad, or a Google Android tablet, or perhaps a Windows-based laptop or tablet. (Source: Journal of Shoulder and Elbow Surgery)

Founder of French breast implant company goes on trial

CNN.com - Health — Thu, 18 Apr 2013 10:56:28 +0100

The founder of a French company that made controversial breast implants has gone on trial, accused of fraud and causing involuntary injury. (Source: CNN.com - Health)

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Nipple reduction using a three-dimensional Z-shaped incision technique

Journal of Plastic, Reconstructive and Aesthetic Surgery — Thu, 18 Apr 2013 04:00:00 +0100

Conclusion: The three-dimensional Z-shaped incision technique could reduce the height and diameter and, most importantly, reduce the basal shape of all types of hypertrophic nipples to create a desired new nipple cylindrical in shape without compromising neurovascular supply and functions. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Company Founder Makes Court Appearance in Breast-Implant Case

NYT Health — Wed, 17 Apr 2013 21:41:21 +0100

Jean-Claude Mas, of Poly Implants Prothèses, is accused of selling hundreds of thousands of defective implants to more than 65 countries. (Source: NYT Health)

Makers of fraudulent breast implants on trial in France

Reuters: Health — Wed, 17 Apr 2013 15:49:43 +0100

MARSEILLE, France (Reuters) - Five French executives went on trial on Wednesday to jeers from victims for supplying women with hundreds of thousands of substandard breast implants and triggering a global health scare. (Source: Reuters: Health)

France breast implants trial begins

BBC News | Health | UK Edition — Wed, 17 Apr 2013 12:32:38 +0100

Five executives of PIP, the company that sold faulty breast implants, go on trial for fraud in the French city of Marseille. (Source: BBC News | Health | UK Edition)

Body Sculpting With Lasers: Liposuction Melts Fat, Results In Tighter Skin

Health News from Medical News Today — Wed, 17 Apr 2013 07:00:00 +0100

A new, minimally invasive treatment that uses lasers to melt fat could replace the "tummy tuck," suggests research on more than 2,000 people presented at the Society of Interventional Radiology's 38th Annual Scientific Meeting in New Orleans. Without the risks of a surgical procedure (such as the tummy tuck) and when used in combination with standard liposuction, the fat-melting action of laser lipolysis, a minimally invasive treatment, has the added benefit of producing new collagen (collagen is the main protein that gives the skin its tone and texture)... (Source: Health News from Medical News Today)

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Perfectly Beautiful

Psychology Today Anxiety Center — Tue, 16 Apr 2013 13:38:38 +0100

Body dysmorphic disorder, or BDD, is a serious appearance-based affliction. BDD sufferers feel unbearably ugly, and little you can say can change their minds. However, when BDD affects a patient's loved one, as when a patient starts believing that a child or spouse is unbearably ugly, the diagnosis takes on a new meaning and new toll. read more (Source: Psychology Today Anxiety Center)

New Data Support The Benefits Of EXPAREL For Postsurgical Analgesia Following Aesthetic Plastic Surgery Procedures

Health News from Medical News Today — Tue, 16 Apr 2013 09:00:00 +0100

Pacira Pharmaceuticals, Inc. (NASDAQ: PCRX) have announced results from EXCLAIM, its Phase 4 prospective, observational study to assess the use of EXPAREL® (bupivacaine liposome injectable suspension) for postsurgical analgesia in patients undergoing four common plastic surgery procedures. Patients who received EXPAREL following abdominoplasty, breast augmentation, breast reduction or a combination abdominoplasty/breast procedure reported low pain scores, high satisfaction with pain control and minimal opioid use... (Source: Health News from Medical News Today)

Revealing The Secrets Of Bacterial Slime

Health News from Medical News Today — Tue, 16 Apr 2013 08:00:00 +0100

Newcastle University scientists have revealed the mechanism that causes a slime to form, making bacteria hard to shift and resistant to antibiotics. When under threat, some bacteria can shield themselves in a slimy protective layer, known as a biofilm. It is made up of communities of bacteria held together to protect themselves from attack. Biofilms cause dental plaque and sinusitis; in healthcare, biofilms can lead to life threatening and difficult to treat infections, particularly on medical implants such as catheters, heart valves, artificial hips and even breast implants... (Source: Health News from Medical News Today)

Calciphylaxis -- A Solvable Task for Plastic Surgery?Calciphylaxis -- A Solvable Task for Plastic Surgery?

Medscape Today Headlines — Mon, 15 Apr 2013 16:00:00 +0100

This case highlights a multidisciplinary approach to a patient suffering from calciphylaxis, a rare, painful, and disfiguring syndrome of vascular calcification and skin necrosis. BMC Dermatology (Source: Medscape Today Headlines)

Public remain wedded to NHS funding model says new research by The King’s Fund and Ipsos MORI

The King's Fund - Press — Mon, 15 Apr 2013 15:49:28 +0100

15 Apr 2013 The public remain firmly wedded to the fundamental principles underpinning the NHS but under certain circumstances could support the introduction of charges for some treatments and services, suggests a new report, How should we pay for health care in future?, published today by The King's Fund and Ipsos MORI.The report is based on two day-long events with members of the public to explore their views about how to pay for health care in the future. It follows recent research from The King's Fund into the funding challenge facing the NHS, which showed that, on current trends, health and social care could consume half of all government spending in 50 years’ time.The events provided fresh insight into people's views about the NHS and how it should be fun...

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An electronic brachytherapy technique for treating squamous cell carcinoma in situ of the digit: a case report

BMC Research Notes — Mon, 15 Apr 2013 04:00:00 +0100

Conclusions: The patient exhibited moderate redness, hyperpigmentation erythema, desquamation, and Grade 1 to 2 edema acutely (following radiation), which resolved within 1 month of the treatment. Electronic brachytherapy treatment delivery took about 6 minutes, and the total procedure time was about 15 minutes. At the median follow-up of one year, the area revealed excellent cosmesis, and there was no infection or fat necrosis, desquamation, no cancer recurrence, and no evidence of fibrosis at the last follow-up. This suggests that Electronic Brachytherapy was a viable treatment option for this particular patient. (Source: BMC Research Notes)

Trauma and acute care (general) surgery: A marriage of convenience?

Injury — Sun, 14 Apr 2013 04:10:59 +0100

Trauma is a complex subspecialty that in the civilian world involves almost all surgical specialties to some degree or another. The two surgical specialties that have the closest relationship with trauma patients are orthopaedics and general surgery – orthopaedics because roughly 80% of all trauma patients severely injured enough to be admitted require some form of orthopaedic intervention and general surgery (or paediatric surgery in the case of children) because this specialty has retained a wide brief within surgical care, crossing the various boundaries between core general surgery and plastic surgery, thoracic surgery, vascular surgery, otolaryngology, and urology. In addition general surgeons in many parts of the world have developed or maintained a significant degree of expertise ...

Techniques in Ophthalmic Plastic Surgery: A Personal Tutorial

American Journal of Ophthalmology — Sun, 14 Apr 2013 03:11:43 +0100

Media Type: Textbook (Hardcover) and DVD Synopsis: Techniques in Ophthalmic Plastic Surgery: A Personal Tutorial, is based on Dr Nerad's previously well-acclaimed Requisites in Oculoplastic Surgery that appeared in 2001. The author has kept the same format with significant updates and inclusion of new material which covers from the basics to the most recent advances in the field of ophthalmic plastic and reconstructive surgery. This may be perhaps one of the most, practical, and authoritative practical textbooks of its size in the field of oculoplastic surgery that could be used as a reference. It offers more than 700 illustrations both in drawings and in full color photographs along with a DVD that cover many surgical videos. (Source: American Journal of Ophthalmology)

Editorial Board

Burns : Journal of the International Society for Burn Injuries — Sat, 13 Apr 2013 06:10:20 +0100

(Source: Burns : Journal of the International Society for Burn Injuries)

TMJ Arthroplasty With Human Amniotic MembraneTMJ Arthroplasty With Human Amniotic Membrane

Medscape Today Headlines — Fri, 12 Apr 2013 16:00:00 +0100

In this case report, the authors describe their experience using human amniotic membrane combined with a costochondral graft in TMJ reconstruction. ePlasty, Open Access Journal of Plastic Surgery (Source: Medscape Today Headlines)

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Use of a tissue expander as a radio-protective spacer with a latissimus dorsi flap in the management of a peripheral primitive neuroectodermal tumour (pPNET)

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 12 Apr 2013 04:00:00 +0100

This report highlights the usefulness of a tissue expander in providing protection for vital structures during radiotherapy. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Predictors of post-mastectomy reconstruction in an underserved population

Journal of Plastic, Reconstructive and Aesthetic Surgery — Thu, 11 Apr 2013 04:00:00 +0100

Summary: Objective: Past studies found insurance status, race, comorbidities and hospital setting influence the likelihood and timing of post-mastectomy breast reconstruction (BR). We evaluated these factors at a public hospital serving a predominantly minority and uninsured population.Methods: Women who underwent mastectomy and/or BR from 2005 to 2011 were reviewed. The association between patients' characteristics and receipt of BR and timing (immediate BR vs. delayed BR) were analyzed. The 5-year overall BR rate was estimated with the Kaplan–Meier method.Results: The analysis included 387 patients. 130 received BR. 85 (65%) received immediate BR and 25 (19%) underwent microsurgical repair. The total complication rate was 25%. The 5yr overall BR rate was 43% (95% CI: 36%–51%).Univari...

Autologous keratinocyte suspension in platelet concentrate accelerates and enhances wound healing -- a prospective randomized clinical trial on skin graft donor sites: platelet concentrate and keratinocytes on donor sites

Fibrogenesis and Tissue Repair — Tue, 09 Apr 2013 04:00:00 +0100

Conclusion: The results demonstrate the positive contribution of autologous platelets combined with keratinocytes in stimulating wound healing and reducing pain. This strikingly simple approach could have a significant impact on patient care, especially critically burned victims for whom time is of the essence.Clinical trial registry information: Protocol Record Identification Number: 132/03Registry URL: http://www.clinicaltrials.gov (Source: Fibrogenesis and Tissue Repair)

Cosmetic Surgery Associates Of New York Offers New Fraxel® Laser

Medical Design Online News — Tue, 09 Apr 2013 03:32:36 +0100

Cosmetic Surgery Associates of New York (CSANY) has expanded its repertoire of skin care services with the addition of the Fraxel Dual 1550/1927 laser. The laser is available for skin resurfacing and skin tightening in New York at each of the practice's 4 locations (Source: Medical Design Online News)

Correction of sequelae of rhinoplasty by lipofilling

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 08 Apr 2013 04:00:00 +0100

Conclusion: In patients who undergo multiple procedures, lipofilling can be a simple and reliable alternative to correct imperfections following rhinoplasty. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Anatomic study of selective neurectomy of gastrocnemius muscle for calf reduction in Chinese

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 08 Apr 2013 04:00:00 +0100

Conclusions: A variety of origin patterns among the nerves to the lateral and medial gastrocnemius muscle, the nerve to the soleus muscle and the sural cutaneous nerve exist, necessitating the formulation of diversifying surgical strategies preoperatively and the meticulous and sequential dissection intra-operatively to ensure the lowest level of accidental injury. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Can Excessive Breastfeeding Be the Cause for the Upside-Down Rotation of a Breast Implant? A Case Report

Breastfeeding Medicine — Fri, 05 Apr 2013 13:15:26 +0100

Breastfeeding Medicine , Vol. 0, No. 0. (Source: Breastfeeding Medicine)

Major Health And Cost Impact For Surgeons Suffering 'Sharps' Injuries

Health News from Medical News Today — Thu, 04 Apr 2013 07:00:00 +0100

Injuries caused by needles and other sharp instruments are a major occupational hazard for surgeons - with high costs related to the risk of contracting serious infectious diseases, according to a special article in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). ASPS Member Surgeon Dr. Kevin C. Chung and colleagues at The University of Michigan Health System, Ann Arbor, review the risks, health impact and costs of "sharps" injuries for surgeons and other operating room personnel... (Source: Health News from Medical News Today)

Effects On Self-Esteem And Social Functioning Support Early Intervention And Treatment Of Boys With Gynecomastia

Health News from Medical News Today — Thu, 04 Apr 2013 07:00:00 +0100

Persistent breast enlargement (gynecomastia) negatively affects self-esteem and other areas of mental and emotional health in adolescent males, reports the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). Even mild gynecomastia can have adverse psychological effects in boys, according to the study by ASPS Member Surgeon Dr. Brian I. Labow and colleagues of Boston Children's Hospital... (Source: Health News from Medical News Today)

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Existential motive underlying cosmetic surgery: A terror management analysis

Journal of Applied Social Psychology — Wed, 03 Apr 2013 04:00:00 +0100

Abstract Why do people consider cosmetic surgery? Based on the terror management theory, the present research identifies an existential motive: Through cosmetic surgery, people can symbolically defend against their death anxiety. A correlational study and an experiment showed that death terror, whether operationalized as individual differences in fear of death or experimentally manipulated mortality salience, was associated with stronger acceptance of cosmetic surgery. This association was absent among participants who did not consider physical appearance important, and weaker among those who were satisfied about their appearance. Also, this association was particularly strong among those with high explicit self‐esteem. This concurs with the recent theoretical development about the role ...

The public's priorities in health services

Health Expectations — Wed, 03 Apr 2013 04:00:00 +0100

ConclusionThe Israeli public does not give high priority to ‘nice to have’ services but their selections are ‘mature’ and responsible. Rationing in health care requires listening to the public even if there are still many methodological limitations on how to reflect the public's opinion. (Source: Health Expectations)

Effect of human urine on the tensile strength of sutures used for hypospadias surgery

Journal of Plastic, Reconstructive and Aesthetic Surgery — Wed, 03 Apr 2013 04:00:00 +0100

Conclusions: There is a balance to be struck between the duration that a suture material must remain in any surgical wound and the risk that it causes foreign body effects. The results of this study suggest that Vicryl has the best characteristics for urethroplasty of the four suture materials tested. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Injectable Fillers Generally Safe in Cosmetic ProceduresInjectable Fillers Generally Safe in Cosmetic Procedures

Medscape Medical News Headlines — Tue, 02 Apr 2013 16:00:00 +0100

Injectable soft-tissue fillers for cosmetic facial volume rarely lead to any serious complications, a new analysis shows. Reuters Health Information (Source: Medscape Medical News Headlines)

Managing the Difficult Penile Prosthesis Patient

The Journal of Sexual Medicine — Mon, 01 Apr 2013 04:00:00 +0100

ConclusionsAlthough the majority of IPP patients experience excellent, durable satisfaction and outcomes, a challenging subset of patients may be at increased risk of postoperative dissatisfaction. Appropriate recognition/prevention and management of this cohort may help to establish and strengthen relationships, reduce physical, emotional, and legal risk, and ultimately enhance patient satisfaction. (Source: The Journal of Sexual Medicine)

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Contributors

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

(Source: Clinics in Plastic Surgery)

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

(Source: Clinics in Plastic Surgery)

Forthcoming Issues

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

(Source: Clinics in Plastic Surgery)

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Erratum

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

In the article, Preoperative Evaluation of the Brow-Lid Continuum by Craig N. Czyz, DO, Robert H. Hill, MD, and Jill A. Foster, MD in the January 2013 issue by Azizzadeh and Massry, the red line in Figure 1B is intended to state “MRD1.” (Source: Clinics in Plastic Surgery)

Development and Psychometric Evaluation of the FACE-Q Satisfaction with Appearance Scale: A New Patient-Reported Outcome Instrument for Facial Aesthetics Patients

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

This article describes the development and psychometric evaluation of the core FACE-Q scale, the Satisfaction with Facial Appearance scale. Both modern and traditional psychometric methods were used to confirm that this new 10-item scale is a reliable, valid, and responsive measure. (Source: Clinics in Plastic Surgery)

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

This article provides detail about the BREAST-Q©. The BREAST-Q© represents a significant advance in measuring the impact and effectiveness of breast surgery from the patients’ perspective. In addition, our overall approach may provide a useful template for the development of future PRO instruments. (Source: Clinics in Plastic Surgery)

Measuring Outcomes in Breast Surgery

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

The purpose of this article is to update and inform plastic surgeons regarding the available tools to evaluate outcomes after breast surgery. An overview of the current literature on clinician-reported outcomes, patient-reported outcomes, and national outcome audits is provided. (Source: Clinics in Plastic Surgery)

Index

Clinics in Plastic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

(Source: Clinics in Plastic Surgery)

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Continuous Mandibular Distraction Osteogenesis: Novel Device and Preliminary Results in Minipigs

Journal of Oral and Maxillofacial Surgery — Mon, 01 Apr 2013 04:00:00 +0100

Conclusions: The device is capable of automated, continuous, hydraulically powered DO at a rate of 1 mm/d. Future work will be directed at fortifying the device components and testing it in larger numbers of animals at varying distraction rates. (Source: Journal of Oral and Maxillofacial Surgery)

Life-Threatening Complications Following Orthognathic Surgery in a Patient With Undiagnosed Hereditary Angioedema

Journal of Oral and Maxillofacial Surgery — Mon, 01 Apr 2013 04:00:00 +0100

We describe the case of an 18-year-old Asiatic male, reporting an unremarkable medical history, who experienced complications following orthognathic surgery. Thirty hours post-op, the patient developed severe facial, pharyngeal, and glottic edema that compromised the airway, and an emergency tracheal intubation was performed. He was tested for C1-inh plasma levels, showing a sub-normal concentration and indicating a diagnosis of HAE. The patient received fresh-frozen plasma and improved throughout the day as his condition stabilized. Several cases of HAE following oral surgery have been reported, but, to the authors' knowledge, this is the first case reported following orthognathic surgery. This patient's treatment will be described, and a literature review of the disease and management me...

Practice of split-thickness skin graft storage and histological assessment of tissue quality

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

Summary: Storage of split-thickness skin grafts (STSGs) represents a standard procedure in burn surgery. The purpose of this study was to evaluate clinical routine of STSG preservation. Further, we aimed at investigating the effect of storage on tissue integrity and cell viability, proliferation, apoptosis and vascularization. A survey was performed among plastic surgery centres in Europe. STSGs were harvested from healthy patients and analysed by histology (HE, Verhoeff's, Masson's Trichrome, Sirius Red) and immunohistochemistry (Ki67, TUNEL, CD31). Cell viability was determined by MTT assay. The survey revealed that storage of STSGs up to 10 days is common practice. STSGs mostly were stored at 4 °C in saline-moisturized gauze. Histology showed no disintegration of the tissue or a decre...

HIV-associated lipodystrophy in South Africa: The impact on the patient and the impact on the plastic surgeon

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 01 Apr 2013 04:00:00 +0100

Conclusion: We identify a prevalence of 11.7% of patients with HIV-associated lipodystrophy, of whom 5.9% would consider non-compliance on the basis of this side effect alone. The demand for surgical correction is significant and needs to be addressed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

‘Pin‐point precision’ for pexing sutures

British Journal of Dermatology — Fri, 29 Mar 2013 04:00:00 +0100

Pexing sutures (also known as suspension sutures), are beneficial to ensure optimal aesthetic results in flap reconstruction of certain facial surgical defects. Originally described for use in facial cosmetic surgery, they have been widely adopted in reconstructive surgery.1‐6 Such sutures are particularly useful in areas where a flap crosses a natural concavity such as the nasofacial sulcus to prevent ‘tenting’ or where a flap lies in close proximity to areas such as the lower eyelid where fixation is required to prevent cicatricial distortion of a free margin. (Source: British Journal of Dermatology)

Fat graft transfer in children's facial malformations: A prospective three-dimensional evaluation

Journal of Plastic, Reconstructive and Aesthetic Surgery — Wed, 27 Mar 2013 04:00:00 +0100

Conclusion: Until now, the literature has failed to provide objective evidence of fat survival in children. This study, using three-dimensional data, showed a 40% survival of grafted fat. The use of three-dimensional photographs and analysis has great clinical potential for surgical planning and follow-up. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Doctors Warn Against At-Home Tattoo Removal

Wed, 27 Mar 2013 03:10:22 +0100

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Cost of providing inpatient burn care in a tertiary, teaching, hospital of North India

Burns : Journal of the International Society for Burn Injuries — Mon, 25 Mar 2013 04:00:00 +0100

Abstract: There is an extreme paucity of studies examining cost of burn care in the developing world when over 85% of burns take place in low and middle income countries. Modern burn care is perceived as an expensive, resource intensive endeavour, requiring specialized equipment, personnel and facilities to provide optimum care. If ‘burn burden’ of low and middle income countries (LMICs) is to be tackled deftly then besides prevention and education we need to have burn centres where ‘reasonable’ burn care can be delivered in face of resource constraints. This manuscript calculates the cost of providing inpatient burn management at a large, high volume, tertiary burn care facility of North India by estimating all cost drivers.In this one year study (1st February to 31st January 2012...

Smartphones and the plastic surgeon

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 25 Mar 2013 04:00:00 +0100

This article reviews the uses of smartphones and applications for plastic surgeons in education, telemedicine and global health. A comprehensive guide to existing and upcoming learning materials and clinical tools for the plastic surgeon is included. E-books, podcasts, educational videos, guidelines, work-based assessment tools and online logbooks are presented.In the limited resource setting of modern clinical practice, savvy plastic surgeons can select technological tools to democratise access to education and best clinical care. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Anatomical basis of the lateral superior gluteal artery perforator (LSGAP) flap and role in bilateral breast reconstruction

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 25 Mar 2013 04:00:00 +0100

Conclusion: Our study sets the anatomical landmarks of the LSGAP flap. This option allows the raising of an SGAP flap avoiding the main drawbacks of this flap and allows harvesting a flap with the tissue that is often discarded during the body-lift procedure. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Comparison of lymphoscintigraphy and indocyanine green lymphography for the diagnosis of extremity lymphoedema

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 25 Mar 2013 04:00:00 +0100

Conclusion: In secondary lymphoedema, earlier and less severe dysfunction could be detected by indocyanine green lymphography. Indocyanine green lymphography is recommended to determine patients' suitability for lymphaticovenular anastomosis, because the diagnostic ability of the test and its evaluation capability for disease severity is similar to lymphoscintigraphy but with less invasiveness and a lower cost. To detect primary lymphoedema, indocyanine green lymphography should be used first as a screening examination; when the results are positive, lymphoscintigraphy is useful to obtain further information. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Meeting Announcement: May 2, 2013 General and Plastic Surgery Devices Panel of the Medical Devices

Food and Drug Adminstration (FDA): CDRHNew — Tue, 19 Mar 2013 04:00:00 +0100

(Source: Food and Drug Adminstration (FDA): CDRHNew)

Federal Register: General and Plastic Surgery Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting

Food and Drug Adminstration (FDA): CDRHNew — Mon, 18 Mar 2013 04:00:00 +0100

This notice announces a forthcoming meeting of a public advisory committee of the Food and Drug Administration (FDA). The meeting will be open to the public. (Source: Food and Drug Adminstration (FDA): CDRHNew)

The prevalence of methicillin resistant Staphylococcus aureus (MRSA) isolates with high-level mupirocin resistance from patients and personnel in a burn center

Burns : Journal of the International Society for Burn Injuries — Mon, 18 Mar 2013 04:00:00 +0100

In conclusions, the high prevalence of MRSA strains in the patients showed the potential outbreak of the MRSA in the burn center and highlighted the need of antibiotic susceptibility monitoring of MRSA. Moreover being personnel as a main reservoir in terms of MRSA strains with high-level mupirocin resistance emphasizes the screening of the personnel in terms of the MRSA in the healthcare system especially in the burn center. (Source: Burns : Journal of the International Society for Burn Injuries)

Evaluating optimal superficial limb perfusion at different angles using non-invasive micro-lightguide spectrophotometry

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 18 Mar 2013 04:00:00 +0100

Conclusions: In the normal limb, the position for optimal superficial perfusion of the upper limb is with the arm placed at heart level and forearm at 45°. In the lower limb the optimal position for superficial perfusion would be at heart level. However, some degree of elevation may be useful if there is an element of venous congestion. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Study Examines Combo Chin, Nose Plastic Surgery

WebMD Health — Fri, 15 Mar 2013 21:35:06 +0100

Profile proportions important to overall appearance, doctors say (Source: WebMD Health)

ICG Evaluation of Forehead Flap Perfusion Prior to DivisionICG Evaluation of Forehead Flap Perfusion Prior to Division

Medscape Today Headlines — Fri, 15 Mar 2013 16:00:00 +0100

This interesting case describes the benefits of laser-assisted ICG and the LifeCell SpyElite System in confirming flap perfusion and viability of reconstructive procedures prior to division. ePlasty, Open Access Journal of Plastic Surgery (Source: Medscape Today Headlines)

Osteocutaneous defects of the clavicle: Two case reports, analysis of the literature, and a novel management algorithm

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 15 Mar 2013 04:00:00 +0100

Summary: Osteocutaneous defects of the clavicle follow surgical management of chronic infections, tumors, and trauma. There are several reconstructive options, but it is unknown whether the bone needs to be reconstructed, which flaps are the best for reconstruction, nor why certain flaps favored over other options for a given scenario. Factors such as wound etiology, defect size, patient demographics, and co-morbidities guide therapy. The management of osteocutaneous defects of the clavicle is herein reviewed. Two clinical cases are presented, literature discussing clavicle form and function, disease pathogenesis, and reconstructive approaches are analyzed, and a resultant algorithm proposed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Epicanthal fold correction: Our experience and comparison among three kinds of epicanthoplasties

Journal of Plastic, Reconstructive and Aesthetic Surgery — Fri, 15 Mar 2013 04:00:00 +0100

In conclusion, preoperative evaluation of skinfold severity, making a rational choice and careful implementation of surgical technique available are important in effective correction of epicanthal fold. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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Follow-up Of Results, Complications Of Combined Rhinoplasty, Genioplasty

Health News from Medical News Today — Thu, 14 Mar 2013 20:00:00 +0100

JAMA Facial Plastic Surgery Study Highlights Dario Bertossi, M.D., of the University of Verona, Italy, and colleagues examined the long-term results and complications of combined rhinoplasty (nose) and genioplasty (chin). (Online First) The study involved 90 cases of the combined procedures performed from January 2002 through January 2004 and the main outcome researchers looked at was the long-term stability of the esthetic outcome. For reduction genioplasty patients, 45.6 percent of the patient population had 100 percent stability after three years... (Source: Health News from Medical News Today)

Time course of thrombocytes in burn patients and its predictive value for outcome

Burns : Journal of the International Society for Burn Injuries — Thu, 14 Mar 2013 04:00:00 +0100

The objective of this retrospective study was to investigate the course of thrombocyte concentration changes in burn patients, the influences of various factors on this course, and a possible predictive value of thrombocyte counts on outcome in 244 patients admitted to our burn centre. Their thrombocyte counts were obtained until 50 days after burn. Data on patient demographics, total percentage burned surface area (%TBSA), sepsis and mortality were collected. Multilevel multivariable analysis was performed to investigate the influence of the variables on the platelet course. Cox regression analysis was performed to analyse the predictive value of the variables for mortality. A distinct pattern of thrombocyte counts was observed, with a nadir at day 3 followed by a peak at day 15 and a tem...

Is mammary reconstruction with the anatomical Becker expander a simple procedure? Complications and hidden problems leading to secondary surgical procedures: A follow-up study

Journal of Plastic, Reconstructive and Aesthetic Surgery — Thu, 14 Mar 2013 04:00:00 +0100

Summary: Debate over the role of Becker expander implants (BEIs) in breast reconstruction is still ongoing. There are no clear indications for BEI use. The main indications for BEI use are one-stage breast reconstruction procedure and congenital breast deformities correction, due to the postoperative ability to vary BEI volume.Recent studies showed that BEIs were removed 5 years after mammary reconstruction in 68% of operated patients. This entails a further surgical procedure. BEIs should not, therefore, be regarded as one-stage prostheses.We performed a case-series study of breast reconstructions with anatomically shaped Becker-35™ implants, in order to highlight complications and to flag unseen problems, which might entail a second surgical procedure. A total of 229 patients, reconstr...

3-D analysis of breast morphology changes after inverted T-scar and vertical-scar reduction mammaplasty over 12 months

Journal of Plastic, Reconstructive and Aesthetic Surgery — Thu, 14 Mar 2013 04:00:00 +0100

This study compares the extent of soft-tissue oedema and breast tissue migration related to 3-D breast morphology changes after inverted T-scar and vertical-scar breast reduction over 12 months. 3-D breast surface scans of patients undergoing inverted T-scar (n = 52 breasts) and vertical-scar (n = 44 breasts) reduction mammaplasty were obtained preoperatively and 2–3 days, 1 week, 1 month, 3 months, 6 months, 9 months and 12 months postoperatively. 3-D images were analysed at each time point comparing distances, 3-D breast contour deviations (%), breast surface (cm2) and volume (cc) measurements including volumetric distribution between the upper portion (UP) and the lower portion (LP) of the breast (%). Total postoperative breast volume decreased by 11.7% (T-scar) and by 7.8% (verti...

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The gluteal fold flap: A versatile option for perineal reconstruction following anorectal cancer resection

Journal of Plastic, Reconstructive and Aesthetic Surgery — Thu, 14 Mar 2013 04:00:00 +0100

Conclusions: The GFF is a reliable, versatile and robust option for perineal reconstruction after extended anorectal excision, despite local irradiation, and should be considered for medium and selected large defects in this context. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Acquired thrombotic thrombocytopenic purpura (TTP) induced by silicone breast implants in 37-year old woman

Thrombosis Research — Thu, 14 Mar 2013 04:00:00 +0100

37-year-old woman, previously healthy, after implantation of silicone breast implants 18months earlier, was admitted to Accident and Emergency Unit with nonspecific chest pain. She reported a general weakness and musculoskeletal pain located particularly in the chest for the past 6months. She had no abnormalities in lab tests in the past. On admission, subsequent tests (troponin, ECG, chest spiral computed tomography) excluded acute cardiovascular event and pulmonary embolism. Full blood count revealed thrombocytopenia (platelets PLT 51G/l), mild normocytic, normochromic anemia (hemoglobin HGB 11.5g%, MCV 84.8fl), normal leukocyte count (WBC 6.5G/l) and peripheral blood smear. On admission to the Department of Hematology, physical examination revealed minor axillary lymphadenopathy. Ultras...

Psychologists Confirm Long-Term Positive Effects Of Plastic Surgery

Health News from Medical News Today — Wed, 13 Mar 2013 07:00:00 +0100

In a long-term study, Prof. Dr. JÃ¼rgen Margraf, Alexander von Humboldt Professor for Clinical Psychology and Psychotherapy at the RUB, investigated the psychological effects of plastic surgery on approximately 550 patients in cooperation with colleagues from the University of Basel. Patients demonstrated more enjoyment of life, satisfaction and self-esteem after their physical appearance had been surgically altered. The results of the world's largest ever study on this issue are reported by the researchers in the journal Clinical Psychological Science... (Source: Health News from Medical News Today)

Cost‐effectiveness of using Polyheal compared with surgery in the management of chronic wounds with exposed bones and/or tendons due to trauma in France, Germany and the UK

International Wound Journal — Wed, 13 Mar 2013 04:00:00 +0100

The objective of this study was to assess the cost‐effectiveness of Polyheal compared with surgery in treating chronic wounds with exposed bones and/or tendons (EB&T) due to trauma in France, Germany and the UK, from the perspective of the payers. Decision models were constructed depicting the management of chronic wounds with EB&T and spanned the period up to healing or up to 1 year. The models considered the decision by a plastic surgeon to treat these wounds with Polyheal or surgery and was used to estimate the relative cost‐effectiveness of Polyheal at 2010/2011 prices. Using Polyheal instead of surgery is expected to increase the probability of healing from 0·93 to 0·98 and lead to a total health‐care cost of €7984, €7517 and €8860 per patient in France, German...