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Plastic Surgeons Warn Against Following Celebrity Plastic Surgery Trends

Posted by Cosmetic Surgery Review on August 27, 2010

Even though many celebrity worshippers change their wardrobes, color their hair and update their makeup to look like their favorite Hollywood star, plastic surgery may be an extreme measure for many. According to Dr. Michael Fiorillo, a board-certified celebrity plastic surgeon in New York City, patients who want to look exactly like their favorite celebrity may be taking their admiration too far. (Source:

All plastic and cosmetic surgery patients undergo a face-to-face consultation with their doctor to determine what their goals are, and if they are in a mentally healthy state to undergo a procedure. In some cases, the patient is suffering from body dysmorphic disorder (BDD), or has very low self-esteem. Plastic surgery and cosmetic procedures will not correct these deeper issues, and for many, psychiatric help is the best solution. Dr. Fiorillo points out that these types of patients, “need a psychiatrist, basically. You are not going to make somebody look like someone else. It is an unattainable goal.”

Still, many men and women undergo cosmetic procedures in hopes of attaining some of the most sought-after features – many that are inspired by Hollywood. Breast augmentation, lip augmentation, facelift surgery, Botox and liposuction continue to be some of the most popular procedures, especially for those who want to undergo a complete makeover and dramatically change their looks.

The American Society of Plastic Surgeons reports that 12.5 million people underwent cosmetic and plastic surgery in 2009 alone, and the numbers have increased steadily for the past decade. An increase in plastic surgery reality TV shows, more media coverage about certain procedures, and less stigma associated with getting plastic or cosmetic surgery may have spurred demand.

Many celebrities say that they will not ever consider going under the knife, and that it is important for people to appreciate their natural beauty. Still, fans continue to line up at the doctor’s office for a nip and tuck that will help them achieve their Hollywood-inspired ideal.

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AAFPRS Launches Medical Protective Insurance Program

Posted by Cosmetic Surgery Review on August 25, 2010

The American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) has developed the AAFPRS Medical Protective Insurance Program to underwrite members who are performing more than 20% facial plastic surgery in their class.

Mark Wittel, VP of Agency Sales of Medical Protective, states, “As the nation’s leading healthcare liability insurer – with three times the longevity of our nearest competitor – Medical Protective looks forward to working with AAFPRS members and continuing to deliver the nation’s strongest defense of assets and reputation…not only for today, but for the long-to-resolve claims that arise years down the road.”

Members who qualify within their class receive a 5% credit, and members who are also certified by the American Board of Facial Plastic and Reconstructive Surgery board receive another 5% credit on services and products.

By teaming up with Medical Protective, facial plastic surgeons may be able to enjoy more efficient insurance claims processing, and also ensure patient safety education.

Medical Protective is the leading company for medical malpractice insurance and the country’s strongest medmal carrier. The company offers several types of insurance coverage programs for physicians, hospitals and plastic surgeons, along with a suite of services, including risk management, practice software and provider enrollment and credentialing services. The company serves over 70,000 healthcare providers nationwide, and is owned by General Electric.

The MedMal coverage program offers several solutions for healthcare professionals, including plastic surgeons, who are looking for independent coverage options. Some of the benefits of this program include more control over the coverage selection with expanded coverage options and  a defense attorney that represents the insured healthcare professional. The company creates customized, tailored programs for different organizations, agencies and entities. The partnership with the American Academy of Facial Plastic and Reconstructive Surgery means that the members can enjoy several insurance coverage benefits while maintaining the organization’s high standards.

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ISAPS Releases Global Plastic Surgery Statistics

Posted by Cosmetic Surgery Review on August 18, 2010

The International Society of Aesthetic Plastic Surgery (ISAPS) is a global leader in plastic surgery and has recently published the results of its ISAPS Biennial Global Survey™ for the first time. The survey includes information about plastic surgeons and procedures in the top 25 countries and regions representing 75% of all procedures performed around the globe in 2009. This is the most reliable source of plastic surgery data and statistics, and provides several insights about the most popular surgical and non-surgical procedures around the globe.

According to the ISAPS survey, the top ten countries with the most surgical and non-surgical cosmetic procedures include the United States, China, Brazil, India, Mexico, Japan, South Korea, Germany, Turkey and Spain. The United States continues to dominate in this field, but many countries that are not always considered to be popular destinations for cosmetic procedures still made the top 25 list. Saudi Arabia, Venezuela, Portugal and Thailand are among the world’s top destinations for plastic and cosmetic surgery.

The ISAPS Global Survey also reveals that liposuction is among the most sought-after surgical procedures around the globe, followed by breast augmentation, blepharoplasty, rhinoplasty and abdominoplasty. Certain procedures were more popular in countries including Brazil, China, Mexico and Japan, and the number of non-surgical procedures performed by plastic surgeons around the globe is higher than the number of surgical procedures.

The top five, most sought-after non-surgical procedures include Botox and Dysport, hyaluronic acid injections, laser hair removal, autologous fat injections, and IPL treatments. Many of the non-surgical procedures can be performed on an outpatient basis, and there is little to no downtime involved.

The survey was conducted through a professional survey company, and results were compiled, tabulated and analyzed by an independent research firm in Columbus, Ohio. Representatives from National Societies provided the counts for over 75 percent of the 31,000 total estimated plastic surgeons participating in the survey.

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Japanese Cosmetic Surgeons Perfect Cell-Assisted Lipotransfer Procedure

Posted by Cosmetic Surgery Review on August 6, 2010

Fat transplantation is among the most innovative treatments for facial rejuvenation, breast reconstruction and soft tissue augmentation, and makes use of stem cells to assist with the tissue augmentation process. Japanese cosmetic surgeons have been testing this transfer procedure for several years, and many cosmetic surgeons around the country have been able to perform successful procedures without incisional scars or complications associated with injecting foreign materials into the skin.

Cell-assisted lipotransfer is now used to perform a number of plastic and cosmetic surgery procedures around the world, and is now undergoing several tests and trials to overcome many of the problems associated with lipoinjections and conventional fat transfer procedures. Dr. Kotaro Yoshimura, M.D., associate professor of the department of plastic surgery in the University of Tokyo is one of the leading investigators in stem cell research and in the usage of stem cells aesthetic applications.

When conducting the cell-assisted lipotransfer procedure (CAL), the adipose-dervied stem cells are used in combination with lipoinjections to build new tissue. In this procedure, the stromal vascular fraction (SVF) containing the autologous adipose-derived stem cells is freshly isolated from half of the aspirated fat and recombined with the other half.

The procedure involves a three-step process that begins with extracting fat from the donor site, purifying it and then re-injecting it into the skin tissues. Dr. Yoshimura uses a manual isolation process to extract the stem cells and prepare them for reinjection. He states, “Our results are pretty encouraging. We can use it for breast implant replacement as well as breast reconstruction. Facial reconstruction for inborn or acquired diseases are also good indications.”

Dr. Yoshimura has successfully executed over 450 breast augmentation procedures and breast reconstruction procedures using the CAL technique since 2003, and has deemed it a safe and effective procedure for tissue augmentation.


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Hollywood Now Leaning Towards More Natural Results with Cosmetic Surgery

Posted by Cosmetic Surgery Review on July 30, 2010

Even though Hollywood typically presents the “ideal beauty” as women with flawless skin, perfect teeth and fit bodies, today’s casting directors and filmmakers are starting to look for actors and actresses who have a more natural, relatable look. According to a recent story in Voice of America News, actors and actresses who choose not to get plastic or cosmetic surgery still have a good chance of being cast in a role they want.

Some casting directors and film industry experts believe that getting Botox, breast implants, liposuction and other popular procedures can actually hurt the actor or actress’s career, because it distances them from the audience. Casting director Keith Wolfe states that “puffy lips are the worst”, and he doesn’t like to see actors and actresses who have swollen or puffy lips from injectables such as Restylane, Juvederm and other popular dermal fillers.

Other casting directors prefer not to select actors and actresses who have a “cookie cutter” appearance, and would prefer that those they cast haven’t gone to extremes with plastic surgery.

Still, many acting professionals choose to go under the knife to meet certain beauty standards and fit the criteria for various roles. They invest a lot of money and time into changing or updating their appearance, but some still fall short when it comes to auditioning for particular roles. In these situations, some acting professionals can fall into a vicious cycle of undergoing several plastic surgery procedures in an attempt to “fix” their appearance and snag the next role. Unfortunately, this strategy can soon become a fight for survival.

Acting and modeling is a highly competitive field that often puts a lot of pressure on individuals to look a certain way. While cosmetic and plastic surgery are the answer for some professionals, many casting directors are looking for less than perfection and will cast actors and actresses with a more natural appearance.

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High Performance Engineering Used to Design Facial Bone Replacements

Posted by Cosmetic Surgery Review on July 22, 2010

The same technology used to create high-performance aircraft is now being used to create 3-D models for the replacement of facial bones that are often lost during cancer surgery, an accident or other types of trauma. Researchers published the results of a recent project in the online edition of the Proceedings of the National Academy of Sciences in early July 2010. The research was completed at the Ohio State University research center, in collaboration with the University of Illinois.

The U.S. Department of Defense has declared its interest in improving facial reconstruction by establishing the Armed Forces Institute of Regenerative Medicine in 2008. Currently, plastic surgeons and facial reconstruction surgeons uses various plastic surgery techniques that use the patient’s own bone to restore the bone structure.

The difference between conventional facial reconstruction procedures and the high-performance engineering techniques is that the new engineering techniques can create a patient-specific design, instead of just a generic shape. Researchers used a special 3D computational modeling system and the same processes used to create multifunctional, high-performance materials used in aircraft such as space shuttles.

According to Alok Sutradhar, a postdoctoral researcher in plastic surgery at Ohio State who was trained as an engineer, “The purpose is to find the most optimized macrostructure to replace the missing bone. It would contain the minimum amount of tissue positioned in three-dimensional space and supported upon remaining uninjured portions of the facial skeleton.”

In addition to remodeling the bone structures, researchers were able to review and create soft tissues for transplantation. Many plastic surgeons have been looking for ways to grow new bone tissue and find ways to assimilate the bone and soft tissues into the skeletal system. The current research provides new opportunities and options for bone reconstruction specialists, and is supported by a National Science Foundation grant from the Early-concept Grant for Exploratory Research (EAGER) program.

(Source: Ohio State University)

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Chicago Plastic Surgeon Helps Moms Boost Self-Esteem with Mommy Makeover

Posted by Cosmetic Surgery Review on June 7, 2010

Mommy makeovers continue to be popular plastic and cosmetic surgery procedure packages at doctor’s offices around the country, a series of procedures designed to help new moms get back into pre-pregnancy shape. The typical mommy makeover consists of liposuction procedures, breast augmentation and body contouring treatments such as VelaShape and Thermage that help to tighten and tone the skin.

According to statistics released by the American Society of Aesthetic Plastic Surgery in March, demand for cosmetic procedures has increased by as much as 147 percent since 1997. One plastic surgeon in Chicago explains that new mothers are just one segment of the population seeking more and more cosmetic enhancement options in recent years, and many are looking to reverse the physiological changes brought on by pregnancy and child-rearing. As a result, Dr. Brian Braithwaite, certified by the American Board Plastic Surgery and founder and medical director of The Aesthetic Institute of Chicago, is offering Mommy Makeover packages that not only help transform the new mom’s appearance, but also help her improve her self-esteem.

Dr. Braithwaite states that weight fluctuations and the body’s response to carrying a child can be difficult to improve on their own. Many changes during pregnancy affect the appearance of the breasts, face, thighs and the abdominal region, and the Mommy Makeover can address many of these aesthetic issues. Dr. Braithwaite uses both surgical and non-surgical cosmetic treatments to remove excess body fat, tighten the skin and restore the previous contours of the body so that the new mom can enjoy a more youthful look.

The Mommy Makeover package available at The Aesthetic Institute of Chicago includes the breast lift procedure, breast augmentation, a tummy tuck, liposuction, thigh lift, and injectable procedures such as Botox. These procedures can be combined with a tummy tuck to improve the appearance of sagging skin around the abdomen. New moms are interviewed before the procedure to ensure they have realistic expectations about the procedure, and understand all of the risks and benefits involved.

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Covidien Expands Family of Absorbable Wound Closure Devices in Tissue Repair

Posted by Cosmetic Surgery Review on June 4, 2010

Covidien, one of the world’s leading global providers of healthcare products, has announced the global launch of its V-Loc 90 device, the newest addition to its absorbable wound closure devices for knotless wounds. The product received clearance from the U.S. Food and Drug Administration on May 11, 2010 and is built on the success of the V-Loc 180 device that was launched in October 2009.

The V-Loc device helps close up wounds 50% faster than conventional sutures and without tying knots or changing any of the usual wound closure techniques and protocol.

The device works by holding the edges of the wound together tightly during the healing period. The V-Loc 90 device contains faster absorbing materials than other suture technologies, and in most cases, absorption is complete within 90 to 110 days.

According to Michel Therin, Vice President of the Soft Tissue Repair and Biosurgery division of Covidien, “With this new addition to our knotless wound closure portfolio, surgeons have an even broader array of choices for closing surgical incisions safely, quickly and effectively…the V-Loc 90 device is designed to provide better patient outcomes through the fast absorption of the product following the critical wound healing period after surgery.”

General surgeons, as well as plastic surgeons and cosmetic surgery professionals can all benefit from the V-Loc wound closure devices. The device is easy to handle and it produces targeted tension that can eliminate the need for another hand during the wound closing process. The device was previewed at the American Society for Aesthetic Plastic Surgery’s annual meeting in Washington, D.C. in April 2010. Many surgeons responded positively to the device’s ease of use and benefits, including the reduced operating time.

Covidien is a worldwide leader in manufacturing and distributing medical devices, pharmaceuticals and medical supplies, and currently sells products in over 140 countries.

(Source: Covidien Press Release)

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Study Shows Older Patients More Likely to Be Satisfied with Plastic Surgery

Posted by Cosmetic Surgery Review on May 28, 2010

While baby boomers make up most of the target market for plastic and cosmetic surgery, not all patients are satisfied with the results. The American Society of Plastic Surgery encourages patients to set up consultations with prospective surgeons and learn about the procedure so that they have realistic expectations about the results, and are more satisfied.

A recent study published in the May/June issue of Archives of Facial Plastic Surgery, reports that demand for cosmetic surgery has increased steadily over the past decade in the United States, approximately four times as much as a decade earlier.

Dr. Jill L. Hessler of Premier Plastic Surgery in Palo Alto conducted a study that surveyed 51 patients who underwent facial cosmetic surgery in 2007 and 2008.

The participants answered many questions for several months after their procedure, and the study results show that patients who were 53 and older were more satisfied with the their results than younger people. The study’s authors also point out that people who were being treated for depression were more likely to report being satisfied with their procedure, than those who were undergoing treatment for depression.

Dr. Hessler states, “Currently, there is an emphasis in the plastic and facial plastic surgery literature on surgical techniques to improve surgical results. A relative improvement in surgical outcomes, however, tends to be subjective and patient and/or surgeon satisfaction can be highly unpredictable.” (Source:

Since patient satisfaction can be highly subjective, it can be difficult for plastic surgeons to determine whether the outcome is a successful one. Still, plastic and cosmetic surgeons are responsible for educating the patients about the outcome and risks, and some use visual software programs that allow them to predict what the outcome will be. Patients are advised to take the time to learn as much as possible about their procedure, and consult with several plastic surgeons so that they can make the most informed decision.

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Americans Spent $10 Billion on Plastic Surgery Procedures in 2009

Posted by Cosmetic Surgery Review on May 6, 2010

Even in the midst of the recession, Americans didn’t hold back on spending on plastic surgery procedures.

While spending for plastic and cosmetic surgery procedures was down 3 percent from 2008, many Americans still went under the knife or elected to have minimally-invasive procedures to improve their appearance.

According to the American Society of Plastic Surgeons, demand for liposuction, tummy tucks, breast enlargement, nose jobs and eyelid surgery showed the biggest decline. Still, breast augmentation, nose reshaping, eyelid surgery, liposuction and tummy tucks made it to the top five most sought-after procedures.

Adults weren’t the only ones heading to the plastic surgery office this past year. According to data provided by the American Society of Plastic Surgeons, approximately 210,000 teenagers between the ages of 13 and 19 also underwent cosmetic surgery, accounting for approximately 2 percent of the total procedures.

Demand for Botox, wrinkle fillers and other minimally-invasive procedures did show a steady increase in 2009, as more Americans looked for ways to save money on their procedure while still enjoying good results. Wrinkle fillers and Botox served as a temporary replacement for the otherwise-pricey facelift surgery. VelaShape and Endermologie treatments helped men and women get in shape and lose a few inches without liposuction. Skin tightening procedures helped many achieve a more sculpted appearance without surgery, and also helped to eliminate cellulite.

The ASPS reports that many women were still interested in undergoing the “mommy makeover” which involved tummy tucks, liposuction and breast lifts. However, the $5,000+ price tag may mean that these women postpone their procedures until late 2010.

Plastic surgeons across the country attempted to attract patients by offering attractive financing plans, and discounts on select procedures. However, the final numbers still showed a significant decrease in demand for 2009.

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