Gone are the days when plastic surgery was simply for the rich and famous and something you felt the need to sweep under the rug.

These days, it is popular and even hip to have something ‘done’. Women and men get it done for all sorts of purposes – to help feel great about themselves, to get rid of some type of medical issue, or just to shed pounds efficiently.

What ever the reason, it is fundamental that you take on simple protection measures since even though it’s cosmetic, the dangers will not be. So before you consent to change the way you look, here is what precisely you want to do:

Chose a capable surgeon: The most critical concern in plastic surgery is not the cost; it’s actually precisely how experienced your surgeon is. You’re doing this since you aspire to try to improve your physical appearance, and it is solely having a respectable and established physician that are you able to be sure that the outcomes are as predicted. So even should you are required to fork out a lot more, choose a cosmetic surgeon who is trained and qualified to do plastic surgery as well as someone that is experienced in the particular treatment that you’re keen on.

Insist on a safe setting: Cosmetic surgery is just like every other surgical treatment in that you’ll be under the effects of anesthesia and you’ll go through blood loss. Therefore, just in case anything goes completely wrong, it is ideal to have surgical treatments conducted in a clinic in which crisis care can be found at a 24×7 basis. If your surgery is actually slated at a private aesthetic surgical clinic, find out about medical facilities which might be in the area and where you might receive emergency care if needed.

Learn recommendations: And finally, it’s very important to stay within your physician’s recommendations ahead of as well as after the surgery. You might have to stop smoking and/or go off particular drugs (if you are on medicines). Also, after the treatment is done, you could be in a good amount of discomfort, but talk with your medical professional before you decide to commence swallowing painkillers all on your own. It may perhaps be some time before you start seeing results, primarily with liposuctions and alternative surgeries performed on the facial area, which means you need to be patient. It’s also possible to have to undergo physiotherapy in some cases, so consult your doctor to be able to provide you all the info prior to deciding to sign on the dotted line.

It could be aesthetic, nevertheless the hazards exist because it is surgery in the end. But should you consider the basic safety measures plus follow directions, there is very little need to dread cosmetic surgery.

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In a survey released today by the American Academy of Cosmetic Surgery (AACS), 71% of respondents think society is less judgmental about cosmetic surgery than it was just five years ago. Furthermore, about 62% said society’s attitude toward cosmetic surgery made them feel more comfortable about getting a cosmetic medical procedure at a skin clinic or medical spa.

“This is a confirmation of what many of us have felt for a long time; that cosmetic surgery has become mainstream,” said Dr. Mark Berman, AACS president-elect. “A variety of factors have contributed to the normalization of our industry, but the bottom line is that people are not afraid to talk openly about cosmetic surgery anymore.”

According to the survey, the most accepted invasive procedures are breast augmentation (42.4%), face lift (32.2%) and tummy tuck (32.1%). Among noninvasive procedures, the most accepted are laser hair removal (61.9%) and Botox (61.6%). Additionally, 52% of respondents said they would tell family about having invasive cosmetic surgery.

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(UPI) — A new California law will prevent doctors from performing elective cosmetic surgery without an “appropriate” physical exam, authorities said.

The law, which takes effect Friday, is named the “Donda West Law” after singer Kanye West’s mother, who died a day after cosmetic surgery in 2007.

The law requires “an appropriate physical examination within 30 days of a procedure and “written clearance” from a doctor, nurse practitioner or physician’s assistant before cosmetic surgery is performed, The Sacramento Bee reported Saturday.

The law will change little since reputable cosmetic surgeons have always obtained a patient’s medical history and made sure the patient had a physical exam before a procedure, said Dr. Terry Zimmerman, head of the Greater Sacramento Plastic Surgical Society.

Autopsy results showed Donda West died of pre-existing coronary artery disease and “multiple post-operative factors” a day after she had an abdominal tuck, breast surgery and liposuction. The surgeon who operated on West surrendered his medical license in April.

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For the man who has everything...

According to the American Society of Plastic Surgeons (ASPS), men accounted for 13% of all cosmetic surgical procedures performed in the United States in 2008, and 9% of the cosmetic minimally invasive procedures. And these numbers are only going to rise as “getting work done” is no longer considered taboo and men realize that in today’s competitive environment, looking their best is advantageous to their careers and life.

While plastic surgery procedures are still predominantly performed on women, here are the top five surgical and top five minimally invasive procedures that are on men’s wish lists:

Top Five Surgical Male Procedures

1. Rhinoplasty: What man hasn’t broken his nose in a childhood injury and secretly wishes they had a straight nose again?

2. Eyelid surgery: Droopy eyelids make your man look old – open his eyes up to a more youthful appearance.

3. Liposuction: Love handles are called that for a reason, but do you really love them? Does he? That stubborn fat that won’t budge regardless of diet or exercise can now be removed through a myriad of new liposuction options.

4.  Breast reduction:  It’s never good when your man has bigger breasts than you. Enough said.

5.  Hair transplant: Women want to move their fat around to different parts of their bodies. Men want the hair of their youth – on their heads, not their backs.

Top Five Minimally Invasive Male Procedures

1.  Botox: Maybe he won’t look so angry anymore.

2.  Chemical peel: Years of no sunblock plus sun exposure equals leather face. A chemical peel could turn back the clock by smoothing out the skin.

3.  Laser hair removal: Sweaters should come off at some point – and aren’t you tired of shaving his back because he can’t reach? Laser hair removal is a permanent option.

4.  Laser skin tightening: Using a carbon dioxide laser, skin is tightened and since it penetrates the deep layers of skin, it promotes collagen growth. And what guy doesn’t like lasers?

5.  Microdermabrasion:  It’s like sandblasting for your face. That’s all you need to tell him.

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Friend of Michael Jackson joined him on his plastic surgery journey…

David Gest blames himself for having too much plastic surgery.

The 56-year-old TV star-and-concert promoter says he was encouraged by his late friend Michael Jackson to have several operations, but insists it was all his own decision.

David – whose cosmetic procedures include two facelifts and a nose realignment operation – said: “On Celebrity Come Dine With Me, I discuss the plastic surgery I had done between 1980-1981 and blame only myself for being so foolish, especially not Michael Jackson nor anyone else. I was an idiot. I look back at that time and think of myself as being so stupid, and was very appreciative of Michael’s support and being there when I went through all that.”

David appears on the Christmas special of the British dinner party TV show Celebrity Come Dine With Me.

The flamboyant star also revealed he had his cheek implants removed after having a surgery epiphany.

“It was my idea to put in a clef chin and cheek bones – not Michael’s. Sometimes when you are young you are foolish and you get carried away. I remember I was looking in the mirror in an office building when I was with Band of Gold singer Freda Payne. I was mortified and almost fainted. I had the cheekbones removed a week later. I’ve come to realize that it’s not what’s on the outside, but it’s what’s on the inside that counts.”

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New info surfaces about former beauty queen Solange Magnano’s death….

(CNN) — When Argentine beauty queen Solange Magnano approached Dr. Guillermo Blugerman in 2004 about helping her achieve a flatter stomach, the plastic surgeon says, he obliged with liposuction. But when she returned five years later requesting silicone injections for a higher, firmer rear end, he turned her away.

“I said this was not allowed to be done in Argentina,” Blugerman said on the telephone from his Buenos Aires office.

Blugerman, the president of the Argentina Association of Medicine and Cosmetic Surgery said he believes Magnano then went in search of someone who would give her the injections she wanted.

“She found someone else to do this with this forbidden material,” he said.

The former Miss Argentina died November 29, reportedly of a pulmonary embolism, a blood clot that blocks blood supply to the lungs. Embolisms are known complications of silicone injections though they can occur — rarely — after any surgery. It’s still not clear Miss Argentina was given a silicone injection, which is not an approved procedure for “butt lifts” in Argentina or the United States.

Read more about Solange Magnano’s death

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The latest kind of recycling has nothing to do with soda bottles. It entails liposuctioning fat from thighs or buttocks and injecting it into breasts to augment them. After being condemned in the early ’90s, this procedure is generating newfound excitement among the handful of doctors nationwide who offer it and patients keen to enlarge their breasts without resorting to implants.

Almost 20 years ago, the association now known as the American Society of Plastic Surgeons issued a warning to its member doctors to not inject suctioned fat into patients’ breasts, for fear that mammograms would be misread. Since some injected fat dies and calcifies, the thinking was that radiologists would not be able to distinguish between those calcifications (or calcium deposits) and suspicious ones that may indicate breast cancer.

A second concern was that too little injected fat survived being transplanted, because techniques for harvesting, refining and placing fat were not advanced enough. Even today, the success of fat grafting to the breast, as the procedure is also known, depends on the physician.

But this year, the plastic surgery society reversed its former position. A report from its task force reviewed the limited research on fat grafting to the breast and concluded that it “can be considered a safe method of augmentation.” On the issue of mammography, the report said fat grafting “could potentially interfere with breast cancer detection; however no evidence was found that strongly suggests this interference.” Thus, the task force’s statement turned a red stoplight into a yellow one, signaling to plastic surgeons: Proceed with caution.

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The editors of Consumer Guide to Plastic Surgery are gazing into the crystal ball once again to see what’s in store for 2010.

Even More Botox-Like Products Will Come to Market.

First there was Botox Cosmetic; then 2009 brought the Botox alternative Dysport. In 2010, expect to see a few more Botox rivals, including a topical form of the popular wrinkle relaxer and at least one more injectable. A couple of injectable Botox cousins are in development, but PurTox will likely be the next to get a nod from the Food and Drug Administration (FDA). The main difference in these injectables seems to be how long the results last and how quickly the products start to work on your crow’s feet.

Fat Injections to the Breast Will Be Used Cosmetically.

After being condemned by plastic surgery associations, fat injections to the breast were deemed OK for “touch-ups” after breast reconstruction in 2008. But these once controversial injections may soon play a role in cosmetic breast augmentation. Taking fat from a part of the body where there is too much (your thighs or butt, for example) and injecting it into your breasts where there is too little, may replace the need for breast implants when done in conjunction with a breast lift. Some kinks still need to be worked out, but fat injections to the breast are likely here to stay.

Surgeons Will Invent – and Perfect – Body Contouring Surgeries to Follow Massive Weight Loss.

More and more people are undergoing bariatric surgery to lose weight, only to be left with hanging fat and flab in highly visible areas. As plastic surgeons put on their thinking caps to better address these issues, expect to hear about many new procedures, including the corset trunkplasty. This new surgery targets above-the-belly-button flab, to recreate an hourglass silhouette in formerly obese women and get rid of love handles in men who have lost massive amounts of weight. This area has been ignored by many traditional body contouring procedures that target the lower abs, buttocks and/or thighs. We will hear more about corset trunkplasty and other innovative body contouring procedures in 2010.

Fat Freezing Heats Up in 2010.

Fat freezing (or cryolipolysis) may give liposuction a run for its money in the coming years. This technology works by freezing fat cells and breaking them down. Zeltiq is in clinical trials now, and results look promising. Stay tuned.

Cohesive Gel Breast Implants Receive FDA Approval.

These so-called “gummy bear implants” have been making their way down the pike for some time, and they just may get the long-awaited FDA nod in 2010. Filled with cohesive silicone gel, these leak-resistant implants – used in Europe and Brazil – are being studied in the United States. Gummy bear implants have the positive attributes of silicone gel, but the gel doesn’t migrate. This is a good thing, because if the shell should fail, the gel wouldn’t leak into surrounding tissue.

Minimally Invasive Cosmetic Procedures Experience Rebirth.

As our economy starts to show signs of life again, more people may opt for cosmetic surgery procedures, reversing the steep decline of the last two years. Don’t expect the numbers to reach their record highs anytime soon, though. There will likely be a slight increase in plastic surgery procedures – especially minimally invasive ones such as injectables that allow people to put off more invasive (and expensive) procedures like face lifts until they really need them (and can better afford them).

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So while there are still a number of people posting on how much the love Laurie D’Alleva and her videos touting the benefits of do it yourself Botox, there are a growing number of people who still have a non-paralyzed thought or two that are coming forward to talk about the problems you might have pumping fillers into your face. Perhaps the do it yourself Botox crew are also attracted to Trepanation.

Here’s a story from ABC:

Some consumers are ordering prescription-only cosmetic products online and injecting themselves at home. One woman who self-injected her face with filler said it caused bags and lumps under her eyes, and a hard, infected pustule on her cheek.

For millions of Americans, the solution to crow’s feet, thin lips, and frown lines is at the end of a syringe, or in a bottle. A quick trip to a medical spa, dermatologist or plastic surgeon for a Botox injection, lip augmentation or chemical peel offers the promise of a youthful look.

But these cosmetic procedures — and the medical expertise that comes with them — don’t come cheap. For a single treatment of Botox, doctors charge about $380; for lip-plumping injections, over $500; and for a chemical peel, a whopping $700.

These high prices are enough for some consumers to take their business away from medical professionals, and go instead to the Web. They are “doing it themselves,” ordering prescription-only products online, and injecting themselves at home.

Laurie D’Alleva, of Mansfield, Texas, is a big fan of “DIY” beauty injections and treatments. She is the face of a DiscountMedSpa.com, a website stocked with what she claims are pharmaceutical-grade cosmetics, similar to Botox, Restylane, and Retin-A. 

Self-injecting botulinum toxin might sound dangerous, but D’Alleva, 39, tries to put her customers at ease with informational videos, complete with tips and pointers on how, and where, to inject. “It doesn’t hurt… It’s easy,” D’Alleva claims in one video, as she stands in front of a mirror and injects her face repeatedly.

Watch the investigation on “20/20″ TONIGHT at 10 p.m. ET

Disaster isn’t what “Alex,” a paramedic, had in mind when she visited DiscountMedSpa.com a few months ago. In her 40s and dating, she just wanted to improve her look, and save some money. She asked ABC News not to disclose her identity.

After viewing “every one” of the instructional self-injection videos on D’Alleva’s site, Alex was convinced she could do it herself, since using needles was part of her job.

“Why should I pay somebody else that got a few hours of training to do something I think I can do pretty easily?” she said she thought at the time.

Alex paid $450 for a DiscountMedSpa.com products including an injectable facial filler. She says she injected the products under her eyes and alongside her mouth.

But “the next morning, I woke up horrified by what I saw,” she said. “Literally, my heart started pounding, and I thought, ‘What have I done, what am I going to do?’”

DiscountMedSpa.com isn’t the only website selling treatments normally reserved for a doctor’s office. Chemical peels are readily obtainable from dozens of Web sites, and like Alex, the people who buy them don’t always know what they are getting.

Alex said the injections caused bags and lumps under her eyes, and a hard, infected pustule on her cheek. Desperate, she turned to Dr. Jerome Potozkin for help.

“I had an ‘Oh-my-God’ moment,” Potozkin said, “when I looked at her and I saw this huge abscess on her cheek. Then she told me it was from a filler that she ordered from an Internet Web site and injected into herself.”

Although Alex’s condition was serious, it could have been worse. Potozkin told “20/20” that if she had gone just a few millimeters in the wrong direction, she could have “literally punctured an eyeball,” or hit a blood vessel — potentially causing blindness.

The product Alex ordered from DiscountMedSpa.com was labeled “Vitalift,” but there is no such product on the list of FDA-approved pharmaceuticals.

Other products for sale included injectables “Restylin” and “Artefil,” and a “chemical peel” whose description included a “mystery” ingredient.

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Your plastic surgeon of dermatologist may be asking for your help to fight the Botox Botax shortly. Here’s what the ASDS (American Society for Dermatologic Surgery) is giving it’s members to solicit the support of Botox consumers:

The U.S. Senate health care reform bill  (Patient Protection and Affordable Care Act) contains a proposed 5 percent tax on “elective cosmetic medical procedures.”  While this may look like an attractive option to Senators looking for ways to pay for health care reform, we know that:

• Cosmetic medical procedures taxes are an unreliable and risky revenue source, which has proved to be a failure at the state level;
• A tax on cosmetic surgery discriminates against working women;
• The definition of cosmetic procedures is arbitrary and almost impossible to administer; and
• enforcement would necessitate review of patient medical records by tax collectors, a clear invasion of privacy.

Please enter your zip code below to be connected to an automatic email system which allows you to send a quick message to your Senator asking him/her to vote against this tax.

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Via Tyler Cowen, it turns out that the proposed tax on cosmetic surgeries (like Botox) might be highly regressive:

… look around. See that cosmetic surgeon down the street? The walk-in Botox clinic next door? That’s because cosmetic surgery spread from the rich and famous to the rest of us because of increasing access to credit. That’s right- the deregulation of banking that happened in the 1980s meant more and more Americans were taking out credit- either on credit cards or with medical credit companies like GE’s “CareCredit.”

What this means is that cosmetic surgery is now primarily consumed not by the rich, but by the working and lower-middle classes, sometimes even by the poor. According to the American Society for Aesthetic Plastic Surgery (ASAPS), about 1/3 of cosmetic surgery is consumed by people who make less than $30,000 a year. About 70% of it is consumed by people who make less than $60,000 a year. It is mostly women (90%) and mostly white, middle-aged women (80% and between 35-55 years old).

It would be interesting to know if these trends vary depending on the procedure. I would suspect, for instance, that nose jobs and facelifts are common among the affluent and highly-educated, whereas breast implants, which still carry something of a class-based stigma, are a more heavily downscale phenomenon. And I would imagine there are interesting regional variations as well. (Perhaps some of these questions are addressed in the forthcoming book from the author of the post quoted above.)

Riffing on the data, Tyler writes that “cosmetic surgery is not just a zero-sum game but rather it leads to better matches, more matches, and more people who are happy with their looks or with the looks of their partner(s).” I would go halfway with him, and say that it’s certainly a rational response to a culture where airbrushed images of perfect beauty flood the airwaves and supermarket aisles, where male instincts about sex are increasingly influenced by the siliconed imagery of hard-core pornography, and where high divorce rates (which are especially high among the working class) ensure that large numbers of women find themselves re-entering the dating pool in middle age. Whether it’s something to be welcomed, though, is another question entirely.

Question: Should Botox, Restylane, Juvederm, liposuction and cosmetic surgery be taxed like you luxury car?

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A general practitioner who performed a botched breast reduction that left a woman disfigured learnt how to do cosmetic surgery by reading text- books, attending meetings and assisting other surgeons.

Dr Christiaan Botha, who is not qualified to perform plastic and reconstructive surgery, yesterday admitted that he started performing cosmetic surgery after 10 years of “self-study” and assisting qualified surgeons.

He faced charges of unprofessional conduct before the Health Professions Council of South Africa (HPCSA) relating to a breast reduction procedure performed on a patient in July 2007.

He pleaded guilty yesterday.

In July 2007 Zelna Venter went to Botha to have a breast reduction because her breasts were causing neck and back pain.But the operation left her scarred – one of her nipples fell off and both areolas had to be removed – after an infection set in and the wound began to smell soon after the procedure.

Follow-up visits to Botha saw Venter being put on two courses of antibiotics and having the wound restitched several time before a second opinion was sought, and Venter was sent for an emergency operation.

It was during this operation that Venter’s areolas and a chunk of skin were finally removed.

Venter’s husband last night barred her from speaking to the media and said they had gone through great trauma in the past two years.

The HPCSA accused Botha of practising outside his scope and failing to recognise complications that arose from the surgery, and of failing to refer Venter to a plastic and reconstructive surgeon.

The council also accused him of treating Venter’s complications in a negligent or incompetent manner.

HPCSA spokeswoman Bertha Peters-Scheepers confirmed they were still investigating other complaints against Botha.

In his plea explanation, Botha said he had trained himself to become a cosmetic surgeon and that when he started performing the surgery, the understanding in the medical fraternity at the time was that GPs like him could do the procedure “with adequate training and experience”.

“Following my entry into private practice I developed an interest in cosmetic surgery. In consequence I acquired and studied textbooks on the subject and commenced assisting plastic and reconstructive surgeons in the performance of cosmetic surgery.

“After about 10 years of self-study, I commenced performing cosmetic surgery, limited however to breast augmentation surgery, breast reduction and abdominoplasty.”

Botha said that as a registered GP he believed he was permitted to perform the procedures.

“Neither I nor other members of the general medical fraternity believed it necessary, on the strength of the ethical rules, that a formal postgraduate qualification in plastic and reconstructive surgery was required.”

Cliff Nkuna, legal adviser for the HPCSA, argued that Botha did not manage Venter’s complications properly due to inadequate training and that he had put her life at risk.

But Botha’s lawyer, Steven Farrell, disagreed.

“There are no facts that Dr Botha put the patient’s life at risk. You do not have before you a medical practitioner who just takes a scalpel and starts a procedure. He developed an interest in the field.”

Farrell said that when Botha became aware of the HPCSA ruling that GPs were barred from performing plastic and reconstructive surgery, and that only specialist plastic and reconstructive surgeons could, he wound down his cosmetic surgery activities.

Botha stopped performing cosmetic surgery two months ago.

However, Peters-Scheepers said the HPCSA ruling was made in April last year, and they had sent a newsletter to all the doctors.

The matter has been postponed to May 4 for sentencing. Botha could be struck off the roll and could also be slapped with a fine.

Via: The Star

Plastic Surgery, Botched Plastic Surgery, Plastic Surgery Problems

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Photos: Above, recent online photos of Rachel Uchitel. (Photos courtesy of Gala.de and TheImproper.com) Below, Rachel Uchitel yesterday in Los Angeles. (AP photo)

Plastic surgeons and celebrity watchers gave party hostess Rachel Uchitel a once-over as soon as the tabloids thrust her into the spotlight last week as the alleged mistress of golfing great Tiger Woods.

She flatly denies the allegation, but Uchitel’s photos on the Web have provided evidence for cosmetic doctors to analyze. For example, plastic surgeon and blogger Dr. John Di Saia of San Clemente and Huntington Beach wrote:

[Her photos] show her to be an attractive woman who has probably seen the inside of a plastic surgeon’s office before. She seems to have had breast implants at the least from the images we have seen.

The online Plastic Surgery Channel commented on the uncertainties surrounding Uchitel:

Her lips do suggest lip injections, (perhaps Botox) and her chest suggests breast augmentation. Uchitel would likely deny rumors of plastic surgery, just as she has denied other rumors. But, in all cases, she may be telling the truth.

skin clinic, plastic surgery, Botox

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A 38-year-old former Miss Argentina died after complications arising from plastic surgery on her buttocks, according to media report Wednesday.

Solange Magnano, the 1994 winner and a mother of 8-year-old twins, died of pulmonary embolism Sunday three days after having a gluteoplasty, a procedure that involves placing implants to enhance firmness. Officials said the injected liquid went into her lungs and brain.    

News of her death shocked her fans. The cause of her death was under investigation, the authorities said.

In the past half decade, the number of people seeking plastic surgery in Argentina has soared by 60 percent, to around 50,000. Estimates say that 1 in 30 Argentines has gone under the knife, making plastic surgeons here some of the most experienced on the globe, attracting large number of medical tourists.

Medical tourism in Argentina has seen a huge jump over the past decade, and is projected to be a 100 billion dollar global industry by 2010, according to the Deloitte Center for Health Solutions, a U.S. research center focused on trends in the health care system.

Plastic Surgery, Cosmetic Surgery, Plastic Surgeon, Gluteoplasty

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The medical spa and plastic surgery community is in an uproar over some proposed legislation that could make a trip to the plastic surgeon or a Botox injection at the medical spa more expensive.

People are calling it the Botax. It’s a 5 percent tax on elective procedures such as Botox, Juvederm, Restylane, laser hair removal, facelifts, breast augmentation and other nips and tucks that lawmakers are hoping will help fund the nearly $1 trillion health care plan.

The bill says the tax would not apply to cosmetic surgery to fix a deformity either from birth, accident, or disease. It would apply to procedures like face lifts, liposuction, cosmetic implants and teeth whitening.

But as Dr. Paula Hicks points out sometimes cosmetic surgeries have very medical purposes.

“Certainly breast reduction surgery is a very good surgery for a lot of women and a lot of them will get denied by the insurance company as cosmetic surgery,” said Dr. Hicks of the Ave Medical Laser Spa and Laser Clinic.

Under the proposal, Dr. Hicks says an eyelid tuck, which can help with vision, would cost an extra $100 in taxes on top of the $2,000 price tag for the procedure.

She says that could be a big hit to her business since most of her clients are not wealthy.

“Most of these procedures are not done on people that are rich and have endless amounts of money, it’s middle class working women that would be targeted with this tax and it’s really not fair.”

According to the American Society of Plastic Surgeons 86 percent of cosmetic surgery patients are women. Sixty percent of them have annual incomes between $30,000 and $90,000.

The tax, if approved, would raise $6 billion over 10 years.

Allergan, which sells Botox, took a civil rights angle: The tax “discriminates against women,” the company said in a statement. Some 86% of cosmetic surgery patients are working women ages 35-50, with an average annual income of $55,000 per year, according to Allergan.

“What’s next? Are we going to tax people who color their hair?” the CEO of Medicis, a drug company that sells fillers, told Dow Jones Newswires.

The American Academy of Cosmetic Surgery, which is fighting the provision, says “a large portion of those being taxed would be the baby-boomer generation. And as this age group continues to age, the more interest will be generated in cosmetic procedures.”

A spokesman for the 2,500-member group said they were surprised to see the provision in the Senate bill this week, because it had already surfaced and sank in July. The tax is not in the House bill.

The tax is on elective procedures, and would not apply to any procedure to correct birth defects or issues arising from disease, accidents or trauma. The CBO says it would raise about $5 billion over the next decade.

via medicalspamd.com Follow Medical Spa MD on Twitter

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3. Plastic surgery advertising regulation in Britan?

Cosmetic surgery can carry risks as well as benefits

Several newspapers have reported the dangers associated with cosmetic surgery, including a lack of regulation in some areas of the industry. The reports also feature warnings from Nigel Mercer, the president of the British Association of Aesthetic Plastic Surgeons, who voiced his views as part of a series of medical articles on cosmetic surgery.  Mr Mercer called for tighter regulation and testing of drugs, procedures and implants to offer more protection to patients.

The Times reported that the number of cosmetic surgical operations conducted by “audited members of the profession” has more than tripled to 34,000 since 2003, but that many additional procedures are being carried out on the black market. The newspaper says that these are “fuelled by internet promotions, magazine advertising and aggressive discounting”.

 

What is the basis for these news reports?

The reports were based on a special edition of the journal Clinical Risk, which featured several articles on the issues surrounding cosmetic surgery. These issues include the potential for physical and psychological harm, and the need for tighter regulation of the industry, better training programms for surgeons and measures to improve patient experience.

Nigel Mercer, president of the British Association of Aesthetic Plastic Surgery, wrote an accompanying editorial arguing that the availability of consumer credit and a change in public attitudes has led to an explosion in cosmetic surgery in recent years. According to Mercer, this growth, combined with increasing public expectation and media hype, has resulted in “the perfect storm in the cosmetic surgical market”.

 

What is cosmetic surgery?

Cosmetic surgery, sometimes called aesthetic surgery, was described by a doctor in the journal Clinical Risk as being “purely elective, a lifestyle choice undertaken to enhance physical appearance, improve self-esteem and boost confidence”. Another doctor says that it differs from all other forms of surgery in that it is a treatment for “want” rather than for “need”.

In the 2005 Regulation of Cosmetic Surgery report, published by the Department of Health, cosmetic surgeries are defined as “operations and other procedures that revise or change the appearance, color, texture, structure or position of bodily features, which most would consider otherwise to be within the broad range of ‘normal’ for that person”.

Cosmetic surgery differs from plastic surgery, which is generally surgery to repair or reconstruct tissue or skin damaged by congenital (inherited) disease, injuries or burns. The primary role of plastic surgery is to restore function, and aesthetic improvement is secondary.

 

How is cosmetic surgery currently regulated in the UK?

At present, there are measures and standards to help regulate the industry but some cosmetic surgeons operate outside these regulations. Some treatments and procedures are unlicensed for cosmetic use, but can be given the discretion of doctors, or “off license”, by some clinics.

Surgical practice in the UK is regulated by the General Medical Council (GMC) and practicing surgeons should be enrolled on its specialist register. However, some concessions are made for private cosmetic surgeons who have been practicing since before April 2002. By satisfying certain criteria, these doctors can practice without the need to be on the specialist register.

Invasive cosmetic surgery and laser treatments are also regulated under the Care Standards Act 2000. The Healthcare Commission inspects all registered establishments that carry out invasive procedures and laser surgery in the UK, and has the power to revoke practice licenses and to take enforcement action.

Some cosmetic surgical procedures are not covered by current regulations, such as Botox injections and injections of aesthetic fillers. Botox is not licensed for cosmetic use, but it can be prescribed “off license”, in which circumstances the doctor assumes liability for its use. Most fillers are tested in the UK as “devices” rather than as drugs. This means that they are regulated based on the standard of their production and not on whether the treatment works.

The Department of Health report concluded that the regulatory situation for cosmetic surgery was not satisfactory because of the group of doctors who can practise without being on the GMC specialist register and the lack of clarity around the definition of “fillers”. Although practitioners of cosmetic surgery must demonstrate certain competencies, these may not be the equivalent standard of NHS consultants.

 

What do these journal articles say about cosmetic surgery?

The authors of these articles have argued several opinions, including that:

• Patient psychology should be considered by clinical staff as issues of mental health and body image may be behind the desire for cosmetic changes. These could also arise in people who feel disappointed or upset by the results of their surgery.
• Surgeons should keep records detailing their patients’ expectations and provide them with guidance on whether these are realistic.
• There are risks associated with any type of surgery and patients should be informed of these and their surgeon’s success rates when considering procedures.
• It is important that patients are given time to consider their options. Doctors should also inform patients about alternative treatments that may be available.
• Before procedures are carried out, it should be clear who will be financially liable for the correction of any complications.
• There may be some merits to adopting a regulation system similar to that in France. Under this system, patients must be given information on costs, risks and the surgeon’s qualifications to perform their selected procedures.
• The way that cosmetic surgery is marketed should also be regulated.

What is the problem with plastic surgery marketing?

Mercer says that cosmetic procedures are often marketed using special offers, including vouchers, two-for-one deals and surgery holidays, and that these practices contribute to an “unregulated mess”. 

The articles also feature a call to ban advertising of cosmetic procedures, stating that, like tobacco, there should perhaps be a Europe-wide ban on advertising all cosmetic surgical procedures, including on internet search engines. While advertising can be powerful, says Mercer, it is often misused by the cosmetic surgery industry and misinterpreted by those it is aimed at.

 

Where can I find more information on reputable plastic surgeons?

The British Association of Aesthetic Plastic Surgery is a not-for-profit organization based at the Royal College of Surgeons. It was established to advance the education and practice of cosmetic surgery for public benefit. While it is not a regulatory body, it has long been involved in giving the public information on the safety of cosmetic surgery.

Its research into cosmetic surgery tourism was discussed at a recent conference and its press releases highlight a number of dangers associated with unregulated procedures, including DIY injectable treatments available over the internet.

via nhs.uk

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Botox, Restylane and Juvederm filler injections with far less pain.

Before being injected with your chosen dermal filler, you’ll probably receive local anesthesia, for which you’ll have to wait to work before you get the enhancing injection. The waiting is annoying; the pain more so. But doctors are working on new techniques that make getting an injectable treatment less painful and time-consuming.

A team at UT Southwestern has been combining 2% lidocaine with Radiesse, Restylane and other hyaluronic acid fillers. Tissue is immediately numbed and immediately treated—simultaneously—giving the patient a faster and more comfortable wrinkle-filling experience.

“There is significant time savings in not having to wait for traditional dental block anesthesia to take hold,” explains UT Southwestern plastic surgery chairman Dr. Rod Rohrich, “and the procedure is more pain-free with shorter recovery time.” His team’s findings appear in the journal Plastic and Reconstructive Surgery.

Although the aforementioned formulas require manual mixing, manufacturers have begun offering fillers with lidocaine already built in, like Hydrelle and Prevelle.

This couldn’t come soon enough for most of the medical spas and plastic surgery offices I know. And if you’ve ever had Botox or Restylane injections you know what I mean.

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Botox becomming more popular in India?

A pointed nose and taut skin seem to have emerged as the two most important assets for Indians going by the number of people opting for rhinoplasty or “nose jobs” and botox injections in the country.

Though there are no official records of plastic surgeries in India, a study of hospital records show that cosmetic procedures like rhinoplasty and liposuction have seen an increase of 150 per cent in the last five years.

Other popular surgical procedures include abdominoplasty and male breast reduction.

Among the non-surgical procedures, some of the widely practised procedures include Botox injection, microdermabrasion (a non-invasive procedure that uses a spray of micro crystals to remove the outermost layer of dry, dead skin cells and reveal younger, healthier-looking skin), collagen injection, laser hair removal and chemical peel.

Vanity is constant as the norther star… So is Botox. Just the kind of thing you can get at any laser clinic or skin clinic.

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Thermage is FDA approved for tightening and thickening skin without surgery. This non-invasive choice is particularly attractive for patients who don’t want to undergo the more drastic effects of a traditional surgical facelift and its associated recovery period.

Thermage uses a radiofrequency (RF) technology to heat the deep layers of the skin while protecting the skin’s outer layers with a cooling cryogen spray. This deep heating promotes immediate collagen contraction beneath the skins surface and generates new collagen growth over time.

Thermage: Key Points

• Thermage is approved by the FDA for skin tightening and collagen growth.
• Thermage provides an alternative to traditional surgical face lifts.
• Thermage not only treats existing conditions, but is also a preventative treatment for future problems including wrinkles, loose skin and collagen loss.
• Thermage can treat any area of the body but is most commonly used on the face, around the eyes and forehead, cheeks and jowls, and the neck. Results actually increase over time. With maximum results usually achieved up to 6 months after the treatment.
• Thermage “Vectoring” can be used for more specific results. Vectoring uses a second, double row of pulses to tighten skin along specific lines or “vectors”. In this way we can perform eyelifts, neck lifts, bags around the eyes, crows feet, or any part of the face where loose skin is unwanted.

Thermage: Key Benefits

• Thermage tightens skin and stimulates new collagen growth.
• Thermage can be performed in 2-3 hours under local anesthetic.
• Thermage actually “tightens” skin rather than stretching skin.
• The results look completely natural
• The cost is less than traditional, surgical facelifts
• The results are very long lasting or permanent.
• Additional treatments can maximize the effects or just maintain results.

Thermage: Benefits in comparison to traditional surgical face lifts

• No cutting. No stretching. No stitches. No scars.
• Thermage requires no physical recovery time.
• The skin is tightened rather than stretched, eliminating the pulled look that can happen with traditional face lifts.
• The chance of complications or infection is almost nil.
• Thermage can be combined with other treatments like filler injections and Pointé Lifts for more dramatic effects.

Possible Complications with Thermage Treatments:

Thermage complications are very rare. The device contains three computers that constantly monitor the amount of energy being delivered. However, as with any medical treatment there exists the possibility of other results, including:

• Burns; in clinical trials for Thermage less than 1% of patients received any burns. (There were only two that healed completely and without complication). At Surface, we have never seen a burn.
• The effect is less dramatic than the client wants: However, Thermage can be used as a treatment more than once. Results can be improved or enhanced with additional treatments like Botox or Surface Pointé Lifts.

NOTE: Thermage has received mixed reviews from both patients and physicians. In our opinion this is because of the way that Thermage has been marketed to physicians as an "add-on" to their practice. Thermage results are highly dependant upon the treatment you receive. While Thermage is now widely available, our recommendation is that you only have a Thermage treatment from a physician who specializes in non-surgical cosmetic medicine and has a laser clinic, skin clinic, or laser treatment center with experience with this treatment.

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Facelifts have become a common cosmetic surgery for men and women. But surgery patients face a number of unwanted effects. Scarring, extensive recovery time, that artificial "stretched" look, and a permanent result that may be unwanted.

Fortunately, newly developed medical alternatives offer results to people wanting look younger without going under the knife.

As a leader in non-invasive cosmetic medicine, many medical spas, laser clinics and skin clinics now specialize in innovative new medical treatments for a youthful lift without the messy and painful recovery. Some medical spas have developed a unique non-surgical facelift for patients looking to gain the dramatic results of a surgical facelift but avoid a surgical facelift. Non-surgical facelifts include Thermage or Fraxel Skin Tightening followed by their signature Surface Point Lift as the non-invasive, yet exceptionally effective substitute for any surgical facelift. (Botox is also used.)

Thermage is an FDA approved radio-frequency technology that has been proven to tighten and contour the skin and its many underlying tissues without surgery. The treatment has the added benefit of stimulating the growth of new collagen throughout the skin. But there's a caveat. Thermage results are highly dependant upon the way the treatment is administered. Surface has developed specialized protocols that produce results that attract patients from other areas of the country who are looking to achieve maxim results.

Nonsurgical facelifts can be just as spectacular.

Point Lifts were created by specialists in non-surgical cosmetic medicine to replace the traditional invasive facelift. It can also be used for brows, jaw lines, necks, breasts, and even the derriere. They're perfect for the patient who does not want to undergo the harsh effects of a traditional surgical facelift including the associated, frustrating recovery period. Point Lifts are a physician procedure that "lifts" the treatment area in exactly the same was as surgical lifts, only there's no surgery.

The procedure involves placing a small, special suture under the skin through a tiny needle hole, leaving the skin to smooth with its own tension. The theme here is "No cutting. No stretching. No Stitches. No scars!" Most importantly, Point Lifts will not leave the face with that "stretched look" of traditional surgical lifts. Patients can resume their normal activities immediately with only minimal discomfort. Best of all, Point Lifts are completely reversible. Most people never knew they could have a fresh, younger lift without the troubles of surgery.

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