Less-invasive alternative to tackle the Sagging neck

But it turns out that is not true. These days, less-invasive alternative to enhance the appearance of neck, provided that there is a full-scale Turkey wood. As a Romance, a neck go wrong in many ways. Weight gain or genetics may lead to a double chin. Loose skin can worsen underlying lax muscles. A neck-lift (on your own or with a face lift) remains the best basis for a striking, lasting correction.

But cautious liposuctioning superfluous fat can also help streamline full throat, especially those who have still relatively youthful elastic skin that can bounce back after the procedure. The trick is not to be suctioned to point see skeleton (it should look at the underlying Loose bands of muscle, which become more obvious after).

If the problem is these isolated bands, inject Botox in your neck muscle can make them less conspicuous in a patient with large colour, "said Dr. Rod j. Rohrich, Chairman of the Department of plastic surgery at the University of Texas Southwestern Medical Center in Dallas. But patch lasts only three to four months.

Promoted in the last year of "The Rachael Ray Show", Ulthera is a new lifting skin procedure using focused ultrasound to trigger collagen growth depth beneath the epidermis. A single treatment can improve the outlines of the under-chin laxity in patients about 40-55 years old who believe that they are not ready for surgery or placed, several doctors said, including Dr. Matthew White, facial plastic surgeon at NYU Langone Medical Center. Ulthera handpiece pressed to the skin can doctors to see underlying layers onto a screen (as with gynaecological ultrasound) before entering treatment, a first noninvasive Dermatological procedures. "We deposit energy into an exact depth below the surface of the skin without prejudice to the intermediate tissue," said Matthew Likens, CEO of Ulthera, Mesa, Ariz., the company behind it.

Patients may feel pain during treatment. Potential candidates should also be aware that peer-reviewed published studies have yet to quantify just how much sharpening can be expected in the neck and lower face. "It is true," confirmed Mr. Likens. (Research continues, "he says.)

Not to stop Dr. Mehmet Oz, a cardiologist, from proclaiming his television show last month that Ulthera was a "revolutionary nonsurgical facelift" and promises to get rid of a viewer sagging necks live scene. In the segment, said Dr. Haideh Hirmand, plastic surgeon in Manhattan, it was the first time she was "really excited" about a noninvasive technique for lifting of tissue. She stressed that Ulthera is no substitute for surgery, neck skin is too loose. (In a later interview she recommended a pain medication such as Percocet and antianxiety drugs Valium before treatment, which she said was worth for minimal cervical rotating.)

"The company will tell you to do this," said Dr. Tina Alster, a dermatologist in Washington, which has left a pain and an antianxiety medicines mandatory for her Ulthera patients. As I said, Dr. Alster, who will receive a scholarship for research from Ulthera to study its effect on off-face areas, is to see the results in the area of eyebrows, Cheeks and neck of middle-aged patients.

The segment "Dr. Oz" left the impression that the Ulthera device has been cleared by the Food and Drug Administration for the neck and lower face and eyebrow area.

Not so. "The company can only promote device for eyebrows-lift," Although treatment schedule includes the Cheeks and throat, too, Karen Riley, a spokeswoman for the Agency, wrote in an e-mail message. -But they can make any claims with respect to these areas and not promote their device for treating specific conditions in these areas. (As with other procedures, but the doctors can treat other body parts fit.)

Nina Fritz Meyerhof, carrying children on Earth, an organization for peace, was willing to chance it when she met Dr. White this month for Ulthera fixed up her throat and jawline. "I wanted everything to look fresh and tight," she said.

68 Is Ms. Fritz Meyerhof, of South Burlington, Vt., a decade or two older than Dr. White typical candidate, someone who is just starting to Notice during the chin skin laxity. But Dr. White, who has studied the focused ultrasound, knew his skin was still so elastic that it would tighten. (How fast the skin ages vary with factors such as sun exposure, genetics and smoking – which may be why your older pal neck skin is taut while your gave way at 47.)

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Plastic surgery among ethnic groups mirrors the beauty ideals

In Flushing, Queens, surgeons have their attention trained a few metres higher, fitted their nose as their Chinese patients want to turn down. Russian women in Bay Ridge, Brooklyn, with her breasts enlarged, while the Koreans in Chinatown have jaw lines trimmed.

As demand for surgical enhancement explodes worldwide, New York developed a variety of niche markets that allow the city's many immigrants to have tucks and tweaks that are carefully tailored their cultural preferences and ideals of beauty. Just as they can find Lebanese grape leaves or bowls of Vietnamese pho to taste home, finds immigrants surgeons be able to recover the fission of Thal?a, Mexican singer Lee Hyori, Korean or pop star bright eyes.

They can also find a growing number of physicians offering unsurpassed plans to help them afford surgery. If the price is still too high, are illegal surgery by unlicensed practitioners in many neighbourhoods.

Since these specialized clinicians transforming Asian eye brows and Latina silhouettes, they provide a filtered-level perspective on the ambitions and uncertainties for immigrants in 21st century New York — mosaic portraits buffed with Botox.

"When a patient comes in from a particular ethnic background, and of a certain age, we know what to look for," says Dr. Phillip Alizadeh, head of Long Iceland plastic surgical group, which has three clinics in the city. "We're kind of amateur sociologists.

Dr. Alizadeh, himself an immigrant from Iran, admits that the results may seem less like science than like gender stereotypes. Still, he and other doctors who are working on ethnic groups say they can scan their appointment books and detect unmistakable trends: many Egyptians may face lifts. Many Italians transform their knees. Dr. Alizadeh said his fellow Iranians favor nose jobs.

And there is no questioning the surge in demand in immigrant neighborhoods, where Mandarin and Arabic are spoken in the operating room and patients range in age from 18 to 80 ", as a doctor there.

Approximately 750,000 Asians in the United States underwent cosmetic procedures, from the surgery less invasive work as Botox injections, 2009 — approximately 5 percent of the Asian population and more than twice the number in 2000, according to estimates by the American Society of plastic surgeons. Among Latinos, the number of around 1.4 million, almost 3% of the population and a threefold increase from nine years earlier. 2009 Was about 4 percent of white cosmetic work.

In New York, new clinics have opened in immigrant enclaves and practice has expanded to keep pace with demand.

Extreme makeover is in many ways a tradition among the city's immigrants. A century ago, at the beginning of cosmetic surgery, European Jews underwent nose jobs and Irish immigrants had his ears pinned back in an attempt to see the "more" American, "said Victoria Pitts-Taylor, professor of sociology at Queens College who has written about popular attitudes to plastic surgery.

"Most of these transactions was targeted for assimilation issues," said Ms. Pitts-Taylor.

Today show feature as varied and complex procedures. Instead of trying to fit in their new country, transforming many immigrants to their home culture trends and tastes.

"My patients are proud of the rich Hispanic," says Dr. Jeffrey p. Yager, who speaks Spanish and the size of his Office has tripled since opening the 1997 in Washington Heights, a heavily Dominican neighborhood of Manhattan. "I do not have the patients to hide their ethnicity".

While clinics that advertise in the local Russian, Spanish, and Chinese media have much in common with each other and with those serving nonimmigrants – everyone wants to have a flat stomach and a smooth forehead – their core business is as diverse as the languages spoken by their patients.

Dr. Holly j. Berns, an anesthesiologist, feels as if she is a seesaw when she travels from Dr. Yager office to suburban train clinicians. On Long Iceland, she said, "they are doing everything they can get the fat out of their buttocks area." In Washington Heights, "it is the opposite – they just want the ends back enlarged and rounded."

Italia Vigniero, 27, Dominican patient of Dr. Yager 's, had breast implants in 2008 and is considering a buttocks lift to achieve, as she called it "silhouette of a woman."

"We Madrid define ourselves with our bodies," said she. "we have always curves."

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Dominique Browning's Argument for natural ageing

Now, before someone starts turning defensive, let me defensive. This is not an essay about why I categorically oppose cosmetic surgery. I as supportive as the next gal if some one feels so bad about her neck as she does not leave home, or if another is so heavy-lidded that he misses half image every time he blinks. Plastic surgeons have done wondrous things.

As regards dissemination of minor cosmetic procedures? Those that your dentist is offering to do while he is in the vicinity of the mouth? Injections of fillers to plump up lips, smooth wrinkles, pad out laughter lines? At this point, it is a wonder that salesclerk at Barneys does not offer to postpone your face while you are trying on hats.

I am again, not against it. Well, maybe Botox. I am calling for a RANT when my friends come to the brink of the matches to the PIN. I mean, who wants to inject a poison so deadly that it paralyzes nerves, sending small muscles to atrophy?

I'm not categorically opposed to a helping hand, so long as it has finesse. My current rule of thumb, when confronted with an improved face, is that if I am vaguely wondering whether there was work, change was well done. But these days, I wonder why – why did you?

We have gone too far. I am very, very afraid.

We have reached a stage where cosmetic surgery is so easily accessible to in some circles it is expected of men and women to make use of these age-deny. (You cannot call them youth-sticker when you are no longer young.) If you choose not to take advantage of the benefits of needle-knife, is deemed to be to make a statement. You take a stand against the current standards of beauty.

We have triggered a strange, collective, late onset of body dysmorphia. What is worse is that our fears on ageing have floated into our children's generation, so that the mantra about cosmetic procedures including among some 30-year-olds are "intervention early and often."

I began to worry about all this a year ago when I was on a book tour. I love reading aloud and watching people's faces as they listen. Within weeks, I was deeply in touch with my inner ham. Sometimes, I found myself Sila for a response. I would look at the audience, hear laughter and heckling, but sees only stern masks. Even afterwards, would these same faces says how much they had loved my presentation. It took a while to realise that people had trouble expressing emotions in its functions.

This is also when I started developing problem "who are you?".

Too many people have had procedures that have gone wrong. They look strange and tragic. Is it inevitable? You do one thing, the impact is beginning to fade, you make another, and so on. You get puffy. You get numb. Or you picture. And I wonder. Has no one said "stop"? Has no one, especially the chopped needle, carefully advised against further work? It used to be a rare sight site cosmetic surgery addict, but there has been surprisingly common.

We are now in position to watch politicians and newscasters talking about worrying questions — like, say, our education system, or environmental degradation – but they cannot muster signal of concern and less dismayed.

An evening catch in a segment on TV about nuclear disarmament. A celebrity spokesperson makes a case for fixing the amount of weapons, and part of my brain clicked gear: she is smart and passionate. But another part of me is distracted, because Visual does not match the message. Her forehead is not crimp with concern. her Cheeks is no crinkling with smiles, her eyes does not reduce the suspicion of trick questions. No matter what she says, actually her face frozen in place. It is grotesque fascinating — and that, before I know it, is the interview above. Medium lost message.

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Breast surgery requires reconstruction Talk, the law says

After her mastectomy in April Alantheia Pena cried for the loss of her breast. Her partner told her not to worry about flat spot on its chest, but she could tell it bothered him when he looked away as she took his shirt.

It was a friendly Secretary where she went to get his prosthesis, an artificial breasts fill her clothes, who noticed her cry and told her that she could have her breasts reconstructed with health insurance that covers costs. Ms. Pena said his cancer surgeon had told her.

A law on State was signed Sunday by Gov David a. Paterson; now require New York hospitals and doctors to discuss options for breast cancer reconstruction with their patients before you perform cancer surgery, providing them with information on insurance and to refer them to another hospital, if necessary, for reconstructive surgery.

The law came largely through the efforts of Dr. Evan Garfein, plastic surgeon at Montefiore Medical Center in the Bronx who gave Ms. Pena, who will turn 48 next week, a new breast, which made her so happy she wore a bikini last month for the first time in his life.

"It gave me back my life," said Ms. Pena, running H.I.V. Ministry of Friendship Baptist Church in Brooklyn and lives in the Bronx, on Wednesday. -It is like my breasts. It is beautiful. It is perfect. It is a perfect breasts. "

Dr. Garfein, who specializes in reconstructive surgery after breast cancer, head and neck cancer, said he had pushed for the law after a friend of his, Dr. Caprice Christian Greenberg, wrote a thesis demonstrating that poor, minority women were much less likely to get breast cancer reconstruction after cancer than better-off women.

Congress guaranteed universal coverage for breast cancer reconstruction after cancer surgery in 1998. But Dr. Garfein said that only 30-40% of women who have had mastectomies now breast cancer reconstruction.

Dr. Garfein said the number would be closer to 75% if more women were informed of their options. Ms. Pena, covered by Medicaid, had his surgery at North General Hospital in Harlem, which is disused, but she said his doctors had never discussed breast reconstruction with her.

One reason for the low proportion of reconstruction, Dr. Garfein said, be lack of plastic surgeons outside of large academic medical centres, and another can be financial. Medicaid pays about $ 11,000 to $ 15,000 to the hospital and $ 540 to the surgeon, according to Montefiore.

Repayment can vary from thousands to tens of thousands of dollars with private insurance, and some patients may have entire costs covered, while others may have to pay 30 percent, according to Dr. Scott Breidbart, Medical Director of Empire BlueCross BlueShield.

Ms. Pena is still recovering from cancer, but with her new breasts, she said, "at the end of it, you see some kind of rainbow".

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"Vampire Face Lifts": Selphyl injections of your blood platelets

In fact, it is not surgery, a procedure in the office which carries blood from the arm, then spun in a Centrifuge to separate out platelets. They are then injected in your face, hoping to stimulate new collagen production. Selphyl, which the system is called, arrived in the prosperous ansiktsbehandling-regeneration market in 2009 and is now used by about 300 doctors nationwide in the name of beauty, says Sanjay Batra, Managing Director of aesthetic factors which produce Selphyl system.

This year has "vampire facelift" been promoted on "The Rachael Ray Show" and "Doctor." It has also been broadcast in more than a dozen local news programs, some of which are presented unproved claim that results will last two years.

Dr. Drew Ordon, one of the hosts of "The doctor" and Ma plastic surgeon, gushed on air,-vampires have moved into plastic surgery, too, and I am one of them, Patient in his segment had recently also her own fat is injected into her face to the Oh, so it was not clear that platelets had anything to do with her fresher look. (Not to be stopped the audience's applause.)

Scary that process audio, some patients prefer the idea of using their own blood rather than a Neurotoxin or synthetic filler to rejuvenate their faces. "We all want to see better," said Joan Sarlo, 56, who underwent a Selphyl "vamp-lifting", performed by Dr. Lisa a. Zdinak, Manhattan-based doctor whose specialty is ophthalmic plastic surgery. But the "less unnatural better," Ms. Sarlo said. "What can be better than your own blood?"

Some doctors say that Fillers be taken from the body is less likely to cause irregularities and bumps on the agenda than synthetic and Sculptra aesthetic. But now, it is difficult to talk about "Platelet-Rich fibrin matrix" or P.R.F.M. (the medical term for the Golden-hued platelets Selphyl extract), is an effective supplementary means of hollowed-out cheeks and wrinkles.

Dr. Anthony p. Sclafani, Director of facial plastic surgery at New York eye and Ear Infirmary, said he has seen the revivifying the effects of P.R.F.M. on cosmetic patients last for more than a year – sometimes 18 to 24 months. (Dr. Sclafani is a paid consultant for aesthetic elements, and most of his research on the Selphyl financed by the company.)

But no national clinical trial has been done to prove such claims. "There is simply no objective data out there to justify the claim of two years," Dr. Jeffrey m. Kenkel, plastic surgeon masters degree and a spokesman for the physicians Coalition for injectable safety, wrote in an e-mail message.

Dr. Phil Haeck, Chairman of the American Society of plastic surgeons, plagued by a lack of research proving the effect of Selphyl, which costs $ 900 to $ 1,500 for a procedure which takes less than half an hour. "There are no scientific studies, the only personal certificates," he said, adding that he thinks "frightening" concept is so obsolete that bloodletting to cure the disease. "This is another gimmick that people use to make themselves stand on the Internet in a true everyone part of medicine".

In addition, doctors and consumers are not clear on which Selphyl is F.D.A. m.s. family medicine physician who works by refining MediSpa in Johnson City, Tenn., tells consumers that Selphyl is in a YouTube video with Dr. John Argerson, a "recently approved F.D.A. fillers" for the nose to lip creases. And in an article in the December 2009 in dermatology times, a trade publication, Dr. Ranella Hirsch, a master's degree dermatologist, said Selphyl is "a new F.D.A. approved dermal fillers." This week, Dr. Hirsch, who do not use Selphyl in their practice, said she could not explain why she misspoke, adding to an e-mail message to "the lack of clarity between F.D.A. approval versus F.D.A. Finish-to-market is a key issue."

Actually. F.D.A. has not been approved or cleared P.R.F.M. resulted in a Selphyl Centrifuge marketed for Facial rejuvenation. 2002 Cleared the Agency a blood-insamlingssystem called Fibrinet, whose Platelet-rich by-products orthopedic physician then be used to accelerate tissue repair. This same machine was born again as Selphyl 2009, and since then, the company promoted it as a way to "reverse the natural aging process." This week, said Shelly Burgess, a spokesman to F.D.A. Selphyls maker would have to file an amendment in order to obtain approval to market its system for the collection of blood in a new way, and any such amendment could be found in this letter.

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Chinese turn to plastic surgery in growing numbers

But her jaw line? Too square for her taste. As the 22-year-old television reporter recently traveled from a coastal province to a private hospital in downtown Beijing that reshaped – for about $ 6000. Her boyfriend, a 29-year-old businessman wearing designer glasses, picked up the Bill.

"I'm not nervous," said the Devil (English first name she chose for himself, and the only thing she would reveal) as she awaited surgery at Evercare Aikang hospital in downtown Beijing. "I look more sophisticated and delicious."

The breathtaking pace of transformation for upwardly mobile Chinese-from bicycles to cars, the village to the city, between the holidays to ski vacation — now extends to faces. In just a decade become cosmetic and plastic surgery is the fourth most popular way to spend discretionary income in China, according to Ma Xiaowei, China's vice health minister. Only houses, cars and travel rank higher, he said.

No official figures exist, but the international society of aesthetic plastic surgery 2009 estimated that China ranked third, behind the United States and Brazil, with more than two million transactions annually. And the number of operations is doubling each year, Mr. Ma said at a conference organised by the Health Ministry in November.

"We must admit that the plastic and cosmetic surgery has now become a joint service aimed at the masses," he said.

Face lifts and Wrinkle-removal treatments are in vogue, as in the West. But at Evercare, who operates a chain of cosmetic surgery hospital in China, two-fifths of the patients are in their 20s, said Li Bin, general manager and co-founder.

Nationally, most requested operations have nothing to do with age: The No. 1 measure aims to make the eyes appear larger by adding a crease in the eyelid, which constitute what is called a double eyelid, said Zhao Zhenmin, General Secretary of the Government-run Chinese Association of plastic and aesthetics.

The second most popular operation raises the bridge of the nose so that the more prominent – opposite of job characteristic nose in the West. The third is the transformation of the jaw so that the narrower and longer, "he said.

Youthful patients include job applicants hope to boost their prospects in the labour force, teenagers who have had cosmetic surgery as a high school graduation present and middle school students, most of which want an eye job, said surgeons.

China's regulatory system, through all the sources have not kept. At the Conference in Beijing in November, Mr. Ma, Deputy health minister, said the situation ", also called neglect."

11 Clinics and hospitals are offering cosmetic or plastic surgery that has been inspected late last year, said he met less than half the national standards. Staff lacked professional credentials, "said he; equipment and materials was subpar. Beauty parlors are obvious violations, illegal administer Botox injections and perform eyelid surgery.

Mr. Ma was similar to the industry at a medical "emergency zone" with frequent accidents. His point was underlined when a 24-year-old former contestants on Chinese reality show "Super Girl" died after his windpipe filled with blood during an operation to transform her jaw in Hubei Province.

Health officials demanded an investigation. But Mr. Zhao, who also serves as Deputy Head of Beijing's Government-run plastic and cosmetic surgery hospital, said that it was impossible to gather evidence because the body was cremated soon – a standard in China when the hospital privately settle claims unfair.

-Personally, I think it's quite disgusting, "he said. "We have to get to the bottom of such cases to protect people in the future."

Shortcomings in China's medical system is hardly limited to cosmetics and plastic surgery. But the industry now generates an estimated 2.3 billion dollars in revenues, and the Government has begun to note. Officials say the new regulations will probably be issued this year.

An implicit goal is to stop the flow of Chinese patients to better established hospitals in South Korea. Mr. Ma estimates that Chinese account for 30% of cosmetic surgery patients in Seoul.

Now many beauty salons, as well as a downtown Beijing Branch of a major chain, capitalize on the lack of supervision. One recent afternoon, said a 62-year-old woman in a white coat who described herself as a doctor she could call a doctor who can give the visitor the double eyelids in 20 minutes, about $ 180, a fraction of the fee as a standard hospital.

"Immediately you will look different," she said.

Shi Da, Li Bibo, Zhang Jing and Jonathan Kaiman contributed research.

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Tattoos and Permanent Makeup: Skin Deep

Even if the proceedings were "a little uncomfortable," said Ms. Reynoso, now 39, she was pleased with the results. "Everything for the beauty," said she. "It's amazing how you wake up looking quite amazing and get ready in five minutes. I apply only pink, Lipgloss, mascara and I am. "

Permanent makeup, or micropigmentation also known as cosmetic tattoo, go back to the 1980s, when it was developed to address alopecia, a condition that causes hair loss (including eyebrows). Then the field has been extended to Burn victims and cancer survivors, patients with arthritis and Parkinson's disease which is difficult to put on makeup and people like Ms. Reynoso, who would simply rather limit the amount of time spent in front of a mirror.

But while many are happy with their results, not light in the world of needles and ink. The word "permanent" is a misnomer because the color fades with time. Some patients develop granulomas, keloids, scarring and bladders and they report burning sensations when they undergo a M.R.I.

Although the inks used in permanent makeup and pigments of these inks are subject to inspection by the Food and Drug Administration, vary in addition regulations for practitioners (electrologists, cosmetologists, physicians, nurses and tattoo artists) by the State. "You can go on eBay and buy machinery and pigments and go into the garage and set up shop," said Dr. Charles Zwerling, an ophthalmologist in Goldsboro, N.C., and the author of the forthcoming book "Micropigmentation Millennium." He founded the American Academy of Micropigmentation, a non-profit professional organization that offers certification for practitioners, 1992.

"We see thousands of faces which is destroyed by people who may not be trained properly, and it is the biggest problem in permanent cosmetics," said John Hashey, owner of John Hashey advanced school of permanent cosmetics in Stockholm, Fla. Mr. Hashey said that 90 percent of its business activities, fixing mistakes. -Your average cosmetologist who cuts hair to make 1,200 to 1,500 hours just to do it, "he said. "How is it any more important than with a needle in someone's eye?"

The negative reactions to micropigmentation includes infections such as hepatitis, staph H.I.V., and strep has from dirty needles and allergic reactions to the permanent dyes, said Dr. Jessica j. Kranten, a dermatologist in Manhattan and a Clinical Assistant Professor of Dermatology at SUNY Downstate Medical Center in New York.

A report in this month's issue of clinical infectious diseases reported an outbreak of mycobacterium haemophilum, nontuberculous mycobacterium causing skin, joint, bone and pulmonary infections, permanent makeup was applied to the patients ' anletes. A study last september in contact dermatitis, a medical journal, examined the serious side effects such as swelling, burning, and the development of papules in four patients who had at least two permanent-makeup procedures on their lips. "In light of the reactions that are difficult and often therapy-resistant skin we recommend regulating and control of substances" are used in dyes, the authors wrote.

Nancy Erfan, a real estate agent in Monterey, California, had a bad experience. In November 2003, Ms. Erfan, now in his twenties had permanent color is applied on their lips and eyes. The technician told her she would be swollen for a few days, and gave her a cream to help. But swelling worsened, Ms. Erfan said, and soon she had "huge shock" around his eyes and lips.

"I could barely open my mouth to eat or speak," she said, she visited many dermatologists and plastic surgeons, but found no remedy. "They said I obviously having an allergic reaction, but they knew not what to do."

It turned out that the colors used in a colour that Premier pigments, a producer was tainted after F.D.A has received more than 150 complaints, said the company eventually across the Board.

Finally found Ms. Erfan Dr. Mitchel Goldman, a dermatologist in San Diego who specializes in the laser removal of tattoos. He made six treatments over a year, a total of about $ 10,000, which the insurance did not cover. Acupuncture and Chinese herbal medicine helped facial pain and swelling, she said. Dr. Goldman to larger F.D.A. supervision of permanent make-up. "I've had patients who have infections on their lips and eyebrows since those tattoo artists are not fully regulated," he said. "They use equipment that is not sterile. Many infections will also from tap water. The dipping their needles and transmit infections. Pigment goes to the lymph nodes. Who knows if 20 years down the line of patients will have Lymphoma or cancer due to these carcinogens in pigment tattoo? "

Mr. Hashey believes bodybuilding should be regulated nationally and is required to obtain 600 to 1,500 hours of training.

Elizabeth Finch-Howell, owner and founder of the Derma International, a permanent cosmetics manufacturers in Kempton, PA., believe at least 100 hours is enough. (She got a tattoo that matched her skin colour to cover up a port wine colored birth mark on half of her face, the adoption of the measure itself because "I do not trust anyone else," said she.)

Ms. Erfan, she is still ANGRY, years later. It took her more than a year and a half to recover, "she said, and she still has scars on his lips. She must wear make-up to cover the scars and white lines above its mouth, and face the pain persists. -Apply makeup is one thing, but injected into your body? I feel stupid, "said she;-but everything I read about permanent makeup was positive, how even Cleopatra tattoo his eye liner and lip liner. I thought it was safe. "

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Venezuela's newest enemy: Breast lifts

Blame for the boom in such operations here, Mr. Ch?vez said on State television over the weekend, rested with the doctors who "convinces some women that if they do not have large bosoms, they should feel bad." He said there was a "monstrous thing" that poor women seeking breast lifts when they had trouble making ends meet.

"What is this, friend?" Mr. Ch?vez declared its viewers.

Mr. Ch?vez's comments come at a time when Venezuela has emerged as one of the world's leading markets for breast augmentation. Between 30 000 and 40 000 women here to undergo the procedure each year according to the calculations of the Venezuelan society of plastic surgeons.

Signs in Caracas advertise bank loans to surgery. Gossip Blogs speculate about the improvements made to contestants in the Miss Venezuela ... Last year, tried a candidate to the national Assembly, Gustavo Rojas, to finance his campaign by raffling of breast cancer elevator (he lost anyway).

"I've never seen more silicone elsewhere," said Mireia Sallar?s, a filmmaker from Spain that focus on feminist issues and are working on a project about Venezuela, the newspaper Tal Cual.

Mr. Ch?vez regretted the amount of money spent on cosmetic breast surgery, there are also a darker side with procedures with reports of surgical mistakes resulting in death in some patients. A 20-year-old woman, Paola Rios, died in Caracas this month due to complications from breast augmentation surgery.

Mr. Ch?vez standing on a tripod in Venezuelan popular culture urges swift reactions from some quarters, particularly the medical profession. "I think not enough should be no kind of discrimination of these aesthetic procedures," said Dr. Ram?n Zapata Sirvent, leading plastic surgeon here.

In an acerbic leader on the subject on Monday compared the opposition newspaper El Nacional Mr. Ch?vez to Colonel Muammar el-Qaddafi, the Libyan leader, who regard Mr. Ch?vez as a friend. "Now, this obsolete militaristic, coarse, repressive stance on women's freedom to do what they want with their bodies," said El Nacional.

President, however, made it clear that breast augmentation did not square well with his revolutionary priorities. He said that among thousands of letters he receives from supporters, arrived asking for his help for a breast cancer Elevator, which would cost as much as $ 7,000. "Of course I had to reject it," he said.

State media in agreement with the President on the subject. The State newspaper the Correo del Orinoco claimed this month that plastic surgery "as common as dentist appointments, and it is not unusual for wealthy parents proudly buy his 15-year-old daughters breast implants for" come of age "birthday presents."

Maria Eugenia Diaz contributed reporting.

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The dispute over Cancer tied to implants

When talking to patients about a rare type of cancer linked to breast implants, should plastic surgeons call it "conditions" and avoid using the word cancer, tumor, disease or malignancy, Chairman of the American Society of plastic surgeons advised members in an online seminar on 3 feb.

Comments made by Dr. Phil Haeck, society President, published on Thursday by the public citizen Health Research Group, an advocacy group in Washington. The Group also wrote to the Food and Drug Administration, characterizing advice as part of a campaign of misinformation is scheduled to play down the risks of implants and urging health officials to put an end to it.

Dr. Haeck was traveling and unavailable for an interview, according to a spokesman for the plastic surgeons group, a statement in response to public citizen's claims.

Surgeons ' group said public citizen had taken Dr. Haeck remarks of context and misinterpreted them; he discussed a possible link between implants and anaplastic large cell lymphoma or ALCL, a cancer which means that the immune system.

The statement said, in part, "far from intending to trivialise or minimize this problem, Dr. Haeck tempore remarks were well understood by doctors present that type of ALCL observed in possible association with breast implants do not seem to have malignant course of classical ALCL is a systemic disease."

Events that grew out of a message on Jan. 26 by the Food and Drug Administration that breast implants can cause a small but significant increase of lymphoma, which is uncommon but treatable. It is not breast cancer. It is usually a systemic disease, but in those cases associated with the implants, grew Lymphoma in the chest, usually in the capsule of scar tissue around the implant.

Although some evidence suggests that Lymphoma associated with the implants may be less aggressive than the more common form of the disease, that evidence is not convincing, "said Dr. William Maisel, the first scientist and Deputy Director for Science at the Center for devices and radiological health to the Food and Drug Administration.

The disease is very rare. At the time of the announcement January said drug agency it knew only about 60 cases worldwide, a small number compared to 5 to 10 million women have implants. But even that small number appear to be an excess of cases compared to the regular presence in the breast of this type of lymphoma in women who do not have implants: 3 in 100 million.

In some cases, simply remove the implants and scarring appeared to eliminate disease, but other women received chemotherapy or radiation, or both.

Online Seminar, about an hour long, was available only to members of the American Society of plastic surgeons and the American Society for aesthetic plastic surgery. About 600 members logged in. Plastic surgeon who saw the session made a transcript of part of it and sent them to public citizen. New York Times showed the seminar and verified that Dr. Haeck enlighten the audience to call Lymphoma "conditions" when talking to patients ' rather than to disrupt them by saying that this is a cancer, it is a malignancy. "

The physician transcript said in an interview that he did so because he was disturbed by the advice to avoid calling for lymphoma, a type of cancer, and considered that the plastic surgeons society was misleading its members who in turn can mislead his patients. He asked that his name be withheld because he did not want to make enemies of their colleagues by contributing to the bad news about implants.

Food and Drug Administration issued a statement saying the review public citizens ' letters and added: "in F.D.A. has been very clear in our communications possible association between breast implants and the development of ALCL, which is a very rare type of cancer. It is important that health professionals and women who have breast implants, or considering breast implants are aware F.D.A. 's recommendations on this matter. "

The Agency has said that women with implants should pay attention to changes in their breasts and see a physician if swelling, lumps, pain, asymmetry or other symptoms develop. Lymphoma can occur years after implant surgery.

Dr. Felmont Eaves III, Chairman of the American Society for aesthetic plastic surgery, said: "when the numbers are so extremely rare that this danger is sometimes an overreaction. We want to ensure that women and surgeons put it in the right perspective. "

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