Archive for June, 2010

Cosmetic Surgery Bargains May Sacrifice Safety

Monday, June 28th, 2010

Plastic surgery billboardBe careful of “discounted” cosmetic procedures. While they may be tempting given the economy, AOL’s Stylelist website reports that some cosmetic surgery bargains could be at the cost of safety.

“To get the cost down, they could be cutting back on things like general anesthesia. They make you feel like the procedure must be easier and not so serious if you’re just getting local sedation. Nothing could be further from the truth,” says Long Beach, Calif., plastic surgeon Dr. Marcel Daniels.

Another trend that’s led to discounted cosmetic surgery is that doctors who studied a different branch of medicine are performing plastic surgery procedures, according to Stylelist. Because patients must pay in full, these doctors don’t have to deal with health insurance and hiring staff to process billing and claims.

“Many physicians not trained as plastic surgeons can legally perform a surgical procedure in their office. These people often claim that they can do the same procedure as a plastic surgeon under local anesthesia and may even claim they are more scientifically advanced,” says Dr. John Anastasatos, a plastic surgeon in Beverly Hills. “The truth is that they don’t have surgical privileges at hospitals and surgery centers because they simply are not surgeons and never trained as surgeons.”

To ensure you have a qualified cosmetic surgeon, consumers should:

Dr. Heffernan is an opthalmic plastic surgeon in Seattle whose credentials include fellowships in Oculoplastic Surgery and Facial Cosmetic Surgery at Louisiana State University Eye Center and Oculoplastic Surgery at Bascom Palmer Eye Institute, University of Miami School of Medicine. He specializes in cosmetic surgery related to the eyes, including eyelid and brow surgery.

To read the full article, visit Stylelist.com. (Photo by Aaron Gruenert, courtesy of Stylelist.com)

Injectables with Lidocaine Offer Pain Relief

Tuesday, June 22nd, 2010

Restylane logoOne of the latest advancements in the U.S. injectable fillers market is lidocaine-containing versions of popular hyaluronic acid fillers, reports the July 2010 issue of Cosmetic Surgery Times. Lidocaine is a local anesthetic that is injected directly into the body area and decreases pain by temporarily numbing that area, according to WebMD.

Three injectables won FDA approval in February 2010 for lidocaine versions in the U.S.:

The products performed similarly to their lidocaine-free predecessors in terms of safety and efficacy, according to Dr. Michael H. Gold, a clinical assistant professor of dermatology at Vanderbilt University School of Medicine and School of Nursing. Furthermore, “The incorporation of lidocaine has surely provided a higher comfort level for patients [in the clinical trials],” he says.

Dr. Gold adds that in his clinical experience when patients undergo an injection that includes even a small percentage of lidocaine, “Most patients say they barely feel the second stick. To me that is the home run of lidocaine in these fillers.”

In clinical studies by Medicis to support FDA approval, the addition of lidocaine to Restylane and Perlane substantially reduced pain experienced by patients, while demonstrating adverse event safety profiles similar to those of Restylane and Perlane, according to the Medicis release.

A method for doctors mixing lidocaine with Radiesse was cleared in July 2009. “Originally, I was against doctors mixing a lot of fillers because I was afraid of potential changes in the products themselves,” says Dr. Gold. But once the FDA clears these products, especially those premixed by manufacturers, “I’m pretty comfortable with it.”

Fillers with lidocaine among latest injectable advancements” is available online at Modern Medicine. Learn more about Restylane, Perlane, and Radiesse in Seattle.

Study Shows Botox Can Relieve Nerve Pain

Tuesday, June 15th, 2010

Botox logoBotox is famous for its ability to smooth wrinkles when injected into the face, but Johns Hopkins researchers may have found another use that goes beyond the cosmetic procedure.

Researchers discovered that patients with a painful and debilitating nerve compression disorder called thoracic outlet syndrome (TOS) reported a significant reduction in short-term pain after receiving a single, low-dose injection of Botox in a neck muscle.

The study suggests that Botox could be a minimially-invasive alternative to surgery to remove the first rib and sever one of the muscles in the neck—the syndrome’s treatment of last resort.

“There haven’t been many alternatives to the use of surgery to treat this syndrome,” says Paul J. Christo, M.D., M.B.A., an assistant professor of anesthesiology and critical care medicine at the Johns Hopkins University School of Medicine and the study’s lead author. “Botox seems to be an effective treatment that avoids surgery’s obvious drawbacks, such as its invasive nature and long recovery time.”

The effects of Botox in TOS patients begin to wear off in a few months, as they do when Botox is used to treat facial wrinkles. Dr. Christo says patients should be able to receive repeated injections of Botox into the muscle over time; however, some could develop antibodies to the compound with excessive use, which would mean the toxin would no longer block pain.

Even as more therapeutic uses for Botox are found, it remains a popular cosmetic procedure. Statistics from the American Society of Plastic Surgeons show it was the number one minimally-invasive cosmetic procedure performed in 2009 in the United States and is one of the procedures Dr. Heffernan performs in his Seattle office.

Read the full release on the study at  the Johns Hopkins Medicine website.

Fractional RF Treatment or Facelift Surgery: An Objective Comparison

Tuesday, June 1st, 2010

Doctors at Yale University School of Medicine just published a study that evaluates skin-tightening results of both facelift surgery and fractional radiofrequency treatment.

The goal of each treatment is to correct facial skin laxity.  To measure the results and compare the two modalities, the doctors designed a randomized, blinded, comparative trial.  They mixed photos of patients who underwent both facelift surgery and fractional radiofrequency treatment, then graded them on a 4-point skin laxity scale.

2 findings from the study are especially useful in comparing the two treatments:

  • According to the grading, mean skin laxity improvement of the RF treatment was 37 percent of the surgical facelift
  • Patients in the RF group returned to normal activities 24 hours after treatment, while those in the facelift group did the same after 7 to 10 days.

Read more about this study on PubMed.gov