Cosmetic Surgery Today

Plastic Surgery News, Costs of Cosmetic Surgery and Elective Procedures Blog

Archive for September, 2009

ASPS Vice President Reports Increase in Demand for Lasers, Botox

Posted by Cosmetic Surgery Review on September 30, 2009

j0182644The slowing economy has taken its toll on plastic surgeons across the country, but many surgeons are reporting a shift in consumer behavior, as more people seek ways to either finance their procedure, or select from more affordable services.

A recent story in the Poughkeepsie Journal reports that many plastic surgeons are finding people who are under pressure to look young and feel confident at work are looking for ways to cover their costs of surgery. The trend now is towards procedures that are easy on the wallet, and require little to no downtime.

Botox and laser skin rejuvenation treatments are among the most sought-after procedures during the economic downturn, because these procedures are relatively affordable and promise little to no downtime. Botox costs about $400 per injection (though it’s typically sold by the unit), and patients can return to work or other activities immediately after the treatment. Laser skin resurfacing treatments can cost up to $800 or more, and the patient will need a few days off work to heal. Still, the results can be significant enough to warrant a ‘splurge’ expenditure when compared to facelift surgery or dermabrasion.

Minimally invasive procedures have also become more widely available, and many medical spas that once only offered treatments such as medical-grade facials, microdermabrasion and laser hair removal, are beefing up their menus of services to include a lineup of injectable fillers, cellulite reduction treatments, Fraxel laser skin resurfacing, and even skin tightening treatments. Medical spas are filling the need for skin rejuvenation and anti-aging procedures, and cosmetic surgeons that add common medical spa services to their treatment schedules are tapping into this growing market.

For many people, these procedures are less of a luxury and more of an investment during these tough economic times. For some people, the boost of self-confidence from losing a few years from their appearance may help them secure their job during these tough economic times.

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Botox Bootcamp Training Offered by International Association of Physicians in Aesthetic Medicine

Posted by Cosmetic Surgery Review on September 29, 2009

CB107894An increasing number of physicians and medical spa directors are adding Botox and dermal fillers to their treatment menus to attract more patients, but these fillers can only be administered by a licensed physician or medical professional.

The International Association of Physicians in Aesthetic Medicine (IAPAM)  is now offering a Botox training workshop for any physicians that want to add Botox to their practice. The program is designed for the specific needs of physician’s offices, and allows participants to learn best practices for administering and marketing Botox, and also get some industry insider information from a panel of dermatologists.

The IAPAM is adding Botox training as part of its Aesthetic Medicine Symposium, and will include instruction for the top five minimally-invasive procedures to ensure all participating physicians have the knowledge and training they need to offer these treatments to patients. The top five minimally-invasive procedures are dermal fillers, Botox, microdermabrasion, chemical peels and laser hair removal. The training will allow faculty members of IAPAM to work directly with physicians to conduct sample aesthetic patient consultations, review facial anatomy, and prepare Botox and Dysport for administration. Doctors will also learn about pain management, risk and post-treatment issues commonly associated with these fillers.

In addition to the standard training, IAPAM will be offering Advance Botox Training, or ‘Botox Bootcamp’, a two-day event that will be the most intensive hands-on cosmetic injectable training available in the United States. This will also teach physicians about industry best practices, and give physicians a chance to work with 10 to 14 live patients and receive over six hours of hands-on Botox and filler training each day. All attendees will be awarded a certificate of completion.

The Botox and dermal filler bootcamp will be taking place October 24 and 25 in Toronto, Canada. More information about the International Association for Physicians in Aesthetic Medicine (IAPAM) can be found here.

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SkinTyte Promises to Correct Sagging Skin without Surgery

Posted by Cosmetic Surgery Review on September 28, 2009

42-16546528The SkinTyte laser is designed to firm and tighten skin without surgery, and is starting to become available at several medical spas and aesthetic surgery centers around the country.

The SkinTyte treatment is designed by a company called Sciton and can be administered to the face, abdomen or neck area to firm up and tone loose skin – all without anesthetic or needles.

According to a recent report by The Plastic Surgery Channel, the surgeon uses the SkinTyte pulsing laser device to emit heat deep into the skin tissues which in turn, triggers collagen production. This produces a tightening and firming effect that can help to strengthen the skin tissues over time and make it more resilient. The SkinTyte operation uses both heat and a thermo-electric cooling system to prevent burning and injury to the skin tissues, and also to reduce discomfort during the procedure.

The average treatment takes just 45 minutes, and the patient can see results immediately, and over a period of a few weeks after surgery.

In addition to correcting sagging skin, SkinTyte can be used as a single treatment to reduce the appearance of acne scars, tighten up skin after face or neck lift surgery, or after Botox to enhance results of the anti-wrinkle treatment. It may also be used after microdermabrasion or chemical peels to enhance results and even out the skin tone and texture.

SkinTyte treatments have been deemed safe for all skin types and can be administered on the face, abdomen, arms and neck area. Since the procedure uses a broadband of light energy to heat up the skin, this also promotes the skin cell renewal process while increasing contraction of collagen. This helps create long-lasting, ongoing results that can be enhanced with regular treatments. Each session can be spaced out over a course of three to four weeks, and most people need at least two to five sessions to see significant results.

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Botox Boutique Opens in Tampa Mall

Posted by Cosmetic Surgery Review on September 27, 2009

42-15866028Shoppers heading to the International Plaza in Tampa for their retail fix may soon be able to enjoy a quick Botox treatment between shopping rounds, thanks to the opening of the Venus Mini Med Spa.

This small boutique is designed to ‘do for Botox what LensCrafters did for glasses’, according to Bill Clarke, owner of the Venus Mini Med Spa boutiques. The med-spa will be tucked inside the mall for anyone who wants to get Botox injections without the hassle of booking a consultation, or even making an appointment.

Venus Mini Med Spa will be accepting walk-ins throughout the day, and offering free consultations for patients who simply want to learn more about their options for wrinkle removal. According to Bill Clarke, the Botox treatment takes only about 10 minutes, while other fillers will take about 20 minutes. The med spa in Tampa will be offering Botox injections for $200 per treatment, along with competitively priced dermal fillers.

One of the Venus Mini Med Spa locations has already opened in the Westfield Southgate Mall in Sarasota, and the owner reports that this particular location attracts an average of 18 clients per day. (Source: Tampa Bay Online) In addition to Botox and fillers, this location also offers Latisse eyelash enhancers, a topical treatment designed to speed up eyelash growth and create the appearance of thicker, fuller lashes.

The recession has encouraged many consumers to forego pricey wrinkle-fighting procedures such as facelifts, laser skin resurfacing and skin tightening treatments in favor of quick and affordable treatments such as Botox and dermal filler injections. Boutique med spas and even day spas that are rolling out Botox and Latisse at affordable prices give budget-conscious consumers a chance to enjoy immediate results without the hefty pricetag.

The Venus Mini Med Spa is scheduled to open by the beginning of October 2009.

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Nevada Board of Medical Examiners Adopts Emergency Botox Regulations

Posted by Cosmetic Surgery Review on September 26, 2009

CBR002440The Nevada Board of Medical Examiners has adopted a new regulation to stop medical assistants at medical spas and cosmetic surgery centers from administering Botox injections to patients.

The regulation was enforced after recent controversy about unlicensed medical assistants administering Botox, dermal fillers and other procedures that are meant to be administered only by a licensed physician.

Many medical spas and aesthetic surgery centers around the country deliver a range of treatments that are not always administered under the direct supervision of the doctor. For example, medical spas that offer Botox , Restylane and other injectable fillers typically work with a licensed physician or medical director who may or may not be at the facility when the injection is being administered.

A recent report in the Las Vegas Sun states that the regulation in Nevada will be in effect or 120 days and is effective as of the middle of September. The new rules prohibit a medical assistant from administering Botox and other cosmetic fillers, as well as any type of anesthetic that would leave the patient unconscious or semi-conscious. Medical assistants in Nevada are also not permitted to administer any anti-inflammatory drugs or chemotherapy of any kind.

Louis Ling, the Executive Director made a statement to the press recently, indicating that “there was confusion in the press [and] it was disrupting patient care.” The issue will be presented to the 2011 Nevada Legislature to determine exactly what an appropriate role is for medical assistants working for physicians and plastic surgeons, and what type of regulations would be most effective to ensure patient safety.

Currently, unlicensed medical assistants are not permitted to use lasers of any kind to get rid of wrinkles (laser reserufacing procedures), or perform laser treatments to get rid of moles, scars or blemishes. Only a licensed physician is permitted to perform these skin rejuvenation procedures, and may work with a medical assistant who is a licensed esthetician to perform standard facial treatments or follow up with the patient.


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Dubai Surgeon Performs 45-Minute ‘Silhouette’ Facelift

Posted by Cosmetic Surgery Review on September 25, 2009

One of the most effective ways to get rid of lines and wrinkles, tighten up sagging skin and maintain your youthful appearance is to get a facelift. However, traditional facelift surgery can be expensive and typically requires a few weeks of downtime and recovery. One Dubai-based plastic surgeon is offering an alternative for people who want to get a facelift without the extensive recovery time with his Silhouette Lift, a 45-minute procedure that can be performed under local anesthetic.

According to a recent article in, the Silhouette facelift technique does not require any hospitalization and is performed by making a very small incision above the hairline. The surgeon then uses a special threading technique to lift up the tissues and inserts sutures along the hairline that secure the lifted tissue into face. reports that the Silhouette Lift can help to tighten up skin around the neck, jawline and the nasolabial area, and promises immediate recovery. Most patients can return to normal activities within 48 hours, and their face is fully reovered after just two weeks.

Dr. Luiz Toledo, the surgeon who is now offering the procedure, states: “The Silhouette sutures are the most innovative sutures to date. They are not barbed which avoids any tissue damage and thanks to small re-absorbable cones which anchor themselves in deep tissue, a tension is produced which lifts the sagging tissue. The fibrosis around the suture produces a much stronger suspension mechanism than the traditional methods I have used over the past six years”. (Source:

Even though this procedure does not require extensive surgery, Dr. Toledo claims that it is effective enough to postpone the need for a ‘real’ facelift, and offers great results for both male and female patients. With little risk of tissue damage and almost immediate results, the Silhouette Facelift could be one the procedures of the future.

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New Dermal Filler ‘Belotoro Balance’ Under FDA Review

Posted by Cosmetic Surgery Review on September 24, 2009

42-15200333The U.S. Food and Drug Administration is currently reviewing a new dermal filler product called Belotero Balance. If approved, this injectable will join the likes of Juvederm, Perlane, Restylane and Prevelle Silk as an anti-aging treatment for moderate to severe wrinkles.

Belotero Balance is manufactured by Merz Pharmaceuticals, and is a “hyaluronic acid based monophasic gel” that works in a similar way as Restylane and Juvederm Belotoro Balance is designed to treat moderate to severe wrinkles in the face and neck area, and was first launched in Germany in 2005.

The filler has already been approved for aesthetic use as a wrinkle filler in the United Kingdom, Austria, Russia, Italy and Switzerland. The injectable can be used on almost any area of the face, and is designed to smooth out deeper wrinkles and grooves, create more attractive facial contours, and create a more youthful look.

According to Jack Britts, president and CEO of Merz Pharmaceuticals, LLC, “The FDA’s acceptance for review of the Belotero Balance PMA begins the application review process and signifies the beginning of Merz Pharmaceutical’s firm footprint in the American aesthetics market.” (Source:

Belotero Balance is another non-animal stabilized hyaluronic acid filler that may be administered on an outpatient basis. Still, there are many things we don’t know about Belotero Balance. There are currently no published reports on whether Belotero Balance lasts longer than  filler such as Restylane and Juvederm,  or whether it is valuable for using as part of a ‘liquid facelift’ treatment.

Since the majority of hyaluronic acid fillers boast little to no complications, Belotero Balance may similarly have a low risk of severe complications, and may also be offered at a more competitive price point – only time will tell, and the United States may need to wait several months until the FDA completes the initial review process.

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UK Surgeons Say Plastic Surgery Vacations Could Be Fatal

Posted by Cosmetic Surgery Review on September 23, 2009

42-16474249Medical tourism continues to be among the leading travel trends in the United States and other parts of the world, but the American Society of Plastic Surgeons and several consumer organizations have issued warnings about getting plastic surgery overseas. Recently, The British Association of Aesthetic Plastic Surgeons (BAAPS) stated that they have documented several horror stories from Britons who have headed overseas to get discounted plastic surgery, and agreed that many people underestimate the risks involved with procedures performed abroad.

Many people head to countries in South America, the Far East and India to cash in on discounted cosmetic and plastic surgery procedures including liposuction, breast augmentation and tummy tucks.

While some doctors overseas have trained in the United States and the United Kingdom, the standards of the facilities they perform operations in may not be the same as they are in Western countries. In addition, many of the complications that arise from these procedures are not covered by health insurance or services such as the NHS, which means the patient must be prepared to pay for any problems out-of-pocket.

The president of the BAAPS, Nigel Mercer, stated that “it was a common misconception [among British patients] that plastic surgery could be a quick and pain-free experience”. (Source:

The Press and Journal also reports on several cases where patients experienced several side effects and had to undergo emergency surgery in order to ‘fix’ what the foreign plastic surgeon had done. In one case, a British woman who had a facelift overseas went back to Britain but developed blood clots in her lungs, resulting in death as soon as she returned home.

All individuals considering plastic surgery abroad must do extensive research about their doctor and the facility, and be certain that they have access to healthcare and insurance coverage should complications arise. More information about the pros and cons of medical tourism can be found here .

Posted in Medical Tourism, Plastic Surgery | Tagged: , , , , | 4 Comments »

Rodeo Drive Plastic Surgery Unveils ‘First Year of Your Diet in a Day’ Program

Posted by Cosmetic Surgery Review on September 22, 2009

reception_room_medRodeo Drive Plastic Surgery, a world-renown plastic surgery center in Beverly Hills, has announced its new transformative body sculpting procedure called the First Year of Your Diet in a Day ™.

This program is designed to help individuals lose a significant amount of body weight by jumpstarting their diet process with liposuction. The procedure involves removing only some of the body fat that the person desires to lose, and then focus on making dietary and lifestyle changes so that the patient can lose the remainder of the weight on their own.

According to Medical Director Dr. Lloyd Krieger, “At Rodeo Drive Plastic Surgery, we believe there is a middle ground…We offer select patients liposuction designed to jump-start their dieting process…[this]  provides enough change that people are in the position to have greatly improved body image and continue the process of dieting – from a position of physical and emotional strength.”.

Dr. Krieger further points out that those who think they need additional help may be more suitable candidates for a tummy tuck procedure or a complete liposuction procedure.

The emphasis of the First Year of Your Diet in a  Day ™ program is to shift the focus away from instant results with liposuction, and focus more on maintaining a healthy lifestyle after the fat has been removed. Many patients who undergo liposuction struggle with keeping the weight off for months and years following the procedure because they do not maintain a healthy diet or undertake any type of exercise regimen. The First Year of Your Diet in a  Day ™ gives patients the opportunity to learn how to eat sensibly and start introducing exercise into their daily lifestyle so that it become easy to lose the weight and keep it off for the long-term.

Rodeo Drive Plastic Surgery has relationships with nutritionists and other health professionals in the area so that the transition can be more successful for all patients.

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Liposuction May Play a Role in Treating Metabolic Syndrome

Posted by Cosmetic Surgery Review on September 21, 2009

Liposuction is among the most sought-after procedures for cosmetic makeovers and improving one’s physical appearance, but Cosmetic Surgery Times reports that they may be a positive link between abdominal liposuction and the treatment of metablic syndrome as well. Abdominal obesity, a condition where an excess amount of fat is stored around the abdomen, has been associated with metabolic syndrome that causes high blood pressure, decreased levels of high-density lipoporteins and other health problems.

Dr. Douglas S. Streinbrech, a plastic and reconstructive surgeon based in Manhattan, is currently working on a review of the link between abdominal liposuction and metabolic syndrome. He suggests that abdominal liposuction may help reduce the impact of metabolic syndrome because the body will no longer be producing the chemicals linked to the disorder once the excess fat has been removed.

There is still a lot of controversy surrounding the connection between abdominal liposuction and metabolic syndrome, but numerous studies have been brought forward to indicate that there may be a relationship, a connection that doctors could control.

Individuals who are morbidly obese or are storing a significant amount of body fat around their abdomen typically experience the symptoms of metabolic syndrome, and this may not be corrected with diet and exercise alone. People who are prone to storing abdominal fat may not be able to lose the excess weight on their own, and liposuction could help to improve not only their physical appearance, but possibly also reduce the symptoms of metabolic syndrome.

Still, some researchers believe that there is no relationship at all. Dr. Weber, an assistant professor of plastic and reconstructive surgery at the Albert Einstein College of Medicine’s Montefiore Medical Center states that “Because liposuction in humans is a tool for sculpturing problem areas, not all of the fat is removed. I don’t think you can correlate directly this animal study to human application.”


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