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Archive for the ‘News’ Category

Surgeon Critical of Acupuncture Wrinkle Treatment

Monday, March 1st, 2010

To correct facial lines and wrinkles, most well-informed people consult with a qualified surgeon or dermatologist. But some people on the east coast are choosing a strange alternative, visiting an acupuncturist for multiple treatments they hope will erase facial lines and wrinkles.

Acupuncture, the ancient Chinese therapy of strategic needle placement in the body, is long believed to alleviate a variety of physical ailments and emotional imbalances.  But could it be a cost-effective wrinke treatment?

In this ABC News segment, plastic surgeon Dr. Bruce Genter is critical of acupuncture for the purpose of wrinkle treatment, pointing to the lack of scientific evidence.

Julia Engstrom, who is featured in the video, says she has undergone Botox treatment and laser treatment in the past. She believes facial acupuncture has improved her skin texture and reduced her wrinkles. Nearing the end of 10 treatments, she says her improvements have come through improved sleep and relaxation. “I’ve noticed that my skin is a lot smoother, [there’s] a lot less red pigment in there and the wrinkling seems to be a lot less,” Engstrom said.

In an article for Prevention magazine, licensed acupuncturist and Traditional Chinese Medicine practitioner Phyllis Olson asserts that acupuncture can indeed lessen the appearance of wrinkles. She attributes this to a core premise of acupuncture – that health is reliant upon the healthy flow of chi (energy) in the body, which can be disrupted for a myriad of reasons. Acupuncture treatments are believed to break up energy blockages that prevent optimal blood flow to certain places in the body, improving circulation.

Acupuncturist Beata Maslanka acknowledges that acupuncture doesn’t yield visible results that compare to Botox or other facial fillers, but claims that beauty actually comes from within; when internal imbalances are resolved, people look better overall. Olson agrees, noting that the treatments foster relaxation of facial muscles, thereby reducing wrinkles. “Aside from the light, momentary stings, acupuncture is really quite relaxing,” she adds.

Althugh one can wonder about the salutary effects of relaxation and optimism, the visible results Engstrom points to are hard to discern from the video, and people sometimes have a tendency to see (and believe) what they want to see.

If acupuncture does produce any wrinkle-relaxing effects, how long can one expect them to last? NYC dermatologic surgeon Barney Kenet, MD tells Prevention: “If acupuncture relaxes the muscles, it might reduce wrinkling temporarily. As for the increased blood flow, at most it will probably give you a temporary rosy complexion–something you don’t want if you have an inflammatory condition such as acne or rosacea,” he warns. “Otherwise, cosmetic acupuncture is relatively harmless.”

Maybe it is harmless if you ignore the cost of acupuncture. The average price is about $60 to $100 per session, with 10 sessions recommended by Olson, followed by monthly maintenance procedures.

In contrast, the average Botox treatment in the US costs $472 and a single treatment will last 3-6 months. By comparison, this makes acupuncture wrinkle treatments appear costly as well as unproven. Dr. Genter (whose Philadelphia Botox patients are displayed on his site to demonstrate the wrinkle reducing effects of injectables) says: ”If it increases your well-being that’s great, I just don’t know that it can make your face look younger.”

Botox treatments in Cincinnati, Ohio

Surgeons Seek Approval for Face Transplant

Monday, February 22nd, 2010

Maybe you remember the near-total face transplant performed two years ago at the Cleveland Clinic.  Surgeons and many other physicians spent 22 hours restoring a woman’s face after she had suffered severe facial trauma years before.

Now doctors and plastic surgeons at the University of Pittsburgh Medical Center are seeking approval to perform a similar operation.  According to the Pittsburgh Tribune-Review, doctors at the UPMC have experience performing hand transplants — procedures that require highly advanced surgery techniques that reconnect tissues, veins and blood vessels – but a face transplant involves more complex aesthetic goals and may require donation of organs that are very difficult to procure.

Watch Out For Plastic Surgery PR says Huffington Post

Monday, February 1st, 2010

Watch out for “lots of inspiring stories in the next 6 to 12 months about successful surgeries that helped so many people live more fulfilling lives” says a blogger for the Huffington Post, with sarcasm.

Responding to the American Academy of Facial Plastic and Reconstructive Surgery and their plans to promote positive media coverage, the post is warning its readers to guard themselves against “mind-bending” stories that might “soften you up” and interfere with your ability to make a rational decision.

Not only would I like to believe that people are smarter than that, but also that the Academy only seeks to counterbalance the disproportionate volume of negative (even absurd) press regarding plastic surgery – the type of journalism that you can regularly find on the Huffington Post.  It seems that much of the time, the success stories of plastic surgery get lost amid the sensationalized commentary about celebrities and their complications/addictions.

If you’re reading this, know that we trust you to think critically and think for yourself.

Danish Study Reveals Importance of Perceived Age

Monday, December 21st, 2009

They say beauty is only skin-deep, that a person may be beautiful on the outside, yet weak or ill on the inside.facelift_study According to new research, that old cliché may be far from true.

Your appearance may be an accurate indicator of your health and potential after all, according to results of the study: “Perceived age as clinically useful biomarker of ageing: cohort study.”

Danish researchers measured the perceived age of twins and found that perceived age was correlated with survival; i.e. the younger looking twin was likely to live longer than his or her counterpart.  Researchers also found significant correlations between perceived age and healthy functioning – both cognitive and physical.

Read More online in the British Medical Journal. Perceived age as clinically useful biomarker of ageing: cohort study.

7 Safety Guidelines for the Cosmetic Surgery Patient

Monday, December 14th, 2009

The Health writers at CNN recently compiled a list of useful guidelines that cosmetic surgery patients should use to protect their safety. Though we’ve organized them into a shorter format for easy reference, you should read the whole story on CNN.com

Do….

  • Investigate the procedure of interest.

Though your cosmetic surgeon should be a trustworthy, knowledgeable authority, you still need to seek out more than one resource for information. Research will help you protect yourself and help you decide if cosmetic surgery is truly in line with your personal values.

  • Ask your surgeon about board certification.

Find out what board has certified your surgeon and what standards must be met to receive that certification.

  • Find out if your surgeon has a prevention plan for DVT.

Deep vein thrombosis is a possible complication. Your plastic surgeon should take steps to minimize the risk and be prepared to see early signs of its occurrence.

(more…)

Why Should We Support or Reject the “Botax”?

Tuesday, December 1st, 2009

There are many opinions being expressed about this so-called “Botax” but there’s one problem: patients aren’t voicing their own position – and they would be the ones paying most of it.

As Dr. Steven Teitelbaum told the New York Times this week, “[cosmetic surgery patients] are a disorganized group that has no one of its own representing it.”

“They don’t want to come out and march on Capitol Hill,” he said. “You’re not going to have a million-man Botox march.”  Aside from the occasional gripe from one or two people here in Cincinnati, there haven’t been many non-surgeons weighing in on this issue.

Plastic and Cosmetic Surgeons Oppose New Tax on Elective Surgeries

Friday, November 20th, 2009

cosmetic_surgery_taxSurgeons in the United States have responded strongly against the recently proposed “elective cosmetic medical” tax that was unveiled late Wednesday, calling it “discriminatory, arbitrary, and difficult to administer.”

Plastic surgery statistics have repeatedly shown that middle class females predominantly purchase these services, so any tax levied against them will unfairly discriminate against women.

The bill also imposes the burden of making clear distinctions between procedures that are “medically necessary” and simply elective.  This is a very difficult line to draw in certain situations, and many have questioned the government’s role in making such distinctions.

Details of the bill are below:

”SEC. 5000B. IMPOSITION OF TAX ON ELECTIVE COSMETIC MEDICAL PROCEDURES.
”(a) IN GENERAL.-There is hereby imposed on any cosmetic surgery and medical procedure a tax equal to 5 percent of the amount paid for such procedure (determined without regard to this section), whether paid by insurance or otherwise.
”(b) COSMETIC SURGERY AND MEDICAL PROCEDURE.-For purposes of this section, the term ‘cosmetic surgery and medical procedure’ means any cosmetic surgery (as defined in section 213(d)(9)(B)) or other similar procedure which-
”(1) is performed by a licensed medical professional, and
”(2) is not necessary to ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or disfiguring disease.

News and Happenings in Plastic and Cosmetic Surgery

Wednesday, November 18th, 2009

Bloggers poke fun at the plastic surgery iPhone app.imyphone

First at Fort Hood: Oral and Maxillofacial surgeons, who often train alongside plastic surgeons while treating hard and soft tissues of the face, were among the first responders at Fort Hood.

Scientists in Australia work to develop an amazing procedure that would allow women to regrow breasts after a mastectomy.

The publication Plastic Surgery Practice is discussing the idea of a “global aesthetic consciousness” on their blog, in reference to a piece written in Archives of Facial Plastic Surgery.

Is Donda West Law Really Necessary?

Thursday, October 29th, 2009

schwarzAccording to the LA Times and several other news sources in California, Governor Arnold Schwarzenegger has signed a bill that will require physical examinations before cosmetic surgery can be performed on a patient.

Named after Donda West, who died as a result of liposuction complications, the law is intended to prevent life threatening complications due to poor patient selection. Mrs. West is said to have been turned away by other plastic surgeons before she underwent liposuction by Dr. Jan Adams.

At the Mandell-Brown Plastic Surgery Center, patients undergoing cosmetic surgery have always been evaluated by a primary care physician or specialist prior to having surgery.  Patients also have blood tests and EKG testing as indicated for their age and the cosmetic  procedures they will have.

According to Dr Mandell-Brown, “with all due respect to California Governor Arnold Schwarzenegger, you can’t legislate the practice of quality medicine”.  For years we have required an independent history and physical exam for our cosmetic surgery patients.”  Dr. Mandell-Brown, a triple board certified plastic and cosmetic surgeon added,  “to practice good plastic surgery, you have to first be a good physician.”

What Is Propofol and How Did It Cause Michael Jackson’s Death?

Thursday, September 10th, 2009

michael-jackson-badPropofol (or Diprivan) is an anesthetic often used during cosmetic surgery procedures, in closely monitored settings.  The recent controversy surrounding the drug stems from the death of Michael Jackson.  The media has been inundated with stories about the pop singer and how the drug Propofol caused his death.  Jackson is said to have requested the drug to help him sleep and his doctor (irresponsibly) provided it for him.

Doctor Mandell-Brown, a plastic surgeon, uses Propofal in surgery.  He states, that Propofol is to be administered only by people trained in the administration of general anesthesia and only in a surgical setting with the proper medical support systems available.  According to news reports, the medical equipment necessary for properly administering Propofol was not found in Jackson’s house.

When used in the proper manner and setting, Propofol is not considered dangerous.  Perhaps Jackson should not have received the drug at all, but given the fact that he did, it is unfortunate that he was not under the supervision of a general anesthesia practitioner in a safe setting.