CSN - Cosmetic Surgery News from Albuquerque Plastic Surgeon Patrick Hudson MD PA |
Saturday, March 08, 2003
Butt seriously, is this worth the pain in the back?
-copyright The Straits Times- A BOTTOM like singer-actress Jennifer Lopez's, that is. Those sexy cheeks are so desired that, according to the US media, there is a fast growing trend among American women opting for 'buttock augmentation' in their quest for the body beautiful.Many are spending thousands of dollars to model theirs after that of the pop star's - even if it means being unable to sit properly for weeks as they have to wear a 'compression girdle' to stabilise the area.This is after incisions are made inside the crease between the buttock cheeks so that solid silicone implants can be inserted between the main buttock mus cles and their covering tissue. Read more of this article: Butt seriously, is this worth the pain in the back? and then find out more about body sculpture As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Jackson wears a prothesis for the tip of his nose
-copyright Yahoo/Vanity Fair - Article Claims More Jackson Weirdness: Michael Jackson paid a witch doctor to place a curse on DreamWorks partners Geffen Spielberg and wears a prosthetic tip on his nose, claims an article in Vanity Fair magazine.Titled "Losing His Grip,"...Jackson allegedly paid a witch doctor $150,000 in 2000 to put a hex on several Hollywood figures ...The article also claims that Jackson wears a prothesis for the tip of his nose because of a lack of cartilage due to excessive plastic surgery. The magazine appears on newsstands beginning this week. Read more of this article: Article Claims More Jackson Weirdness Find out more about the complications of nose surgery (rhinoplasty). As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery Friday, March 07, 2003
Nerve injury after a facelift
-copyright Patrick Hudson MD PA FACS, Plastic Surgery 505/242 0070- A well known complication of a facelift is damage to the nerves of the face. The incidence of nerve injury after a facelift ranges from 1/200 to 1/50 cases. The most common type of injury is to the sensory or feeling nerves. This leads to numbness. It is common in the ear and cheek skin in the first few weeks after surgery. More permanent numbness is usually due to damage to the greater auricular nerve. This nerve supplies feeling to the lower part of the ear and if damaged permanent numbness and discomfort may develop in this area. This happens in 3-5% of patients and is more common in deep dissection facelifts. More noticeable is damage to the facial nerve which supplies movement to the face. This occurs in less than 1% of facelifts. Because swelling and bruising may cause identical symptoms in the first few weeks after surgery, weakness of the face is not always a sign of permanent nerve damage. In fact 95% of cases get complete return of function within year. It is for this reason that surgery to repair the nerve is not indicated in the first few months after a facelift. Deep plane facelift, those that go deeper than the skin, are associated with a higher rate of injury to the facial nerve (from 1%-20%). Even in this situation most problems resolve without surgery. Read more of this article: Nerve injury after a facelift and then find out more about how a facelift is done. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Facelifts in Men
-copyright Patrick Hudson MD PA FACS,Plastic Surgery 505/242 0070- Although a Facelift is similar for men and women there are some features which are different. The most important are shaving, bleeding and position of the scar. Because the skin is moved upwards and backwards, the hair bearing skin is moved behind the ear. This is not a big problem if you use an electric razor but if you use a safety razor it will take some time to get used to shaving this area. Most doctors do not recommend that you have your hair cut just before surgery. Extra length may allow you to conceal the scars more easily. Some men may need to change their hair style, for example growing sideburns, to hide the incisions. The second issue is blood supply to the skin. It is greater in men. So men are more likely to have a collection of blood called a hematoma after surgery. This may need surgery to remove. In men the scar is usually placed in front of the ear and along the hairline behind the ear Read more of this article: Facelifts in Men and then find out more about cosmetic surgery for men. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Aged to perfection: Role model for beauty
copyright CNN When actress Meryl Streep recently became a French commander of the Order of Arts and Letters ... she thanked her fans in France for "loving women of a certain age in movies and in life." The French expression "woman of a certain age" refers to middle-age, and the French... have long appreciated the beauty of older women. But as 53-year-old Streep said that day: "America doesn't reward people of my age, either in day-to-day life or for their performances." Those words resonated with her fans back home -- getting older has a bad rap in the United States, especially if you're a woman. Read more of this article: Aged to perfection: Role model for beauty then find out more about signs of aging As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
NEARLY 6.9 MILLION COSMETIC PROCEDURES IN 2002, SAYS AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY
ASAPS press release Surgical Procedures Increase 1%; Largest Gains for Tummy Tucks,Breast Augmentations New York, NY (March 4, 2003) - Nearly 6.9 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2002, according to statistics released today by the American Society for Aesthetic Plastic Surgery (ASAPS). Compared to 2001, surgical procedures increased 1% to 1.6 million, while nonsurgical procedures declined 23% to 5.3 million. ASAPS, which annually conducts the nation's most authoritative survey of U.S. physicians performing cosmetic surgery, says the overall number of cosmetic procedures has increased 228% since 1997. "Last year's increase in surgical procedures, while small, speaks to people's strong motivation for making positive changes in their lives -- despite worries about the economy and world tensions," says Franklin DiSpaltro, MD, president of the American Society for Aesthetic Plastic Surgery, founded in 1967 as the only plastic surgery organization devoted exclusively to cosmetic surgery education and research. Among the most significant increases in the surgical category for 2002, compared to the previous year, were abdominoplasty (tummy tuck), up 17%; breast augmentation, up 15%; breast reduction, up 9%; facelift, up 6%; and breast lift, up 4%. Surgical procedures accounted for 23.5% of all cosmetic procedures, while nonsurgical procedures were 76.5% of the total. Dr. DiSpaltro says that part of the reason for the higher number of nonsurgical procedures is that popular treatments such as Botox, collagen injections and microdermabrasion must be repeated on a regular basis in order to maintain their benefits. "Nonsurgical procedures are playing an important role in modern plastic surgery practice, but patients need to understand that these noninvasive treatments cannot achieve the same or as long-lasting results as a surgical procedure," says Dr. DiSpaltro. "However, in many instances, nonsurgical procedures can be beneficial in helping to enhance and maintain the results of surgical improvements. For younger patients, nonsurgical procedures may sometimes allow them to delay more extensive surgery a while longer, letting them 'hold the line' against wrinkles with a variety of soft tissue fillers, Botox and skin resurfacing treatments." TRENDS Top Surgical Procedures The five most popular cosmetic surgical procedures in 2002 were lipoplasty (liposuction), 372,831; breast augmentation, 249,641; eyelid surgery, 229,092; rhinoplasty (nose reshaping), 156,973; and breast reduction (females), 125,614. (Note that breast reduction may be covered by insurance, depending on terms of the policy and individual patient factors.) Six new surgical procedures were added to the ASAPS survey for 2002. These included umbilicoplasty (belly button enhancement) and breast nipple enlargement, both of which have been reported as "trends" by the media. ASAPS statistics show that the actual number of these procedures was extremely small, with umbilicoplasty ranking 32nd (2,082 procedures) and breast nipple enlargement ranking 35th (540 procedures) among the 36 procedures surveyed. Since 1997, the number of cosmetic surgical procedures performed in the U.S. has increased 67%, according to ASAPS statistics. Top Nonsurgical Procedures The top five nonsurgical procedures were botulinum toxin injection (Botox), 1,658,667; microdermabrasion, 1,032,417; collagen injection, 783,120; laser hair removal, 736,458; and chemical peel, 495,415. Botox injection continued to rank first among all cosmetic procedures, increasing a modest 4% since 2001 but more than 2400% since 1997. Microdermabrasion, a procedure that uses fine crystals to gently polish the skin, showed the highest one-year gain of any nonsurgical procedure, up 13%. Gender Distribution Males had 12% (807,692) of all cosmetic procedures, while females had 88% (6,081,857) of the total. The percentage of procedures attributable to males and females respectively was virtually unchanged from 2001. The top surgical procedure for both men and women was lipoplasty (liposuction). Age Distribution Among five designated age groups included in the survey, the greatest number of procedures (44%) was performed on people ages 35 to 50, with lipoplasty (liposuction) being the most popular surgery and Botox injection the most popular nonsurgical treatment. Those 18 years old and younger accounted for just over 3% of cosmetic procedures, down slightly from 2001. Among this age group, nonsurgical procedures including chemical peel, microdermabrasion and laser hair removal were the most popular. The most frequently performed surgical procedure for people 18 and under was ear reshaping, often done on very young children, and nose reshaping. Men and women 65 and older had 5% of procedures, with eyelid surgery as the top surgical procedure and Botox injection the most popular nonsurgical treatment in this age group. Racial and Ethnic Distribution Racial and ethnic minorities accounted for 19% of all cosmetic surgery procedures, an overall 2% increase from 2001: Hispanics, 8%; African-Americans, 5%; Asians, 4%; and other non-Caucasians, 2%. ASAPS Members Performed Highest Number of Procedures Per Doctor Read the complete text of this article:NEARLY 6.9 MILLION COSMETIC PROCEDURES IN 2002, SAYS AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY and then find out more about the many operations of cosmetic surgery As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Breast implants tied to low self-esteem
copyright Globe and Mail Getting implants for bigger breasts may be the fast track to a Pamela Anderson physique, but it isn't the route to happiness ... A study of 3,521 Swedish women who surgically enlarged their breasts found the women were nearly 50 per cent more likely to kill themselves than women endowed the natural way.The Dutch and Swedish authors ... suggest that women who opt for cosmetic surgery to enlarge their breasts might be psychologically fragile. "We think that a plastic surgeon should always keep in mind that some of the women...who ask for plastic surgery may have a different problem" .... but John Semple... in Toronto, said most of the women who see him about increasing the size of their breasts are not emotionally unstable... Read more of this article: Breast implants tied to low self-esteem and then find out more about breast enlargement As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Women with cosmetic breast implants are significantly more likely to commit suicide than those without them, according to a new study.
copyright NewScientist.com news service The researchers analysed the medical records of 3500 Swedish women who had had breast implants. They considered only cosmetic operations, excluding women who received implants after breast cancer surgery...Fifteen had taken their own lives, three times the number expected, and a higher number of deaths from smoking-related diseases like lung cancer were also seen..."Women who ask for breast implants may have low self-esteem," suggests Veronica Koot at the University Medical Centre, Utrecht, Netherlands, who led the study. "Similarly, women who smoke may also have low self-esteem."...Michael Beary, a consultant psychiatrist at the Priory Hospital, London agrees that women with low-self esteem are more body conscious and more likely to have breast implants. Read more of this article: Women with cosmetic breast implants are significantly more likely to commit suicide and then find out more about breast enlargement. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Is there an increased risk of suicide after breast enlargement?
A recent study from Sweden was published in the British Medical Journal. It researched the long term outcome for woman who have had breast implants and concluded that the risk of suicide was increased. This confirms an earlier study in the United States. In the Swedish study it appears that women who had breast enlargement were less healthy both physically and emotionally than the rest of the population and more of them died at a younger age. This was mainly from suicide and deaths from cancer. The deaths from cancer were mainly associated with smoking. An American study showed slightly different findings. This concluded that patients seeking plastic surgery are healthier than their peers. Nevertheless they still experienced some increased risk of suicide. For the average patient this is not saying that breast enlargement increases their risk of suicide or any other psychological problem. But some patients who have cosmetic surgery are emotional less stable than others. These studies confirm that plastic surgeons must consider each patient‘s emotional state before surgery. Cosmetic surgery is frequently very helpful emotionally but does have a major psychological impact and trained surgeons are alert to the patient's motivations and expectations for the surgery. Patient’s should tell their surgeon if there is any background of emotional problems or they are in therapy, in this way the surgeon can make an accurate assessment of whether surgery is right for them Read more of this article: Is there an increased risk of suicide after breast enlargement? then find out more about breast enlargement. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery Thursday, March 06, 2003
More Men Considering Plastic Surgery American Society of Plastic Surgeons Survey Reports
For Immediate Release from ASPS: February 27, 2003 ARLINGTON HEIGHTS, Ill. – These days women are not the only ones considering a nip and tuck to maintain or enhance their appearance. Liposuction and laser hair removal are the top cosmetic plastic surgery procedures that men would choose to have performed according to a recent survey of the American Society of Plastic Surgeons (ASPS.) "These survey results confirm what we see in our practices," said ASPS President James Wells, MD, Long Beach, Calif. "Men are as concerned as women with maintaining a look that corresponds to the way they feel. Eating right and exercising doesn’t remove wrinkles or eliminate stubborn fat around the waistline, and men want to see results for their efforts." When asked what they would change about their appearance 45 percent of men would change their body contour, 25 percent would change signs of facial aging, 13 percent would change their nose, 12 percent would change their chest and five percent would change their legs. Of the more than 2,000 men surveyed, 72 percent approved of cosmetic plastic surgery for themselves or others, 18 percent were undecided and 10 percent disapproved. If these men were to have cosmetic plastic surgery, 87 percent would have it for personal reasons, 7 percent for relationship-related reasons and 4 percent would choose it for job reasons. In 2001, nearly 1 million men had a cosmetic plastic surgery procedure, making up 13 percent of patients. Andrew Rukavina, Ivanhoe, Ill., had liposuction and Botox procedures. "I sacrificed some of my physical makeup over the years to hard work, long hours and stress, and I wanted to get some of that back," said Rukavina now in his mid-forties. "I get a lot of business based on looking the part of the successful attorney, too, which helped me decide to have cosmetic plastic surgery." According to the ASPS good candidates for plastic surgery have realistic expectations and understand that a procedure can enhance appearance and self-confidence, but won't necessarily match their ideal or cause people to treat them differently. Read more of this article on the ASPS website:More Men Considering Plastic Surgery American Society of Plastic Surgeons Survey Reports Find out more about cosmetic surgery for men. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
WOMEN WITH COSMETIC BREAST IMPLANTS MORE LIKELY TO COMMIT SUICIDE
(Total and cause specific mortality among Swedish women with cosmetic breast implants: prospective study) http://bmj.com/cgi/content/full/326/7388/527 BMJ released for Saturday 8 March 2003 Women who undergo cosmetic surgery for breast augmentation are more likely to commit suicide than women from the general population, finds a study in this week's BMJ. Researchers identified 3,521 Swedish women aged15-69 years who had had breast implants between 1965 and 1993. They compared the observed number of deaths with the expected number of deaths from suicide, unintentional injury, cardiovascular diseases,malignancies, and other causes over an average of 11years. Although 59 deaths were expected, 85 women died. Fifteen women committed suicide, compared with 5.2 expected deaths from suicide. Excess deaths were also due to malignant disease, mainly lung cancer due to smoking. The number of deaths for all other causes was close to expected. Given the well documented link between psychiatric disorders and a desire for cosmetic surgery, the increased risk for death from suicide may reflect a greater prevalence of psychopathology rather than a causal association between implant surgery and suicide, say the authors. Surgeons evaluating candidates for breast implant surgery need to be vigilant for subtle signs of psychiatric problems, they conclude. Read more of this article: WOMEN WITH COSMETIC BREAST IMPLANTS MORE LIKELY TO COMMIT SUICIDE and then read our FAQs about breast enlargement As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Permanent Injectible for Wrinkle Reduction May Have Drawbacks
For Immediate Release from the ASPS (The American Society of Plastic Surgeons): February 28, 2003 In the race to produce the ultimate non-surgical wrinkle reduction therapy, many products await decisions from the FDA for use in the United States. One in particular, Artecoll®, has completed its clinical trials and a decision from the FDA is expected in the first half of 2003. Artecoll is an injectible soft tissue filler composed of 75 percent collagen and 25 percent polymethylmethacrylate microspheres (non-silicone, carbon–based polymers). Artecoll’s manufacturer claims the injectible is permanent, as the microspheres do not absorb into the body. Because of its permanence, Artecoll requires greater skill to inject. There have also been reports that some patients experience lumping of the product after injection. A potentially serious adverse effect of Artecoll is granulomas – localized skin reactions to foreign bodies in the tissue, which can appear as hardness or inflammation with itchiness (a rash). Another concern with Artecoll is the possibility that the microspheres can move to areas of the body other than was originally intended. Conclusion: As the largest plastic surgery organization in the world and the foremost authority on cosmetic and reconstructive plastic surgery, the American Society of Plastic Surgeons welcomes the introduction of new and exciting therapies and products. Artecoll seems to have benefit as an injectible soft tissue filler, however, without meaningful scientific evaluation, physicians may be unwilling to use it until there is convincing evidence that the benefits outweigh the risks to patient safety. Read this article on the ASPS website: Permanent Injectible for Wrinkle Reduction May Have Drawbacks Find out more about AGING. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
What is the difference between cosmetic & plastic surgery?
The American Society of Plastic Surgeons (ASPS) defines the difference in the following way: Reconstructive plastic surgery is performed on abnormal structures of the body caused by birth defects, developmental problems, trauma, injuries, infections and tumors, such as as skin cancer and breast cancer Aesthetic or cosmetic plastic surgery is performed to reshape or restore normal structures of the body to improve appearance or self-esteem. The FTC has prepared a brochure to advise consumers about some aspects of cosmetic surgery. It is included on E-sthetics with added hypertext links. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Boomers Getting Nips, Tucks to Buoy Careers
copyright ABC Surrounded by coworkers who were 20- and 30-somethings, insurance broker Linda Parker was beginning to think she looked older than she felt ... Before she had eye work and a brow lift done, Linda Parker felt as if she looked older than her co-workers ... After the cosmetic surgery Parker won compliments from her co-workers ... "I think older workers are seen as less amenable to change and I just didn't want to become a statistic," Parker told Good Morning America. "I had tried all these anti-aging creams but you realize eventually that plastic surgery is the only thing that works." Read more of this article at: Boomers Getting Nips, Tucks to Buoy Careers and then find out more about eyelid tightening or blepharoplasty As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
GYNECOMASTIA:a brief summary of the surgical treatment
Large breasts in men (gynecomastia) are common. It is estimated tha at some time in their life over a third of men experience this problem. The operation is designed to remove excess breast tissue in men. This develops in one of two patterns, either a firm button of tissue beneath the nipple or a diffuse fatty change with poorly defined edges. Sometimes both patterns are present. The causes of gynecomastia are numerous and may dictate the treatment used. Method: Ultrasonic liposuction alone is helpful for removing the tissue and may avoid skin excision in many patients. It is now considered the treatment of choice for many men with large breasts.The type of surgery recommended depends on the pattern of enlargement. The most common traaditional method is to remove the excess tissue through an incision around the nipple. The incision extends out from the nipple at 3 and 9 o'clock. Liposuction is used to improve the contour or remove additional fat. The operation is under a general anesthetic (you are asleep). Most of the time this is an outpatient operation and a stay in the hospital is not needed Problems: All operations have some risk. It is possible to divide the risks -of surgery into two groups. First those that are seen in all operations and second those that are unique or special for this operation. In the first group, the main risks are swelling, bruising, bleeding, infection, a scar and numbness or change in feeling. The main problems which are special for this operation are surface irregularity and a change in shape or position of the nipple Postoperative care: The recovery takes one to two weeks. Most people are back to work within a week or two. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
How to find a plastic surgeon
There is no perfect way to find a good doctor and you need to take into account many factors.The two main factors are the qualifications of the doctor and the doctor's personality. There are many ways you can find out about a doctor's training. The simplest is to ask. Most doctors are happy to provide you with information about their background and training. If they are not, then you a justified in being suspicious.There are many professional organizations worldwide that publish lists of their members and this is often a good starting place. In the United States the American Society of Plastic Surgeons has a doctor finder web page which may help you. They also provide a toll free number 1 800 635 0635 . You might also ask if the doctor is board certified in the field of plastic surgery. Although this does not guarantee a good result it does tell you about their training. Outside the United States you should check with your local plastic surgery association or medical society. You might try talking to your family doctor and local medical association. They often have a personal knowledge of a doctor's reputation. Nurses and people who work in hospitals also have first hand experience of a doctor.Check around in your community and talk to people who have had surgery. If a doctor is getting consistent results, you may be able to discover this by word of mouth. Local hospitals often have training requirements to allow doctors to work on their staff. This is also a good place to start your search. The second factor, the doctor's personality, is also important. You can look at it this way. If all goes well, which it does in most cases, you will see the doctor only a handful of times. However, if you have a problem, you and the doctor are going to have to work through some difficult times together. You may need to get on well with the surgeon, and the surgeon with you, under some trying conditions. Talk to several surgeons and you will soon get a sense of the ones that you like and can get on with. When the doctor you like is also well trained you have a good combination. Remember that no matter how well trained or nice the doctor, problems can arise. About one in every hundred patients will have a major problem after any type of surgery and plastic surgery is no exception. Not all patients are happy with the result of surgery. How to find a plastic surgeon As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Singer's Breast Implants Heat Reform Debate
Copyright Reuters A popular German singer who had breast implants paid for by health insurers has sparked a debate about what is wrong with country's generous but cash-strapped welfare system ... singer Juliette said she had an operation to enlarge her breasts three years ago, and her health insurance paid the bill...Health experts said even though breast implants are only paid by insurers in exceptional circumstances... Read more of this article: Singer's Breast Implants Heat Reform Debate and then find out more about breast enlargement. As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
Over the border, under the knife U.S. women are coming to Canada to shop - for the latest in plastic surgery
Anne Marie Owens Copyright National Post (Canada) Every three months or so, a 55-year-old professional woman from a small town in western New York state drives across the border for an overnight visit to Toronto where she dines out at the city's finest restaurants, takes in a stage show, and spends about a half hour getting injections for an anti-ageing treatment she cannot get in the United States ...These treatments, which typically involve injecting a syringe full of one of the latest liquid fillers such as Restylane or Artecoll to plump up lips and erase small laugh lines, are rapidly rising in popularity due to a word-of-mouth buzz about longer-lasting results and relatively few side-effects ... Read more of this article at ... Over the border, under the knife U.S. women are coming to Canada to shop - for the latest in plastic surgery and then find out more about injectables for aging As always you can email Dr. Hudson if you have any questions. E-sthetics ... comprehensive information about cosmetic surgery
some possible problems and complications of ultrasonic liposuction
Complications with ultrasound-assisted lipoplasty UAL) can occur but major problems seem uncommon. They may be more common when large volumes are removed and when the tissue closest to the skin is aggressively suctioned. Many of the risks are the same as Traditional liposuction These include bruising, swelling bleeding, infection, and change in nerve function. • surface irregularity: asymmetry or unevenness can occur in up to 3% of patients but only a third of these need additional surgery. • brown discloration of skin: this may occur in up to 4% of patients. The brown pigment is due to hemosiderin (an iron containing material which is produced when red blood cells break down) and increased pigment due to inflammation. It may be long lasting and seems to be more common when the inner thigh is suctioned. • nerve change: sensory, or feeling, nerves may be damaged in up to 6% of patients. Pins and needles and aching pain are the most common problems. Damage to the nerve that supplies the lower face muscles (VII nerve) has been seen after suctioning along the jaw. It appears to recover on its own and no treatment is needed. The outer sheath of many nerve cells is a fatty layer called myelin and the nerve damage may be due to stripping of this layer. • fat fibrosis and necrosis: up to 4% of patients may experience small lumps and texture change in the skin. Small pieces of fat may break off during the suctioning. These may be felt as small sausage shaped areas deep to the skin and just above the muscle.They may act as trigger points for pain and discomfort. • prolonged drainage: drains are sometimes used after surgery but in some patients the drainage may be persistent. This consists of a mixture of the wetting solution, small particles of fat and residual oils. • seromas: this is a collection of fluid or serum and in some series is the most common complication of ultrasonic liposuction. • skin laxity: after surgery the skin may not contract and in situations where large amounts of fat are removed this may require additional surgery. An advantage of ultrasonic liposuction is that it appears to tighten the skin more than traditional liposuction. • skin necrosis: the ultrasonic probe can damage the blood supply to the skin or cause burns directly. This may lead to the death of a small area of skin. • burns: may occur in up to 4% of patients however with the introduction of skin protection at the entry point it is likely that this will be much less. The superwet method is used to reduce the risk of burns in the cavity being suctioned. • long term effects: the effects of ultrasound in the cavity are still under study but at this time no adverse affects are known. • free radicals: because free radicals may be created by the surgery some doctors recommend antioxidant medications before and after surgery. The significance of this is unclear but seems minor. This is one reason that some surgeons are reluctant to use ultrasonic liposuction on the breast. This seems a theoretical objection to breast reduction using ultrasonic liposuction and there is no reason to suggest that current studies will show any conection between breast cancer or other problems of this type and ultrasonic liposuction. • blisters from dressings or bandages: although less common as surgeons have gained more experiece, blistering from foam bandages can be significant and may leave scars on the skin. Ultrasonic liposuction should not be used in patients who have a pacemaker. some possible problems and complications of ultrasonic liposuction As always you can email Dr. Hudson if you have any questions. Wednesday, March 05, 2003
Botulinum Toxin Injections (Botox™)
A non-surgical answer to aging change in the face still eludes science. The introduction of botulinum toxin injections, or Botox, has produced at least a temporary method for removing some lines and perhaps the bands in the neck. Botulinum toxin has been used for treating many problems in medicine since the late 1970s. It has taken almost twenty years for it to be used to improve the appearance of the face. For many years the use of Botox for wrinkles was an off label use of the drug. This means that although it has been approved by the FDA, it is not used for the same problem as approved by the FDA. Yet, many doctors routinely use the method. In 2002 the FDA gave approval for its use in treating deep lines between the brows on the forehead. It is injected into the facial muscles that are causing wrinkles or bands in the neck. By relaxing the muscles it produces a significant change in appearance. It is temporary, and within a few months the doctor can re-inject the same areas. There is some proof it is less effective as more injections are given. However many physician feel the opposite is true and that with repeated use of low doses the muscle actually thins and weakens. In addition, through a process of re-education the patient can break the habit of contracting certain muscles that has developed over many years. In many people several areas are injected simultaneously. Most doctors like to limit the amount of toxin injected at one time. Botulinum Toxin Injections (Botox™) As always you can email Dr. Hudson if you have any questions.
EMOTIONAL & PSYCHOLOGICAL ASPECTS OF COSMETIC SURGERY
patient satisfaction after cosmetic surgery Most patients (90%) are satisfied with the result of cosmetic surgery. This does not mean that all patients are happy or get the result that they want. Whether or not patients are happy with the result depends on several factors, for example men tend to be less happy than women. The satisfaction rate depends on the type of operation with some studies showing that only two out of three men -are happy with their results from a rhinoplasty. Breast augmentation and neck suctioning have high levels of satisfaction.There is a difference of opinion about the influence of time. Some studies suggest that patients are happier as time passes whereas others show they are less happy. Some reports suggest that eight out of ten patients are happy with the result of cosmetic surgery. About one in ten feels that they did not achieve the desired result and one in ten acknowledges that they look better but do not feel better. As always you can email Dr. Hudson if you have any questions.
Cosmetic surgery junkies, how much is too much
copyright WKYC in Cleveland As cosmetic surgery booms in this country, many of those seeking a more youthful appearance are repeat customers. In fact, millions of Americans are undergoing multiple cosmetic surgeries. But, when a patient wants a complete "change of face" the problem may be more than skin deep. The quest for a firmer face, a narrower nose, a nicer neckline, thinner thighs and a tighter tummy. That's why people are flocking to plastic surgeons like Dr. Michael Kelly, hoping to get several body parts altered at once. "We live in a fast food society they want to get it all done at once they want to be that new person right away,” said Dr. Kelly. Forty seven year old Gayle Moule had her first "nip and tuck" seven years ago... Read more of this article at ... Cosmetic surgery junkies, how much is too much and find out more about the emotional aspects of cosmetic surgery at Esthetics.com As always you can email Dr. Hudson if you have any questions.
[six decisions to make before breast augmentation surgery]
When patients come to the surgeon to talk about breast enlargement, they are often amazed to find that although the basic operation is not complex there are many decisions they must make. The six most important questions to ask are about the incision, whether the implant is above or below the muscle, the size and the shape of the implant, the contents of the implant and whether or not the surface is smooth or rough (textured). You should talk about these issues with your surgeon so that BEFORE surgery you are well prepared.
[Excessively large breasts in teenagers]
The presence of excessively large breasts in teenagers is often given the name juvenile breast hypertrophy. The cause is not known but it appears that the breast tissue is more sensitive to circulating hormones. This is called end-organ hypersensitivity. It is not thought to be due to an increase in hormones. What are the warning signs: • The breasts often start to grow quickly at the time of the first period • The breasts are large and out of proportion to rest of the body • The nipple and areolar may stretch and become pale or lose pigment • The veins of the breast skin may be large and full • Skin necrosis (death or loss of skin) is uncommon but may occur • The weight of the breast can cause problems in the back What treatments are available? • Reduction mammaplasty is the best treatment. This is often done when the teen is quite young because a delay may result in psychological and physical problems. Unfortunately there is a high chance the breast tissue may re-grow. This means another surgery may be needed. • Mastectomy has been used to treat severe cases when the breast persistently regrows. • Hormone therapy is not usually an alternative to surgery because there may be unknown side effects during puberty. If the breast regrows a trial of hormone therapy may be used. One hormone that is used is Dydrogesterone, a kind of progesterone. This does not seem to disturb ovulation. Losing weight will NOT help because juvenile breast hypertrophy is mainly due to overgrowth of the glandular not the fatty part of the breast. Call for your free consultation with Dr. Hudson NOT with a nurse 505.242.0070 Prices for surgery with Dr. Hudson - financing available  |
