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The Problem With Dermal FillersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
From Forbes: But today, a range of dermal fillers can be injected into those crow’s feet, marionette lines, thinning lips and furrows between the brows, taking years off the face–and all can be done during your lunch hour, with no invasive surgery and little recovery time. Source: forbes.com/2009/05/26/dermal-filler-cosmetic-forbes-woman-well-being-facelift.html I love how the press tends to make it seem like Dermal Fillers are the solution for which we have all been waiting. They make it an issue of just “choosing the right one.” The issue here is that dermal fillers (more…) *This blog post was ori...
Source: Better Health - September 3, 2011 Category: Health Medicine and Bioethics Commentators Authors: John Di Saia, M.D. Tags: Opinion Collagen Injections Cosmetic Surgery crow's feet Dermal Fillers Face Lift Forbes hyaluronic acid Marionette Lines Non-surgical plastic Surgery Prevelle Problem Safety Thinning Lips Source Type: blogs

Promising New Pressure Treatment For Keloids Of The Ear LobeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I have written of keloid treatment (general, not site specific) previously.  I have always tried to include pressure treatment as part of the plan when treating keloids of the ear lobe.  This pressure treatment came in the form of pressure earrings  — clip-on, disc-shaped. The recent article (full reference below) in the Archives of Facial Plastic Surgery journal introduces a new pressure device which looks like it will work better than what has been available (photo credit) and as can be seen in this photo, the upper ear can be treated with pressure which has not been possible with the clip earrings: (more…...
Source: Better Health - September 2, 2011 Category: Health Medicine and Bioethics Commentators Authors: RamonaBatesMD Tags: Research Archives of Facial plastic Surgery Auricular Keloids Custom made Ear Lobe Fibroblast Degeneration Fibroblast Disintegration Localized Hypoxia Off-the-shelf Pressure earrings Pressure Treatment Scar Formation Time scars Upp Source Type: blogs

Plastic Surgeon Discusses Safety And Effectiveness Of New Anti-Wrinkle ProductEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Better Health - August 28, 2011 Category: Health Medicine and Bioethics Commentators Authors: John Di Saia, M.D. Tags: Opinion Research Cancer Cosmetic Surgery Effectiveness FDA Approval Fibroblast removal Laugh Lines laViv plastic Surgery Safe Scar Tissue Side Effects Wrinkles Source Type: blogs

Square OneEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
That surgery I’m so freaked out about? Not happening. The plan was derailed put on hold. In July, The Spine surgeon had referred me to a General surgeon (his job would be to go through my ribs and remove scar tissue/move lung over so Spine guy can then get to work on my vertebrae). General surgeon said although difficult and risky, he would be able to assist. Okay, one step closer. Next, I had an Echocardiogram  (like an ultrasound, but aimed at the heart) to evaluate my heart health. The results were good: everything seemed within normal to above-average range and although my pulse is fast, the heart seems to work ...
Source: Cancer, life, and me - August 17, 2011 Category: Cancer Authors: Chris Tags: General anger frustration illness plastic surgeon plastic surgery stomach Source Type: blogs

Should Surgery Be Considered For A Persistently Hoarse Voice?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 - August 14, 2011 Category: Health Medicine and Bioethics Commentators Authors: ChristopherChangMD Tags: Health Tips Opinion Aging Alcohol Use Bowed Vocal Cords Collagen Injections Cosmetic Surgery Cysts Elderly Hoarse Voice Muscle Tension Dysphonia Old Paralysis plastic Surgery Polyp Reflux Tobacco Use Treatment Vocal Cor Source Type: blogs

Should You Consider Surgery To Improve A Scar?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 th...
Source: Better Health - August 14, 2011 Category: Health Medicine and Bioethics Commentators Authors: John Di Saia, M.D. Tags: Health Tips Opinion Cosmetic Surgery Cream Healing Laser Treatment Local Anesthesia plastic Surgery Scar Edges Scar Improvement Scar Revision Scar Tissue Wound Source Type: blogs

SQUAIR Evacuates Surgical Smoke to Reduce OR Aroma of Roasted HumanEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Via MedCity News we learn of an interesting new device from Nascent Surgical out of Eden Prairie, Minnesota that effectively evacuates almost all the smoke arising from coagulation or use of Bovies and similar electrosurgical devices. The SQUAIR, as the device is called, is placed around the incision site, with the line of the incision running down the opening of the device.  Once surgery has begun and the vacuum-like unit is hooked up, the SQUAIR sucks up any smoke coming off the patient without any attention given to it by the clinicians. Here’s a video introducing and demonstrating the operation of the SQUAIR: P...
Source: Medgadget - August 12, 2011 Category: Technology Consultants Authors: Gene Ostrovsky Tags: Cardiac Surgery Ob/Gyn Orthopedic Surgery plastic Surgery Thoracic Surgery Urology Vascular Surgery Source Type: blogs

Cook Medical Launches Doppler DP-M350 Free Flap Blood Flow MonitorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Cook Medical has launched the Doppler DP-M350, a device to monitor blood flow during free flap procedures in transplant and reconstructive surgery. It can be used both during surgery as well as in the critical period following surgery when the flap is at risk for thrombosis or for loss of patency, so interventions can be performed before it is too late. The monitor has flow indication lights and audio confirmation. The DP-M350 received FDA clearance in March. Press release: Cook Medical’s Doppler Blood Flow Monitor a Significant Advance for Free Flap Procedures…
Source: Medgadget - August 10, 2011 Category: Technology Consultants Authors: Wouter Stomp Tags: plastic Surgery Source Type: blogs

Ageism and Plastic SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I admit that over the years my idea of “how old is too old” has changed.  Part of that is my increasing age, but a bigger part has come from the patients themselves – the 72 year old woman with a deflated NS implant who wanted it replaced rather than removed, etc.   Never Too Old for Plastic Surgery  (photo credit) By Tara Parker-Pope If you think you’re too old for a few nips and tucks, consider the story of 83-year-old Marie Kolstad. ………. To learn more, read Abby Ellin’s article “The Golden Years, Polished With a Nip and a Tuck,” ……. Don’t forget to read the comments of Park...
Source: Suture for a Living - August 10, 2011 Category: Plastic Surgeons Tags: Patients ageism plastic surgery patient satisfaction Source Type: blogs

Plastic Surgeon Weighs In On Anti-Aging MedicineEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Better Health - August 8, 2011 Category: Health Medicine and Bioethics Commentators Authors: John Di Saia, M.D. Tags: Health Tips Opinion Aging Effects anti-aging Cosmetic Surgery Good Skin Care Hormones Injections Medicine Minor Procedures plastic Surgery smoking Sunlight Sunscreen Source Type: blogs

Modification of Square FaceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 de...
Source: Suture for a Living - July 27, 2011 Category: Plastic Surgeons Tags: cosmetic surgery plastic surgery article review face Source Type: blogs

Tummy Tucks Aren’t Just For Lazy PeopleEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Better Health - July 25, 2011 Category: Health Medicine and Bioethics Commentators Authors: John Di Saia, M.D. Tags: Health Tips Opinion Cosmetic Surgery Diet Exercise Lazy plastic Surgery Pregnancy Tummy Tuck Weight Gain Working Out Source Type: blogs

Courtney Stodden Speaks – New VideoEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Courtney Stodden appears in a... [[ This is a content summary only. Visit MyWebsite.com for full links, other content, and more! ]]
Source: Awful Plastic Surgery - July 21, 2011 Category: Plastic Surgeons Authors: The Staff Tags: Courtney Stodden plastic surgery Source Type: blogs

Ouchless Needles Cool Skin, Make Injectable Cosmetic Treatments Less PainfulEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Although injectables such as Botox and dermal fillers have made cosmetic treatments much easier for patients, the needles used in these treatments can still cause pain and discomfort. Traditional local anesthetic creams on the injection site can take over half an hour to take effect, but Louisville, KY-based BellaNovus claims that its new line of Ouchless Needle devices will solve this problem while also minimizing post-procedure numbness. The Ouchless Needle is a small disposable device which numbs the injection site by simultaneously cooling the surrounding skin. From the product page: This patent pending Ouchless™ Nee...
Source: Medgadget - July 21, 2011 Category: Technology Consultants Authors: Smit Shah Tags: Anesthesiology Pain plastic Surgery Source Type: blogs

Email and Twitter Follow Up With PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tonight I happened to eavesdrop (the beauty of Twitter) on a Twitter conversation between Bobby Ghaheri, MD (@DrGhaheri) and Chad Peterson (@hosewater2). Dr. Ghaheri is an ENT/Facial Plastic Surgeon and Dr. Peterson is a hockey loving urologist. I loved their twitter exchange about email and Twitter follow up with patients, so I’m posting it here for others to comment on. UPDATE: Since there’s a problem with pulling in the tweets automatically from Twitter, here’s what was said: DrGhaheri Bobby Ghaheri, MD I use email and Twitter to follow-up on my patients. #hcsm hosewater2 Chad Peterson @DrGhaheri I don...
Source: EMR and HIPAA - July 11, 2011 Category: Technology Consultants Authors: John Tags: Healthcare HealthCare IT Healthcare Social Media #HITSM Boby Ghaheri Chad Peterson Email ENT Facial plastic Surgeon Patient Follow Up Twitter Urologist Source Type: blogs

Should I be operating or talking to patients ?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
One of my friends is a highly skilled cardiac surgeon. He spends most of his day in the OT, and while his technical skills are superb, his patients often complain that he is brusque and has poor bedside manner. When I was talking to him about the importance of good doctor-patient communication, he got visibly irritated .“ Really , what do people expect me to do ? I am a highly skilled surgeon and I should be spending most of my time in the operation theater , helping my patients to get better. I have spent over 12 years learning how to do surgery and am extremely good at my job ! Should I be operating in the theater or s...
Source: The Patient's Doctor - July 10, 2011 Category: Obstetricians and Gynecologists Tags: Medicine Health patient Operating theater General Surgery plastic surgery Doctor-patient relationship Source Type: blogs

The Most Popular Plastic Surgery Procedures By Age GroupEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The American Society of Aesthetic Plastic Surgery publishes statistics every year indicating which cosmetic operations are on the rise. A journalist at the OC Register asked a group of plastic surgeons why this might be. Being that I am opinionated (why do you think I blog here,) I figured I’d take a shot at some of these: I. Statistic: TEENS – Nosejobs and Otoplasty (commonly referred to as “ear pinning”) on the rise Dr D: Part of the development of the teen psyche involves becoming aware of social norms. As they do this, they also become aware of differences and develop standards of beauty. Many of these teen nos...
Source: Better Health - July 8, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: Research Botox Breast Implants Incidence Liposuction plastic Surgery Prevalence Rise In Popularity Statistics Teen Source Type: blogs

Mammogram Frequency Should Be Dependent On More Than A Woman’s AgeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I read the LA Times article by Shari Roan, Study urges more individual mammogram guidelines, with interest.  As Roan notes, guidelines to date have mainly focused on a woman’s age and not her other risks factors. The American Cancer Society recommends that healthy women undergo screening mammograms every one to two years beginning at age 40 regardless of risk factors. In 2009, the U.S. Preventive Services Task Force recommended a different schedule which urged the inclusion of an individual’s personal risks:  screening for women ages 40 to 49 should be based on individual risk factors and women ages 50 to 74 should b...
Source: Better Health - July 7, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Health Tips Opinion Research Breast Cancer Customization Frequency Mammogram Screening Mammograms Oncology Personalized Healthcare plastic Surgery Risk Factors USPSTF Source Type: blogs

Dr. Ralph Millard,Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Dr. D. Ralph Millard (1919-2011) is known in the plastic surgery community for his contribution to improved surgical techniques for the correction of cleft palates.  He died Sunday, June 19, 2011. (photo credit) PSNews tribute:  Plastic surgery pioneer D. Ralph Millard Jr., MD, dies at age 92 NBC Miami tribute:  Cleft Palate Pioneer Ralph Millard Laid to Rest Millard Society ……He trained more than 180 young, and not so young, men and women in whom his legacy is entrusted.  The “Chief,” as he was known to his residents at the University of Miami, was an exacting task master, an elegant surgeon ...
Source: Suture for a Living - June 28, 2011 Category: Plastic Surgeons Tags: memorial surgeons plastic surgery Source Type: blogs

Fourth time’s a charm? It better be.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
About 2 weeks ago (June 8th) I had my first formal visit with the spine surgeon, along with a medical resident on the surgical team. The conversation was sobering. They admitted that it could be possible to improve my quality of life with another spinal fusion surgery. But, they said, the procedure would be a true Continue reading Fourth time’s a charm? It better be.
Source: Cancer, life, and me - June 22, 2011 Category: Cancer Authors: Chris Tags: General death health hernia life osteoporosis pain plastic surgeon scar tissue spinal fusion stomach surgery treatment weight Source Type: blogs

Fourth time's a charm? It better be.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
About 2 weeks ago (June 8th) I had my first formal visit with the spine surgeon, along with a medical resident on the surgical team. The conversation was sobering. They admitted that it could be possible to improve my quality of life with another spinal fusion surgery. But, they said, the procedure would be a true challenge for them and the risks would be great for me. There are many factors to consider before surgery even begins, but first… what would they do in the actual surgery? Step 1: Make an incision on my (most likely) right side, across the ribs and under the arm. Step 2: Crack a rib or two open (to make roo...
Source: Cancer, life, and me - June 22, 2011 Category: Cancer Authors: Chris Tags: General death health hernia life osteoporosis pain plastic surgeon scar tissue spinal fusion stomach surgery treatment weight Source Type: blogs

Can Botox Be Done Well?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reader Question: All I see online is bad Botox stories.  Can this ever be done well? Why is it so popular? Botulinum toxin injections temporarily paralyze muscles where they injected. While this sounds scary, it can be done to reduce certain facial movements that make people look concerned (the look of consternation,) and older (crow’s feet,etc). As is usually the case in plastic surgery, too much of an otherwise good thing can make people look weird. Just look at (more…) *This blog post was originally published at Truth in Cosmetic Surgery*
Source: Better Health - June 16, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: Opinion Botox Botulinum Toxin crow's feet natural look paralyzed muscles plastic Surgery stone face Teri Hatcher zombie face Source Type: blogs

PolyRemedy Delivers Personalised Wound Dressings to Patient HomesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PolyRemedy Inc. from Concord, Massachusetts is working on a personalized wound care system that will help managing chronic wounds by using informatics and personalized dressing that are delivered to the patient’s front door. The first part of company’s product is an assessment tool that simplifies and standardizes assessment of wounds and automates dressing selection based on expert protocols. When ready, it automatically orders the dressing from PolyRemedy. The patient receives a custom-sized dressing with optimal levels of absorbency, hydration, and oxygen permeability, labeled with patient’s name and t...
Source: Medgadget - June 15, 2011 Category: Technology Consultants Authors: Wouter Stomp Tags: Geriatrics Medicine plastic Surgery Vascular Surgery Source Type: blogs

How To Treat Horse And Donkey Bite WoundsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Earlier this week this tweet from @prsjournal caught my eye Most Popular: Management of Horse and Donkey Bite Wounds: A Series of 24 Cases: No abstract available http://bit.ly/lgNkCS I missed this article when it came out in the June 2010 issue of the Plastic and Reconstructive Surgery Journal.  As I have covered fire ant bites, cat bites, and snake bites.  Fellow blogger Bongi has written about hippo bites.  It’s time to cover horse and donkey bites. Dr. Köse, Department of Plastic and Reconstructive Surgery, Harran University Hospital, Turkey and colleagues presented a retrospective evaluation of 24 patients treate...
Source: Better Health - June 9, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Health Tips Animal Bites Anti-biotics Donkey Bites Horse Bites Infectious Disease Mammal Bites plastic Surgery Wound Care Source Type: blogs

Australian Researchers Develop Color-Changing BandageEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Louise van der Werff, a Ph.D. student from Monash University in Melbourne, Australia, has created a bandage that changes color in response to changes in heat. Looking somewhat like a giant mood ring, the psychedelic bandage is made up of special thermochromatic fibers that can detect changes in temperature as small as half a degree Celsius. Since inflammation or problems with blood supply at the wound site can cause an increase in temperature that can lead to an infection, a quick and accurate diagnosis is necessary. The color-changing bandage holds many advantages over the most common method of using electronic instrumen...
Source: Medgadget - June 7, 2011 Category: Technology Consultants Authors: Scott Jung Tags: Emergency Medicine plastic Surgery Source Type: blogs

ConvaTec Announces Improved, Thinner Versiva XC DressingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
ConvaTec (Skillman, NJ) has announced a thinner version of its Versiva XC dressing which will better conform to the patient’s body. Versiva XC dressing incorporates the company’s Hydrofiber technology, which helps trap fluids, removing bacteria from the wound site and helping maintain an ideal moisture balance. From the press release: The new and improved Versiva® XC® dressing includes a thinner layer of adhesive, making it 40% more conformable at its border. Greater conformability is designed and intended to improve flexibility, which may enhance patient comfort. The dressing was developed based on feedback and coll...
Source: Medgadget - June 7, 2011 Category: Technology Consultants Authors: Smit Shah Tags: Medicine plastic Surgery Source Type: blogs

Hardened Breast Implants (Capsular Contracture): A Reader QuestionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I have had a capsulectomy due to capsular contraction, but now it has returned. I want an explant because they are uncomfortable and look unnatural. My doctor said that since the capsulectomy did not resolve the issue, he recommends having an explant and waiting about 6 months to a year. After my body has healed properly, he said that I can get implants again and will not get capsular contraction again. Is this accurate? Am I less likely to get capsular contraction or will I be free of capsular contraction? I’m also looking for a doctor experienced in explants. The subject of hardened breast implants (Capsular Contractur...
Source: Better Health - June 3, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: Health Tips Breast Augmentation Breast Implants Capsular Contracture Complications Hardened Implants plastic Surgery Silicone Treatment Source Type: blogs

How To Avoid Dog BitesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Last year I didn’t write about dog bite prevention until the first week of June even though I know National Dog Bite Prevention Week is always the third full of week of May. The numbers shared by the American Veterinary Medical Association (AVMA) haven’t changed:   4.7 million people are bitten by dogs each year in the US with 800,000 of them requiring medical attention. If you have read this blog for very long, you know I dearly love my dogs — deceased ones (Columbo, Ladybug (photo), and Girlfriend) and the living one, Rusty.  Still, I have no illusions that dogs bite and given the right provocation, I think ...
Source: Better Health - May 27, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Health Tips Dog Bites Dog Safety Emergency Medicine Pediatrics plastic Surgery Prevention What To Do When A Dog Bites Source Type: blogs

Plastic Surgery in Ethnic GroupsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 rathe...
Source: Suture for a Living - May 26, 2011 Category: Plastic Surgeons Tags: cosmetic surgery media influence plastic surgery cultural practices Source Type: blogs

The Perils Of Offering A Second Opinion On A Botched Boob JobEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A mother called the office today. Her daughter had breast implants placed by a surgeon in another state and the two ladies are not happy. They called for a second opinion. It is dicey dealing with situation like this as a second opinion consultant. The first question is whether or not the first surgeon did anything wrong. A botched boob job is not any boob job that the patient or mother do not like. “Botched” indicates fault. Sometimes there is fault on the part of the surgeon and sometimes there is not. Sometimes patients ask for surgery on the cheap and decline breast lifting or other associated surgery that might ha...
Source: Better Health - May 13, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: Opinion Boob Job Botched Breast Implants Lawsuit Malpractice Perils plastic Surgery Second Opinion Source Type: blogs

Update: Stem Cells and Fat GraftingEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: In Authors' retrospective analysis no effect of PRP was seen in enhancing fat graft take when compared to Coleman fat graft. Further research and prospective clinical studies are strongly needed to understand the role of PRP, if any, in fat grafting.
Source: Suture for a Living - May 11, 2011 Category: Plastic Surgeons Tags: fat grafting stem cell plastic surgery Source Type: blogs

Don’t Believe The Hype About SmartLipo, A Laser Liposuction ProcedureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
It frequently amazes me how patients can be wowed by technology and advertising hype. The attraction of newer technology in particular helps part many people from their money at times. The SmartLipo system is one of the laser-assisted liposuction systems on the market. I have blogged on it before having used it quite a bit a few years ago. The system is being marketed with phrases like “almost anyone can be a good candidate for SmartLipo.” That is simply BS. I saw an attractive young woman in the office who had had Smartlipo on her lower back. It looked like the Geiko Gecko had done it. Her smooth contour had been made...
Source: Better Health - May 8, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: Health Tips True Stories Bad Body Contouring Dents Laser Liposuction plastic Surgery Smartlipo Weight Loss Source Type: blogs

Why We Women Can’t Win: Liposuction And Fat RedistributionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Here’s the tweet I posted Sunday evening: I’ve told pts this for years now>>> Liposuction Study Finds That Lost Fat Returns – http://nyti.ms/kheltN The New York Times article reports on a liposuction study published in the April issue of the journal Obesity (full reference below).   The NY Times article uses this photo as graphic illustration and a quote from a plastic surgeon who says he is surprised. Dr. Felmont Eaves III, a plastic surgeon in Charlotte, N.C., and president of the American Society for Aesthetic Plastic Surgery, said the study was “very well done,” and the results were surpri...
Source: Better Health - May 7, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Health Tips Belly Fat Fat Distribution Liposuction NYT plastic Surgery Source Type: blogs

Hand Transplantation: Is It Worth A Lifetime Of Immunosuppression?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There was a lovely news article on the first California hand transplant patient in the LA Times earlier this week:  Hand transplant patient speaks (bold emphasis is mine) Emily Fennell, 26, last month became the first person in California to have the revolutionary surgery. Six weeks and many hours of therapy later, she has no regrets. ….. On March 5, Fennell became the first person to undergo a hand transplant in California and the 13th nationwide to have the revolutionary surgery. . …. “It’s crazy how good it looks,” she said at her occupational therapy session one morning last week at UCLA, where s...
Source: Better Health - May 3, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: News Opinion Ethics Hand Transplantation Immunosuppression Medical Ethics Nerves plastic Surgery Source Type: blogs

When Regular Medicine Doesn’t Pay: Doctors Turn To Cosmetic WorkEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 bott...
Source: Better Health - May 1, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: News Opinion Business California Cosmetic Medicine Cosmetic Surgery Physician-Owned Hospitals plastic Surgery Source Type: blogs

Screening Prior to Cosmetic Breast Surgery – an article reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article from November 2009 (full reference below)  reviews this topic.  Note this survey was done prior to the release of the new USPSTF guideline recommendations for screening mammograms the same month.   I wonder if a new survey would have different outcomes. The article reports on a study which looked at breast cancer screening practices of American plastic surgeons (self-reported) and the degree to which those practices adhere to the American Cancer Society guidelines. The study was conducted using an online survey of the members of the American Society of Plastic Surgeons over a 5 month perio...
Source: Suture for a Living - April 28, 2011 Category: Plastic Surgeons Tags: mammograms plastic surgery article review Source Type: blogs

Kristina Ross Sentenced To One Year in Jail For Posing As Plastic SurgeonEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Kristina B. Ross has been sentenced to 360 days in jail for impersonating a plastic surgeon and fondling two women under the guise of performing breast exams.
Source: Inside Surgery - April 26, 2011 Category: Surgeons Authors: Editor Tags: Medical News Wire breast exams impersonating plastic surgeon Source Type: blogs

Patient Rosemary Winter Given Large Monetary Award in Malpractice Suit Against Plastic Surgeon Dr. William JervisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Rosemary Winter filed suit against plastic surgeon Dr. William Jervis of Walnut Grove, California and was awarded $886,000 by a jury for facial scarring resulting after Dr. Jervis performed a Rhytec Portrait Plasma skin resurfacing procedure on her.
Source: Inside Surgery - April 22, 2011 Category: Surgeons Authors: Editor Tags: Tip of the Day plastic surgery Rhytec Portrait Plasma skin resurfacing scarring Source Type: blogs

A Minor Requests A Labiaplasty: What Should The Plastic Surgeon Do?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reader Question: I am 16 in Orange County and want a labia reduction. Can I have it without telling my parents? For those of you who may not know, labiaplasty (sometimes called labioplasty) is an operation to change the shape of the labiae, a woman’s outer genitals. It can be performed for cosmetic or functional concerns. Some women with large labiae experience pain with tighter garments and in rare circumstances they can get in the way of sexual relations. The operations are different things to different surgeons and have been controversial to say the least. Quite a bit in the practice of surgery of the privates is a m...
Source: Better Health - April 22, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: Health Tips Opinion Genitalia Labiaplasty Minor plastic Surgery Surgical Reduction Teenager Source Type: blogs

Would You Prefer Longevity Or A Perfect Figure?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 foun...
Source: Better Health - April 15, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Opinion Research Body Image Britain Cosmetic Surgery Longevity plastic Surgery Survey Women Source Type: blogs

Longevity or Perfect Figure?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 20...
Source: Suture for a Living - April 13, 2011 Category: Plastic Surgeons Tags: cosmetic surgery plastic surgery Women body image Source Type: blogs

Men Increasingly Seeking Plastic Surgery To Improve LooksEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
While men still account for only 9% of all plastic cosmetic surgery patients, the number of guys who are opting for eyelid surgery, nose jobs, liposuction, and dermabrasion are rapidly increasing. Plastic surgeon Dr. Loren Schechter comments.
Source: Inside Surgery - April 12, 2011 Category: Surgeons Authors: Editor Tags: Medical News Wire dermabrasion eyelid surgery liposuction Loren Schechter men nose jobs plastic surgery Source Type: blogs

Fake Plastic Surgeons Arrested for Murder After Patient Elena Caro DiesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Columbian nationals Ruben Dario Matallana-Galvas and his wife Carmen Olfidia Torres-Sanchez were arrested at the Las Vegas airport shortly before they were to board a flight to Columbia. The pair, masquerading as plastic surgeons, allegedly performed a butt enhancement on Elena Caro shortly before she died.
Source: Inside Surgery - April 11, 2011 Category: Surgeons Authors: Editor Tags: Medical News Wire butt enhancement Carmen Olfidia Torres-Sanchez Elena Caro fake plastic surgeons Las Vegas Mattallana-Galvas Ruben Dario Source Type: blogs

The Plastic Surgery Solution To “Angry Face Syndrome”Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
I must say when I first read the title of this article (full reference below) I thought it was a joke. Apparently, I was just unaware this syndrome exist. The authors state, “The finding of frontal bossing, deep radix, straight nasal dorsum, and an over projection of the nasal tip constitutes the angry face syndrome.” (photo credit, from article) The authors note, “When the syndrome components of frontal bossing, a deep radix, and nasal tip projection are present but include a significant nasal dorsal hump (instead of a straight dorsum), the angry face syndrome does not apply. Somehow the dorsal hump negates the mes...
Source: Better Health - April 7, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Research Angry Face Syndrome Deep Radix Frontal Bossing plastic Surgery Rhinoplasty Straight Nasal Dorsum Source Type: blogs

Parents Angry After Local Plastic Surgeon Brings Breast Implant to School Career DayEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Shady Grove Elementary School in Henrico, Virginia recently had its annual career day and a local plastic surgeon attended and allowed students to touch a silicone breast implant, outraging some parents who said they did not approve.
Source: Inside Surgery - April 6, 2011 Category: Surgeons Authors: Editor Tags: Medical News Wire breast implant parent anger plastic surgeon school students Shady Grove Elementary Source Type: blogs

Surgeons Criticize Medical Tourism: You Can’t Sue If Things Go AwryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In an earlier post, DrRich offered several potential strategies for doctors and patients to consider should healthcare reformers ultimately succeed in their efforts to make it illegal for Americans to seek medical care outside the auspices of Obamacare. To those readers who persist in thinking that DrRich is particularly paranoid in worrying about such a thing, he refers you to his prior work carefully documenting the efforts the Central Authority has already made in limiting the prerogatives of individual Americans within the healthcare system, and reminds you that in any society where social justice is the overriding con...
Source: Better Health - April 6, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRich Tags: Health Policy Humor Opinion American College of Surgeons Healthcare reform Law Suits Medical Malpractice Medical Tourism Obamacare Orthopedic Surgery plastic Surgery Source Type: blogs

Why Do Surgeons Avoid Breast Reduction Procedures?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
For years I have avoided Medicare breast reductions for a number of reasons: (1) Poor pay for hours of work. An average breast reduction when done to a high standard usually takes 3-4 hours. I do not staple the closure. (2) Medicare patients due to their age are at higher risk for wound healing problems. (3) 90 day global fee period – These patients routinely need follow-up care and that care is not billable. Recently I ignored my better judgment and performed the operation for a lady in whom back pain (ICD-9 724.5) and back surgery had been long term problems. She also had a pretty nasty rash (ICD-9 692.89 Dermatitis an...
Source: Better Health - March 31, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrJohnDiSaia Tags: Opinion Breast Reduction Medicare Obesity plastic Surgery Reimbursement Source Type: blogs

Why You Should Quit Smoking Before SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Physicians and surgeons all agree on the link between smoking and postoperative complications.  We don’t agree (or know) how much time is required between cessation of smoking and surgery for optimal risk reduction. Dr.Thomas Fiala wrote a nice blog post, Smoking Cessation and surgical complications, recently  discussing the 3rd reference article below. Smokers that quit smoking before surgery had 41% fewer complications. The researchers found that each week of cessation increases the effect by 19%. Trials of at least 4 weeks’ smoking cessation had a significantly larger treatment effect than shorter trials (P = ...
Source: Better Health - March 23, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Health Tips Research Complications Outcomes plastic Surgery Prevention Quitting Smoking smoking cessation Source Type: blogs

Breast Reconstruction After Mastectomy: Are Patients Making Good Decisions?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of the study was to “measure women’s knowledge about reconstruction and to evaluate the degree to which treatments reflected patients’ goals and preferences.” Their conclusion (bold emphasis is mine): Women treated with mastectomy in this study were not well-informed about breast reconstruction. Treatments were associated with patients’ goals and concerns, however, and patients were highly involved in their decisions. Knowledge deficits suggest that breast cancer patients would benefit from interventions to support their decision making. Granted the study was small, but it left me wonder...
Source: Better Health - March 9, 2011 Category: Health Medicine and Bioethics Commentators Authors: DrRamonaBates Tags: Opinion Research Breast Cancer Surgery Breast Reconstruction Dr. Ramona Bates Healthcare Decision Making Informed Medical Decision Making Journal of plastic and Reconstructive Surgery Patient Education Patient Knowledge Personal Health Source Type: blogs

CO2 Laser UseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Suture for a Living - March 7, 2011 Category: Plastic Surgeons Tags: cosmetic surgery scars plastic surgery face Source Type: blogs

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