Coastal Empire Plastic Surgery Blog

Can Rhinoplasty Make You Look Younger? Study Investigates

January 30th, 2012

Rhinoplasty is a popular operation to reshape and redefine the nose, creating a more balanced facial profile. It’s not considered an anti-aging procedure, like a face lift or neck lift would be.

But a new study finds that people often look younger after rhinoplasty. Researchers at the University of Toronto found that patients looked 1.5 years younger after a nose job.

How the Study Worked

During the study, 50 people guessed the ages of 53 rhinoplasty patients in before-and-after photos. The patients ranged in age from 15 to 61, and about three-quarters were women.

Patients who had a hump reduced or removed saw the greatest anti-aging effect. Among these patients, the reduction in perceived age was 1.6 years younger after surgery, compared to 1.1 years for patients who did not have a hump prior to surgery. Those with a droopy tip also saw more of the age reduction benefit.

Whether a patient was older or younger at the time of surgery was less of a factor, the researchers reported.

“Older patients tended to enjoy a greater degree of rejuvenation,” the authors write. But the differences between age reduction in older vs. younger patients was not statistically significant.

Why Undergo Rhinoplasty?

Although rhinoplasty could provide anti-aging benefits, this is not a common reason to choose it. Nose surgery is usually performed to improve the proportions of the nose or to improve nasal breathing.

A variety of nasal characteristics can be changed. Surgery can reduce the size of the nose, remove humps, improve the nasal angle and more. Looking younger may be an additional bonus.

“I wouldn’t say that in terms of the findings of this study, it adds a major reason to go forward with the procedure,” said Dr. Ali Sepehr to Reuters Health, “It’s just a nice added benefit when somebody’s already going to get the procedure for another purpose.”

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ASPS Chooses Partner for Plastic Surgery EMR

January 15th, 2012

The American Society of Plastic Surgeons recently announced a partnership with an EMR company called eClinicalWorks. A 3-year initiative stemming from partnership will give ASPS members a chance to obtain customized electronic medical record systems.

The partnership brings together the world’s largest group of plastic surgeons with a leading provider of healthcare technology. Strengths of both organizations, they hope, will advance the specialty of plastic surgery practices around the nation.

The ASPS has been at the forefront when it comes to delivering practice management solutions, especially in the realm of information technology. For example, the society has a journal with a new iPad application, endorsed companies for website design, and now a collaboration with an EMR provider.

“ASPS has a long history of innovation in providing our members with practice management solutions,” said ASPS President Malcolm Roth MD, “including emerging information technology tools. Through collaborations like this, we can help transform the delivery of healthcare throughout the specialty of plastic surgery…”

About the Partnership

“eClinicalWorks and ASPS share the vision and the entrepreneurial spirit that evolution demands,” said Sameer Bhat, co-founder and vice-president of sales for eClinicalWorks. “This partnership further strengthens our leadership with specialties.

We are excited to collaborate with this leading medical specialty society and are confident our proven track record of product innovation will meet the needs of plastic surgeons.”

Plastic surgeons will get access to a variety of eClinicalWorks systems, helping to facilitate tasks like:

  • Management of patient flow
  • Accessing patient records (in house or remotely)
  • ePrescribing
  • Secure communication with referring physicians
  • Secure communication with patients
  • Clinical and financial analysis

ASPS chose eClinicalWorks after an 18-month evaluation led by a taskforce of ASPS members. 111 plastic surgeons responded to an ASPS survey regarding Health Information Technology and Electronic Health Records (HIT/EHR). The survey found that plastic surgeon’s use of the technology was “lighter than expected.” The ASPS task force has encouraged more plastic surgeons to embrace EMR and its associated technology.

Surgeons who responded to the survey listed their 5 most valuable EMR functions.

  • Computerized physician order entry (CPOE)
  • Web-based system (cloud computing)
  • Patient web portal
  • Ability to check or advise on evaluation and management coding levels based on fields entered
  • Ability to use a tablet in the office.

Through the survey, ASPS was able to understand practice profiles as well as different EMR/PM vendors to assess software features and functionality. By choosing eClinical Works, the society says it will help members find a cost effective entrance into an electronic medical record system.

Documentary Explores the World of Modeling and Plastic Surgery

January 5th, 2012

The new film About Face by portrait photographer Timothy Greenfield-Sanders takes a peek behind the modeling industry and the quest to continue looking young.

Through candid interviews, the film documents the experiences of models from the 70s and 80s.

“The divergent attitudes among the women about everything from the business of modeling, to aging and plastic surgery, are fascinating and priceless. ”

- The Sundance Film Guide

An excerpt from the film trailer asks Carmen Dell’Orifice: “What is it about plastic surgery and facelifts – what is your sense of that whole world?”

She says “Well, if you had the ceiling falling down in your living room,would you not go an have a repair?”

About Face has several screenings at the 2012 Sundance Film Festival, January 19 – 29 in Park City, Utah.

French Government Calls for Removal of Defective Implants

January 2nd, 2012

Two years ago, reports of defective silicone breast implants manufactured by PIP (Poly Implant Prothèse) prompted authorities to halt production of the devices.

The breast implants are said to have a very high failure rate and a non-medical type of silicone gel. France is now encouraging women with these implants to have them removed, and they’ll pay for the removal if the implants were originally used for breast reconstruction.

PIP silicone gel-filled implants have never been approved for use in the United States. The only way an American patient would have these implants is if she had undergone breast surgery in another country.

ASPS Monitoring the Situation

The American Society of Plastic Surgeons (ASPS), working with the French Society of Plastic Reconstructive and Aesthetic Surgery, is monitoring the recent developments on PIP silicone gel breast implants.

The ASPS issued a statement to its members practicing outside the United States:

“We believe that while the current focus of attention is in France, approximately 80 percent of PIP implants were exported to other countries including the United Kingdom, Spain, Brazil, Argentina, Chile, Colombia and Venezuela. There are also reports that implants under the brand name “M,” distributed by a Dutch company in Germany – and possibly elsewhere in Europe – may also be PIP implants that were rebranded as “M” implants.”

According to Reuters, Italy is working with cosmetic surgery clinics to compile a list of women who received the implants. Meanwhile, officials in Brazil and Britain are urging women to check in with their surgeons.

Allergan Inc, American Breast Implant Maker Assures Quality of Their Implants

In response to the French situation, Allergan issued a lengthy press release to reassure surgeons and patients about the quality of their breast implants. Allergan’s products are marketed under the names Natrelle, McGhan and CUI. None of these implants are included in the French investigation.

“The health authorities are specifically concerned about breast implants made by the company called Poly Implant Prosthese (PIP),” states the Allergan Press Release. The release also describes the extensive checks that are in place to ensure quality of their implants. “Allergan maintains rigorous clinical development processes, extensive manufacturing and quality assurance testing, as well as an industry-leading post-marketing surveillance program, to ensure the highest quality and safety of its breast implants that patients and surgeons can rely on.”

AP Video: France Calls for Breast Implant Removal

This one-minute video from the Associated Press briefly explains the situation in France.

Transaxillary Breast Augmentation

December 20th, 2011

The transaxillary technique in breast augmentation uses an incision in the axilla. The axilla is the space beneath the shoulder through which vessels and nerves enter and leave the upper arm. It’s commonly known as the armpit.

If you’re considering breast enhancement, this technique may be appealing to you, since the incision (and scar) is placed in a remote location, away from the breast. That’s why some have called it a “scarless technique.” If the scar is visible, is not associated with your breast augmentation.

Implant Choices

The surgical incision is small. Space is also limited when passing the implant from the armpit to the breast. Therefore, only a saline breast implant can be used.

Before it is filled with saline, the shell of the implant is passed through the axilla to the breast pocket. Through a port in the implant shell, your surgeon fills the implant to a specified volume, while it’s inside the breast pocket.

Challenges of the Technique

One known challenge of the transaxillary technique is difficulty seeing the breast pocket and muscle tissue. Lacking direct access to the breast (such as with the inframammary technique), it becomes more challenging to control implant placement.

Plastic surgeons have addressed this challenge by using endoscopy, a minimally invasive surgery technique. Using an endoscope, equipped with a tiny camera, your surgeon will have a clear view of the breast pocket and pectoral muscle.

The majority of breast augmentation procedures still use the inframammary technique, which involves an incision in the breast crease. However, transaxillary breast augmentation is an accepted technique with rigorous studies evaluating its safety and effectiveness.

Ask your plastic surgeon if this technique is suitable for you and read more about the breast augmentation techniques used here in Savannah, GA.

In Spain, Beauty Industry Thrives in Tough Economy

December 14th, 2011

A segment from PRI’s The World comes from Spain, where the European debt crisis has impacted a variety of industries. But not the beauty industry, which seems to be thriving.

Why would healthy and beauty be growing, while other industries remain flat in the country?

Inexpensive Ego Boosts Are Popular

It could be that people simply need a boost. When unemployment is nearly 23 percent, “inexpensive ego-boosts go a long way” reports PRI’s Marco Werman.

Salon manager Patricia Marquez explains, “a person needs to feel handsome to feel comfortable with themselves, she says. “If they don’t look good it doesn’t matter what they do; you have to feel comfortable in your own skin.”

“The well-groomed will be well positioned when opportunity knocks.”

The Salon Index as Spain’s Economic Indicator on PRI’s The World Listen Here

One theory says that during an uncertain economy, women take refuge in beauty products, especially lipstick, according to Leonard Lauder, chairman of Estee Lauder.

In 2001, Lauder claimed that sales of lipstick go up whenever the economy goes down. During times of distress, women skip the clothes and shoes, finding satisfaction in simpler beauty enhancements like lipstick.

Analda Santano, who works at the busy Cinema Nails salon, agrees with Lauder’s theory. She explains that people want to be prepared when the economic crisis finally ends and jobs become available. “The well-groomed will be well positioned when opportunity knocks,” she said.

In America, A Similar, But More Expensive, Story

The Daily Beast reports this week on a similar trend back home. “We might be cutting back on basics, but we’re pouring money into our looks,” writes Rebecca Dana, who offers some peculiar statistics about the cosmetic surgery industry:

Between 2009 and 2010, Americans spent 3.8 percent less on food, 2 percent less on housing, 1.4 percent less on clothes, and 7 percent less on entertainment. At the same time, we spent 1.3 percent more on breast augmentation, 5.1 percent more on lipo, 8.1 percent more on eyelid surgery, and a whopping 24.4 percent more on butt lifts.

In a recession economy, looking good appears to be a high priority for Americans and Europeans alike. Perhaps it is important to remember the multitude of other ways you can reinvent yourself during uncertain times. You can get an “inexpensive ego boost” from a class, a book, or a new venture.

Honing your skills as well as your looks will keep you competitive in the job market.

On TODAY, 73-Year-Old Jane Fonda Reveals That She Had Cosmetic Surgery

December 9th, 2011

Jane Fonda recently appeared on TODAY to discuss exercise, plastic surgery, marriage and more.

Her decision to undergo plastic surgery was simple: “I decided I wanted to look more like how I feel,” she explains to Matt Lauer.

On her TODAY appearance, she explains that she wasn’t overly concerned with her body image. She just wanted to look like herself.

“I just decided I wanted to buy myself some time,” she explains, admitting that she had plastic surgery on her chin, neck and beneath the eyes.

Fonda is a well known actress, political activist, fitness guru and feminist.

Along with Gloria Steinem and Robin Morgan, she founded the Women’s Media Center in 2005, a non-profit organization dedicated to “making women visible and powerful in the media.”

With a new fitness video, she’s still enthusiastic about the role of exercise for optimum health, but this time she’s focused on helping baby boomers achieve their goals.

View the TODAY interview with Jane Fonda online.

Visit msnbc.com for breaking news, world news, and news about the economy

How Effective is Male Breast Reduction?

December 7th, 2011

Study Reveals Patient Satisfaction Scores

For men affected by gynecomastia, male breast reduction improves quality-of-life, according to a recent study by plastic surgeons in Siena and Pisa, Italy.

Men who have gynecomastia have too much breast tissue. The problem can develop during adolescence or adulthood. Gynecomastia can negatively affect a man’s self-image, harming his quality of life for years.

Male breast reduction is common solution to the problem. A surgeon can remove glandular tissue and fat, sculpting the chest into a more masculine shape.

The Italian study evaluated 126 cases of gynecomastia during a six-year period. The average patient was a 28 year old male. Most patients had symptoms of gynecomastia on both sides of the chest, while a smaller number (11.9 percent) had the condition on one side.

During procedures, the surgeons employed different techniques as necessary. They frequently performed “adenomammectomy with periareolar inferior or inverted Omega incision,” while another alternative was “circumareolar or vertical scar incision and liposuction.”

The procedures effectively removed the excess glandular tissue and fat from the patient’s chest.

Effectiveness of The Procedure

Before and after their male breast reduction surgery, patients filled out questionnaires for their experiences. They answered questions like:

  • Why did you choose to undergo male breast reduction?
  • How satisfied are you with your results?
  • Has the quality of your life improved after surgery?

According to the study, patients had high satisfaction: “all patients reported an improvement in their quality of life with an average satisfaction score of 8.2 out of 10.” The complication rate was reportedly 17.72 percent.

“We suggest to the patients affected by gynecomastia to undergo surgery always and as soon as possible,” the authors conclude.

ASPS Patients of Courage 2011

November 28th, 2011

The American Society of Plastic Surgeons presents Patients of Courage 2011. The stories documented here recognize four inspirational people whose lives have been changed by reconstructive surgery. They are now working to help others in need.

During the ASPS meeting in in Denver this year, they were recognized and served as ambassadors for all Patients of Courage nominees. The 2011 honorees are Aaron Mankin, Dee Dee Ricks, Jamie Verdi and Dallas Wiens.

Neck Lipo Sculpts Lower Facial Contours

November 16th, 2011

If you’re bothered by extra neck fat that hides your jawline, a neck liposuction procedure may be the right solution. This ABC news segment, filmed in San Francisco, briefly documents one patient’s experience with the procedure.

“My neck bothered me, because I was getting this long sort of fat part of it here I didn’t care for,” says Terry Herrell, a patient of Dr. Randall Weil.

“Extra weight in the neck can make a patient’s face appear heavier than it his,” according to Weil. “In someone that has a fatty neck, the angle is what we like to have a right angle, is obscured,” he explains.

Neck liposuction is performed with an incision below your chin or on each side of the neck. A thin tube called a cannula is inserted through the incisions, which will remove a conservative amount of fat. The surgeon sculpts the lower facial contours to remove fat and create a more youthful, angular appearance.

Read more on ABC7 News

Call us at 912-920-2090 or contact us online to schedule your consultation today.