MedWorm provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest medical blog items that have been tagged with 'cosmetic surgery'. Sat, 03 Sep 2011 01:48:55 +0100 http://www.medworm.com/index.php?rid=5174618&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fplastic-surgeon-discusses-safety-and-effectiveness-of-new-anti-wrinkle-product%2F2011.08.28 The FDA has granted a license to the maker of laViv which is said to improve the appearance of smile lines without freezing the muscles of your face. Have you heard of this new drug? Does it work like it claims? Are there any side effects that are worrisome? Source: dailymail.co.uk/femail/article-2028456/New-biological-wrinkle-cure-touted-alternative-Botox-frozen-face.html Maybe. As we have discussed before, FDA approval is not a stamp of approval that a drug is effective. It just means that as far as current studies show, it is not harmful. Some drugs are FDA approved for years until later the FDA reconsiders and removes them from the market. Look at the relatively recent removal of Darvocet from the market after many years of FDA approval. LaViv is an interesting concept. (more…) ... Better Health blogs http://www.medworm.com/rss/comments.php?id=5174618 Sun, 28 Aug 2011 16:35:43 +0100 5174618 http://www.medworm.com/index.php?rid=5169619&cid=t_99354_125_f&fid=38161&url=http%3A%2F%2Fwww.dentalheroes.com%2Fdental-implant-basics%2F There are different types of dental implants suited to different patients. The implants used depends on the size and shape of the jaw, in particular the amount and quality of the bone. Most dental implants are made of titanium and placed directly into the jawbone. All types of implants can be used to replace single teeth or to support a full dental bridge, replacing a full set of teeth. Root Form Dental Implants Root form dental implants are the most common, also known as ‘Endosteal’ or ‘Endosseous’ implants. This type of implant is ideal for patients with a wide, deep and healthy jawbone. Their shape resembles the natural tooth root. However, if there is not enough bone to place these implants a bone graft is a possible solution. These dental implants can be placed using conventio... Dental Heroes blogs http://www.medworm.com/rss/comments.php?id=5169619 Fri, 26 Aug 2011 17:01:43 +0100 5169619 http://www.medworm.com/index.php?rid=5130749&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fnew-york-times-piece-about-plastic-surgery-gets-people-talking%2F2011.08.14 Monday’s New York Times tweeted a headline – “Never Too Old for Plastic Surgery” – about this story. While I’m very happy for the 83-year old woman in the piece for her happiness over her “new” $8,000 breasts, the piece was framed like an expensive billboard for plastic surgeons – only it didn’t cost them anything. The Times gave away the advertising space. The story states: “There are as many reasons for getting plastic surgery as there are older patients, experts say”…and…”some are simply sick of slackened jowls, jiggly underarms and saggy eyelids.” There are a few other perspectives in the middle of the piece: “Some critics question whether the benefits are worth the risks, which may be... Better Health blogs http://www.medworm.com/rss/comments.php?id=5130749 Sun, 14 Aug 2011 21:00:43 +0100 5130749 http://www.medworm.com/index.php?rid=5130750&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fshould-surgery-be-considered-for-a-persistently-hoarse-voice%2F2011.08.14 I was informed about this interesting concept on ABC news… With many aging baby boomers tapping into cosmetic surgery in order to look younger, some are taking it a step further to “sound” younger as well with a “voice lift”. For some, it’s not right to look 10-20 years younger after a facelift but still sound like 70 years old. A hoarse voice with aging is not unusual, but a surgical “voice-lift” is not necessarily the first step that should be taken. First things first… (more…) *This blog post was originally published at Fauquier ENT Blog* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=5130750 Sun, 14 Aug 2011 18:00:00 +0100 5130750 http://www.medworm.com/index.php?rid=5130751&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fshould-you-consider-surgery-to-improve-a-scar%2F2011.08.14 I have a wide scar on my leg that I got years ago. I have tried creams and stuff. When is surgery a good idea to improve a scar? Can a cream or a laser make it thinner? Scar improvement has several phases and the condition of your body and how the wound occurred have parts to play. Early on after wounding there is the question of whether or not to have surgery to repair the wound. If the edges are clean and close together, then surgery is not always beneficial. If they are apart or the wound is dirty a proper medical evaluation and/or surgery can make things better down the line. When in doubt, get that evaluation. Once the wound has started healing, (more…) *This blog post was originally published at Truth in Cosmetic Surgery* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=5130751 Sun, 14 Aug 2011 16:00:56 +0100 5130751 http://www.medworm.com/index.php?rid=5107518&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fplastic-surgeon-weighs-in-on-anti-aging-medicine%2F2011.08.08 Reader Question: Do you do anti-aging medicine? I do not see it on your web site. If not, what is your opinion of it? I am not a fan or follower of the anti-aging medicine fad in so much that it promotes what I believe to be a false concept. An older person cannot be made into a younger version of herself by boosting certain hormones. There is really no good evidence that it works. Patients don’t live any longer. It might also be found to be harmful in the long run. Plastic surgeons will differ in their opinions as to what works with low risk to improve things. To me (more…) *This blog post was originally published at Truth in Cosmetic Surgery* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=5107518 Mon, 08 Aug 2011 16:00:57 +0100 5107518 http://www.medworm.com/index.php?rid=5069512&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FNjprUN1f394%2Fmodification-of-square-face.html Recently an article in the Archives of Facial Plastic Surgery (full reference below) led to a Reuters news by Genevra Pittman:  Face too square? There's a surgery for that The journal article is from China where the surgical procedure to modify a square face to a more oval face is done much more commonly than in the United States.  The Reuters article includes quotes from two U.S. surgeons:  Dr. Jeffrey Spiegel, chief of facial plastic and reconstructive surgery at the Boston University School of Medicine, and Dr. Ross Clevens, a cosmetic surgeon in Melbourne, Florida. Spiegel states he does the procedure described in the Archives article two to four times each week.  Clevens states “he doesn't treat many male patients who want a more "feminine" face shape.�... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=5069512 Wed, 27 Jul 2011 11:15:00 +0100 5069512 http://www.medworm.com/index.php?rid=5062243&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftummy-tucks-arent-just-for-lazy-people%2F2011.07.25 Recently at the gym (I workout three to five days a week mostly swimming laps in a pool,) I got into a conversation with a mom about tummy tuck surgery. This happens occasionally when you wear your CosmeticSurgeryTruth.com t shirt to the gym. “I would never get a Tummy Tuck. I would just workout more.” People do not see outside of their own experience very often. This pretty young mom would not benefit much by a Tummy Tuck as she had no “hanging apron” or much lose skin. Many gastric bypass patients or other women not as fortunate after pregnancy to have their bellies “snap back” have changes. And some of them workout several days a week too. Tummy Tuck surgery is not (more…) *This blog post was originally published at Truth in Cosmetic Surgery* (Source: Better... Better Health blogs http://www.medworm.com/rss/comments.php?id=5062243 Mon, 25 Jul 2011 12:00:00 +0100 5062243 http://www.medworm.com/index.php?rid=5028671&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2011%2F07%2F10%2Fin-stitches-the-sexy-side-of-celebrity-cosmetic-surgery%2F We are always interested in stories where science meets beauty so we gave Sarah the task of reading and reviewing a book on her beach vacation. Here is her review of In Stitches by Dr. Anthony Youn. In Stitches: the book In Stitches by Dr. Anthony Youn is a memoir chronicling his journey from childhood through medical school and finally ending with a very successful career as a plastic surgeon. The first chapter immediately sets the tone with a humorous, yet relatable quest for this nerdy, Asian kid to just fit in at school, please his parents and look cool. We also see his own experience with plastic surgery to fix his ever growing jaw which he affectionately refers to as “jawzilla”. As Youn enters college knowing he is destined to become a doctor (because his strict, Korean father sa... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=5028671 Sun, 10 Jul 2011 06:01:29 +0100 5028671 http://www.medworm.com/index.php?rid=4872142&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FIGUc_b-0Joc%2Fplastic-surgery-in-ethnic-groups.html Earlier this week @hrana twitted this: News: Plastic surgery boom as Asians seek 'western' look http://bit.ly/ifQFBs - Don't get me started on this topic. #health The link is to the CNN article by Kyung Lah:  Plastic surgery boom as Asians seek 'western' look The article is an interview of a 12 yo Korean girl, her mother, and Dr Kim Byung-gun (head of Seoul, South Korea's biggest plastic surgery clinic, BK DongYang). The young girl doesn’t like her eyes and wants to have a double fold created in her eyelids to give her a more western look.     Is it wrong to want to look like another ethnic group rather than your own?  Are you slighting your heritage or family if you chose to change your eyes, your nose, etc? I was taught, as a surgeon, the neoclassical canons of... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4872142 Thu, 26 May 2011 11:14:00 +0100 4872142 http://www.medworm.com/index.php?rid=4780381&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2011%2F05%2F04%2Fdoes-botox-turn-you-into-an-emotionless-zombie%2F Dark eyes asks…Does Botox get into the brain? The Right Brain responds… Dark Eyes asked this question in our forum while ago. We’ve already blogged about the topic and it turns out that the evidence is not clear that Botox is bad for your brain. But seeing this question again gives us an excuse to comment on the LATEST controversy about Botox: that it could rob you of the ability to sense the emotions of others. That’s right: Botox can turn you into an insensitive, emotionless zombie. (I wonder if that’s what happened to Left Brain?) Zombieland Botox, or the botulinum toxin as it is officially known, smooths out wrinkles by paralyzing facial muscles. These are the same muscles that control the facial expressions you use to convey emotion like lifting the corn... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=4780381 Wed, 04 May 2011 06:01:29 +0100 4780381 http://www.medworm.com/index.php?rid=4775423&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FRLQ2TXjD20Y%2Ffda-update-restylane.html The FDA General and Plastic Surgery Devices Panel of the Medical Devices Advisory Committee met on April 27, 2011 to review the request for expanding the use of Restylane for augmentation of the lips.  The panel voted 6 to 0 (1 abstaining) that Restylane for lip augmentation is generally safe and effective for this purpose and that the benefits outweigh the risks. The FDA still has to make a final decision on Restylane injectable gel for lip augmentation, but the agency usually follows the advice of its advisory panels, which consist of outside experts. Restylane was approved by the FDA in 2003. It is a non-animal stabilized hyaluronic acid gel. Restylane is free from animal proteins. This limits any risk of animal-based disease transmissions or development of allergic reactions to an... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4775423 Mon, 02 May 2011 11:15:00 +0100 4775423 http://www.medworm.com/index.php?rid=4775397&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhen-regular-medicine-doesnt-pay-doctors-turn-to-cosmetic-work%2F2011.05.01 This MSN article states that doctor-owned hospitals are on the rise. In California, the opposite is the case. The hospital business is a lousy business in which to be. I would rather open a surgical facility. I had an opportunity to be a part of a group that bought a hospital a few years ago and passed. In California, real medicine is going into the toilet as doctors realize that the work they have put in to get educated makes practicing fairly unrewarding. Niche markets and gimmicks are replacing the conventional medical landscape. That’s the reason we have so many non-plastic surgeons turning to cosmetic work. The bottom line is that you need to pay doctors enough so they can make a decent living or they will find something else to do. Sad but true. *This blog post was origi... Better Health blogs http://www.medworm.com/rss/comments.php?id=4775397 Sun, 01 May 2011 14:00:16 +0100 4775397 http://www.medworm.com/index.php?rid=4719898&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwould-you-prefer-longevity-or-a-perfect-figure%2F2011.04.15 I’ve spent some time thinking about this survey.   I couldn’t find any better information on the survey than the press release from the University of the West of England (UWE).  Perhaps in the future it will be published in a journal for better review. The  survey was apparently done by the  new eating disorder charity The Succeed Foundation in partnership with the University of the West of England (UWE).  The editor’s notes indicate 320 women (ages 18 – 65 years, average age 24.49)  studying at 20 British universities completed The Succeed Foundation Body Image Survey in March 2011. Notably, the survey found that 30% of women would trade at least one year of their life to achieve their ideal body weight and shape. (more…) *This blog post was originally publi... Better Health blogs http://www.medworm.com/rss/comments.php?id=4719898 Fri, 15 Apr 2011 21:00:00 +0100 4719898 http://www.medworm.com/index.php?rid=4714878&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2011%2F04%2F14%2Fcan-brava-give-you-better-boobs-2%2F Andrea asks… I would like to have a larger bust, but I really don’t want implants. I have heard of the Brava Breast Enhancement system, which seems to be endorsed by a lot of plastic surgeons, and some scientific studies. Do you have any inside info or insight? The Left Brain responds: If we keep getting questions about bras and breast enhancement I’ll have to add a special Boob category on the sidebar! For those of you in the Beauty Brains community who are not familiar with the Brava system, it supposedly works by gently pulling on your breasts which keeps them under tension for hours at a time. This sustained tension causes the cells to grow new tissue that makes your breasts appear larger and fuller. How does BRAVA work According to the the BRAVA website, the System... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=4714878 Thu, 14 Apr 2011 06:01:34 +0100 4714878 http://www.medworm.com/index.php?rid=4709235&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FLCGSPM69v-k%2Flongevity-or-perfect-figure.html I’ve spent some time thinking about this survey.   I couldn’t find any better information on the survey than the press release from the University of the West of England (UWE).  Perhaps in the future it will be published in a journal for better review. The  survey was apparently done by the  new eating disorder charity The Succeed Foundation in partnership with the University of the West of England (UWE).  The editor’s notes indicate 320 women (ages 18 – 65 years, average age 24.49)  studying at 20 British universities completed The Succeed Foundation Body Image Survey in March 2011.   Notably, the survey found that 30% of women would trade at least one year of their life to achieve their ideal body weight and shape. The research has ... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4709235 Wed, 13 Apr 2011 11:15:00 +0100 4709235 http://www.medworm.com/index.php?rid=4670059&cid=t_99354_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F04%2Fcosmetic-surgery-patient-marilyn-leisz-calls-malpractice-award-joke%2F Cosmetic surgery patient Marilyn Leisz can no longer close her eyes after three cosmetic surgery procedures left her with insufficient eyelid tissue to cover her eyeballs. She successfully sued Dr. Paul Parker, the plastic surgeon who did one of her procedures, for $115,000. But, she is calling this award “a joke” and is saying that it is much too small. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4670059 Sat, 02 Apr 2011 01:39:22 +0100 4670059 http://www.medworm.com/index.php?rid=4636384&cid=t_99354_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2011%2F03%2Fbrazilian-plastic-surgeon-details-moammar-gadhafis-cosmetic-surgery%2F Brazilian plastic surgeon Dr. Liacyr Ribeiro is now describing the cosmetic surgery he performed on Moammar Gadhafi in 1995. Dr. Ribeiro says that Gadhafi wanted to hide the fact that he was having the procedure, so he opted for a less radical procedure than a full facelift. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=4636384 Fri, 25 Mar 2011 22:33:38 +0100 4636384 http://www.medworm.com/index.php?rid=4575256&cid=t_99354_165_f&fid=36770&url=http%3A%2F%2Fmetaot.com%2Fblog%2Ftypes-botox Botox is an extremely popular form of medication and cosmetic manipulation in today’s looks conscious society. Botox is actually the trade name for Botulinum toxin which is a protein that is extremely neurotoxic, which means that it can alter the normal activity of the nervous system and ultimately damage nervous tissue. What this all means and what many people fail to realize is that Botulinum toxin is the most acutely toxic substance known to man and as such, just four kilograms of it is enough to kill the entire human population on Earth. However, Botox has also become extremely popular, ironically, as a temporary cure against signs of aging. The most popular form of cosmetic surgery in the United States as of 2007 is Botox injections. Botox injections can be used to temporarily remov... meta-ot blogs blogs http://www.medworm.com/rss/comments.php?id=4575256 Fri, 11 Mar 2011 15:48:13 +0100 4575256 http://www.medworm.com/index.php?rid=4560332&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FEBhbOWz39xs%2Fco2-laser-use.html Over the past couple of months there have been a few good commentary articles on the use of CO2 laser us.  The first one referenced below is a commentary by Dr. Scott J. Trimas on the treatment of facial acne scarring using CO2 laser abrasion.  He references his article from 10 years ago (2nd reference).  Full references are given to both articles below. Over a 10 year period, Dr. Trimas, did 54 additional patients not included in his first article (the 2nd reference below) using full-face CO2 laser treatment for facial acne scarring. Their ages ranged from 16 to 74 years. Of those patients reviewed, 8 were male and 46 were female. He notes this population was similar to that of the original study. Most patients were followed for up to 2 years. Dr. Trimas writes “notable... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4560332 Mon, 07 Mar 2011 12:15:00 +0100 4560332 http://www.medworm.com/index.php?rid=4536188&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2011%2F03%2F02%2Fdoes-ultrashape-really-melt-away-body-fat-2%2F Lucia longs to learn: I’ve heard about a method called UltraShape, which claims it can literally melt fat with ultrasound without affecting surrounding tissues. The best part is, you can melt a pound of fat without anesthesia and then go right away to your daily routine. Is that possible? How can they make sure they are not burning other tissues? Is it available in the US? The Left Brain responds: UltraShape is a type of non-invasive body contouring that uses focused ultrasound waves to melt away body fat without an incision. Each treatment takes about an hour and you can go right back to work after the session. The FDA is expected to approve UltraShape for use in the US in 2007 but at the time of this writing, I couldn’t confirm if that has actually occurred yet. We couldn&#... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=4536188 Wed, 02 Mar 2011 06:01:12 +0100 4536188 http://www.medworm.com/index.php?rid=4445834&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FTbbe9Xs_hPg%2Fadvertising.html I am old school and find it difficult to advertise. I don’t begrudge others who do so ethically and in good taste. There is a local cosmetic surgeon who is running a special via TV ads and on his website (the photo is a screensaver shot of the website cropped to remove his name) that for me is unethical. For me the ad “entices” potential patients into surgery without giving them information about potential risk.   Hopefully that information is given in detail when the patient is seen in the office consultation. …… This was not an issue when I was in medical school (graduated in 1982).  I trained under surgeons who had never been allowed to advertised and frankly did not think doctors should.  Deborah Sullivan, PhD has written a nice piece on the history of... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4445834 Mon, 07 Feb 2011 12:15:02 +0100 4445834 http://www.medworm.com/index.php?rid=4411528&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ffda-reports-on-association-of-breast-implants-and-a%25c2%25a0rare-form-of-cancer%2F2011.01.28 The FDA [has] issued an alert about a pos­sible link between breast implants — saline or sil­icone — and a rare form of lym­phoma called anaplastic large cell lym­phoma (ALCL). These lym­phoma cases are exceed­ingly rare, but the asso­ci­ation appears to be significant. The FDA iden­tified a total of approx­i­mately 60 ALCL cases in asso­ci­ation with implants, worldwide. Of these, 34 were iden­tified by review of pub­lished medical lit­er­ature from 1997 to May, 2010; the others were reported by implant man­u­fac­turers and other sources. The agency esti­mates the number of women worldwide with breast implants is between five and 10 million. These numbers translate to between six and 12 ALCL cases in the breast, per million women with breast implan... Better Health blogs http://www.medworm.com/rss/comments.php?id=4411528 Fri, 28 Jan 2011 14:00:26 +0100 4411528 http://www.medworm.com/index.php?rid=4405777&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fbreast-implants-and-lymphoma-new-safety-alert-from-the-fda%2F2011.01.27 From the Food and Drug Administration (FDA) safety alert yesterday: ISSUE: The FDA announced a possible association between saline and silicone gel-filled breast implants and anaplastic large cell lymphoma (ALCL), a very rare type of cancer. Data reviewed by the FDA suggest that patients with breast implants may have a very small but significant risk of ALCL in the scar capsule adjacent to the implant. BACKGROUND: In total, the agency is aware of about 60 cases of ALCL in women with breast implants worldwide. This number is difficult to verify because not all cases were published in the scientific literature and some may be duplicate reports. An estimated 5 million to 10 million women worldwide have breast implants. According to the National Cancer Institute, ALCL appears in different pa... Better Health blogs http://www.medworm.com/rss/comments.php?id=4405777 Thu, 27 Jan 2011 14:00:36 +0100 4405777 http://www.medworm.com/index.php?rid=4405813&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FZQ6cRrAn0h8%2Fdetermining-implant-size-preop.html There is an interesting debate going on regarding bra stuffing for implant size at PRSonally Speaking.  In the interest of full disclosure, I use normal saline implant sizers which I place inside a thin sleep bra.  I then inflate with sizer (usually use two different sizes for comparison) with air.  I then have the woman place her shirt on and stand in front of the full length mirror.  It has worked well for me over the years.  And, yes, I know it is not perfect, but it allows the two (or three if a friend or spouse has come with her) to assess how she looks AND presents herself. (photo credit) It has amazed me over the years how some women will decide on larger implants when I show them what a “C” cup for their body really is [the volume for a 34C is not the s... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4405813 Thu, 27 Jan 2011 12:15:00 +0100 4405813 http://www.medworm.com/index.php?rid=4405779&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhope-for-those-with-body-dysmorphic-disorder%2F2011.01.26 The Science Daily article entitled Body dysmorphic disorder patients who loathe appearance often get better, but it could take years discusses the disorder as highlighted in the Journal of Nervous and Mental Disease (JNMD).   The JNMD article reports the results of the longest-term study so far to track people with body dysmorphic disorder (BDD). The study was conducted by researchers at Brown University and Rhode Island Hospital. The good news? The researchers “found high rates of recovery, although recovery can take more than five years.” This is a small study with only 15 BDD patients who were followed over an eight-year span. An excerpt: After statistical adjustments, the recovery rate for sufferers in the study over eight years was 76 percent and the recurrence rate was 14 p... Better Health blogs http://www.medworm.com/rss/comments.php?id=4405779 Wed, 26 Jan 2011 20:00:00 +0100 4405779 http://www.medworm.com/index.php?rid=4360331&cid=t_99354_72_f&fid=38877&url=http%3A%2F%2Fwww.laseroffers.com%2Fmedical-tourism-for-cosmetic-surgery-pros-and-cons%2F Medical tourism is a growing trend when it comes to plastic and cosmetic surgery. Some Americans believe that they can get the same cosmetic procedures for a lower cost outside the U.S. Brazil, Chile, Venezuela and Colombia are the most popular destinations among American medical tourists. An interesting fact: some of the better surgeons were [...]Post from: Aesthetic Laser OffersMedical Tourism for Cosmetic Surgery – Pros and Cons (Source: Aesthetic Lasers) Aesthetic Lasers blogs http://www.medworm.com/rss/comments.php?id=4360331 Mon, 17 Jan 2011 18:29:18 +0100 4360331 http://www.medworm.com/index.php?rid=4343190&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F9g42C0vUOy8%2Fprophylactic-antibiotics-in-aesthetic.html There is a very nice review of this topic in the Nov/Dec 2010 issue of the Aesthetic Surgery Journal (full reference below). While we want to prevent surgical site infections (SSIs), we don’t want to over utilize antibiotics.   Consequences of which include:   Clostridium difficile infections [CDI] and development of resistant organisms. The authors note that currently no national guidelines for antibiotic prophylaxis in aesthetic surgery although they do for cardiac, colorectal, neurosurgical, and orthopedic procedures.  “In fact, studies examining the impact of prophylactic antibiotics have produced contradictory results.” So what should we do: Until randomized controlled trials examining the efficacy of prophylactic antibiotics in aesthetic surgery are... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4343190 Thu, 13 Jan 2011 12:15:00 +0100 4343190 http://www.medworm.com/index.php?rid=4309609&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fbreast-implants-a-geographical-comparison%2F2011.01.04 This article (full reference below, free access) came to my attention via MDLinx. It was interesting to read. The conclusion verified my expectations rather than surprised me. The authors conducted a retrospective review of patient demographics and implant information from three university settings: Kelowna (British Columbia, Canada), Loma Linda (California, USA), and Temple (Texas, USA). Each cohort included 100 consecutive breast augmentation cases. Characteristics analyzed included age, height, weight, BME, parity, and average implant volume.  When considering the 300 as one cohort, the average age was 34 years with a height of 163 cm (5’4”), weight of 58.1 (127.8 lb) and parity of 1.7 . The average implant size was 370 ml. (more…) *This blog post was originally p... Better Health blogs http://www.medworm.com/rss/comments.php?id=4309609 Tue, 04 Jan 2011 16:00:00 +0100 4309609 http://www.medworm.com/index.php?rid=4197121&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2Fgl8QOo-bTL8%2Fl-brachioplasty-article-review.html With the increase number of patients receiving weight-loss surgery, there is has been an increase in those asking for procedures to remove the remaining excess skin such as panniculectomy, abdominoplasty, lower body lift, brachioplasty (arm lifts), and thigh lifts. The scars involved in brachioplasty surgery are not a good trade-off if there is minimal skin excess or looseness.  These individuals are better served by upper arm exercises to increase the muscle mass. Brachioplasty (arm lift) is defined as the removal of excess skin and subcutaneous tissue to reshape the upper arm (axilla to elbow). (photo credit) The L-brachioplasty described in the Hurwitz article from the July/August 2010 issue of the Aesthetic Surgery Journal addresses significant excess upper arm skin and the exce... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4197121 Wed, 24 Nov 2010 12:14:00 +0100 4197121 http://www.medworm.com/index.php?rid=4167995&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FTJzT1bytpJk%2Ffamilies-and-plastic-surgery.html I read this article by Colin Stewart , Spouses often are jerks about plastic surgery, a few weeks ago.  Since then I have been thinking about not just the husbands but families in general I see in my practice.  Remember I practice in Little Rock, Arkansas not Hollywood but I still find this to be true and not just of husbands. Husbands of plastic surgery fans have a sensitive role to play. It’s a challenge that most of them fail. Instead of communicating effectively and caringly with their wives about plastic surgery, husbands tend to act like jerks or wimps. I think often the patient may also fail in communicating effectively to her spouse, significant other, family, and friends why she feels the need to have cosmetic/plastic surgery.  In defense of the spouse and oth... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4167995 Mon, 15 Nov 2010 12:14:00 +0100 4167995 http://www.medworm.com/index.php?rid=4162927&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdoctors-voicing-concerns-and-fear-of-retaliation%2F2010.11.12 Shouldn’t it be possible to voice a concern about a medical treatment, procedure, or claim without the fear of retaliation? If the claims are backed by science, then simply addressing my concerns would be enough. Fear of retaliation silences discussion. Fear of retaliation makes it difficult to do the “right thing” when the public or an individual patient is at risk. This incidence involves a British plastic surgeon threatened with libel action by the ‘Boob Job’ cream’s manufacturer after she voiced concerns/doubts of its effectiveness. Sense About Science has a great summary of the entire affair: ”Plastic surgeon threatened for comment on ‘Boob Job’ cream.” (more…) *This blog post was originally published at Suture for a Living* (Source: Better... Better Health blogs http://www.medworm.com/rss/comments.php?id=4162927 Fri, 12 Nov 2010 21:00:00 +0100 4162927 http://www.medworm.com/index.php?rid=4155257&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F1bpt2nwOzDw%2Finjectables-roundup.html I have come across some interesting articles recently regarding injectables.  Let’s begin the non-controversial one: Behind the Lines by Linda W. Lewis, Nov/Dec 2010 MedEsthetics (pp 32-.  This one notes several filler discontinuations: Johnson & Johnson (jnj.com) withdrew porcine collagen-based Evolence in November 2009; Allergan (allergan.com) discontinued its human and bovine collagen fillers, CosmoDerm, CosmoPlast, Zyderm and Zyplast, late last year and will stop distribution by the end of 2010. The article mentions the latest filler introductions: Juvederm XC from Allergan and Restylane-L and Perlane-L from Medicis (medicis.com).  These products differ from their predecessors only in the addition of lidocaine to the formulations. Much greater changes are on ... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=4155257 Thu, 11 Nov 2010 11:14:00 +0100 4155257 http://www.medworm.com/index.php?rid=4119024&cid=t_99354_106_f&fid=34805&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FAwfulPlasticSurgery%2F%7E3%2FCBjOoBjp0YM%2F Thank you to this... [[ This is a content summary only. Visit MyWebsite.com for full links, other content, and more! ]] (Source: Awful Plastic Surgery) Awful Plastic Surgery blogs http://www.medworm.com/rss/comments.php?id=4119024 Tue, 26 Oct 2010 22:44:46 +0100 4119024 http://www.medworm.com/index.php?rid=4074067&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fstem-cell-face-lifts%2F2010.10.14 It’s been almost a month since the LA Times ran the article by Chris Woolston entitled  The Healthy Skeptic: Stem cell face-lifts on unproven ground. It’s well written and presents a fairly balanced view. While I am a fan of stem cell research, I think the “claims” are often put ahead of the science.  This is one of those times. I can’t find any decent articles to support the claims of the plastic surgeons doing “stem cell face-lifts.” My view is echoed in the article (bold emphasis is mine): Rubin says he’s excited about the potential of stem cells in the cosmetic field and beyond. Still, he adds, there are many unanswered questions about the cosmetic use of stem cells, and anyone who claims to have already mastered the technique is jumping the gun. As Rubin puts ... Better Health blogs http://www.medworm.com/rss/comments.php?id=4074067 Thu, 14 Oct 2010 18:00:00 +0100 4074067 http://www.medworm.com/index.php?rid=3946453&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fconsidering-a-medi-spa-5-questions-to-ask%2F2010.09.08 True or false: 1. Botox and laser treatments are easy and can be done by an aesthtician or spa staff. 2. A physician must be present at all times in a spa that performs procedures. 3. Chemical or facial peels are safe and can be done in a beauty salon. (Answer to questions 1-3: False.) The term “spa” is derived from a town in Belgium where healing waters have been used to promote health since Roman times. “Spa” is now loosely used to describe any relaxing environment or beauty salon where rest, health and beauty are promoted. At one time it was easy to distinguish among a beauty salon, barber shop and a doctor’s office. Not anymore. As cosmetics has become more medical and medicine has become more cosmetic, the two have met in the ubiquitous Medi-Spa. An establishment labelled ... Better Health blogs http://www.medworm.com/rss/comments.php?id=3946453 Wed, 08 Sep 2010 18:00:43 +0100 3946453 http://www.medworm.com/index.php?rid=3933233&cid=t_99354_136_f&fid=36032&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Flife-with-breast-cancer%2Fbonding-over-surgery-with-other-breast-cancer-survivors%2F I went to a follow-up appointment with my doctor for the reconstructive surgery I had a few weeks ago. I am still very concerned about everything healing up with minimal scarring, so I am taping the scars while they heal and being careful not to get anything near the wounds. It is such a task. Anyway, while I was in the waiting room I got to meet another woman who was considering DIEP flap surgery and was there to consult with my doctor. Speaking to her reminded me of what a huge decision breast reconstruction is — not getting the breasts, but settling on the type of surgery. There are still far fewer doctors performing a DIEP flap than there are who do implant surgery or TRAM flap. While each surgery has its benefits, I chose DIEP flap as it seemed to have the best outcome. For example,... Life with Breast Cancer blogs http://www.medworm.com/rss/comments.php?id=3933233 Fri, 03 Sep 2010 17:39:03 +0100 3933233 http://www.medworm.com/index.php?rid=3911699&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fanother-law-to-ensure-doctors-do-right-by-their-patients%2F2010.08.27 Recently the [state of] New York signed a law requiring hospitals and doctors to discuss breast reconstruction options with the patient prior to her undergoing cancer surgery. It troubled me that this law was needed. Is it not the duty of the physicians and surgeons to educate the patient on the options available?  We need to make sure the patient and their family know of the treatment options which may vary depending on the diagnosis and stage: Radiation, chemotherapy, surgery (lumpectomy, mastectomy, axillary dissection) – a combination of treatments. Even if the patient and her physicians don’t chose to do immediate reconstruction, isn’t the discussion and information part of the discussion? At least inform the patient of the option. Do we physicians and surgeons need an... Better Health blogs http://www.medworm.com/rss/comments.php?id=3911699 Fri, 27 Aug 2010 20:00:00 +0100 3911699 http://www.medworm.com/index.php?rid=3862011&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fwhen-cosmetic-surgery-isnt-pretty%2F2010.08.12 Hat tip to Berci who shared this article from Power of Data Visualization about Crazy Facts About Plastic Surgery: [Via: Medical Coding] *This blog post was originally published at Suture for a Living* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3862011 Thu, 12 Aug 2010 18:00:00 +0100 3862011 http://www.medworm.com/index.php?rid=3854553&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FBbeFCbq1pzs%2Fisaps-plastic-surgery-survey.html This study found that liposuction has gained that spot.  The study found that the top five procedures in the U.S are liposuction (18.8%), breast augmentation (17%), eyelid lifts (13.5%),  rhinoplasty (9.4%),  and abdominoplasty  ( 7.3%). The popularity of surgical procedures varied by country. The top 25 countries and their top two surgical procedures: 1. United States (1st -- liposuction, 2nd -- breast augmentation) 2. Brazil (liposuction, breast augmentation) 3. China (breast augmentation, liposuction) 4. India (liposuction, breast augmentation) 5. Mexico (breast augmentation, blepharoplasty) 6. Japan (liposuction, breast augmentation) 7. South Korea (breast augmentation, liposuction) 8. Germany (liposuction, blepharoplasty) 9. Italy (liposuction, breast augmentat... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=3854553 Tue, 10 Aug 2010 20:30:00 +0100 3854553 http://www.medworm.com/index.php?rid=3827068&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdrug-to-treat-spider-veins-asclera-now-fda-approved%2F2010.08.05 The FDA recently (March 2010) approved Asclera (poliocanol) injection for the treatment of small spider veins (tiny varicose veins less than 1 millimeter in diameter) and reticular veins (those that are 1 to 3 millimeters in diameter). Asclera is a detergent sclerosant and produces endothelial damage through interference with the cell’s surface lipids.and acts by damaging the cell lining of blood vessels. This causes the blood vessel to close, and it is eventually replaced by other types of tissue. (more…) *This blog post was originally published at Suture for a Living* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3827068 Thu, 05 Aug 2010 14:00:00 +0100 3827068 http://www.medworm.com/index.php?rid=3808692&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F1Dz2pLMj4Gg%2Fcosmetic-surgery-not-always-pretty.html H/T to Berci who shared this article from Power of Data Visualization: Crazy Facts About Plastic Surgery [Via: Medical Coding] (Source: Suture for a Living) Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=3808692 Sun, 01 Aug 2010 21:08:17 +0100 3808692 http://www.medworm.com/index.php?rid=3786985&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fvocabulary-expando%2F2010.07.25 This past week I learned several new words and phrases. Allow me to share a few with you. “Speedo sag” –- I learned of this phrase from a tweet from @BAAPSMedia: Have just seen a cosmetic surgery press release about so-called “Speedo Sag”….Eww. My first thought was the same as my OR crew, whom I polled. We all thought it had to have something to do with the parts of the male anatomy which should be covered by the Speedo, such as perhaps the scrotum. It doesn’t. (more…) *This blog post was originally published at Suture for a Living* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3786985 Sun, 25 Jul 2010 21:00:00 +0100 3786985 http://www.medworm.com/index.php?rid=3780354&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Ftwilight-inspired-plastic-surgery-a-vampire-facelift%2F2010.07.22 I first saw mention of the “vampire facelift” two weeks ago as a news article listed in the July 9th issue of the Plastic Surgery SmartBrief: “Vampire facelift” uses patient’s platelets and fibrin in dermal filler.” The article begins: Instead of a traditional facelift, patients are being offered another option to get rid of wrinkles. It’s called Selphyl or the “vampire facelift,” and it uses a person’s own blood to sculpt the face. Selphyl, according to the company’s website: The patented SELPHYL® System enables the safe and rapid preparation of an activated Platelet-rich Fibrin Matrix (PRFM).  A small volume of the patient’s blood is collected and the platelets and fibrin are concentrated during a simple centrifuge process... Better Health blogs http://www.medworm.com/rss/comments.php?id=3780354 Thu, 22 Jul 2010 23:00:00 +0100 3780354 http://www.medworm.com/index.php?rid=3767271&cid=t_99354_136_f&fid=36032&url=http%3A%2F%2Fwww.everydayhealth.com%2Fblog%2Flife-with-breast-cancer%2Fin-search-of-a-tattoo-artist%2F The next big thing coming up for me is additional surgery to finish my breast reconstruction. I delayed getting touch-ups and nipples for various reasons, but that didn’t diminish my desire for more attractive and normal breasts. I have been lucky though because I did work initially with great surgeons at Johns Hopkins in Baltimore and really have a well-placed and wonderful-looking set. Along with putting off the final cosmetic surgery, I have put off thinking about the nipple construction and tattooing that generally accompanies the finishing touches. So recently I have been searching out websites and other material to learn how this is done. Surprisingly, there are a number of ways to get new nipples and areolas. Nipple reconstruction by most surgeons is done by cutting the skin in th... Life with Breast Cancer blogs http://www.medworm.com/rss/comments.php?id=3767271 Mon, 19 Jul 2010 18:28:43 +0100 3767271 http://www.medworm.com/index.php?rid=3733086&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fdoctor-suing-for-bad-ratings-online%2F2010.07.07 I must say I think Dr. Kimberly Henry, cosmetic surgeon, has made a big professional mistake. She has filed a lawsuit to stop online reviewers from badmouthing her on the Internet. She is seeking injunctions against at least 12 reviewers from sites such as Yelp.com and DoctorScorecard.com. Dr. Henry claims libel and defamation, invasion of privacy and interference with prospective economic advantage and is seeking $1million in general damages and $1million in special damages, etc. Now I don’t know Dr. Henry nor do I know of her plastic surgery technique. I don’t know who the disgruntled patients are or if they are unfairly targeting her. What I do know is that the Internet is here to stay and there’s no place to hide if you don’t provide excellent customer ser... Better Health blogs http://www.medworm.com/rss/comments.php?id=3733086 Wed, 07 Jul 2010 16:00:00 +0100 3733086 http://www.medworm.com/index.php?rid=3678528&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fweight-loss-scolded-by-wii%2F2010.06.19 I finished a post-abdominoplasty check, with drains and sutures removed. I then began to tell the patient how to slowly increase her activities and exercise. She smiled and said: “I have to tell you. I got back on the Wii just to walk yesterday. It told me I had lost weight too quickly and that I need to slow down.” *This blog post was originally published at Suture for a Living* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3678528 Sat, 19 Jun 2010 16:00:00 +0100 3678528 http://www.medworm.com/index.php?rid=3655586&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fcan-the-chin-be-slimmed%2F2010.06.12 Here’s a gimmick “As Seen On TV,” on which you should save your hard-earned money. The neckline slimmer claims to reverse the effects of aging without cosmetic surgery. Simply hold this gadget to the chin area and it will exercise your neck muscles to reduce those jowls or sagging fat under your chin. Just two minutes a day should do the trick, according to the commercial. Unfortunately the effects of aging and loose skin cannot be reversed by jiggling the head or pressing the fat upward. Weight loss can slim the face, but sagging jowls probably needs cosmetic surgery. Personally, I prefer candlelight and light dimmers. *This blog post was originally published at EverythingHealth* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3655586 Sat, 12 Jun 2010 15:33:17 +0100 3655586 http://www.medworm.com/index.php?rid=3625503&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fhow-to-deal-with-unhappy-or-difficult-patients%2F2010.06.02 There’s a nice article in the May issue of Plastic Surgery Practice that discusses how to deal with unhappy or difficult patients. No matter the area of medicine or surgery, you’re bound to have one or two of these patients over the years. It never hurts to learn or review tips in dealing with them. In the article, Rima Bedevian interviews Julie Ann Woodward, M.D., chief of the oculoplastic and reconstructive surgery service at Duke University: …how to successfully deal with them -– with compassion and humanity without allowing them to “run you over” or manipulate a difficult situation into a potentially litigious one. Dr. Woodward provides a helpful checklist for doctors. (more…) *This blog post was originally published at Suture for a Living* (S... Better Health blogs http://www.medworm.com/rss/comments.php?id=3625503 Wed, 02 Jun 2010 16:00:00 +0100 3625503 http://www.medworm.com/index.php?rid=3542605&cid=t_99354_87_f&fid=39187&url=http%3A%2F%2Fgetbetterhealth.com%2Fa-look-at-the-history-of-microsurgery%2F2010.05.06 Facial transplants, hand replants, and free flaps are only possible in large part due to microsurgery.  I finally got around to reading the “History of Microsurgery.” The article is good reading for anyone interested in the history of microsurgery. The article, written by Susumu Tamai, M.D., Ph.D., (Japan) was received for publication in Plastic & Reconstructive Surgery on June 14, 2007. Microsurgery is relatively young, and Dr. Tamai breaks down the history into four periods. (more…) *This blog post was originally published at Suture for a Living* (Source: Better Health) Better Health blogs http://www.medworm.com/rss/comments.php?id=3542605 Thu, 06 May 2010 18:00:00 +0100 3542605 http://www.medworm.com/index.php?rid=3511517&cid=t_99354_87_f&fid=36050&url=http%3A%2F%2Fblisstree.com%2Flive%2Fplastic-surgery-how-young-is-too-young%2F These days, many girls are getting nose jobs as Sweet 16 gifts. And there are numerous cases of children even younger than 16 undergoing plastic surgery. But how young is too young and what are the ramifications of kids going under the knife? According to the American Society of Plastic Surgeons, the number of teens getting plastic surgery has doubled since 2002. For those who have a birth defect or are disfigured in an accident, you can make a strong case for the necessity of cosmetic surgery. However for those teens doing it in the name of beauty, there should be limits. Of course, there are possible surgical ramifications for someone who is not yet developed. And then there are the risks of surgery, general anesthesia, and pain medications. Additionally, the psychological and emotional ... Breastfeeding 1-2-3 blogs http://www.medworm.com/rss/comments.php?id=3511517 Tue, 27 Apr 2010 12:45:57 +0100 3511517 http://www.medworm.com/index.php?rid=3482850&cid=t_99354_83_f&fid=34856&url=http%3A%2F%2Finsidesurgery.com%2F2010%2F04%2Fplastic-surgeons-dr-larry-koplin-ashkan-ghavami-speculate-demi-moores-face%2F Well known Hollywood plastic surgeons Dr. Larry Koplin and Ashkan Ghavami talk about the possible use of plastic surgery and other cosmetic strategies used by Demi Moore. (Source: Inside Surgery) Inside Surgery blogs http://www.medworm.com/rss/comments.php?id=3482850 Sun, 18 Apr 2010 20:33:19 +0100 3482850 http://www.medworm.com/index.php?rid=3146006&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2Fx-C70I3K2gQ%2Fneurotoxins-dysport-and-botox.html Medscape has a nice CME article on neurotoxins, Dysport® and Botox® Cosmetic. Dysport is abobotulinumtoxinA. Botox Cosmetic is onabotulinumtoxinA. Dr Monheit begins with the interesting history of botulinum toxin. 1895: Clostridium bacterium identified 1940s: BoNT-A purified (Schantz and colleagues) 1950s: BoNT-A mechanism of action elucidated 1970s: BoNT-A investigated as a treatment for strabismus (Dr. Alan B. Scott) 1979 Botulinum neurotoxin type A was approved by the FDA [US Food and Drug Administration] and became a registered mechanism for use in ophthalmology. It was called Oculinum at first. 1987: Dr. Jean Carruthers notices effect on the glabella when treating patients with BoNT-A for blepharospasm. 1989: Botox approved by FDA for the treatment fo strabismus and blepha... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=3146006 Wed, 06 Jan 2010 12:01:00 +0100 3146006 http://www.medworm.com/index.php?rid=3052111&cid=t_99354_87_f&fid=35052&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FWomensBioethicsBlog%2F%7E3%2FYr-8KbdyHI4%2Fwbp-mentioned-on-cnn-health.html Kathryn Hinsch, founder of the Women's Bioethics Project, was quoted on CNN Health, regarding ethical issues in cosmetic surgery and patient-doctor relationships: "Part of the fundamental trust between a patient and doctor is the idea that the doctor has the patient's best interest at heart, and that there is no financial incentive for the doctor to perform any procedure," Hinsch says. "When doctors start adding cosmetic procedures, which they're adding because they're big moneymakers, there's a corruption of that basic trust."The article goes on to explore how physicians sidestep this ethical quagmire by never directly hawking their fat-blasting, wrinkle-smoothing, and hair-removal services, but that even a stack of brochures in the waiting room, Hinsch insists, sends the message to patie... Women's Bioethics Blog blogs http://www.medworm.com/rss/comments.php?id=3052111 Wed, 02 Dec 2009 22:55:32 +0100 3052111 http://www.medworm.com/index.php?rid=3048068&cid=t_99354_87_f&fid=34872&url=http%3A%2F%2Fwww.blisstree.com%2Fhealthbolt%2Fperfection-search-cosmetic-surgery-death%2F Another woman has died, as have women before her, after undergoing plastic surgery.  When will this madness stop? Other women haven’t died, but have had to live with disfiguring complications from surgeries that have gone wrong or were done by uncertified people. This time, it’s Solange Magnano, mother to 7-year-old twins and Miss Argentina in 1994. She died this past Sunday from complications arising during a gluteoplasty. She wanted a nicer backside, so she went for a “bum lift,” but she never had a chance to show off her new body. Her death follows the deaths of other women, including celebrities who died after cosmetic surgery. Most recently, Donda West, mother to Kanye West, died during such a procedure. In Canada, Micheline Charest, co-founder of the Cinar an... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=3048068 Wed, 02 Dec 2009 00:48:35 +0100 3048068 http://www.medworm.com/index.php?rid=3026640&cid=t_99354_87_f&fid=34872&url=http%3A%2F%2Fwww.blisstree.com%2Fhealthbolt%2Fif-she-has-your-nose-shes-getting-surgery%2F Picture a couple having a conversation not long after their baby daughter was born – and the mother says to the father, “If she has your nose, she’s going to get surgery.” Sounds too way out there? Not if you’re in Venezuela, say researchers from the Central University of Venezuela. Venezuala has the honor (?) of holding the most international beauty pageant winners in the world. The women are known for their beauty – but a lot of that beauty is created, not natural. Of course, this isn’t unusual, cosmetic surgery to enlarge breasts, “fix” eyes, remove sags, and to make other so-called improvements aren’t unusual, even in the beauty pageant world. But it seems that Venezuala may have the corner on the market when it comes to expec... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=3026640 Wed, 25 Nov 2009 16:05:16 +0100 3026640 http://www.medworm.com/index.php?rid=3023118&cid=t_99354_87_f&fid=38368&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FDisruptiveWomenInHealthCare%2F%7E3%2F9BgVPJIVN08%2F The following post represents my personal opinion and not that of any groups or organizations with which I am affiliated. Okay, it’s enough already! Why is it that women are always the target? First it’s abortions, then mammograms, pap smears following closely, behind and now cosmetic surgery (although that’s not only women!) It looks like the Congress is desperate to find any savings anywhere. Why not tell it like it is, it’s raising taxes. Whether it is through so called elective procedures or levying taxes on devices and diagnostics, to be passed on to the patients, it’s a tax. Instead of rewriting the rules on mammograms which will cost lives, maybe not that many, but if it is your life that’s all that matters and focusing on false positives and unnecessary screening, ... Disruptive Women in Health Care blogs http://www.medworm.com/rss/comments.php?id=3023118 Mon, 23 Nov 2009 18:05:21 +0100 3023118 http://www.medworm.com/index.php?rid=3015305&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FeVSB5YO9Xbo%2Fbotax-on-elective-surgery.html I agree with all who feel there needs to be healthcare reform (or more honestly health insurance reform), but I don’t agree with Senator Harry Reid who feels one way to pay for it is by taxing elective surgery.  This proposed tax has been dubbed the Bo-Tax and was first mentioned back in the summer.  Then it was proposed as a 10% tax on elective and cosmetic procedures.  Now it is proposed as a 5% tax on those procedures. As defined by the Internal Revenue Code of 1986, "Any procedure which is directed at improving the patient's appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or disease."  These procedures would be the target of the proposed tax. The price tag for the proposed bill (here in pdf ) is ... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=3015305 Fri, 20 Nov 2009 18:01:00 +0100 3015305 http://www.medworm.com/index.php?rid=2930934&cid=t_99354_87_f&fid=34872&url=http%3A%2F%2Fwww.blisstree.com%2Fhealthbolt%2Fplastic-surgery-pageant-in-hungary%2F There’s no whispering, questioning or denying at this pageant: yes, the winner did have plastic surgery. So did the runners up, as did everyone else who entered. Miss Plastic Surgery Hungary 2009 is a pageant meant to help show women what plastic surgery can do for a woman and to promote it in a country where cosmetic surgery isn’t a popular option. There were 18 contestants and they had to prove that they had had cosmetic surgery to be eligible; Botox and other types of injections were not considered. While the type of surgery didn’t matter, the majority of the women did have breast enlargements. Others had nose jobs. One had her toes operated on. The winners and prizes? The women weren’t the only ones to receive prizes – their plastic surgeons did too. Among... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=2930934 Tue, 27 Oct 2009 10:20:52 +0100 2930934 http://www.medworm.com/index.php?rid=2904848&cid=t_99354_87_f&fid=34872&url=http%3A%2F%2Fwww.blisstree.com%2Fhealthbolt%2Fcosmetic-surgery-update-your-passport%2F If you’re thinking of having some cosmetic surgery on your face, you may also want to line up a replacement passport when you’re done. After all, if the new you is a big change from the old you, you could end up being held up in passport control if the officers think you may not be who you claim to be. Don’t laugh – it’s happened. It is becoming increasingly popular in China for women to travel to South Korea for cosmetic surgery. Many women go because they want a more “western look” that is attained by rounding out the eyes and slimming the chins. What one particular group of women didn’t count on though, was that when they came home, they didn’t look like themselves anymore. According to news reports, they had to show the customs offi... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=2904848 Mon, 19 Oct 2009 10:29:32 +0100 2904848 http://www.medworm.com/index.php?rid=2691528&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FwwKa9bScEqs%2Finternal-us-technique-treats.html This was suppose to simply be an article review. I was intrigued by the potential of using ultrasound (US) to damage the sweat glands when I read this article in the August issue of Cosmetic Surgery Times. I even went back and read the Aesthetic Plastic Surgery Journal article referenced, but I have gotten sidetracked by this photo. It troubles me. See how it is labeled an intra-operative photo? Notice the surgeon is wearing what appears to be a large jeweled ring under her sterile glove. Who wears jewelry in the OR??? That’s not proper sterile technique! Intra-operative photo shows application of internal ultrasound therapy to damage the sweat glands. (Photo credit: Sharon Giese, M.D., F.A.C.S.) In the article Dr. Giese states the procedure uses the heat energy of the ultrasound li... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2691528 Wed, 12 Aug 2009 11:01:00 +0100 2691528 http://www.medworm.com/index.php?rid=2654069&cid=t_99354_160_f&fid=38218&url=http%3A%2F%2Fwaronwarts.com%2F2009%2F07%2Fcan-i-get-rid-of-penile-pearly-papules%2F Pearly penile papules are small raised nodules (bumps), usually 1-2 mm in size, which are located around the rim of the penis head in the form of string of pearls.  Usually developing during adolescence, they have been reported in up to 35% of males. Uncircumcised men are more likely to have pearly penile papules.  Very often these lesions are confused with genital warts, although there is no known link between warts and pearly penile papules. Pearly penile papules are NOT cancer and are NOT spread via contact or sex. Most men with penile papules do not seek medical treatment. Men do not need to have them removed but some men feel uncomfortable having spots or dots on the penis.  Some men are worried that a partner my not have sex with them because they look like warts or other sexua... War On Warts blogs http://www.medworm.com/rss/comments.php?id=2654069 Wed, 29 Jul 2009 20:34:09 +0100 2654069 http://www.medworm.com/index.php?rid=2726897&cid=t_99354_72_f&fid=38877&url=http%3A%2F%2Fwww.laseroffers.com%2F2009%2F07%2Fdo-your-homework-before-cosmetic-surgery%2F I can’t agree more with Dr Christian Jessen in London, who is sad to say that the age of blind trust in your doctor is over: patients must take some responsibility and do their homework before committing to any invasive cosmetic surgery. Read the Warning: Women who look more Crimewatch than Baywatch are being [...]Post from: Aesthetic Laser OffersDo Your Homework Before Cosmetic Surgery (Source: Aesthetic Lasers) Aesthetic Lasers blogs http://www.medworm.com/rss/comments.php?id=2726897 Sun, 26 Jul 2009 21:36:49 +0100 2726897 http://www.medworm.com/index.php?rid=2584180&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FbEvQX8fsVos%2Fuse-of-zafirlukast-for-capsular.html Conclusions Zafirlukast appears effective in treating early capsular contracture after primary submuscular breast augmentation using saline-filled, smooth-walled implants. Further prospective studies with control groups and long-term follow-up will be needed to address many unanswered questions, including whether leukotriene inhibitors have long-term effects on capsular contracture following breast augmentation. If this patient and I decide to proceed with zafirlukast treatment, I will be sure she is aware of the potential side effects (minor and major) of the drug.   For photos of a removed capsule and implant check here.   REFERENCES 1.  A new treatment for capsular contracture. (Letter to the editor);  Aesthetic Surg. J. 2002; 21: 164-165; Schlesinger SL and Heck... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2584180 Thu, 09 Jul 2009 11:01:00 +0100 2584180 http://www.medworm.com/index.php?rid=2727126&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F06%2Fbruce-jenners-cosmetic-surgery-revision.html Even gold winning Olympic athletes desire to look young forever. Bruce Jenner is the representation that no matter how physically fit you may be, the aging process does catch up to you. Twenty five years ago, Bruce was ill-advised to have a partial facelift and rhinoplasty. The results from the procedures were not what Bruce desired and as a result he recently went in for a correctional surgery. This time he received a full facelift and is pleased with the results. Cosmetic surgery is not something to take lightly and patients and physicians should strive to get it right the first time. Many cosmetic surgeons have patients coming to them because they want to reconstruct previous work done by another physician. This could be potentially decreased if the lines of communication are open betwe... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727126 Wed, 17 Jun 2009 15:01:00 +0100 2727126 http://www.medworm.com/index.php?rid=2727127&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F06%2Fotoplasty-rising-among-teens.html So many classic childhood movies (Dumbo) and sing-a-longs (Do your ears hang low, do they wobble to and fro….) emphasize large and protruding ears. But it turns out that having protruding ears is often one of the most humiliating features for a teenager.According to the American Academy of Cosmetic Surgery’s 2008 Procedural Survey, we found that 27.7% of otoplasties (a reshaping of the ear by placing small incision behind the ear then shaping or trimming the cartilage to define how and where the ear cartilage bends) are performed on those ages 13-19. Additionally, the survey found that otoplasty has the youngest mean age of both invasive and less invasive cosmetic procedures at 29.It is common for adolescents to worry about their appearance and not every adolescent is right for cosmeti... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727127 Thu, 11 Jun 2009 13:56:00 +0100 2727127 http://www.medworm.com/index.php?rid=2452608&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FXbUsbwRKIDE%2Frecent-npr-stories-on-plastic-surgery.html I want to say these two stories were well done (both aired on June 1, 2009).  I was actually interviewed, but not quoted, for the story on fat-grafting.  I pointed Allison Aubry to Dr Scott Spear as her expert.  He is involved in one of the U.S. studies on breast augmentation using fat grafting.  Sculpting the Body with Recycled Fat by Allison Aubry. Doctors Still Unsure Of Long-Term Risks Surgeons like Dr. Scott Spear of Georgetown University Hospital want to know more about the techniques used to transfer fat for breast augmentation. "We're at the beginning of the learning curve," he says. He has initiated a clinical trial to answer some questions about the best way to perform the procedure and whether there are any measurable risks. To date, there are... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2452608 Wed, 03 Jun 2009 11:01:00 +0100 2452608 http://www.medworm.com/index.php?rid=2727129&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F05%2Fbotoxs-new-rival.html Approximately 363,694 Botox procedures were done by members of the American Academy of Cosmetic Surgery in 2008. That number will be sure to change with the introduction of Dysport in mid 2009.Dysport (also known as Reloxin) was recently approved by the FDA for cosmetic and therapeutic use in the United States. Dysport consists of the same basic ingredient as Botox, which is Botulinum Toxin A. In 2006, Medical News Today released information from a study outlining the difference between the two products. The study found that the migration of the two injections varied. Dysport and Botox were compared and even though the ingredients are the same, the migration differed as Dysport was found to spread further from the initial injection site. It is important to realize that even though they are... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727129 Tue, 12 May 2009 13:33:00 +0100 2727129 http://www.medworm.com/index.php?rid=2727131&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F04%2Foff-label-use-of-botox.html The off-label use of Botox has been plunged into the spotlight as The New York Times recently published a story about the unconventional uses for Botox. One use in particular that is not discussed in this story is what is being termed as the “Botox Breast Lift.” This procedure needs extra attention and warnings associated with it in order to educate the consumer. The procedure involves injecting Botox into the pectoralis minor chest muscle to temporarily paralyze it. Some say this forces the patient to stand up straighter, which in turn essentially gives the breasts a surgery-free "lift."My advice would be to stay clear of such a procedure until there is proven scientific information to back that this is safe and effective. To date, there is no established research available to confirm... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727131 Mon, 27 Apr 2009 19:32:00 +0100 2727131 http://www.medworm.com/index.php?rid=2365072&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FVK0RiyyC-BA%2Fshort-cuts-to-beauty.html Interesting article recently in the New York Times written by Anemona Hartocollis and Christina Davidson, A Cheap, Fast and Possibly Deadly Route to Beauty  (April 16, 2009).  The article reports on how an increasing number of people are participating in “pumping parties” which use illegal silicone injections for cosmetic purposes. The injections are administered at home, in motel rooms, in makeshift offices or at “pumping parties,” where the guests take turns injecting one another, officials said.   Silicone injections are not legal in the United States.  It’s use is considered by the FDA as a violation of Federal law as the use of liquid silicone injections “does not have an approved application for marketing or currently approved investigational exempt... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2365072 Thu, 23 Apr 2009 11:01:00 +0100 2365072 http://www.medworm.com/index.php?rid=2341977&cid=t_99354_154_f&fid=35946&url=http%3A%2F%2Fcanadianmedicine.blogspot.com%2F2009%2F04%2Fontario-passes-law-allowing-observation.html The Ontario government yesterday passed Bill 141 to permit health-profession regulatory bodies, including the College of Physicians and Surgeons of Ontario, to compel members to cooperate with investigations and to permit regulators to perform "direct observation of a member in his or her practice, including the direct observation by inspectors of procedures.""Our government is taking yet another step to improve patient safety in the province," said Health Minister David Caplan (left) in a release. "This legislation will ensure that patients receive safe and high quality care from their health care providers, using the best medical equipment in the most secure settings."The new legislation grants the College of Physicians and Surgeons of Ontario a powerful new set of investigative tools, w... Canadian Medicine blogs http://www.medworm.com/rss/comments.php?id=2341977 Wed, 08 Apr 2009 21:17:00 +0100 2341977 http://www.medworm.com/index.php?rid=2727132&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F04%2Fpost-pregnancy-cosmetic-surgery.html As mentioned last week, Tameka Foster had been in the spotlight for undergoing liposuction only two months after giving birth. Giving birth is a stressful time for your body and you have to allow significant time to recover. Rushing into surgery soon after birth is not advised and your risks of complications are increased. Whether or not you had a C-section is another important factor to consider. I would advise at least six months after birth until considering a procedure like liposuction. This gives the body time to recuperate and return to its normal functions. You should check with your Obstetrician prior to any cosmetic procedure and you should not be breast feeding at the time. It is often said that patience is a virtue and that couldn’t be farther from the truth with post-pregnanc... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727132 Tue, 07 Apr 2009 14:09:00 +0100 2727132 http://www.medworm.com/index.php?rid=2727133&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F03%2Fmedical-tourism-pros-and-cons.html Medical tourism is a growing trend when it comes to cosmetic surgery. The reason for this uptick is the perceived lower cost for cosmetic procedures outside the U.S. In reality, if you do not do your research there could be severe complications and you could end up paying the same amount to receive proper post-op care from complications. Take for instance R&B superstar Usher’s wife, Tameka Foster. On February 7, she traveled to Brazil for liposuction eight weeks after giving birth and unfortunately suffered from severe complications. She spent over a week in the hospital and there is no official word on her condition or what caused the complications. Regardless, there is a need to promote patient safety and awareness on medical tourism. No matter where the surgery takes place, the pa... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727133 Tue, 31 Mar 2009 13:56:00 +0100 2727133 http://www.medworm.com/index.php?rid=2727134&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F03%2Flaser-technology-what-can-it-do-for-you.html Believe it or not, lasers are the “new” technology and future of many cosmetic procedures. It began with laser hair removal and laser resurfacing but is now moving toward laser lipolysis. Unlike traditional liposuction, laser lipolysis is not primarily focused on suctioning. Instead, the cannula housing the laser is inserted into the area and used to liquefy the fat. Then the liquefied fat is drained from the body through very tiny incisions (1-2mm) with less suctioning than usual. Compared to traditional liposuction, laser lipolysis is gentler due to the much smaller cannulas. The smaller cannulas also mean smaller incisions, so there seems to be less scarring. It seems that the heat generated by this method is another great benefit because it works well with the body’s own healing ... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727134 Thu, 26 Mar 2009 20:30:00 +0100 2727134 http://www.medworm.com/index.php?rid=2311818&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2F45MZyfu4Uzw%2Fmedical-spa-regulations.html As mentioned yesterday*, the “throw away” journal, MedEsthetics, has had a couple of nice articles recently.  I looked at the first one yesterday, Medical Lasers and the Law, and today will look at the second.  I am impressed with the Massachusetts Task Force and would love to see these same findings implemented in my state.   The second article looked at how state officials are struggling to address the need for appropriate regulations governing the use of laser and light technologies in medical practices, laser centers, and medical spas.  The article reviews how the Massachusetts Legislature asked their Board of Medicine to convene a task force to study and draft some standards and regulations.  They wanted these to cover not just the use of laser and intense... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2311818 Thu, 26 Mar 2009 11:04:00 +0100 2311818 http://www.medworm.com/index.php?rid=2311817&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeedproxy.google.com%2F%7Er%2FSutureForALiving%2F%7E3%2FYyvMh8LXunA%2Fmedical-lasers-and-law.html This article also covers the “misconception that devices used to treat fat  or cellulite are not medical devices.”    The Endermologie was the original device cleared by the FDA for cellulite reduction.  It is safe to utilize it as a nonmedical device as long as one is careful with the claims made for its effectiveness.  However, newer generation products that contain light-based components are federally classified as medical devices. The article continues to discuss the question “Who is performing the treatment?”  This quickly can become a quagmire as the physician gets further away from medical personnel.  Estheticians are not considered medical personnel.  Estheticians are governed by a state board of cosmetology and not by the sta... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2311817 Wed, 25 Mar 2009 11:09:01 +0100 2311817 http://www.medworm.com/index.php?rid=2727137&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F02%2Fliposuction-trends.html Liposuction is still one of the most popular cosmetic procedures for patients. Liposuction outcomes continue to benefit from technological advancement. Take for instance CoolLipo, which Immediate Past President Dr. Steven Hopping was interviewed for a news story in December. This procedure uses laser energy to vaporize unwanted fat, tighten skin, and reduce scarring and recovery time. A patient is able to sculpt unwanted arm fat and quickly return to work with hardly anyone noticing. With the leaps and bounds liposuction procedures are taking, it is no wonder that this procedure is more popular than ever. (Source: The Cosmetic Surgery Beat) The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727137 Thu, 19 Feb 2009 16:24:00 +0100 2727137 http://www.medworm.com/index.php?rid=2201325&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F543192617%2Fhow-not-to-do-buttocks-enhancement.html In this day and age when physicians are facing being rated like the local plumber or restaurant on Zagat, it astounds me that anyone would allow a non-physician to perform cosmetic enhancement “injections” in their home.  That seems to be what women in Florida have done to the detriment of their health (ABC Action News). Two women who wanted cosmetic injections to enhance their bottoms are now recovering in a Town N' Country Hospital with severe infections.  Deputies say Andrea Lee and Zakiya Teagle thought they were getting injections that were safe and would provide them with the appearance they wanted.  Instead, the person who injected them apparently is on the run and detectives want to find her. Hillsborough County Sheriff's office says Sharhonda Lindsay of Tam... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2201325 Thu, 19 Feb 2009 12:13:00 +0100 2201325 http://www.medworm.com/index.php?rid=2727138&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F02%2Fcosmetic-surgery-vs-plastic-surgery.html Cosmetic surgery is a term used interchangeably with plastic surgery. This is one of the biggest misconceptions surrounding the cosmetic surgery industry. We need a Public Service Announcement to clear up this confusion.There is a distinct difference between plastic surgery and cosmetic surgery and the two specialties should not be interchanged. The American Medical Association recognizes cosmetic surgery as a separate and equal specialty to plastic surgery. Cosmetic surgery is a subspecialty of medicine and surgery that uniquely restricts itself to the enhancement of appearance through surgical and medical techniques. It is specifically concerned with maintaining normal appearance, restoring it, or enhancing it beyond the average level toward some aesthetic ideal. Cosmetic surgery is a mu... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727138 Wed, 11 Feb 2009 16:07:00 +0100 2727138 http://www.medworm.com/index.php?rid=2147963&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F526262744%2Frefinements-in-nasal-reconstruction_29.html Discussion of Refinements in Nasal Reconstruction: The Cross-Paramedian Forehead Flap; Plastic and Reconstructive Surgery; Plastic and Reconstructive Surgery:Volume 123(1)January 2009pp 94-97; Menick, Frederick J. M.D. (Source: Suture for a Living) Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2147963 Thu, 29 Jan 2009 21:03:14 +0100 2147963 http://www.medworm.com/index.php?rid=2727141&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F01%2Fjob-security-and-cosmetic-surgery.html Today, people are doing all they can to ensure their job security. Taking prolonged periods away from their job could result in termination because if a company can get along without for two weeks then you obviously aren't that valuable. Thus the cosmetic surgery industry has since seen a significant increase in the less invasive and less costly procedures including Botox and other injectables. The reasons for this increase is because these types of procedures are extremely effective but require less downtime and allows the patient to return to work quicker. In all honesty, if most people take that amount of time off in this economic climate, they may return to their job to find someone has replaced them. Another aspect to realize is that cosmetic procedures are becoming an integral part... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727141 Thu, 08 Jan 2009 16:07:00 +0100 2727141 http://www.medworm.com/index.php?rid=2727142&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F01%2Fpatient-safety-advisory-cosmetic.html We all know the economy has hit a rough patch and the effects are being felt throughout the cosmetic surgery industry. It is a well know fact that when times are tough, consumers become thriftier.A recent AACS survey revealed that more patients were choosing less invasive and less expensive procedures. Seven in ten (70.6%) cosmetic surgeons indicated more of their patients were choosing less invasive procedures. More than eight in ten (82.4%) cosmetic surgeons indicated more patients were choosing less expensive procedures.Consumers must be aware that they should not always shop for the cheapest deals, especially when it comes to cosmetic surgery. The cheapest procedure may not be the safest and safety needs to be the highest priority, not pinching pennies. To view full survey results p... The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727142 Thu, 08 Jan 2009 16:06:00 +0100 2727142 http://www.medworm.com/index.php?rid=2727143&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F01%2Famerican-academy-of-cosmetic-surgery_780.html Discussions will be held on practice management solutions to improve cosmetic surgery marketing in order to maintain your business. (Source: The Cosmetic Surgery Beat) The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727143 Thu, 08 Jan 2009 16:05:00 +0100 2727143 http://www.medworm.com/index.php?rid=2727144&cid=t_99354_106_f&fid=38876&url=http%3A%2F%2Fcosmeticsurgerybeat.blogspot.com%2F2009%2F01%2Famerican-academy-of-cosmetic-surgery_08.html The AACS announces “The Cosmetic Surgery Beat.” This new blog will be a resource for all things cosmetic surgery. As President of the AACS, I will be discussing new trends and interesting topics as they relate to cosmetic surgery. Since cosmetic surgery has become such a large part of popular culture there will be plenty to talk about. Be sure to check back often for the latest scoop! (Source: The Cosmetic Surgery Beat) The Cosmetic Surgery Beat blogs http://www.medworm.com/rss/comments.php?id=2727144 Thu, 08 Jan 2009 16:03:00 +0100 2727144 http://www.medworm.com/index.php?rid=2065735&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F492188412%2Fplastic-surgery-posthumous.html The recent article referenced below (HT to Kevin MD who HT’d Dr Tony Youn) reminded me of a conversation I had with a patient early in my career. She was a young widow. She was back in my office for a follow up visit after surgery. We got off on her grieving, her husband's illness, and other topics. He had died from a tumor in his lower face /upper neck that was inoperable due to the way it was connected and invading the structures nearby (think carotid and inferior jugular). It had left him very disfigured. She told me she regretted not being able to have an open casket funeral for him. “I hope you don’t find this strange, but I wish the tumor could have been removed after he died. Then we could have had an open casket funeral.” I blurted out "I would have removed for you... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=2065735 Mon, 22 Dec 2008 12:24:00 +0100 2065735 http://www.medworm.com/index.php?rid=1939310&cid=t_99354_93_f&fid=36697&url=http%3A%2F%2Fjeffreyleow.wordpress.com%2F2008%2F11%2F07%2Fcosmetic-discounts-and-medicine-as-a-commodity%2F @ruraldoctoring on twitter for this. “Botox Fridays” anyone? that’s how Dr. Don Mehrabi, a dermatologist in Beverly Hills, Calif., advertises his weekly promotion. The original article from NY Times states salient points on how these tactics have an effect on the public’s perception of the medical profession. Will medical care be viewed as a commodity?   “…such price-cutting blurs the line between the tactics of commerce and the practice of medicine, in which physicians have traditionally encouraged treatments based on a patient’s condition or concerns, not on the doctor’s bottom line. “Promotions in which existing clients receive discounts or special treatment for sending friends to their doctors can also be ethically fraught.” ... monash medical student blogs http://www.medworm.com/rss/comments.php?id=1939310 Fri, 07 Nov 2008 12:15:15 +0100 1939310 http://www.medworm.com/index.php?rid=1829655&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F402724392%2Fguest-post-by-dr-val-lip-plumping-with.html I have a great plastic surgeon friend who offered to fill a facial scar for me. I was bitten in the face by a dog when I was very young, and the small (1/2 inch) divot of flesh from my cheek still bothers me slightly. I’ve generally ignored it but thought it might be fun to see if it could be corrected in any way – so I happily agreed to try a Restylane (hyaluronic acid) injection. My surgeon and I decided not to use any numbing medication because it distorts the contours of the face, making correction more challenging. So I tried my best not to squirm as he inserted a fairly long needle parallel to my nose and began pumping in several cc’s of thick, acidic goo into the tough old scar. He had to insert the needle a couple of times to add more product, and then he had to squish it aro... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1829655 Thu, 25 Sep 2008 11:26:00 +0100 1829655 http://www.medworm.com/index.php?rid=1726339&cid=t_99354_87_f&fid=34872&url=http%3A%2F%2Fwww.healthbolt.net%2F2008%2F08%2F22%2Fface-off-face-on%2F Face Transplants - science fiction or medical reality? French surgeon Laurent Lantieri, one of the doctors involved in operating on a Chinese man severely disfigured by a genetic disease, believes they are becoming a medical reality. He’s quoted in a recent article in The Lancet as saying “There is no reason to think these face transplants would not be as common as kidney or liver transplants one day”. Just three years after the successful partial face transplant for a French woman viciously attacked by a dog, two more people have benefited from partial face transplants using tissue from deceased or comatose donors. One case involved a Chinese man who had been attacked by a bear in 2004, losing his left eye, nose, and a large portion of his upper lip and left check. After... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=1726339 Fri, 22 Aug 2008 11:10:26 +0100 1726339 http://www.medworm.com/index.php?rid=1971062&cid=t_99354_125_f&fid=38161&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2Fdentalheroes%2F%7E3%2F347999690%2F Sunday is Weird Dental News Day Each Sunday I will be writing about a wacky or weird dental-related news story I’ve come across on the internet. If you’ll remember, back when I started Dental Heroes I promised to include some content that lightens up the dental care discussion a little bit, and I think Sunday posts will do just that. Avril Lavigne to get vampire teeth removed You may think that this post title was simply made up to get your attention. Believe it or not, according to Stv.tv, “Avril Lavigne is set to have significant dental work because she is so self-conscious about her “fangs”… Fangs? Take a look at a picture of Avril Lavigne, and see what she’s so worried about. If you ask me, those are hardly “fangs”. Besides, take... Dental Heroes blogs http://www.medworm.com/rss/comments.php?id=1971062 Mon, 28 Jul 2008 03:45:59 +0100 1971062 http://www.medworm.com/index.php?rid=1625906&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F336989583%2Fmajor-and-lethal-complications-of.html Conclusions1. Liposuction is a surgical procedure and must be performed under aseptic conditions.Liposuction can create a wound area of up to 1 m2 between skin and muscle fascia that can act as an ideal growth medium for bacteria. Liposuction is not a harmless procedure but a surgical intervention necessitating aseptic standards as in any other elective surgical procedure. Almost all cases of necrotizing fasciitis in this survey had become clinically evident within the first 24 hours after surgery, which should serve as a reminder to reexamine all liposuction patients within this time period.2. A preoperative medical history and a physical examination of the patient needs to be done before surgery. We surgeons need to make sure the patient is healthy "enough" to have the proposed surgery.3... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1625906 Wed, 16 Jul 2008 11:29:00 +0100 1625906 http://www.medworm.com/index.php?rid=1575764&cid=t_99354_106_f&fid=36682&url=http%3A%2F%2Ffeeds.feedburner.com%2F%7Er%2FSutureForALiving%2F%7E3%2F325730031%2Fcosmetic-blogosphere.html I received the June edition of the PSP Journal a few days ago. I was pleasantly surprised to see that I was included in the Editor's Message on "Canvassing the Cosmetic Blogosphere". I knew of most of the blogs he mentioned, but had missed a few including theirs (The Aesthetic Blog -- I have added it to my reader and sidebar). At another end of the spectrum, Suture for a Living (rlbatesmd.blogspot.com) is a very personal kind of blog, written by Ramona Bates, MD, a plastic surgeon in Arkansas. Bates provides well-written accounts of surgeries, her take on the profession in general, and an almost parochial view of the aesthetic arts. Plasmetic.com describes itself as "obsessively covering the latest procedures in plastic surgery and cosmetic surgery," with a focus on the costs—medical, e... Suture for a Living blogs http://www.medworm.com/rss/comments.php?id=1575764 Thu, 03 Jul 2008 11:30:00 +0100 1575764 http://www.medworm.com/index.php?rid=1380511&cid=t_99354_87_f&fid=34872&url=http%3A%2F%2Fwww.healthbolt.net%2F2008%2F04%2F17%2Fsign-of-the-times-kids-book-on-plastic-surgery%2F You know when there is a book being marketed to the children of moms undergoing plastic surgery that the world we live in has changed…drastically. Now, you will never, ever find me saying that plastic surgery is wrong. That is a completely individual choice, and one I would never even rule out for myself. But what you will find is me noting my surprise that there is a need for such a book. Dr. Michael Saulzhauer, the author of “My Beautiful Mommy”, due out this Mother’s Day, drafted the book’s manuscript after seeing moms with their kids in tow during plastic surgery consultation appointments. He believed the kids viewed the surgery as scary, and wanted to assure them that their Mommy would be even more beautiful than ever - she just had to deal with some band... Healthbolt blogs http://www.medworm.com/rss/comments.php?id=1380511 Fri, 18 Apr 2008 01:42:23 +0100 1380511 http://www.medworm.com/index.php?rid=1353872&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2008%2F04%2F07%2Fis-botox-bad-for-your-brain%2F Despite their hype, most wrinkle creams do not have a significant effect on actually reducing wrinkles. The creams are typically just good skin moisturizers with an added “special” ingredient that makes for a good story but doesn’t actually do anything. (The exceptions are ones with effective levels of retinoids). What really removes wrinkles Of course plastic surgery really removes wrinkles. But it’s expensive and involves one or more surgical procedures. Personally, this Beauty Brain doesn’t like the idea of surgery for fixing the things time is doing to my skin. I’ve seen too many celebrity face lifts that have looked too weird (If you’re interested in seeing celebrities who’ve had cosmetic surgery, check out our favorite blog on the subj... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=1353872 Mon, 07 Apr 2008 11:28:56 +0100 1353872 http://www.medworm.com/index.php?rid=1106946&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2007%2F12%2F20%2Fcan-you-drink-your-way-to-larger-breasts%2F Here’s a story from Tokyo Mango that was curious. Supposedly, if you drink this F-Cup tea you can naturally grow bigger boobs. It’s based on plant extracts from sunflower and pueraria mirifica. They have a cookie version too in case you would rather eat those. Does it work? From tea cup to bra cup The science. Pueraria mirifica is a phytoestrogen-rich herb traditionally used in Thailand folk medicine. It has been evaluated by various reproductive health researchers. While no one has claimed it can increase breast size, this study shows it can have prevent some breast tumors (in rats anyway). Sunflower oil has also been investigated for an effect on breast tumor inhibition. So, both extracts have been shown to have some effect. Does this translate to bigger breast? Possibly, but... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=1106946 Thu, 20 Dec 2007 05:25:09 +0100 1106946 http://www.medworm.com/index.php?rid=1058237&cid=t_99354_90_f&fid=34499&url=http%3A%2F%2Fcalifmedicineman.blogspot.com%2F2007%2F11%2Fbody-dysmorphic-disorder-and-cosmetic.html (Source: California Medicine Man) California Medicine Man blogs http://www.medworm.com/rss/comments.php?id=1058237 Thu, 29 Nov 2007 14:11:00 +0100 1058237 http://www.medworm.com/index.php?rid=1037071&cid=t_99354_154_f&fid=35946&url=http%3A%2F%2Fcanadianmedicine.blogspot.com%2F2007%2F11%2Fcpso-carves-out-new-cosmetic-surgery.html (Source: Canadian Medicine) Canadian Medicine blogs http://www.medworm.com/rss/comments.php?id=1037071 Mon, 19 Nov 2007 20:44:00 +0100 1037071 http://www.medworm.com/index.php?rid=928816&cid=t_99354_133_f&fid=35096&url=http%3A%2F%2Ffeeds.b5media.com%2F%7Er%2Fb5media%2FAutismVox%2F%7E3%2F165666875%2F How much should parents sacrifice for their children with autism? asks autism mother Lisa Jo Rudy of About.com: Autism. I think it would be hard for many parents, determined to leave no book/website/article/conference brochure with the words “autism treatment” in it unexamined, not to respond to that question with everything. Teaching methodologies, therapies of more sorts than there are flavors of Bertie Bott’s Every Flavor Beans, stuff (from the weighted vest to the inside-out squishy ball to the prism lenses), nutritional supplements, medicines, saunas, hyperbaric oxygen therapy chambers: Sometimes I wonder if autism parents unconsciously start to link quantity of therapies tried with their devotion, determination, and even love. Have we not all at once time or another... Autism Vox blogs http://www.medworm.com/rss/comments.php?id=928816 Fri, 05 Oct 2007 12:55:00 +0100 928816 http://www.medworm.com/index.php?rid=765649&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2007%2F07%2F30%2Fbuy-better-buttocks-with-a-brazilian-butt-lift%2F Claire’s question: My sister Grace told me she’s considering a plastic surgery procedure to improve her posterior. What can you tell me about the Brazilian Butt Lift? The Right Brain butts in: Claire, normally we try to focus on cosmetic products but it’s hard to resist an email that combines the terms “Brazilian” and “Butt” in the same question. So, we checked with our favorite cosmetic surgeon, Dr. Tony Youn, for the 411 on butt lifting. What is a Brazilian Butt Lift? As the name implies, it’s a procedure to shape and firm your derriere. We wonder why it’s named after this particular country. Was it first performed by doctors in Brazil? Do Brazilian women have genetically superior asses? Or is the process some how related to Brazil nuts? We can only speculate… Wh... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=765649 Mon, 30 Jul 2007 05:03:00 +0100 765649 http://www.medworm.com/index.php?rid=779270&cid=t_99354_154_f&fid=35946&url=http%3A%2F%2Fcanadianmedicine.blogspot.com%2F2007%2F07%2Fq-why-tech-journalist-just-had-to-try.html (Source: Canadian Medicine) Canadian Medicine blogs http://www.medworm.com/rss/comments.php?id=779270 Tue, 17 Jul 2007 13:00:00 +0100 779270 http://www.medworm.com/index.php?rid=733471&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2007%2F07%2F13%2Fone-hour-to-bigger-breasts%2F Oh now come on, this just doesn’t sound right. I saw this article about a new technology for lunch hour boob jobs and was simultaneously intrigued, disturbed, and skeptical. One hour for bigger breasts? Really? According to the article a company called Cytori Therapeutics says they have a stem-cell based technology that can actually super-charge your fat cells and fill in breast volume. The way it works is this. First, fat is taken from the patient’s butt or stomach via liposuction. Then stem cells from the fat are isolated and put into a small cartridge. This is then injected into the breasts. The whole procedure takes a little over an hour. Then during the next 6 months the stem cells grow and somehow make the breasts get larger. Clinical trials are reportedly under way and t... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=733471 Fri, 13 Jul 2007 05:01:22 +0100 733471 http://www.medworm.com/index.php?rid=874673&cid=t_99354_160_f&fid=36190&url=http%3A%2F%2Fwww.skincareblog.org Rekha: Women want to look picture perfect at all times, and make that extra effort to look good. These efforts do not get restricted to the use of cosmetics, tweezing brows and waxing; going in for laser treatments, botox, cosmetic surgeries and tattoos are all a part of it. But sometimes, women go to unbelievable lengths at making those efforts. The bizarre surgeries include elective eye surgery that replaces a healthy cornea with colored artificial lens, feet surgery to fit into the right fashionable shoes! Looking attractive with these extra efforts comes with a dangerous “price tag” and I’m not talking about the dollars you spend on these treatments. Let’s find out what are the unexpected and unwanted packages that comes bundled with the process. Cosmetics... Skin Care blogs http://www.medworm.com/rss/comments.php?id=874673 Mon, 04 Jun 2007 11:05:34 +0100 874673 http://www.medworm.com/index.php?rid=628947&cid=t_99354_117_f&fid=34612&url=http%3A%2F%2Fwww.thedoctorweighsin.com%2Fjournal%2F2007%2F5%2F21%2Fcosmetic-surgery-meets-managed-care.html Managed health plans are able to deliver lower cost services, in part, by developing networks of providers (docs and hospitals) who are willing to accept a discounted reimbursement rate in exchange for the volume of members provided by the plan. Cosmetic surgery, except for restoration of disfigurement, has not typically been a benefit covered by health insurance. So folks have had to pay out of pocket to get tucked, trimmed, augmented, or lifted. And Americans have done it in spades. There were 11.5 million surgical and non-surgical cosmetic procedures performed in the US in 2006. Now, in order to differentiate themselves, some health plans are offering access to the American Cosmetic Surgery Network. The network, owned by United Networks of America, Inc. is made-up of plastic surgeo... The Doctor Weighs In blogs http://www.medworm.com/rss/comments.php?id=628947 Mon, 21 May 2007 17:22:23 +0100 628947 http://www.medworm.com/index.php?rid=547842&cid=t_99354_117_f&fid=34808&url=http%3A%2F%2Fthebeautybrains.com%2F2007%2F04%2F17%2Fcan-brava-give-you-better-boobs%2F Andrea asks: “I would like to have a larger bust, but I really don’t want implants. I have heard of the Brava Breast Enhancement system, which seems to be endorsed by a lot of plastic surgeons, and some scientific studies. Do you have any inside info or insight?” The Left Brain responds: If we keep getting questions about bras and breast enhancement I’ll have to add a special “Boob” category on the sidebar! For those of you in the Beauty Brains community who are not familiar with the Brava system, it supposedly works by gently pulling on your breasts which keeps them under tension for hours at a time. This sustained tension causes the cells to grow new tissue that makes your breasts appear larger and fuller. How does it do this? According to the the BRAVA website, ... thebeautybrains.com blogs http://www.medworm.com/rss/comments.php?id=547842 Tue, 17 Apr 2007 05:02:41 +0100 547842