Fat-Derived Stem Cells Show Promise for Regenerative Medicine, Says Review in Plastic and Reconstructrice Surgery (R)

ARLINGTON HEIGHTS, ill., may 29, 2012 (GLOBE NEWSWIRE)--Adipose stem cells (ACSs) — stem cells derived from fat — is a promising source of cells for Use in plastic surgery and regenerative medicine, according to a special review in the June issue of plastic and reconstructive surgery ?, the official medical journal of the American Society of plastic surgeons (ASPS).

However, much more research is needed to establish the safety and effectiveness of any type of ASC therapy in human patients, in accordance with article ASP member surgeon Rod Rohrich, MD University of Texas Southwestern Medical Center, Dallas, and colleagues. Dr. Rohrich is editor in Chief of plastic and reconstructive surgery.

Adipose stem cells – exciting opportunities, but proceed with caution

The authors present an up-to-date review of the research on the science and clinical application of ASCs. Relatively simple derived from human fat, ASCs are "multipotent" cells can induce that develop into other types of cells – not only fat cells, but also bone, cartilage and muscle cells.

Adipose stem cells promote the development of new blood vessels (angiogenesis) and seems to represent a "immune privileged" set of cells that block inflammation. "Clinicians and patients both have high expectations that ASCs may be the answer to cure many recalcitrant diseases or to reconstruct the anatomical defects," according to Dr. Rohrich and other co-authors.

Although the number of studies using ASCs are rising, there are, however, continuing concerns about their "real clinical potential." The reviewers write, "for example, there are questions about the isolation and purification of ASCs and their effect on tumor growth and execution of FDA regulations."

Dr. Rohrich and other co-authors conducted an in-depth review to identify all known clinical trials of ASCs. So far, most studies conducted in Europe and Korea; reflect strict FDA regulations, has only three ASC studies conducted in the United States to date.

Many different uses, but little experience so far

Most ASC clinical trials to date have been carried out in plastic surgery – a field with "unique privileged access to fat tissue." Plastic surgeon-researchers have used ASCs for various types of soft tissue augmentation, breast augmentation (including after implant removal) and the regeneration of fat in patients with abnormal fat loss (lipodystrophy). Studies exploring the use of ASCs to promote healing of difficult wounds have been reported as well. They have also been used as a method for soft tissue engineering and tissue regeneration, with questionable results.

In other specialties, ASCs have been studied for use in the treatment of some blood and immunological disorders, heart neurological and vascular problems, and fistulas. Some studies have explored the use of ASCs to generate new bones for use in reconstructive surgery. Some studies have reported promising preliminary results in the treatment of diabetes, multiple sclerosis and spinal cord injury. No serious adverse events related to the ASCs was reported in any of the groups of studies.

Although many of the results are encouraging, emphasize the reviewers to all these programmes is in its infancy. Around the world, for all uses, less than 300 patients treated with any standard protocol for preparation or clinical applications of ASCs.

There is also no consensus on the number of ASCs are required per treatment, or how many treatments are necessary to show clinical improvement. Consequently, Dr. Rohrich and co-author conclude "further fundamental science experimental studies with a standardized protocol and larger randomized controlled trials must be carried out to ensure the safety and effectiveness of ASCs in accordance with FDA guidelines."

Plastic and reconstructive surgery ? is published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health.

LaSandra Cooper or Marie Grimaldi
American Society of plastic surgeons
847-228-9900
Media@plasticsurgery.org
www.plasticsurgery.org

Plastic and reconstructive surgery

More than 60 years, plastic and reconstructive surgery ? (http://journals.lww.com/plasreconsurg/), a consistently excellent reference for each specialist who uses plastic surgery techniques or work with a plastic surgeon. American Society of plastic surgeons, plastic and reconstructive surgery ?, the official journal provides subscribers with up-to-the-minute reports on the latest technology and monitoring for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, and cosmetic surgery, as well as news about medico-legal issues.

About ASP

American Society of plastic surgeons (ASPS) is the world's largest organization for specialty plastic surgeons. Representing more than 7,000 Member Surgeons, the society is recognized as a leading authority and information source on aesthetic and Reconstructive plastic surgery. ASPS comprises more than 94 percent of all specialty plastic surgeons in the United States. Founded in 1931, and represents the society physician certified by the American Board of plastic surgery or The Royal College of Physicians and Surgeons of Canada. ASP advances the quality care to plastic surgery patients by encouraging high standards of training, ethics, physician practice and research in plastic surgery. You can learn more and visit the American Society of plastic surgeons at Facebook.com and Twitter.com PlasticSurgery.org or/PlasticSurgeryASPS/ASPS_news.

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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."

View the original article here

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.

View the original article here

A Boom in plastic surgery for them during the golden years

But one thing needed improvement, she decided: her figure. At his age, "she said," your breasts go in one direction and your brain goes into another. " So on July 22, Ms. Kolstad, a widow living in Orange County, California, underwent a three-hour breast lift with implants, which costs about 8 000 $.

"Physically, I am in good health, and just feel like, why not take advantage of it?" said Ms. Kolstad. "My mother lived for a long time and I will only take it for granted that it will happen to me. And I want my children to be proud of how I look. "

Ms. Kolstad is one of several septuagenarians and octogenarians, also cut the nonagenarians as golden years with the help of a plastic surgeon. Under were American society for aesthetic plastic surgery, 2010 84,685 surgery among patients age 65 and older. Those with 26,635 face-lifts, 24,783 cosmetic eyelid activities. 6,469 liposuctions, 5,874 breast reduction. 3,878 forehead lifts, 3,339 breast lifts and 2,414 breast industrial cooperation.

Except for a brief turndown during the recession, these figures had risen over the years, and experts say the trend looks likely to accelerate when the baby boomer generation starts to pass the age of 65. But growth has also raised concerns about safety and propriety reasons perform invasive elective surgery in elderly patients, who can in case of accidental physical and psychological consequences.

There are so many reasons to get plastic surgery that older patients, say experts. Some people are living longer and remaining healthier, and they want their physiques adjust after their psyches. Some are trimming for potential drivers ' mates and want their fans to see their freshest. Some are still working or seeking jobs and want to be seen as more youthful Challenger.

And some are simply sick slackened chaps, jiggly underarms and saggy eye brows. Gilbert Meyer, a retired film producer in Boynton Beach, Fla., which gave his age as only "over 75", saw Dr. Jacob Steiger, facial plastic surgeon in Boca Raton, Fla., for an eye and neck lift last year. He spent $ 8,000.

-I was looking at myself in the mirror and don't like what I see and did something about it, "said Mr. Meyer. "Why not look as good as you can when you can?"

Mary Graham, a 77-year-old restaurant owner in Thomasville, GA., was given a facelift and breast implants earlier this year. "The only time I go to the doctor for plastic surgery, she says.

Ms. Graham is planning to open another restaurant in Tallahassee, Fla., in the fall. "I work seven days a week," said she. "I wanted to look as young as me."

Her plastic surgeon, Dr. Daniel Man of Boca Raton, Fla., who said that he looks more and more patients over 70 years of age, said, "these people are healthy and want to be an active part in society."

Any measure involves risks, but surprisingly few studies have focused on elderly patients and cosmetic improvements. A report published in the journal of plastic and reconstructive surgery in June, found that the risk of persons over 65 years does not exceed the younger population.

Researchers from the Cleveland Clinic reviewed the medical records 216 facelift patients over the course of three years. The researchers found no significant differences in instances of minor or major complications between a group of patients whose average age was 70 and another group whose average age was 57.6.

"We say it is not the chronologic age which is so important, but it is certainly physiological," said Dr. James e. Zins, senior author study and Chair of the Department of plastic surgery at the Cleveland Clinic.

All patients in his study were screened for health problems such as lung cancer and heart disease, diabetes and high blood pressure, and the use of medication, anticoagulants, that could have complicated business. But not all elderly patients may be screened so thoroughly, so his result is not necessarily the risks are minimal in an older population.

"There is a theoretical age complications are more likely?" He mused. "It means that patients 70 and 75 years and older can safely undergo a facelift with complication is the same as young patients? We do not have enough numbers to answer that question. "

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Plastic surgery group starts advice Web site

Conor Friedersdorf and Reihan Salam discuss the limits of presidential power. For some, the President's speech on Afghanistan troop withdrawal was repeated unfortunate moments in history.

View the original article here

Plastic surgery Group launches advice Web site

When the governmental system of charges against the ex-prisoners with debt, loses all. A Vermonter writes to his wife about the first major battle of the war.

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Plastic surgery among ethnic groups mirrors the beauty ideals

In Flushing, Queens, surgeons have their attention to training 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 in the world, have 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 tastes home, finds immigrants surgeons the opportunity to recover the fission of Thal?a, Mexican singer and Lee Hyori, Korean pop star bright eyes.

They are also a growing number of physicians offering unsurpassed plans to help them deliver business. If the price is still too high, are illegal and surgery of 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 — a mosaic portrait 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 for nose jobs.

And there is no questioning the surge in demand in the 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 were 1.4 million, or almost 3 percent 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 "more American," said Victoria Pitts-Taylor, professor of sociology at Queens College who has written about popular attitudes to plastic surgery.

"The bulk of these operations focused on assimilation issues," said Ms. Pitts-Taylor.

Today show feature as varied and complex as 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 who want 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 to get the fat out of their buttocks." In Washington Heights, "it is the opposite – they just want the ends back scaled rounded."

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

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

View the original article here

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 travelled from one province to a private hospital in central Beijing to have transformed – 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 central Beijing. "I look more sophisticated and delicious."

The breathtaking pace of transformation for upwardly mobile Chinese-from bicycles to cars, village, 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 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 constitutes 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 in the nose so that the more prominent – opposite of typical nose job in the West. Thirdly, the revision of the jaw so that the narrower and longer, "he said.

Youthful patients includes job seekers hope to increase their opportunities in the labour force, teenagers who have had cosmetic surgery as a high school graduation present and also 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 "can also be called negligence."

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, "he said. 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 his 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 as unjustified.

-Personally, I think it's quite disgusting, "he said. "We need 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 explicit 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, capitalizing 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 Jing Zhang, Bibo and Jonathan Kaiman contributed research.

View the original article here

Plastic surgery Group launches advice Web site

Should regulators cut off student loans for "career" colleges whose graduates are unable to pay back their debts? The only way to identify victims of genocide is to hold an honest debate about the past.

View the original article here

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 travelled from one province to a private hospital in central Beijing to have transformed – 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 central Beijing. "I look more sophisticated and delicious."

The breathtaking pace of transformation for upwardly mobile Chinese-from bicycles to cars, village, 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 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 constitutes 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 in the nose so that the more prominent – opposite of typical nose job in the West. Thirdly, the revision of the jaw so that the narrower and longer, "he said.

Youthful patients includes job seekers hope to increase their opportunities in the labour force, teenagers who have had cosmetic surgery as a high school graduation present and also 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 "can also be called negligence."

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, "he said. 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 his 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 as unjustified.

-Personally, I think it's quite disgusting, "he said. "We need 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 explicit 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, capitalizing 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 Jing Zhang, Bibo and Jonathan Kaiman contributed research.

View the original article here

Plastic surgery among ethnic groups mirrors the beauty ideals

In Flushing, Queens, surgeons have their attention to training 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 in the world, have 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 tastes home, finds immigrants surgeons the opportunity to recover the fission of Thal?a, Mexican singer and Lee Hyori, Korean pop star bright eyes.

They are also a growing number of physicians offering unsurpassed plans to help them deliver business. If the price is still too high, are illegal and surgery of 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 — a mosaic portrait 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 for nose jobs.

And there is no questioning the surge in demand in the 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 were 1.4 million, or almost 3 percent 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 "more American," said Victoria Pitts-Taylor, professor of sociology at Queens College who has written about popular attitudes to plastic surgery.

"The bulk of these operations focused on assimilation issues," said Ms. Pitts-Taylor.

Today show feature as varied and complex as 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 who want 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 to get the fat out of their buttocks." In Washington Heights, "it is the opposite – they just want the ends back scaled rounded."

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

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

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Chinese resort to plastic surgery in an increasing number

But your jaw line? Also square for his taste. Which is why the 22-year-old television reporter recently traveled from a coastal province to a private hospital in the Centre of Beijing were reformed - for about $6,000. Her boyfriend, a 29-year-old businessman, wore sunglasses designers, picked up the Bill.

"No I'm nervous," said the Devil (the English name of the first she chose for herself and the only one that would reveal) as she awaits surgery at Evercare Aikang hospital in the Centre of Beijing. "In the will be more sophisticated and exquisite".

The impressive pace of transformation for Chinese mobile professionals - bicycles for cars, town to town, prostrate holidays for skiing holidays, now extends to the sides. In less than a decade, cosmetic and plastic surgery has become the fourth most popular way to spend discretionary income in China, according to Ma Xiaowei, Deputy Minister of health of China only on homes, cars and travel of higher rank, said.

Figures are not official there, but the international society of surgery of plastic aesthetic appreciation in 2009 China third, behind United States and Brazil, with more than two million transactions per year. And the number of transactions doubles every year, Mr Ma said at a conference organized by the Ministry of health in November.

He said that "we must recognize that the plastic and aesthetic surgery has become a common service, aimed at the masses".

Face-lifts and removal of wrinkles treatments are in vogue, as well as in the West. But at Evercare, which runs a chain of hospitals in cosmetic surgery in China, are two fifths parts of patients in its 20 years, said Li Bin, general manager and one of the founders.

At the national level, the most requested surgeries have nothing to do with age: the No. 1 operation is designed to make eyes appear larger by the addition of a fold in the eyelid, forming what is called a double eyelid, said Zhao Zhenmin, Secretary general of the China Association of plastics State and aesthetic.

The second most popular raise the bridge of the nose to make it more prominent, the opposite of the typical work of nose in the West. Third is the remodeling of the jaw to make it more narrow and more, said.

Youth patients include job-seekers hoping to improve their prospects in the labour force, adolescents who received cosmetic surgery as a graduation present and even middle school students, the majority of whom want eye jobs, say surgeons.

Regulatory system in China, General, has failed. At the Beijing Conference in November, Mr. Ma, the vice Minister of health, said that the situation "can even be called negligence."

11 Clinics and hospitals offering cosmetic or plastic surgery that were inspected last year, it said, less than half met the national standards. Employees did not have professional credentials, he said. equipment and materials were subpar. Beauty salons are flagrant violators, illegally administered Botox injections and perform the surgery of eyelids.

Mr. Ma compared to the industry to a medical "disaster zone", with frequent accidents. It was underscored his point when a former contestant from 24 years of age in the Chinese reality show "Super girl" died after his windpipe filled with blood during an operation to remodel his jaw in Hubei province.

Health officials demanded an investigation. But Mr. Zhao, who is also the vice director of plastic of managed by the Beijing Government and the Hospital of cosmetic surgery, said that it was impossible to gather evidence because the body was cremated, common practice in China when private hospitals settle claims of negligence.

"Personally, I think that this is fairly negligible," said. "We have to get to the bottom of these cases in order to protect people in the future."

The shortcomings of China's medical system are hardly limited to aesthetic and plastic surgery. But now, the industry generates about $ 2.3 million in revenue, and the Government has begun to take note. Officials say new regulations probably will be published this year.

An implicit objective is stemming the flow of Chinese patients to hospitals better-established in Korea of the South. Mr Ma believed that China make up 30 percent of patients of cosmetic surgery in Seoul.

By now, many beauty salons, as a branch of Beijing the center of a major chain, are taking advantage of the lack of supervision. One recent afternoon, a woman of 62 years of age in a white layer that describes itself as an internist said that he could convene a doctor who could give a visitor double eyelids in 20 minutes approximately $180, a fraction of the standard rate of hospital.

"Will immediately be different," he said.

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

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Plastic surgery between the ideals of beauty of mirrors of ethnic groups

In Flushing, Queens, surgeons has its attention trained metres above, in whose noses that Chinese patients want to bend down. Russian women in Bay Ridge, Brooklyn, have their breasts enlarged, while Koreans in Chinatown have simplified lines of jaw.

As the demand for surgical enhancement explodes all over the world, New York has developed a series of niche markets that allow the city many immigrants to tummy tucks and settings that are carefully adapted to their cultural preferences and the ideals of beauty. As you can find Lebanese vine leaves or bowls of Vietnamese pho to taste of home, immigrants can locate surgeons capable of recreating the neckline of Thal?a, Mexican singer or the bright eyes of Lee Hyori, the Korean pop star.

You can also find a growing number of physicians offering plans Layaway to help them pay the operations. If the price is still too high, illegal surgery by unlicensed practitioners is available in many neighborhoods.

As these clinics remodel Asian eyelids and silhouettes of Latin, provide a perspective of level of pore in the aspirations and the uncertainties of the 21st New York century immigrants: a portrait in mosaic buffer with Botox.

"When a patient comes from a particular ethnic origin and of a certain age, we know what to look for," said Dr. Kaveh Alizadeh, President of the plastic surgical group of Long Island, 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 look less like science of as stereotypes. Even so, he and other doctors working in ethnic communities say that they can analyze their appointment books and recognize unmistakable trends: many Egyptians are getting face lifts. Many Italians are reshaping their knees. Dr. Alizadeh said his Iranian fellow favour nose jobs.

And there is no questioning the increase in demand in the neighborhoods of immigrants, where Mandarin and Arabic are spoken in the operating room and the range of patients age "of 18 to 80", as a doctor put it.

Some 750,000 Asians in the United States suffered cosmetic surgery procedures less invasive work as injections of Botox, in 2009, approximately 5 per cent of the population of Asia and more than double the number in the year 2000, according to projections by the American plastic surgeons society. Among Latinos, the number was of 1.4 million, nearly 3 percent of the population and the increase of a triple of nine years earlier. In 2009, about 4 percent of whites had cosmetic work.

In New York, opening new clinics in enclaves of immigrants, and have expanded the existing practices to maintain demand.

Extreme makeover is, in many ways, a tradition among immigrants from the city. A century ago, in the early days of cosmetic surgery, European Jews suffered nose jobs and Irish immigrants their ears pinned back in attempts to find "more American", said Victoria Pitts-Taylor, a Professor of sociology at Queens College who has written about popular attitudes of plastic surgery.

"Most of these operations were directed to issues of assimilation", said Ms. Pitts-Taylor.

Today, the motivations are as varied and complex procedures. Instead of fighting to adjust to their new country, many migrants themselves remodeling trends and tastes of his home in the culture.

"My patients are proud of Hispanic appearance," said Dr. Jeffrey S. Yager, that speaks Spanish and the size of your Office has tripled since opened in 1997 in Washington Heights, a Dominican largely to neighborhood of Manhattan. "I do not understand that patients who want to hide their ethnicity".

While clinics that are advertised in the local Russian, Spanish and Chinese has much in common with them and with the nonimmigrants serve, everyone wants a belly and a soft front - their business strategies are as different as the languages spoken by their patients.

Dr. Holly j. Berns, an anesthesiologist, feels as if she is in a rocker when he travels from Office of Dr. Yager to suburban clinics. In Long Island, he said, "they are doing everything we can to get the fat in their buttocks." In Washington Heights, "is the opposite: that just want their ends enlarged and rounded butt."

Italy Vigniero, 27, a Dominican of Dr. Yager, received patient breast implants in 2008 and is considering a lift of buttocks to achieve, as it was called, "the silhouette of a woman".

"Us Latinas define with our bodies," said. "We have always curves."

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Group of plastic surgery Web site begins advice

Why use "contracts of human capital" to finance higher education is not scary as it sounds.? Why is Afghanistan leave their cultural sites fall to pieces?

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Third generation cellular multimedia teleconsultations in plastic surgery

This version was published on 1 June 2011J Telemed Telecare 2011;17:199-202
doi:10.1258/jtt.2010.100604
? 2011 Royal Society of Medicine Press

Nimrod Farber , Josef Haik, Alon Liran, Oren Weissman and Eyal Winkler

Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel-Hashomer, Israel

Correspondence: Dr Nimrod Farber, Department of Plastic and Reconstructive Surgery, Sheba Medical Center, Tel Hashomer 52621, Israel (Fax: +972 3530 2248; Email: farbern{at}gmail.com )

We conducted a study to test whether new third generation (3G) mobile phones could be integrated into service as a working tool between plastic surgeons. During an eight-month period, 58 multimedia consultations were performed involving 57 patients. The majority of the consultations were for trauma or wounds. All consultations comprised a digital photograph taken with the integrated camera and sent via the Multimedia Messaging Service (MMS). In 86% of the cases the residents reported that multimedia information contributed to their ability to independently handle similar cases in future. Satisfaction scores were high among all participants. We believe that a multimedia consultation in a hospital setting adds information to an ordinary telephone call, thus decreasing medico-legal risks. We recommend it for routine use.

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Video: Bullied teens opt for plastic surgery

What are "humane" food products? 1:40 May 6, 2011

What are "humane" food products?More shoppers are looking for meat products that are labeled as "humane." Manuel Gallegus visited a chicken farm in Pennsylvania to see exactly what that means.

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Second opinion in plastic surgery

Second opinion in plastic surgery

Surajit Bhattacharya
Editor, IJPS, Sr. Consultant Plastic Surgery, Sahara Hospital, Lucknow, India

Correspondence Address:
Surajit Bhattacharya
Editor, IJPS, Sr. Consultant Plastic Surgery, Sahara Hospital, Lucknow
India

DOI: 10.4103/0970-0358.81433

How to cite this article:
Bhattacharya S. Second opinion in plastic surgery. Indian J Plast Surg 2011;44:1-2

It is not at all uncommon to encounter a patient who has come to us for a second opinion. He/she may be seeking a preoperative consultation to understand his/her options or even a postoperative one to see how his/her surgeon has performed. In both the instances, he/she is a new patient for us and it is vital that we do justice to the trust the patient has bestowed upon us. But, while doing so, do we need to be concerned only about this patient or do we have to protect the interest of our fellow colleague who has offered the first opinion or performed the surgery? If the best interest of the patient has been served by our previous colleague then this is not a difficult question to answer, but if that is not the case, then what do we do? How do we disagree with a fellow colleague without being disagreeable?

One of the many wonderful things about plastic surgery is that there is rarely one way to approach a patient's concern or treat a problem. We take pride in skinning the cat differently and then invariably boasting about our technique in meetings and conferences. Plastic surgeons with different experiences, different trainings and, sometimes, different geographic locations and cultural backgrounds may treat certain cosmetic and reconstructive concerns very differently from the way we do. For this reason, patients considering plastic surgery often get second opinions and end up more confused rather than enlightened. A second opinion should be encouraged and is very valuable particularly if we can see some residual disease/deformities or preempt some donor-site morbidities.

During a second opinion, a patient is simply asking us what we intend to offer him/her based on our past experience with a similar disease or deformity. Besides encouragement and honesty, which every patient has a right to get from a consulting surgeon, the patient has come to get the best information possible so as to make the most educated decision.

The first thing in every consultation and, particularly, in a consultation for a second opinion is to hear what all the patient has to say. This may not always be brief, and may not always be true. Patients often do not reveal that the consultation is for a second opinion either because they do not want our judgment to be biased or because they do not like to be seen as one who does not trust a doctor who has seen them before. So, the very next thing we need to do is to reassure them that there certainly is nothing wrong with getting a second, third or fourth opinion. That is their right and particularly because they are spending their time and their money. Even if they reveal the contents of the first consultation with our fellow colleague, it is surely not to prejudice our thoughts and recommendations and they are not trying to measure or compare us with someone else. We have to believe that they are seeking an unbiased opinion.

In secondary consultations, it is advisable not to engage in a discussion of what the other plastic surgeon said and ask what he or she thinks about their recommendations. This is particularly important when the recommendations are different from that of ours. Personalities, ego and professional jealousies can all enter into what is subsequently said. One is unlikely to separate out the facts from the emotion in that scenario. We should ask specifically why those recommendations are best and what the downsides might be. If we know of other options that may be different, we must make the patient aware of them and then tell them why the option we have selected is better. We should always listen and take notes and photographs. We will need them in the future if the patient comes back to us. His/her doubts and apprehensions and our responses should all be noted for future references.

The discussions should be honest, enriching and illuminating to the patient and never derogatory towards a fellow colleague. His/her doctor's lack of knowledge or experience is not what the patient intends to discuss, and if he/she does, it is perfectly appropriate to abruptly end this line of conservation with a polite reminder that such issues are not within the ambit of discussion. I know of a senior Professor of Surgery who had a plaque on his table that read "I discuss diseases not doctors".

If the patient has been encouraged by his doctor to seek our opinion, then our responsibility redoubles; not only have we to satisfy the patient but also do justice to the trust our colleague has imposed upon us. We should call him/her up or write a note of thanks and explain our line of treatment.

But, what if the patient has had a truly bad experience? There are two strikingly different situations and require two diametrically opposite responses. If we can see that the problem is because of a known complication, like a fistula after a hypospadias repair or a scar hypertrophy after scar revision, we must reassure the patient that it was a very rare occurrence and an episode of just bad luck for both the patient and his/her doctor. If, now, we vouch for the competency of our unfortunate colleague instead of going for the proverbial kill, we exhibit exemplary discipline and courage in our practice, and this usually goes down very well with patients. But, if the patient has been truly short changed, particularly by someone not qualified to do the job, masquerading as a Plastic Surgeon and trying to poach into the sacred territory of Plastic Surgery, we should make sure that the patient does not return to the same doctor. The interest of the patient still remains our foremost concern and we have to offer a result that should speak volumes of our training and skill.

Like in any other speciality, in Plastic Surgery too the cost of the procedure is important and definitely one of the vital factors in making a final decision. We should never...and I repeat never...make a consultation appear as if we are touting the best price. If market forces are going to govern the destiny of the patient, we should have nothing to do in the bidding process. A second opinion is not an opportunity to outbid a colleague. This does not sit well with most plastic surgeons and casts a negative overtone to the whole consultation. Price bartering, unlike some retail industries, does not usually work well in plastic surgery. It is not only inappropriate but is also not that effective. This is not the time to begin price discussions. If everything else is equal and plastic surgeons have different prices, then a smart patient very tactfully asks the question - why? This is the time to offer a good reason - better infrastructure, safer surgical facilities, no hidden costs, etc.

Remember authenticity is the silver bullet and competence, communication skills and compassion are vital adjuvants. An honest individuality is the most magnetic of qualities a patient is seeking in a Plastic Surgeon. And, as I have learned from Dr. Tom Biggs, Editor in Chief of Aesthetic Plastic Surgery, "talking with the patient" is far better than "talking to the patient".

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