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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Non-Specialists Expand Into Lucrative Cosmetic Surgery Procedures

AppId is over the quota Vad hon inte inser var att hans certifiering i ?NH — ?ra, n?sa och hals — inte plastikkirurgi. Resultatet var mindre ?n idealisk: tjock ?rr p? hennes tempel och en v?gig buken.

"Jag var tvungen att anv?nda mitt sparande f?r att f? verkliga plastikkirurg att fastst?lla vad han gjorde till mig," sade Joan, som bad att hennes efternamn inneh?llas f?r att skydda sin integritet. "Jag har en M.B.A. Jag ?r inte dum. Men n?r l?karen har en trevlig klinik och alla dessa examensbevis och certifieringar p? v?ggen, du tror att han vet vad han g?r.

Med fallande f?rs?kring ?terbetalningar, utvidgar fler l?kare, oberoende av specialitet, sin praxis att inkludera lukrativa kosmetiska f?rfaranden som betalas ut av kontant av patienter. Nu ?r det vanligt att hitta gynekologiska erbjuder breast augmentation, ?gonl?kare g?ra Fettsugning, ens familj praxis l?kare ger Botox injektioner.

Resultatet ?r enligt certifierade plastikkirurger, ett ?kande antal missn?jda, ?ven vanst?llda, patienter.

"Allm?nheten beh?ver skyddas fr?n l?kare som inte ?r uppriktiga om vad styrelsen certifieringar de har," sade Dr. Malcolm Z. Roth, chef f?r plastikkirurgi i Albany Medical Center i Albany och ordf?rande i det amerikanska samh?llet av plastikkirurger.

Medlemmar av samh?llet som h?vdar det har funnits en v?g i patienter beg?r revisionary kirurgi – ?tg?rder f?r att ?ngra skador som orsakats av klantiga f?rfaranden. "Jag ser fall s? h?r en vecka nu, n?r ett par ?r sedan jag knappast s?g n?gon," sade Dr. Patti Flint, plastikkirurg i Mesa, Ariz.

Men m?nga av dessa nya alternativa ut?vare s?ga att traditionella plastikkirurger helt enkelt f?rs?ker skydda sina lukrativ handel. "F?r en viss grupp att f?ra en turf slaget och s?ga av ekonomiska sk?l att de ?r de enda som p? ett s?kert s?tt kan utf?ra kosmetiska f?rfaranden ?r hyckleri och grovt osant," sade Dr. Angelo Cuzalina, rival American Academy of kosmetisk kirurgi, ordf?rande best?r fr?mst av l?kare som inte ?r inriktning plastikkirurger.

Cirka 80 procent av licensierade l?kare f? en specialitet certifiering av en av 24 styrelser som godk?nts av amerikansk styrelse av medicinska specialiteter. Detta kr?ver en minst tre?rig vistelse i omr?det valda koncentrationen, plus omfattande muntliga och skriftliga examina.

Det finns inga lagar i USA som kr?ver l?kare praxis endast inom f?lten specialitet i vilken de har utbildats. Dr. Cuzalina, till exempel var f?rst inriktning som en oral och maxillofacial kirurg och sedan avslutat ett yearlong stipendium p? en kosmetisk kirurgi klinik.

-Med min erfarenhet jag inte tror mig som en muntlig kirurg l?ngre,"sade han.

Bara Texas, Kalifornien, Louisiana och Florida mandat att l?karna vara best?mda i sin reklam om vilka specialitet styrelsen certifieringar de har. N?gon annanstans f?r s?ger bara att de ?r "inriktning".

Ingen vet hur m?nga l?kare praktisera utanf?r deras specialitet; de beh?ver inte rapportera till den myndighet som tillsyn att de g?r s?. Och l?kare som utf?r kosmetiska f?rfaranden ?r inte skyldiga att rapporten komplikationer.

Kosmetisk kirurgi oreglerat art ?r fortfarande, att h?ja oro. Michael Freedland, medicinsk felbehandling advokat i Weston, Fla., sade att han hade sett en stadig ?kning av antalet patienter arbetsof?rm?gna eller ens f?rolyckas av kosmetisk kirurgi som utf?rs av okvalificerade l?kare sedan 2008.

-Inte bara utbildas l?karna inte korrekt i plastikkirurgi, men de ?r ocks? verksamma i anl?ggningar, liksom garvning salonger och med SpA, som inte ?r utrustade f?r att hantera en medicinsk n?dsituation,"s?ger han. "Det b?sta de kan g?ra f?r dig om saker g?r fel ?r samtal 911, och ibland de g?ra ens inte."

Statliga medicinska myndigheter ?verensst?mmelsen inte d?dsfall eller skador p? vilken typ av l?kare deltar. M?nga plastikkirurgi patienter ?r hur som helst, liksom Joan, alltf?r generad ?ver att filen formella klagom?l.

"En l?kare kan vara bra och v?lutbildade inom hans eller hennes specialitet, men det tar mer ?n ett helgen seminarium att uppn? h?jdpunkter i plastikkirurgi," sade Dr. Joel Aronowitz, plastikkirurg i Los Angeles som ocks? ?r en klinisk Adjungerad professor p? University of Southern California.

Han noterade att blivande kosmetiska kirurger f?r delta i helgen fortsatta medicinska utbildning kurser, vissa h?lls ombord p? kryssningsfartyg, d?r de l?rs att utf?ra Botox och fyllnadsmedel injektioner, Fettsugning och breast augmentation. Kurserna ?r ofta l?rt av l?kare som sj?lva inte ?r certifierade av den amerikanska styrelsen av plastikkirurgi, sade han.

M?nga s?dana l?kare h?vdar certifiering av styrelser som har namn som liknar till den amerikanska styrelsen av plastikkirurgi men inte godk?ndes av amerikansk styrelse av medicinska specialiteter. -De har l?gre krav och ?r inte s? str?nga, sade Dr. Aronowitz. "Det finns en anledning som de inte ?r erk?nda styrelser."

Dr. Cuzalina sade att lobbying fr?n plastikkirurger f?rhindras grupper som hans fr?n ansluta till styrelsens medicinska specialiteter.

Dr. John Santa, en l?kare och chef f?r konsumenten rapporter h?lsa omd?men Center, som r?ntesatserna f?r sjukhus och ger r?d om hur du v?ljer l?kare, designad att blivande patienter kontrollera staten medicinska styrelser f?r eventuella disciplin?ra ?tg?rder, och s? ser du om en l?kare har ocks? full drift, beh?righeter p? ett visst sjukhus.

"Framf?r allt jag tror sunt f?rnuft ?r i ordning," sade han. "Jag skulle vara misst?nksam mot alla som ?r verksamma s?tt utanf?r hans eller hennes specialitet, och alltid f? ett andra yttrande.

"N?r det finns n?gon f?rs?kring," tillade han, "?r det verkligen vilda v?stern och det finns ingen sheriff i stan."

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From Eye and Hair Surgery to Toasty Toes - Beauty Spots

AppId is over the quota AppId is over the quota Sorry, I could not read the content fromt this page.Sorry, I could not read the content fromt this page.

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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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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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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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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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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 off her shirt.

It was a friendly Secretary at the place 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 signed on 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, to give them information about insurance coverage and to refer them to another hospital, if needed 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 turns 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's like my own breast. 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 document showing that the 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 says 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 of the reasons for the low proportion of reconstruction, Dr. Garfein said, perhaps the 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.

Compensation can range 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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Cosmetic surgery Gets a little NIP and Tuck

Such procedures, including nose jobs, eyelid surgery, liposuction, tummy tucks and breast industrial cooperation, fell in line with almost 9% in 2009, the society reported Tuesday, 1,521,409 from 1,669,026 in 2008. Nose jobs, eyelid surgery fell 8 percent among the doctors who answered the survey, 715, while liposuction were down a whopping 19 percent. Tummy tucks and breast industrial cooperation decreased 5 and 6 per cent, respectively.

Wallet questions can be the story behind the numbers — an action that a tummy tuck costs on average $ 4,936 NET thousands of dollars in anaesthesia and operating room. But maybe the Americans also started to make the best of their glances, invest in closet improvement instead of, say, liposuction.

-Cosmetic surgery is an object of luxury, says Dr. Michael f. McGuire, President of the American Society of plastic surgeons, who practices in Los Angeles. "People think twice about money, even if they have it, I have noticed very wealthy patients, they postpone."

Dr. McGuire believes that these deferrers eventually will have the operation that they wish. "People shoot it, but if you have been unhappy about something, you get it fixed," he said.

Although the figures provided by the American Society of plastic surgeons offer a valuable snapshot, they are not definitive. The doctor replies to a survey cannot answer it next year. And the figures do not include doctors who perform cosmetic procedures and trained in, say, obstetrics-gynecology or general medicine.

The decline reported in the survey was repeated in another recent study by the American Society for aesthetic plastic surgery, which found an even steeper decline in cosmetic-surgery procedures performed last year to 18 percent.

Even some doctors expressed confidence that there is pent up demand. Dr. Robert Singer, a plastic surgeon in San Diego, said that people have tried to less-expensive alternative to the procedures they want.

For example, some patients have "chosen to be fillers or Botox because they felt – and it was marketed to them – it would be instead of a facelift," Dr. singer said. But "it does not provide the results they wanted."

Other patients "had a decent result" by injected with a mixture of Botox and fillers, said Dr. Singer, a former President of the American Society for aesthetic plastic surgery. But the result is temporary, and some of these patients now want a longer-lasting surgical improvement of their face, "he said.

Realself.com, a website where patients discuss cosmetic procedures, recently did a study with Harris Interactive to get a feel for how many consumers it is aesthetic dreams deferred. In an idealized world in which we all have enough money, they asked, how many of us would opt for cosmetic changes? Sextionio% of the nationwide sample of 2,148 adults were surveyed in March said they would choose to cosmetic work time, from 54 percent who said the same thing in November 2009.

Tom Seery, President and founder of Realself.com, said in an interview that the site's traffic grew and the visitors displayed "strength and interest around cosmetic surgery on invasive page."

For the first time reported the doctors investigated by American Society of plastic surgeons, surprisingly, that the number of wrinkle finish freezing botulinum toxin injections administered declined by 4 percent. Last year, approved by the Food and Drug Administration of Dysport for smoothing wrinkles between the eyebrows, clearing the way to give Botox a run for its market share. But it seems that the Dysport arrived just as the Americans do not decided to get as many botulinum toxin injections for aesthetic problems, perhaps a sign of a fatigue among people who received routine injections for maintenance.

"You've had it for years every couple of months, first of all, you've spent a lot of money," said Dr. McGuire, who shoot Botox and Dysport. "It will be added and it hurts every time you have." A staggeringly large number of doses of Botox or Dysport was still injected in 2009: 4,795,357, at $ 405 each on average. Such injections remain the topmost minimally invasive cosmetic procedure.

Some obscure cosmetic operations increased in 2009, despite their not inconsiderable cost. It was a small uptick in calf augmentation, which entails using a silicone implant to improve calves up to 259, from 247. Surgical pumping calves is not cheap — $ 3,649 on average – but apparently ballet dancers and Bodybuilders will find them worthwhile. "To be a success as a ballet dancer, is about as much your appearance as your ability to dance," Dr. McGuire said. "You may have good muscle, but it has no shape and appearance are considered optimal."

LIP industrial cooperation using a physical implants, which costs on average $ 1,736, is also increasing. More than 21,000 people had lips filled in this way as opposed to, say, at regular intervals with the lips are injected with a filler. Uptick is particularly remarkable given the no lasting lip implant has approved for the purpose of the Food and Drug Administration, which means that this use cannot be marketed by the company. Doctors may instead choose to use an implant approved for another part of the face.

View the original article here

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

Cosmetic surgery Gets a little NIP and Tuck

Such procedures, including nose jobs, eyelid surgery, liposuction, tummy tucks and breast cancer industrial cooperation, reduced in number by nearly 9% in 2009, the society reported Tuesday, 1,521,409 from 1,669,026 2008. Nose jobs, eyelid surgery fell 8 percent among the doctors who answered the survey, 715, while liposuction were down a whopping 19 percent. Tummy tucks and breast cancer industrial cooperation decreased 5 and 6 per cent, respectively.

Wallet questions can be the story behind the numbers — an action that a tummy tuck costs on average $ 4,936, with the exception of thousands of dollars in anaesthesia and operating room. But maybe the Americans also started to make the best of their glances, invest in closet improvement instead of, say, liposuction.

-Cosmetic surgery is an object of luxury, says Dr. Michael f. McGuire, President of the American Society of plastic surgeons, who practices in Los Angeles. "People are thinking twice about money, even if they have it, I have noticed very wealthy patients, they postpone."

Dr. McGuire believes the deferrers eventually will have the operation as they wish. "People there, but if you have been unhappy about something, you will get it fixed," he said.

The numbers entered by the American Society of plastic surgeons offer a valuable snapshot, but they are not definitive. The doctor replies to a survey cannot answer it next year. And the numbers are not doctors who perform cosmetic procedures and trained in, say, obstetrics-gynaecology and general medicine.

Declines in this study also another recent survey by the American Society for aesthetic plastic surgery, which found an even steeper decline in cosmetic-surgery procedures performed last year to 18 percent.

Some doctors even expresses confidence that there is pent up demand. Dr. Robert Singer, a plastic surgeon in San Diego, said that people have tried less expensive alternative to the procedures they want.

For example, some patients have "chosen to be fillers or Botox because they felt – and it was marketed to them – is it instead of a facelift," Dr. Singer said. But "it does not provide the results they wanted."

Other patients "had a reasonable consequence" of which is injected with a combination of Botox and fillers, "says Dr. Singer, a former President of the American Society for aesthetic plastic surgery. But the result is temporary, and some of these patients now want a longer-lasting surgical improvement of their face, "he said.

Realself.com, a website where patients discuss cosmetic procedures, recently did a survey with Harris Interactive to get a feel for how many consumers it is aesthetic dreams deferred. In an idealized world in which we all have enough money, they asked, how many of us would opt for cosmetic changes? Sixty-nine percent of the nationwide sample of 2,148 adults were surveyed in March said they would choose to have cosmetic work, up from 54 percent who said the same thing in November 2009.

Tom Seery, President and founder of Realself.com, said in an interview that the site's traffic grew and that visitors viewed-strength and interest around cosmetic surgery on invasive page.

For the first time reported the physician were examined by the American Society of plastic surgeons, surprisingly, that the number of Wrinkle-botulinum toxin injections administered freezing decreased by 4%. Last year, approved by the Food and Drug Administration of Dysport for smoothing wrinkles between the eyebrows, deselect to give Botox a run for its market share. But it seems that came just as the Americans Dysport is not decided to get as many botulinum toxin injections for aesthetic problems, perhaps a sign of a fatigue among people who received routine injections for maintenance.

"You've had it for several years, every couple of months, first of all, you've spent a lot of money," said Dr. McGuire, renewing the Botox and Dysport. -Added, and it hurts every time you have. A staggeringly large number of doses of Botox or Dysport was still injected in 2009: 4,795,357, at $ 405 each on average. Such injections would remain the top minimally invasive cosmetic procedure.

Some obscure cosmetic operations increased in 2009, despite their not insignificant costs. It was a small uptick in calf support system, which involves using a silicone implant to improve calves up to 259, from 247. Surgical pumping calves is not cheap — $ amounted on average – but apparently ballerina and Bodybuilders will find them valuable. "To be a success as a ballerina, that's about as much your appearance and your ability to dance," Dr. McGuire said. "You may have good muscle, but it has no shape or appearance which is considered to be optimally."

LIP industrial cooperation by means of a physical implants, which costs on average $ 1,736, is also increasing. More than 21,000 people had lips filled in this way as opposed to, say, on a regular basis with the lips are injected with a. Uptick is especially remarkable considering that no lasting lip implant approved for that purpose by the Food and Drug Administration, which means that this use cannot be marketed by the company. Doctors may instead choose to use an implant approved for another part of the face.

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.

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."

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

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 off her 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 breast cancer was 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 cancer surgery, providing them with information on insurance and to refer them to another hospital, where it is needed 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 turns 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's 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 document showing that the 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 shortage 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".

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

Cosmetic surgery Gets a little NIP and Tuck

Such procedures, including nose jobs, eyelid surgery, liposuction, tummy tucks and breast cancer industrial cooperation, reduced in number by nearly 9% in 2009, the society reported Tuesday, 1,521,409 from 1,669,026 2008. Nose jobs, eyelid surgery fell 8 percent among the doctors who answered the survey, 715, while liposuction were down a whopping 19 percent. Tummy tucks and breast cancer industrial cooperation decreased 5 and 6 per cent, respectively.

Wallet questions can be the story behind the numbers — an action that a tummy tuck costs on average $ 4,936, with the exception of thousands of dollars in anaesthesia and operating room. But maybe the Americans also started to make the best of their glances, invest in closet improvement instead of, say, liposuction.

-Cosmetic surgery is an object of luxury, says Dr. Michael f. McGuire, President of the American Society of plastic surgeons, who practices in Los Angeles. "People are thinking twice about money, even if they have it, I have noticed very wealthy patients, they postpone."

Dr. McGuire believes the deferrers eventually will have the operation as they wish. "People there, but if you have been unhappy about something, you will get it fixed," he said.

The numbers entered by the American Society of plastic surgeons offer a valuable snapshot, but they are not definitive. The doctor replies to a survey cannot answer it next year. And the numbers are not doctors who perform cosmetic procedures and trained in, say, obstetrics-gynaecology and general medicine.

Declines in this study also another recent survey by the American Society for aesthetic plastic surgery, which found an even steeper decline in cosmetic-surgery procedures performed last year to 18 percent.

Some doctors even expresses confidence that there is pent up demand. Dr. Robert Singer, a plastic surgeon in San Diego, said that people have tried less expensive alternative to the procedures they want.

For example, some patients have "chosen to be fillers or Botox because they felt – and it was marketed to them – is it instead of a facelift," Dr. Singer said. But "it does not provide the results they wanted."

Other patients "had a reasonable consequence" of which is injected with a combination of Botox and fillers, "says Dr. Singer, a former President of the American Society for aesthetic plastic surgery. But the result is temporary, and some of these patients now want a longer-lasting surgical improvement of their face, "he said.

Realself.com, a website where patients discuss cosmetic procedures, recently did a survey with Harris Interactive to get a feel for how many consumers it is aesthetic dreams deferred. In an idealized world in which we all have enough money, they asked, how many of us would opt for cosmetic changes? Sixty-nine percent of the nationwide sample of 2,148 adults were surveyed in March said they would choose to have cosmetic work, up from 54 percent who said the same thing in November 2009.

Tom Seery, President and founder of Realself.com, said in an interview that the site's traffic grew and that visitors viewed-strength and interest around cosmetic surgery on invasive page.

For the first time reported the physician were examined by the American Society of plastic surgeons, surprisingly, that the number of Wrinkle-botulinum toxin injections administered freezing decreased by 4%. Last year, approved by the Food and Drug Administration of Dysport for smoothing wrinkles between the eyebrows, deselect to give Botox a run for its market share. But it seems that came just as the Americans Dysport is not decided to get as many botulinum toxin injections for aesthetic problems, perhaps a sign of a fatigue among people who received routine injections for maintenance.

"You've had it for several years, every couple of months, first of all, you've spent a lot of money," said Dr. McGuire, renewing the Botox and Dysport. -Added, and it hurts every time you have. A staggeringly large number of doses of Botox or Dysport was still injected in 2009: 4,795,357, at $ 405 each on average. Such injections would remain the top minimally invasive cosmetic procedure.

Some obscure cosmetic operations increased in 2009, despite their not insignificant costs. It was a small uptick in calf support system, which involves using a silicone implant to improve calves up to 259, from 247. Surgical pumping calves is not cheap — $ amounted on average – but apparently ballerina and Bodybuilders will find them valuable. "To be a success as a ballerina, that's about as much your appearance and your ability to dance," Dr. McGuire said. "You may have good muscle, but it has no shape or appearance which is considered to be optimally."

LIP industrial cooperation by means of a physical implants, which costs on average $ 1,736, is also increasing. More than 21,000 people had lips filled in this way as opposed to, say, on a regular basis with the lips are injected with a. Uptick is especially remarkable considering that no lasting lip implant approved for that purpose by the Food and Drug Administration, which means that this use cannot be marketed by the company. Doctors may instead choose to use an implant approved for another part of the face.

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."

View the original article here

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 off her 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 breast cancer was 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 cancer surgery, providing them with information on insurance and to refer them to another hospital, where it is needed 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 turns 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's 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 document showing that the 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 shortage 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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