Friday, November 23, 2007

Kanye’s Mom: Donda West Tragedy and Dr. Jan Adams

  My question: how was this guy on television for years and no one ever questioned whether he was board certified or not? Dr. Jan Adams, star of Discovery Channel and a pioneer surgery show that hit the screen before Extreme Makeover (Plastic Surgery, Before and After)… Now he’s got troubles, we learn, alleged drinking issues, an array of malpractice suits and serious questions about precautions he took and how closely Donda West was monitored before and after surgery. But we also learn he’s a general surgeon who has reportedly done a residency in plastic surgery and a fellowship in aesthetic surgery. That’s on his website. But my question is why didn’t he take his board exams for plastic surgery? That’s a big red flag…or did he take the boards and failed?? All questions that need to be answered, and harsh reminders why I dig into doctors’ education and work history before they get my Good Houskeeping Seal.  For example, a surgeon has to be board certified, to be a member of the Aesthetic Society, a prestigious group of top cosmetic surgeons for whom surgery is an art and a science…But to even become board certified, the first step to Olympus,  you have  practice a minimum of two years at the same place before you can apply for board certification.  I’d like to see Dr. Adams CV and check his dates…If Dr. Adams fudged his past, shame on him, but it’s an unregulated world of surgery with little oversight for the consumer. That’s why I urge a thorough and independent vetting of docs you are considering…and urge you ask them for other patients you can talk to…before you go under the knife. In my new book that hits Amazon in January, “The Little Book of Lipo,” I have a chapter that offers a checklist on how to choose your surgeon to be safe, and how to prepare and recover quickly. www.theinformedchoice.com  Check out my site

Holiday Surgery:Tis the season to be golly!!

Golly, you look so … good, so relaxed…where did you go over the holidays?

That’s the reaction you want to your surgery after the holidays, so make sure you pick a doc who will preserve your natural beauty, not someone with radical ideas of who he or she wants you to be. You are the boss, so pick a great surgeon, slip away to bounce back and unwrap yourself at the right time.



www.theinformedchoice.com

 



 

Nose Job for Singer Deborah Gibson!

Her acquiline nose looked just fine to us in the Before photo in the same magazine. As for the after pic, well, it looks….BENT?



 

We thought her mini ski slope had character and gave her more sould and natural beauty that Barbie Babe. We also note she looks like she’s had a brow lift, and maybe a little botox, that gives her face a frozen look.



 

In her After shot, we looks like a 40 year old woman with bad plastic surgery when she’s 37 and so full of character in her BEFORE face.



 

What I tell my clients about nose jobs: make sure you pick a surgeon who does A LOT of noses. It’s the most difficult surgery out there to get right, and your nose will get noticed – especially if it alters the who you are in how you look.

More Cosmetic Surgery for Britney Spears?????

Our favorite Diva of Self-Destruction, Britney Spears, is eyeing more plastic surgery, according to the Dec. 3 issue of weekly Life & Style magazine.



 

But we’d warn our bayou babe to be careful—and don’t get nipped and tucked for all the wrong reasons—magic thinking that re-curving yourself will make all your problems, poof, go away.



 

It’s one of the first questions I ask my clients: why do you want to have a little work done? If I start hearing all about your Heartbreak Hotel: fear your man is straying, you gotta look like the Sizzle Sister next door, or in Brit’s case, marriage bust-up, DUI mashups, parenting issues, paparrazi addiction, maybe trying to win back K-Fed, well, it’s been my experience from talking to over a thousand clients (including a few stars who shall go nameless) over the years, surgery won’t salvage a dark night of the soul.


If Brit she gets her internal life straight, and starts feeling good inside her own skin, that’s the time to consider a tweak here or a tuck there. Get therapy, rehab, physically fit, work on the music, kick the CD into play…



 

From eyeing her pictures, I can see she’s had her lips injected, breasts aug, and nose done. As far as lipo and a tummy tuck, rumor has it she’s eyeing, well, Kanye’s Mom is ever on my mind, so lots of research and a top doc would be my advice, and don’t rush it.



 

The best results and happiest patients are those who get surgery for all the right reasons.

Tuesday, October 9, 2007

Short lashes? not anymore

I am a true believer now. I started using the Jane Marini lash conditioner back in February and I’ve been accused 4 times of having on false eye lashes. This product is truly amazing and if you can be patient you can get the eyelashes you’ve always dreamed about having. The only thing I regret is that I did not take a picture of my lashes before they started to grow. If you suffer from short stubby eyelashes this is product for you. You will be looking like Twiggy before you know it! I promise. Ck out my cool stuff store for more details


Carol



 

Saturday, September 22, 2007

Do you know who is doing your surgery....

The case of a Toronto woman who died after having liposuction is raising concerns about doctors who are performing cosmetic surgery procedures despite not being licensed as plastic surgeons.

Thirty-seven-year-old Krista Stryland, a successful Toronto real estate agent and mother, underwent a liposuction operation at the Toronto Cosmetic Clinic located on Yonge Street in North York last Thursday.

Sources told CTV Toronto that the woman's heart stopped following the operation to remove fat from her abdominal area

She was taken to North York General Hospital and died despite attempts to revive her.

Dr. Jim Edwards, a Toronto-area coroner, told CTV News the coroner's office has launched an investigation into Stryland's death.

"We're investigating this death because it was considered to be sudden and unexpected," Edwards said on Saturday.

There are reports that the family doctor who performed the operation had training in cosmetic surgery but was not a licensed plastic surgeon, said CTV Toronto.

"One of the things we will be looking at is the qualifications of the physician who did the surgery," Edwards told CTV News.

Neither Stryland's doctor, nor a representative from the clinic was available for comment.

The situation highlights what many plastic surgeons claim is a major problem in Canada's medical system.

While plastic surgeons are required to adhere to strict regulations and undergo licensing, little can be done to stop family doctors or general practitioners from deeming themselves 'cosmetic surgeons' and performing similar procedures under far less stringent guidelines.

Plastic surgeon Frank Lista said plastic surgeons require five years of specialized training to become licensed in the province, but any type of doctor can perform surgery.

"In Ontario any doctor can do any operation on anybody anywhere, Lista said.

"So you could have a GP (general practitioner) taking out a brain tumor on a kitchen table and there is no one who checks that, who makes sure that that kind of thing doesn't happen."

North York General Hospital spokeswoman Alison Steeves would not comment on the situation citing privacy regulations.

In 1990, 44-year-old Toni Sullivan died from a massive blood clot two days after undergoing liposuction at a Toronto clinic.

A subsequent inquest into her death recommended The College of Physicians and Surgeons of Ontario define and regulate the difference between plastic and cosmetic surgery.

With a report from CTV's Austin Delaney

Monday, September 17, 2007

Thinking about a breast reduction?

 Make sure you have your papers in order. If your thinking about having a breast reduction keep in mind that you can sometimes run into a very frustrating situation. Make sure that before you make an appointment to see a plastic surgeon that you a have gone to an orthopedists, chiropractor, or dermatologist to have them examine you to see if your breast are causing you physical pain. Here are some qualifications that my increase the willingness of your insurance company to pay for this procedure: the size of your breasts’ are causing you neck pain, upper back pain, indentations in your shoulders from your bra and in some cases rashes underneath your breast. Insurance companies are making this harder and harder for patients to qualify but if you’re considering seeing a plastic surgeon to have this surgery done it is very helpful to have this information for your doctor to submit to your insurance company. So, if you don’t want to waste a bunch of time, do your homework before hand.


 

 

Tuesday, August 21, 2007

Eating Soon after a Tummy Tuck Could Get Patients Out of Hospital Faster





New York, NY (June 28, 2007) – The American Society for Aesthetic Plastic Surgery (ASAPS) announced today that withholding oral intake of food in patients after abdominoplasty (“tummy tuck”) may not be necessary, and that feeding patients earlier could allow for quicker discharge after surgery. Findings from a study investigating the impact of early feeding after abdominoplasty on the occurrence of postoperative nausea and vomiting is published in the May/June 2007 issue of the Aesthetic Surgery Journal , the Society's official peer-reviewed journal.
These findings are important because abdominoplasty is a popular cosmetic surgical procedure. According to the Aesthetic Society's statistics abdominoplasty was the fourth most popular surgical procedure in 2006, with 172,457 procedures performed, an increase of 407% from 1997.
Postoperative nausea and vomiting (PONV) is among the most disagreeable experiences associated with surgery, causing dehydration and retching, which can lead to poor wound healing, among other adverse effects. While postoperative management of patients undergoing abdominoplasty has traditionally involved withholding food until patients demonstrate evidence of bowel activity, this practice requires patients to remain in the hospital for the administration of intravenous fluids to prevent dehydration. However, no literature exists to support this practice.
“This study demonstrates that early feeding of tummy tuck patients may prevent the need for postoperative hospital admission for intravenous hydration—at least in those patients who can maintain adequate hydration with oral intake alone—and allow for faster hospital discharge,” said Alan Matarasso, MD, a board-certified plastic surgeon in New York, NY, lead author of the study. “While there may be other reasons for admission, routine postoperative admission to prevent dehydration may not be necessary. These findings could change the way we care for our postoperative abdominoplasty patients, improving their comfort and safety, and saving on health care costs.”
The study consisted of a retrospective review of the medical records of 22 patients who underwent abdominoplasty, divided into two groups. Group I followed traditional guidelines for oral intake; members of Group II were allowed to consume a regular diet immediately after surgery. All other aspects of postoperative care remained the same. There was no statistical difference in PONV between the two groups.
Although the findings are promising, physicians remain cautiously optimistic about a full transition to ambulatory abdominoplasty.
“Although a number of abdominoplasties are performed as outpatients, for those patients in whom it is deemed necessary, for safety reasons, to undergo the procedure in a hospital this paper demonstrates that early feeding of patients undergoing abdominoplasty is possible. It does not diminish some of the benefits of postoperative hospital admission,” adds Foad Nahai, MD, Atlanta plastic surgeon, President of ASAPS and Associate Editor of ASJ . “Achievement of adequate pain control, maintenance of a semi-flexed position, and patient and surgeon preference are important variables to consider when choosing between admission and discharge.”
About

 

Wednesday, July 18, 2007

Don't want to look like you have had plastic surgery...

So many times in my office I have clients say to me “I don’t want to look surprised or look like I’ve had plastic surgery” my answer to that is if you don’t want to look like it, her are a few tips that I have to make you look like you don’t have plastic surgery. Less is always better, example: if you have small lips and you want bigger lips try a little bit of filler  and see how you like it. Lips are very hard to correct when they are over done, so if don’t want to look like Goldie Hawn in the “First Wives Club” then do a little bit at a time. Perfect examples of bad lip jobs, Donatella Versace, girl just needs to go on and stop! As well as, Melanie Griffith, Courtney Love,

 

Tuesday, May 15, 2007

Patients to Steer Clear of Injection Fat Loss Treatments











Avoid mesotherapy/injection lipolysis treatments until further research on safety, efficacy
New York, NY (May 14, 2007) - The American Society for Aesthetic Plastic Surgery (ASAPS) released today a warning against the use of injection fat loss treatments. Patients are advised to avoid these procedures, which are commonly known as lipolysis, mesotherapy, or the brand names Lipodissolve and Lipostabil. Although marketed as fat loss treatments, these procedures are scientifically unproven, lacking any objective data on safety and efficacy. In addition, none of these procedures has received FDA approval, with the ingredients poorly defined. The procedures may also be offered by persons without sufficient medical training, thereby putting patients at risk of harm.
“Safety needs to come first. We do not have definitive information on injection fat loss treatments. All we have is a few small studies and anecdotal evidence. Until we know more, we cannot recommend these procedures to patients,” said Foad Nahai, MD, president of the Society. “The bottom line for patients is this: Don't allow yourself to be injected with an unknown and untested substance.”
Despite media and advertising claims that mesotherapy or injection lipolysis treatments can safely and effectively eliminate unwanted fat, published peer-reviewed scientific reports of properly performed controlled prospective trials to confirm either safety or efficacy do not exist. Furthermore, there is no objective data on how these treatments produce ‘fat dissolving' effects and there are numerous reports of complications documented in the medical literature, including bacterial infection, granulomas (disfiguring masses of chronically inflamed tissue) and localized necrosis (tissue death), particularly when injections were done by lay people.
“ Mesotherapy treatment centers are opening all over the country and these consumer outlets may not be staffed by trained medical professionals. Patients seeking fat dissolving treatments should be educated about the lack of clinical data supporting these treatments and cautioned to wait until there is reliable information to guide their decision,” said Alan H. Gold, MD, president of the Aesthetic Surgery Education and Research Foundation (ASERF). “For now, the only proven method for eliminating unwanted fat cells is suction assisted lipoplasty, a procedure that has a long and successful track record for both safety and effectiveness."
A placebo-controlled study is being sponsored by ASERF to demonstrate safety and efficacy—or lack thereof—of one type of injection lipolysis treatment. The formula that will be used for injection in this 20-patient study —phosphatidylcholine (PPC)/sodium deoxycholate (DC)— is one that has shown the most promise in small, published trials. The study, which will be conducted under FDA supervision, will follow patients for 46 weeks to evaluate the efficacy of PPC/DC for injection lipolysis and collect data on local and systemic reactions and any long-term complications. At present, n either drug being studied in this trial is FDA approved for subcutaneous injection for any purpose. Once completed, the results will be published in the Aesthetic Surgery Journal and presented at an annual ASAPS meeting.
 









The 2400-member American Society for Aesthetic Plastic Surgery (ASAPS) i


 

Monday, April 23, 2007

Want long eyelashes?Here is the stuff

Talk about COOL STUFF, Jan Marini cosmetics has developed a liquid eyelash grower! Apparently, glaucoma patients noticed that their eyelashes started growing like WEEDS after they used their drops. The people at Jan Marini then turned that nifty side benefit into a product that, well, sort of waters eyelashes to make them grow. Now instead of reaching for fake lashes, we can grow our own…I would not believe it had I not seen it with my own eyes.

Age Intervention® Eyelash Conditioner*


NEW! Breakthrough Technology


Your Lashes Will Appear Fuller, Thicker and More Lustrous


Age Intervention Eyelash Conditioner can produce dramatic improvement in the appearance of volume, texture and density.


By using breakthrough technology that features reconstructive components, Age Intervention Eyelash Conditioner prevents new virgin hair from being adversely affected by cosmetic and environmental factors.


Plus, by increasing flexibility and preventing breakage, eyelash hair can reach its full potential. Users will quickly perceive that their lashes appear far fuller and more lustrous.


.23 oz. mascara-style tube with eyeliner brush applicator (one tube lasts about six months

Got sun damage? Well, here is the stuff to fix it!

Seraphim Skin Care Rx* Peel & Bleach Cream for the Body I’ve been using them for years, and learned about Seraphim from watching the amazing woman who developed the products as she experimented in the early days, mixing up different combinations of skin care ingredients until, voila, she found the formulas that worked. And not a moment too soon for me. I was Miss Brown Spots, after baking in the sun for years, and hormonal changes in my 40s didn’t help, either.

Specifically, I had developed large brown splotches on one side of my face and on my arms. Then I started using Seraphim, and the spots disappeared.

I also use the bleach and peel for the body, peel and bleach for the face; both are prescription strength.

Seraphim Skin Care Rx* Peel & Bleach Cream for the Body


You’ll agree this revolutionary product is a real breakthrough in skin care.

Use with our Lotion Applicator for easy application.

Seraphim all-in-one Peel & Bleach Cream for the body will bleach, tone, diminish the appearance of spider veins and remove sunspots. The results are stunning!

Rx Active Ingredient: .05% Tretinoin,
4% Hydroquinone

Thursday, March 22, 2007

11.5 MILLION COSMETIC PROCEDURES IN 2006

NEW YORK, NY (March 09, 2007) — Nearly 11.5 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2006, according to statistics released today by the American Society for Aesthetic Plastic Surgery (ASAPS). Compared to 2005, cosmetic surgical and nonsurgical increased 1 percent. The Aesthetic Society, which has been collecting multi-specialty procedural statistics since 1997 says the overall number of cosmetic procedures has increased 446 percent since the collection of the statistics first began. The most frequently performed procedure was Botox injections and the most popular surgical procedure was liposuction.

“The FDA approval of silicone breast implants in late 2006 seems to have made an impact, as silicone implants are up 18 percent from 2005.  For the first time breast augmentation is the top surgical procedure for women, although lipoplasty continues to be the top overall surgical procedure as it has been since the Aesthetic Society started collecting nationwide procedural statistics in 1997,” said Aesthetic Society president James Stuzin, MD.   “Furthermore, as the safety and efficacy of the nonsurgical procedures on the market continue to improve the numbers of those procedures performed by board-certified plastic surgeons continues to rise year after year.”

TRENDS AND DEMOGRAPHIC DATA









































Top surgical and nonsurgical cosmetic procedures among men and women in 2006:
Surgical# proceduresNonsurgical # procedures
Liposuction403,684Botox3,181,592
Breast augmentation383,886Hyaluronic Acid
(Hylaform, Restylane)
1,593,554
Eyelid surgery209,999Laser Hair Removal 1,475,296   
Abdominoplasty172,457Microdermabrasion993,071
 Female breast reduction169,314Laser Skin Resurfacing556,172









































Top cosmetic procedures for WOMEN:
Surgical# procedures  Nonsurgical# procedures
Breast augmentation383,885 Botox2,881,119
Lipoplasty350,420Hyaluronic Acid 
(Hylaform, Restylane)
1,519,923
Eyelid surgery182,397 Laser Hair Removal1,308,739
Abdominoplasty164,800Microdermabrasion921,970
Breast Reduction145,822 Sclerotherapy 541,291

Women had 92 percent of cosmetic procedures.  The number of procedures (surgical and nonsurgical) performed on women was over 10.5 million, an increase of 1 percent from the previous year.  Surgical procedures decreased 9 percent; nonsurgical procedures increased 4 percentSince 1997, surgical procedures increased 123 percent, while nonsurgical procedures have increased 749 percent.










































Top cosmetic procedures for MEN:
Surgical# proceduresNonsurgical# procedures
Liposuction53,263Botox injection300,472
Rhinoplasty33,143Laser hair removal166,557
Eyelid surgery  27,602Hyaluronic Acid
 (Hylaform, Restylane)
73,634
Male breast reduction23,670 Microdermabrasion 71,102
Facelift14,051Laser Skin Resurfacing48,451

Men had 8 percent of cosmetic procedures.  The number of procedures (surgical and nonsurgical) performed on men was nearly 1 million, a decrease of 5 percent from the previous year. Surgical procedures decreased 9 percent; nonsurgical procedures decreased 3 percent.  Since 1997, surgical procedures have decreased 2%, while nonsurgical procedures have increased 722 percent.

















































Frequency of cosmetic procedures by AGE GROUP:
% of totalAge# procedures Top surgical procedure Top nonsurgical procedure
47%35-504.5 millionLiposuctionBotox
26% 51-642.9 millionEyelid SurgeryBotox
20%19-342.5 millionBreast AugmentationLaser Hair Removal
5%65 and over589,229Eyelid SurgeryBotox
1%18 and under178,041 Rhinoplasty Laser Hair Removal 

Racial and Ethnic Distribution
Racial and ethnic minorities accounted for 21.7 percent of all cosmetic procedures in 2006.  Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 9.7 percent; African-Americans, 6.6 percent; Asians, 4.7 percent; and other non-Caucasians, 0.8 percent.

Location and Fees
46 percent of cosmetic procedures in 2006 were performed in office-based facilities; 28.9 percent in freestanding surgicenters; and 24.8 percent in hospitals. Americans spent just under $12.2 billion on cosmetic procedures; $7.6 billion was for surgical procedures, and $4.5 billion was for nonsurgical procedures.

About the ASAPS Cosmetic Surgery National Data Bank
ASAPS, working with an independent research firm, compiled 10-year national data for procedures performed 1997-2006 by multiple specialists, including but not limited to plastic surgeons certified by the American Board of Plastic Surgery.  More than 14,000 questionnaires were mailed nationwide, and results of the survey were used to project national data. The survey data has a standard error of +/- 3.14 percent at a 95 percent level of confidence.


View 2006 ASAPS Statistics