Botched Plastic Surgery Tales Illustrate Breast Implant Lessons

July 29th, 2010 by editor2

Although many would argue that indulging in tales of botched plastic surgery is a waste of time, there are lessons to be learned from the often outlandish and bizarre stories, especially as it pertains to breast implant disasters.

An article in the Orange County Register pointed out that some of pop culture’s most recent breast implant catastrophes offer women considering breast augmentation three valuable lessons, if not outright warnings, regarding what NOT to do to achieve successful surgical outcomes.

Lesson One: For plastic surgery, you need a REAL plastic surgeon

When mother-of-four Kenyatta Brown sought breast augmentation in February 2010, she nearly bled to death during this relatively routine procedure because she chose to have the surgery done by an Atlanta eye doctor.  Enticed by the low price, Brown’s attempt to save cash by having breast augmentation done by an ophthalmologist nearly cost her life.

You wouldn’t go to a plastic surgeon for an eye exam, so don’t go to an eye doctor or any other physician practicing outside his or her specialty for breast surgery.

Breast augmentation is a plastic surgery procedure and should be performed by a surgeon certified in plastic surgery by the American Board of Plastic Surgery or the Royal College of Physicians and Surgeons of Canada.

Dr. Richard Rand is a board certified Seattle plastic surgeon with over 20 years of experience performing breast augmentation with FDA-approved saline and silicone breast implants.

Lesson Two: Be prepared for revision surgery costs and travel for follow up

British Extreme Makeover winner Nicola Stratton flew to Los Angeles for over 30 hours of plastic surgery on the hit TV show, but when she experienced common breast implant complications after surgery, she was unprepared for the required travel and expense of her breast revision surgery.

It is important that you have access to your original breast augmentation surgeon for follow up should complications or the need for revision surgery arise.  Otherwise, you may place yourself at risk for health problems if conditions like infection or hematoma go unchecked, as well as compromised aesthetic results caused by deflated or encapsulated implants.

Lesson Three: Bigger is definitely not always better

Sheyla Hershey, owner of the world’s biggest breast implants, has recently been making headlines again after traveling to Brazil to have her bust size increased to 38KKK using an implant size that is illegal in the U.S.

After surgery, Hershey developed a potentially fatal staph infection, and in order to combat it, the gigantic implants had to be removed.  Hershey may also lose all or part of her natural breasts as a result of the infection and will likely have to undergo additional breast revision surgery in the future.

The moral of the story here is to keep your breast augmentation goals reasonable and seek a breast implant size that fits your frame and lifestyle.

Additionally, Hershey’s story illustrates that seeking plastic surgery abroad can be risky in large part due to the fact that many countries outside the U.S. and Canada do not have laws regulating plastic surgery safety protocols, such as limits on the size of breast implants that can be used.

Injectable Fillers and Wrinkle Relaxers Headed From Europe to the U.S. Market

July 19th, 2010 by editor2

Several injectable fillers and two wrinkle relaxers may crossover from Europe to the U.S. marketplace within the next year, as many undergo clinical trials and seek FDA approval.

These new injectables not only offer patients more choices for wrinkle reduction, volume restoration and facial rejuvenation, but also more competitive pricing and better results afforded by innovation and better technology.

New Hyaluronic Acid Fillers

Many of the new injectable fillers headed for the U.S. are composed of hyaluronic acid gel, including Belotero by Merz, a hyaluronic acid (HA) filler similar to Juvederm offered in three concentrations—soft, basic and intense.

Belotero has already been filed with the FDA and is purported to provide an improved level of tissue integration that causes fewer incidences of lumps and bumps than other hyaluronic acid fillers.

New additions to the Juvederm and Restylane families of injectable HA fillers may be headed to the U.S. as well.

Juvederm Hydrate and Restylane Vital are thinner hyaluronic acid filler formulations are used for treating areas that have been historically difficult to correct with fillers, such as the back of the hands, décolleté and neck, and both purportedly offer wrinkle prevention by boosting skin hydration and elasticity.

Unlike Juvederm Hydrate, Restylane Vital offers a specialized automatic injection pen that regulates product injection volume and speed for more precise results.

Thicker hyaluronic acid filler formulations Juvederm Voluma and Restylane SubQ are designed to add volume to large areas of the face, such as the chin and cheeks.  SubQ is also reportedly used for buttock and breast augmentation.

Innovative injectables: Beyond HA fillers

In addition to the new hyaluronic acid fillers poised to enter the U.S. marketplace, injectable fillers composed of other materials may also soon be available.

Novabel, the first injectable filler composed of spherical, flexible structures called Geleons formed from marine algae extract, reportedly makes cosmetic injections virtually painless and also improves skin elasticity.  The composition of Novabel is also said to make injection easier and reduce swelling, making it ideal for adding volume to thin-skinned facial areas, such as the eyelids and tear troughs.

Derma Veil, a pure collagen stimulator made of polylactic and polyglycolic acids (PLGA), is another new non-HA filler that may make its way to the U.S.  If approved, Derma Veil would be use primarily for facial volume restoration and compete directly with Sculptra Aesthetic.

New botulinum type A injectables

Two new botulinum type A neurotoxins, Xeomin and PurTox, may join Botox and Dysport to become part of the arsenal of wrinkle relaxing injectables available in the U.S.  In fact, PurTox has already completed clinical trials and may be closing in on FDA approval.

PurTox and Xeomin are purported to offer theoretical benefits over Botox and Dysport, such as faster, longer-lasting results and decreased possibility of allergic reaction and development of blocking antibodies.  These benefits have not yet been proven, however and likely will not be explored until further testing is completed.

New glotherapeutics Products to Moisturize and Restore

July 13th, 2010 by copywriter

See new products from glotherapeutics via gloProfessional Complete Beauty Solutions Blog.

Study Finds Most Patients Satisfied With Facelift Results

July 8th, 2010 by editor2

A study published by the Journal of the American Society of Plastic Surgeons found high satisfaction rates among facelift patients not only within the first year after facelift surgery, but also 10-15 years later.

According to the study authors Drs. Michael Fried, Richard Shaw, Matthew Trovato and John Owsley, nearly 98 percent of patients reported their face lift results as “very good or beyond expectations” in the one-year period following their face lift surgery. Nearly 13 years later, more than 68 percent of face lift patients said their results continued to be “very good or beyond expectations” and felt that they looked 10 years younger.

Only 31 percent of patients who participated in the study indicated that they were disappointed by some aspect of their long-term face lift outcome, which suggests a majority of facelift patients experience a high degree of satisfaction with facelift results in the long term.

The study is reportedly the first to measure long-term facelift patient satisfaction rates and included 89 participants. Each patient surveyed had a superficial musculoaponeurotic system–platysma facelift, or SMAS facelift, performed by study senior author Dr. John Owsley between January 1, 1994 and January 1, 1999.

Variations of the SMAS facelift technique exist, but all SMAS facelift techniques involve repositioning and tightening the SMAS, which is a sheet of muscle and connective tissue on the cheek that contributes to facial expression. The results of a SMAS facelift are typically longer lasting than those of a subcutaneous, or skin-only, facelift, and improvement of sagging skin and jowls is an expected outcome.  An extended SMAS facelift offers the same benefits as a SMAS facelift, plus correction of nasolabial folds.

When considering face lift surgery, it’s important not to get caught up in the brand names, marketing terminology and surgical techniques. For best results, it is essential to seek a highly experienced Seattle face lift surgeon who can customize your face lift procedure to meet your unique goals.

Revision Surgery Recommended For Faulty French Breast Implants

June 29th, 2010 by editor2

The British Association of Aesthetic Plastic Surgeons issued a guidance advising the estimated 50,000 British women with Poly Implant Prostheses (PIP) breast implants to have their implants checked for rupture and removed if rupture in one or both implants is discovered. 

The warning was issued after an inquiry by the French Society of Plastic, Reconstructive and Aesthetic Plastic Surgeons revealed the breast implants lack an essential protective barrier, making them more susceptible to rupture, and are filled with unapproved silicone gel that has not undergone safety tests.

When ruptures or leaks are found in breast implants, a breast augmentation revision may be recommended to replace breast implants; however, it may not always be necessary.

Some women choose not to have revision surgery if their ruptured implants do not cause problems with breast appearance or health, while others choose to have breast explant surgery, or breast implant removal, but do not have their ruptured implants replaced.  When breast implants are removed and a breast augmentation revision is not performed, a breast lift may be performed to remove skin stretched by the breast implants.

Unlike the faulty French PIP breast implants, silicone breast implants used for breast augmentation surgery in the U.S. are filled with safe, FDA-approved silicone gel, but they may rupture due to age, implant malfunction or trauma.  Ruptures are easy to detect in saline breast implants, as the implants deflate and noticeably lose volume, while an MRI is necessary in order to detect a rupture in silicone breast implants.

If you discover one or both of your breast implants have ruptured, don’t panic, as there is no immediate health risk.  Consult an experienced, board-certified plastic surgeon who can show you before and after photos of satisfied patients and help you decide whether breast augmentation revision or breast explant surgery, with or without a breast lift, is right for you.

Latisse Wishes Challenge Campaign Begins

June 16th, 2010 by copywriter

Allergan Inc just announced the latest Latisse promotion to benefit the Make-A-Wish Foundation. In the Latisse Wishes Challenge, they’re asking people to donate $20 or more to the Make-A-Wish foundation in exchange for a Latisse free trial certificate.

Only the first 10,000 people who donate will receive the Latisse free trial certificate. You may remember last year’s campaign led by Brooke Shields. This year, the campaign is led by lifestyle designer Kathy Ireland, professional ballroom dancer Chelsie Hightower and style guide Bobbie Thomas. Watch the video to learn more about the campaign and see important product information about Latisse.

“With approximately 1.5 million bottles sold since launching the product a little more than a year ago, LATISSE is giving back by helping the Make-A-Wish Foundation grant the wishes of children. Through the campaign, we will double each individual’s donation, with a maximum donation of $250,000, through October 31,” said Robert Grant, President of Allergan Medical, a division of Allergan, Inc.

Breastfeeding Habits of Plastic Surgery Patients

June 14th, 2010 by copywriter

A study recently published online in the Jornal de Pediatria discusses the breastfeeding patterns of women who undergo breast augmentation and breast reduction surgery.

The World Health Organization recommends exclusive breastfeeding for the first 6 months of life, meaning breast milk without additional food or water.  Given this recommendation and the various documented benefits of breastfeeding, the authors sought to first examine the habits of women who underwent cosmetic breast procedures and then compare it to women who had no surgery.

Of the 74 patients who were studied at a single hospital in Brazil, “the probability of an infant being on exclusive breastfeeding at the end of the first month of life was 29% in women with reduction surgery, 54% in those with augmentation surgery, and 80% in women who had no surgery.”

Responding to these statistics, the authors recommend that women undergoing cosmetic breast surgery be cared for by qualified professionals who are aware of potential lactation difficulties.  “These women should be encouraged to breastfeed, as many of them do not believe this is possible,” writes the author.

How Rhinoplasty Surgeons Are Preserving Ethnic Traits

June 7th, 2010 by copywriter

Cosmetic Surgery Times recently published an article about rhinoplasty and how surgeons meet the needs of a patient who wants to maintain his or her ethnic appearance.

“There are subtle things that we can do to make a change in the profile, in the definition of the nose, without changing their ethnicity, without intrinsically changing their appearance,” said Charles M. Boyd M.D.

For the patient, communicating desires and aesthetic goals for rhinoplasty is critical, while surgeons work to manage the patient’s expectations.  Each doctor-patient relationship will go through this process in a different way.  One emerging trend facilitating this communication process is the use of 3-dimensional imaging to visually approximate the results that can be achieved.

“I use computer imaging and this is very helpful in pinpointing what patients are trying to achieve, and it enables them to see what’s in my mind as well,” said Steven B. Hopping M.D.

When it comes down to operating, there are of course, anatomical considerations for the ethnic patient.  To learn more about how these surgeons approach rhinoplasty in patients of Asian, African American, and Middle Eastern descent view the article.

Depressed Cosmetic Surgery Patients Show Positive Outcomes

May 26th, 2010 by copywriter

The medical journal Archives of Facial Plastic Surgery just published a study showing some unexpected findings:  patients in a study being treated for depression were more satisfied with their surgical outcome than those who were not.

During consultations, surgeons routinely evaluate patients to determine their emotional stability and readiness to undergo a procedure. Many physicians assume that optimistic patients will feel more satisfied with their surgical outcome.  Surprisingly, these assumptions were not borne out in the study’s results.

Jill Hessler, M.D. and her team of researchers at the University of Michigan studied 51 cosmetic surgery patients who underwent facial plastic procedures between January 1, 2007 and January 1, 2008.  Before surgery and 4-6 months after surgery, each of them voluntarily responded to a survey that assessed their attitude regarding the procedure(s).

Results of the study revealed that patients being treated for depression before undergoing surgery expressed higher levels of satisfaction with their outcomes than those not being treated for depression.  Furthermore, those who expressed more optimism before undergoing their procedures did not feel their results were better than their more pessimistic peers.  It is hoped that future research will tell us why.

Read more about this study online in Archives of Facial Plastic Surgery

New Restylane Formula Includes Anesthetic

May 7th, 2010 by copywriter

More and more dermal fillers are entering the market with lidocaine. Fillers like Restylane-L, Perlane-L and Juvederm Ultra XC are now prepared with anesthetic to improve patient comfort as much as possible.

The addition of 0.3 percent lidocaine in Restylane-L means that wrinkle correction is just as effective, but treatment is more tolerable.  The traditional pain management techniques utilized by your surgeon are still in practice, but it doesn’t hurt (no pun intended) to have some extra help. In clinical studies of Restylane-L, 71 percent of the 60 participants reported less pain after injection into the nasolabial fold than with Restylane alone.

The new Restylane-L contains the same patented, stabilized hyaluronic acid gel that has been used in regular Restylane for years.  As you may know, HA is a natural component of the tissue, serving as a skin hydrator, cell protector and volumizer.