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Archive for December, 2010

Liposuction & Botox Just Some of the Cosmetic Options for the Neck

Friday, December 31st, 2010 by editor2

neck liftsWhile there are a wide variety of cosmetic treatments for the face — from face lifts to Botox — there have been less options for the neck in the past. But that’s changing, according to a recent article in the New York Times, that finds these days more options do exist to improve the appearance of the neck area.

While traditionally used on the body, liposuction may be an option for necks with too much fat, especially if the person has elastic skin that can bounce back afterward.

For those with neck “bands”, injecting Botox in the neck muscle can make them less conspicuous in a patient with great skin tone, according to Dr. Rod Rohrich, chairman of the plastic surgery department at the University of Texas Southwestern Medical Center in Dallas. However, like for wrinkles on the face, Botox results last about three to four months and will require upkeep.

For others, a neck lift remains the best and long-lasting option. It may involve one or both of the following procedures:

  • Cervicoplasty to remove excess skin
  • Platysmaplasty to remove or alter neck muscles

According to the Times, surgeons report that men seem to get more isolated neck lifts than women. “Usually with women, they are getting a face- and neck lift,” said Dr. Felmont Eaves, the president of the American Society for Aesthetic Plastic Surgery. “In men, we don’t have exact statistics, but it’s pretty common to see them come in just for the neck.”

“There’s no way a man’s neck, with all that tissue hanging down, can be graceful,” said Dr. Phil Haeck, president of the American Society of Plastic Surgeons, who has done two neck-only lifts for every three face lifts in his practice this year.

Learn more about neck lifts at Advanced Cosmetic Surgery in Arlington, Texas.

Predicted Cosmetic Surgery Trends for 2011

Friday, December 24th, 2010 by editor2

2011 cosmetic surgery predictionsCosmetic plastic surgeons from around the country weighed in on upcoming trends in cosmetic surgery, and the American Society for Aesthetic Plastic Surgery (ASAPS) put together a list of  2011 cosmetic surgery predictions based on the surgeons’ feedback.

Facelifts, injectables, and body contouring are three of the procedures where they are predicting growth.

As the economy improves, the demand for facelift surgery will increase, as those who have been putting off the surgery may be more likely to get it in 2011, according to the society.

Already the most popular non-surgical procedure according to ASAPS’s 2009 statistics, injectables (such as Botox, Juvederm and Restylane) will continue to grow in popularity as they evolve and new products become available on the market.

Body contouring procedures will also be on the rise as more obese people may turn to weight loss surgery given the health dangers of obesity. That will lead to an increase in body contouring cosmetic procedures to tighten and remove excess skin after dramatic weight loss.

The society also predicts that more patients will be seeking “posterior body lifts, buttock lifts and surgical and nonsurgical buttock augmentations to shape and augment their buttocks” thanks in part to celebrities like Kim Kardashian and Beyonce who have made it a “must-have accessory.”

The society sees change ahead in fat reduction techniques. While liposuction will remain the standard in surgical fat reduction, new non-surgical techniques will continue to be developed, including freezing, zapping and lasering fat, as possible alternatives to surgery.

Unfortunately, the society also sees consumers looking for bargains on cosmetic procedures. Procedures, such as “discount injectables” bought overseas and cosmetic procedures performed by untrained practitioners will lead to an increase in cosmetic surgery “horror” stories. Always research your cosmetic surgeon to ensure he or she is well-trained in cosmetic surgery.

Read the full list of predictions at surgery.org.

Breast Augmentation Study Finds Correlation Between Implant Volume and BMI

Saturday, December 18th, 2010 by editor2

breast augmentation study on patient demographicsA study published recently in the Canadian Journal of Plastic Surgery that examined physical characteristics and implant details of women in three cities who underwent breast augmentation found a statistically significant positive correlation of BMI and implant volume for patients in two of the cities. The higher the patient’s BMI, the larger the implant volume used for patients in Loma Linda, California and Temple, Texas; the third location, Kelowna, British Columbia, Canada, also had this trend, but it was not statistically significant.

“Implications from this correlation found in our study include possibly improving implant volume predictions preoperatively, leading to improved efficiency, outcomes and reduced reoperation rates,” the authors wrote. They also said that the patients’ BMI could potentially provide an additional data point on which to make operative planning decisions.

The researchers looked at 100 breast augmentation cases in three cities in order to gather demographics of these patients, which they said was lacking from other research. Breast augmentation surgery has been on the increase in the past decade — according to statistics from the American Society of Plastic Surgeons, there has been a 45% increase in women seeking breast augmentation since 2000.

The study looked at 100 consecutive breast augmentation cases at each location; they were retrospectively reviewed, and data was gathered on height, weight, body mass index (BMI), age, the number of children the patient had and implant volume.

The three geographic group medians were significantly different for weight, BMI and implant volume. BMI was lowest in the Canadian city and highest in Temple, Tex. Temple patients had the smallest average implant size, significantly lower than the other two cities.

The study also looked at the data for all 300 patients as one group. On average, the breast augmentation patients studied were 34 years old, 5’ 4” tall and 128 pounds.

Dr Frenzel specializes in breast augmentation surgery, offering the traditional surgery, TUBA breast augmentation, and breast augmentation revision surgery.

FDA Advisory Committee Recommends Approval to Expand Use of Lap Band

Sunday, December 5th, 2010 by editor2
Lap Band before and after pictures

Before and after photos of a Lap Band patient (image courtesy of Allergan.com)

Allergan Inc. announced that an FDA Advisory Committee has recommended with an 8-2 vote that the FDA extend the currently approved use of the company’s Lad Band® System, used for weight loss surgery, to patients that have a body mass index below 40.

The Lap Band, which is an inflatable silicone device that gets placed on the upper portion of the stomach, limiting the patient’s intake of food and suppressing hunger, is currently indicated for patients with:

  • BMI of 40 or higher
  • BMI of 35 or higher combined with a health problem such as diabetes or high blood pressure

The change would make the Lap Band available to patients who are at BMI of 35 or higher or patients with a BMI of 30 or higher and at least one additional weight-related health problem.

The FDA committee’s decision came after a five-year study of 149 obese patients treated with the Lap Band that found over 80 percent lost at least 30 percent of their weight after one year.

The FDA will make a final decision on the wider use, but the agency typically follows the advice of its advisory panels, according to an msnbc article.

Wider approval could make millions more people eligible for the Lap Band surgery. About 15 million Americans are candidates under the current guidelines for use and about 27 million more fit under the broader group, Allergan said.

To learn more about the Lap Band procedure and to discuss whether you are a good candidate, contact the Advanced Cosmetic Surgery office of Dr. Frenzel to schedule a consultation.