Cosmetic Surgery Today

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

Archive for November, 2009

Woman Files Lawsuit After Getting Evolence Injections

Posted by Cosmetic Surgery Review on November 30, 2009

Mara Micevic of Oakville received Evolence injections in January 2007 from a local laser and spa clinic after the center promised she could improve her looks and achieve a more youthful appearance. Ms. Micevic states that “she didn’t think twice” about getting the injections because she had known many women who had gone to these types of clinics and had been able to improve their appearance.

However, Micevic reports that immediately after Evolence was injected into her lips, she could feel a set of “small balls” under her skin and was assured that they would disappear. Eight months later, she developed a bump under her top lip that began to ooze pus and blood. Soon after, her whole face was swollen and she got infections over her entire face.

Ms. Micevic contacted the manufacturer in 2008, she found out that Evolence was not indicated for use in the lips at all.  However, the filler had been marketed as an all-natural filler for lip augmentation in the United States and in Canada, and was made available at several medical spas and cosmetic surgery centers around the country.

Evolence is among the newest dermal fillers on the market, an injectable that promises to fill out fine lines and wrinkles instantly and produces natural-looking results. It costs approximately $500 per injection, and according to the American Society of Plastic Surgeons, Americans are spending approximately $800 million per year on injectables.

Some injectables, such as collagen fillers, do have a high risk of allergies and doctors may need to do a test before administering the entire injectable.

For Micevic, the side effects were enough to prompt a lawsuit against Johnson & Johnson and related companies who are failing to warn the public about the risk of injury, scarring, infection and disfigurement from using Evolence.  Two other women in Richmond, B.C. have also launched a notice to sue over Evolence in December 2008.

On November 3, 2009, Johnson & Johnson announced that it would discontinue the manufacture and marketing of Evolence products.

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Dermaxin Wrinkle Cream Promises Results Similar to Injectables

Posted by Cosmetic Surgery Review on November 29, 2009

Millions of men and women opt for dermal fillers and injectables such as Zyderm, Zyplast, Botox, Restylane and Juvederm to fill out lines and wrinkles, smooth out sagging skin and enhance their appearance.

The popularity of the ‘liquid facelift’ has encouraged many surgeons and aesthetic surgery professionals to sell more products that offer a quick fix for lines and wrinkles, and demand for brans including CosmoDerm, Dermalogen and Dysport has increased significantly over the past ten years.

Now, a wrinkle cream that has been deemed the world’s best topical collagen delivery system claims to offer results similar to injectables.

Dermaxin is the world’s leading anti-wrinkle cream, an all-natural collagen cream that penetrates deep into the skin within the first ten minutes after application. According to studies conducted by Dermaxin researchers, most people saw an overall reduction of wrinkles within the first 4 to 12 weeks of daily use (up to a 44% difference).

Since most injections cost between $500 to $1000 per series, Dermaxin offers a more affordable solution for getting rid of wrinkles, and does not require touchup treatments and appointments at a doctor’s office. Some people who are allergic to the toxic compounds in many injectables or those who experience burning and irritation at the injection site may be good candidates for a topical wrinkle treatment instead.

According to Dermaix spokesperson Teresa Richards, “Dermaxin uses is the most powerful delivery system in the world – Hyaluronic Acid – to penetrate the folds of the ski and supply collagen to the deep dermal layers…the same instantaneous wrinkle-busting and smoothing effect found with injections is also achieved –within the first ten minutes of using the product – thanks to the power of Acetyl Hexapeptide08, a proven facial-relaxing compound and wrinkle remover that provides results similar to those of Botox, but without any of the associated risks.” (Source: Dermaxin Press Release)

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ASAPS Reports Demand for Breast Implants Greater than Liposuction

Posted by Cosmetic Surgery Review on November 28, 2009

For the first time in twelve years, the number of breast augmentation procedures performed over the year has outpaced the number of liposuction procedures.

Breast augmentation continues to be one of the most sought-after procedures for women in the 18 to 35 age bracket, and even with the economic downturn, many cosmetic surgeons have seen a steady increase in demand for breast implants and breast enhancement procedures. The surgery typically costs between $4,500 to $5,000 and is not covered by insurance, but many women turn to patient financing or work with the surgeon to set up a private payment plan.

Surgeons report that demand for breast augmentation and procedures such as Botox, another in-demand procedure for the year, are sought from all socioeconomic classes, but the majority are middle class.

The price of many procedures have become more attractive to many because of increased competition – many cosmetic surgeons have introduced a lineup of enhancement procedures such as Botox, Dysport, Hydrelle fillers and non-invasive procedures such as Zerona laser fat removal to attract more patients to their practice. Once the patient becomes more comfortable with the surgeon and the clinic, they may be more likely to consider more expensive procedures such as breast augmentation, liposuction or facelifts.

While there are still several risks involved with the breast augmentation procedure, there are now thousands of licensed and skilled surgeons who have extensive experience with saline and silicone implants. Other procedures that are coming into the spotlight include the ‘Botox breast lift’ and the fat transfer breast augmentation procedure which do not require the insertion of implants.

With these procedures, the doctor simply injects compounds directly into the skin and results are immediate. These less-invasive procedures may offer more benefits over implants in some patients who want to correct sagging breasts and improve their appearance, but research is still underway.

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Zerona Enters Northbrook Illinois Market

Posted by Cosmetic Surgery Review on November 27, 2009

Nu U Medspa with locations in Glendale, Mesa, Scottsdale, Phoenix, Chicago, Naperville, Oak Brook, Schaumberg and Wilmette is one of the fastest growing cosmetic skin care providers in the network, and is now offering Zerona™  fat removal procedures for patients in the greater Chicago and Phoenix markets.

Zerona is among the latest innovations in non-invasive fat removal, a procedure that promises to melt the fat directly underneath the skin without surgery. The Zerona laser delivers treatments in 20-minute intervals and can be administered to several “trouble areas” including the hips, thighs, abdomen and arms.

Nu U Medspa is a non-surgical treatment facility that performs a number of ‘next generation’ procedures including SmartLipo body contouring, fractional laser resurfacing, IPL Photofacials, laser hair removal and microdermabrasion. All treatments are performed by licensed aestheticians, certified laser technicians and registered nurses, and every procedure is supervised by the clinic’s medical director.

The Zerona laser treatment promises a pain-free, non-invasive alternative to traditional liposuction and laser liposuction, and may be an attractive option for individuals who only want to lose a few pounds without surgery.

Other cosmetic and aesthetic treatments available at Nu U Medspa locations include LipoDissolve™, a minimally invasive treatment designed to break down body fat and reshape the body, and ContrAge™ procedures that help to tighten and tone the skin. For wrinkle removal and skin rejuvenation, the Nu U Medspa offers a wide range of aesthetic procedures including chemical peels, photofacials, microdermabrasion and medical grade facials. Several treatments are complementary, so some patients can benefit from booking a package or series of treatments for better results.

The Zerona laser has recently received FDA approval and may be an attractive option for those who have undergone liposuction and want to streamline their figures, or for those who have lost a significant amount of weight naturally and want to enhance their appearance.

More information about Zerona can be found here:

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28-Year Old Woman Dies After Liposuction

Posted by Cosmetic Surgery Review on November 26, 2009

A 28-year old woman from Redmond was busy making preparations for her wedding day and decided to have laser-assisted liposuction to improve her appearance.

Laser-assisted liposuction has been available in the United States for several years, and is among the most sought-after procedures for men and women that want to get rid of a few ‘vanity’ pounds and improve their silhouette. This procedure is attractive to many because it is less invasive than traditional liposuction that requires the use of general anesthesia, and the procedure promises lasting results with less downtime and a lower risk of side effects.

Sadly, Ms. Aura Javellana of Redmond, a healthy bride-to-be, passed away recently shortly after her laser-assisted liposuction procedure from the Sono Bello Body Contour Center in Bellevue.

Sono Bello claims that they have “ruled out the major risk and complications that existed with traditional liposuction by introducing the use of new micro-instruments and laser assistance.” The center promotes the fact that patients can walk and walk out of the center the very same day, and that they can even return to work and resume regular activities the following day.

Unfortunately, these claims did not hold true for the 28-year old who simply wanted to get rid of a few unwanted pounds before her big day. On May 26, 2009, Ms. Javaellana underwent a 3.5 hour procedure that cost $8,000 to remove fat from her abs, love handles and upper arms. She checked into a hotel to recover from the procedure shortly after the procedure, but by the next morning, she was dead. Maids found her when they opened the door to clean her room.

The King County Medical Examiner reports that it was the procedure that killed her, and she died from “acute lidocaine intoxication”. She had lost blood and body fluid from the 11 puncture wounds that were left behind from the liposuction tubes used in the procedure.

The Corporate Medical Director of Sono Bello continues to claim that the woman’s death was of no fault of the clinic.

Posted in laser lipo, Liposuction | Tagged: , , , , , | 1 Comment »

“Botax” Expected to Raise $5 Billion Over Next Ten Years

Posted by Cosmetic Surgery Review on November 25, 2009

A new Senate bill introduced by Senate Majority Leader Harry Reid, D-Nev now includes a 5 percent tax on elective cosmetic surgery.

Millions of Americans who set their sights on procedures such as Botox, rhinoplasty, tummy tuck, hair transplants and breast augmentation will now be responsible for paying this cosmetic surgery tax, now known as “botax” on every procedure.

According to, the cosmetic surgery tax will raise $5 billion over the next decade, and the bill will also include an increase in the Medicare payroll tax for couples earning more than $250,000 a year and for individuals earning over $200,000 – an increase of .5 percent.

Nova Cosmetic Center, a cosmetic and aesthetic center in Orlando, claims that the excise tax is actually a discriminatory tax because “this will not have considerable consequences on the wealthiest patients, but, as usual, affects the middle class. Working women, soccer moms and scores of others who carefully save and budget to improve their appearance and self esteem will be penalized for doing so.”

Dr. Angela Cuzalina, a cosmetic surgeon based in Tulsa, Oklahoma and the president-elect of the American Academy of Cosmetic Surgery also points out out that “You’d be surprised how price sensitive people are to this…It’s a tax against women and the baby boomer generation having these procedures.”  (Source:

Many plastic surgeons say that this will be a “devastating” move because many practices are only just beginning to recover from the effects of the recession. Some cosmetic surgeons and industry professionals are urging patients to contact their State Senator and fight for no government interference in medical care.

Procedures that will be affected by the “botax” include aesthetic treatments such as teeth whitening, Botox and dermal filler injections, some skin tightening treatments, face lifts, hair transplants, and all cosmetic surgery procedures.

Posted in BOTOX, Cosmetic Surgery News | Tagged: , , , | 1 Comment »

Dermatologists Say Ultrasound Technology Best for Fat Removal

Posted by Cosmetic Surgery Review on November 24, 2009

Current fat reduction and removal methods include a combination of exercise, maintaining a healthy diet and undergoing liposuction to remove stubborn body fat. While some people need to undergo stomach stapling and counseling to get their weight under control, many are better candidates for localized fat removal using liposuction and lipoplasty methods that remove fat cells permanently. Dermatologists that met at the American Academy of Dermatology’s SKIN Academy in Chestnut Hill, Massachusetts claim that ultrasound technologies that promote non-invasive fat removal may be  a better choice for many people struggling with a few ‘vanity’ pounds.

According to Dr. Jeffrey Dover, associate clinical professor of dermatology at Yale University School of Medicine in New Haven, Connecticut and adjunct professor of medicine at Dartmouth Medical School in Hanover, New Hampshire, “There is a strong demand for non-invasive procedures that can address the concerns of people who are not considered overweight, but despite diet and exercise, have pockets of fat that bother them…while traditional liposuction and laser liposuction are invasive surgical procedures that are designed for overall fat reduction, new procedures are emerging that are non-invasive and showing promise in clinical studies for removing fat without the potential risks and downtime of invasive procedures.” (Source:

High-intensity focused ultrasound systems – that are currently not available in the United States – are considered to be an effective new technique for fat removal because they are capable of selectively destroying fat beneath the skin without damaging surrounding tissues or requiring any incisions. The ultrasound energy is able to deliver thermal energy into the tissues and dissolves the fat cells. The fat cells can then be eliminated out of the body naturally.

Ultrasound liposuction techniques are still being tested, but may soon become a viable option for people that want to target specific areas of fat without undergoing surgery.

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FDA Accepts Application for Innovative Rosacea Treatment Gel

Posted by Cosmetic Surgery Review on November 23, 2009

Rosacea is a common skin disorder in the United States and is identified by excessive redness of the skin, along with transient papules and pustules. This chronic skin condition affects about 14 million Americans and cause significant psychological and self-esteem problems if it is left untreated. Current rosacea treatments include Intense Pulsed Light therapy (IPL) and topical ointments. However, the FDA is currently reviewing a new drug by Sol-Gel Technologies that may offer multiple benefits for rosacea patients.

Sol-Gel has developed the DER45-EV Gel, a topical solution designed to enhance the efficacy and stability of topical drugs by creating a protective barrier between the drug and the skin. According to Dr. Stanley Shapiro, Sol-Gel’s Head of Skin Care Science and Technology, “As Sol-Gel’s microcapsulation forms a protective barrier between the drug and the skin, we expect it to reduce irritation when applied to the relatively sensitive skin of rosacea patients.”

The FDA has acknowledged receipt of this drug as an Investigational New Drug Application (IND) for the topical treatment of rosacea. People who were eligible for this study had to be 18 years of older, have facial rosacea with 15 or more inflammatory lesions, have moderate or severe ratings (a 3 or 4) of rosacea on the IGA, and could not have any allergies or sensitivities to ingredients in the test product. The gel was applied topically once per day to the facial area only for a course of 12 weeks. Women who were pregnant, breast feeding or planning pregnancy, and those with other dermatological conditions of the face were excluded from the trial.

The Sol-Gel study was first received on July 14, 2009 and is currently under review by the U.S. Food and Drug Administration. More information about the latest rosacea treatments and dermatologic solutions for patients with rosacea can be found here.

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Vashe Wound Therapy Helps Heal Chronic Wounds

Posted by Cosmetic Surgery Review on November 22, 2009

Current post-operative care methods for skin grafts and burns involve the application of bandages, administration of vitamins and topical agents to the skin, and protection from sunlight. One company has developed a proprietary solution that may help to speed up the wound healing process while killing off infectious pathogens. PuriCore, a life sciences company that specializes in developing various types of skin solutions, has been performing randomized clinical trials with a product called Vashe Wound Therapy.

Vashe Wound Therapy is a medical device designed to support the wound healing process. The treatment has been used successfully and without any adverse side effects in more than 100,000 treatments, and is proving to an effective and economical alternative to common wound irrigation solutions.

The clinical trials were conducted by the Co-Director of the Arizona Burn Center of the Maricopa Medical Center in Phoenix, Arizona and results show that the treatment is just as effective as the 5% Sulfamylon® solution, a synthetic agent that is commonly used for the post-operative care of grafts for burns. Infection rates for the Vashe Wound Therapy and the Sulfamylon® solution were equivalent, but Vashe Wound Therapy boasts a greater than 50% cost savings.

Dr. Foster points out that, “Vashe Wound Therapy is an exciting new alternative technology that demonstrates clinical efficacy for post-operative skin graft irrigation while offering significant overall cost savings…this trial also suggests that Vashe has further potential for pain improvement opportunities.”

PuriCore’s CEO Greg Bosch also indicates that the clinical results prove that Vashe Wound Therapy is very effective for wound care and offers an additional boost to the body’s own defense system, making it much easier for the body to heal after burns or different types of surgery. The treatment is biocompatible, non-mutagenic and non-cytotoxic, and offers a safe and effective alternative to many solutions used to treat infected wounds and post-operative surgical sites.

(Source: MedicalNewsToday)

Posted in Dermatology | Tagged: , , , , | Leave a Comment »

St. Louis Law Firm Files Lawsuit Over Botox Overdose

Posted by Cosmetic Surgery Review on November 21, 2009

A St. Louis resident experienced partial respiratory paralysis after receiving an overdose of Botox at the St. Louis University Hospital recently. He was being treated for muscle spasticity, and Botox was being used for one of its off-label purposes in this particular case.

The patient Richard Hart suffers from a medical condition that affects his neck, and reportedly received 300 units of Botox on August 20, 2007, 200 units on September 20, 2007 and 400 units on October 5, 2007. By the middle of October that same year, Hart reported breathing problems and difficulty swallowing. The effects continued, and resulted in blurred vision, muscle weakness and the partial paralysis of his respiratory muscles.

The lawsuit alleges that the doctor who administered the drug was negligent and did not accurately monitor Hart’s Botox doses. If the doctor had maintained the recommended dosage schedule, Richard Hart may not have experienced any of the side effects or had to deal with the eventual partial failure of his respiratory system.

Mr. Hart’s case is being represented by the Lowe Law Firm based in St. Louis, a firm that handles a variety of personal injury, medical malpractice, product liability and commercial cases throughout the United States. According to Jeff Lowe, one of the attorneys representing Dr. Hart, “Botulism is one of the most toxic substances known to man. My client suffers from botulism poisoning, a painful and terminal illness.”

The U.S. Food and Drug Administration has already taken a stand on the potential risks and dangers of Botox, requiring that a warning is added to the packaging of all botulinum toxin products. The FDA requires that the Botox warning label explains that toxins can spread from the injection site to other areas of the body, and that they may also be the cause of many symptoms associated with botulism.

(Source: MedicalNewsToday)

Posted in BOTOX | Tagged: , , , , | 1 Comment »