Sunday, June 13, 2010

Laser Liposuction - Just Hype?

The pros and cons of laser-assisted lipoplasty will be discussed by leading experts at the Annual Meeting of the American Society for Aesthetic Plastic Surgery (ASAPS), being held at the Gaylord National Hotel and Convention Center April 23-27, 2010.  “Point/Counterpoint – Laser Lipoplasty – Hype or Useful Tool? will be moderated by Franklin DiSpaltro, MD, and will include Barry DiBernardo, MD and Jeffrey M. Kenkel, MD.

According to the Society’s statistics, lipoplasty is the second most popular surgical procedure in the United States, with 283,735 performed in 2009.  Laser-assisted lipoplasty, in which a laser is used to disrupt fat cells prior to suctioning, has been hotly debated by plastic surgeons since the first laser-assisted device received FDA clearance in late 2006. “The past two decades have been highly technology-driven, with the introduction of many advanced liposuction-assisting devices,” said Dr. DiSpaltro, a past president of ASAPS from West Orange, NJ.   “Each new technology has spurred great interest and enthusiasm. It is our role to determine if it is hype or a useful tool.”

With laser-assisted lipoplasty, a laser probe is inserted into the target area through a small incision, which the surgeon aims at fatty tissue to rupture the fat cells. The laser is then directed toward the skin layer to initiate a stimulation of these cells to achieve a reported tightening of the skin. Fat and disrupted tissue is then suctioned out. The technique received significant media attention as a popular “fat-melting” treatment with a celebrity following. 

However, initial data showed that this procedure was no better than traditional liposuction.  Additionally, it could present some risks to the liver and kidneys by releasing fatty acids from the fat cells if the recommended concurrent liposuction step approved by the FDA and included in current teaching is not performed.   In the wake of the media storm around the fat-melting “phenomenon”, a task force was assembled and charged with investigating the technology, analyzing any safety issues and efficacy as compared to other devices, developing a teaching protocol, and educating 2,500 surgeons in how to effectively perform the procedure.

 “Over the last two-and-a-half years there has been extensive research and development into laser-assisted lipoplasty, including multiple rounds of research and comparative studies published in peer-reviewed journals,” said Dr. DiBernardo, a plastic surgeon in Montclair, NJ.  “Ultimately, laser-assisted lipolysis has come to be an important tool in the fat loss armamentarium.”

While laser-assisted lipolysis has since been found to be a safe, effective, and teachable technique for body contouring, the bottom line is that no tool on its own is a replacement for the skill and experience of a board-certified plastic surgeon.

“It is important to note that no device is a magic wand,” added Dr. Kenkel, a plastic surgeon in Dallas, TX.  “Despite any hype generated by manufacturers, physicians, patients, or the media, results are ultimately practitioner-driven.”

Monday, May 10, 2010

Who the best plastic/cosmetic surgeon for you?

Who is “the best?”
You’ve probably heard of quite a few cosmetic surgeons. Even if you don’t know their names, you certainly have read or heard about some of their famous patients. Think about the nips and tucks that have graced the headlines, like those of Michael Jackson, Lonnie Anderson, Tony Curtis, Phyllis Diller, and Linda Tripp. The list is way too long to include here!
How do some surgeons become famous? Are the famous ones the best? Not necessarily. Some surgeons are known for their famous patients. High-priced doctors can hire high-priced PR people to spread the word about them. In the city in or near which you live, there are locally famous surgeons, as well. They may be known for making the mayor’s wife look 20 years younger, or they may be great philanthropists, or even may be respected for reconstructive work they do for the people who could not otherwise afford surgery. They might even be known for their spectacular golf game!
The point is, like any other profession, individuals may get a reputation – good or bad – based on people talking about them, for whatever reason. The moral of the story? The famous doctor in question may indeed be the best. But don’t go by that alone – just because a doctor has operated on a celebrity or done something else that has started tongues wagging, does not necessarily mean he is the best surgeon to perform your procedure.
You can barely open any magazine these days without seeing the slick ads of cosmetic surgeons, all saying “I’m the best!” They certainly have a lot of confidence. That’s good – you want a surgeon who is sure of himself! But they can’t ALL be “the best.” How do you find out the truth? Do your homework, ask questions, and keep your eyes and ears open!
Some people ask whether they should travel out of their area or out of the country to have cosmetic surgery. If you live in a rural or remote area where there are no practicing or qualified cosmetic surgeons, the answer is, of course, to go to where you find the best surgeon for your needs. But chances are, especially with the boom in this field, there are good surgeons located near you. Many people are under the impression that to have the best surgeon and get the best care, they need to travel to a perceived cosmetic surgery “Mecca” like Los Angeles, New York, or even South America.
It’s true that in some places – like the movie capital of Los Angeles or the modeling hub of New York – there is high demand for cosmetic surgery and, therefore, doctors in these areas see more patients. That does not mean, however, that they are any more skilled or talented than surgeons practicing in your city. It’s also important to remember the added costs – in both money and time – that traveling will mean.
Similarly, some people believe great results can be guaranteed by paying a higher price. They may gravitate to the “elite,” higher priced doctors.
Sometimes, all that those higher prices mean is that the doctor has higher overhead, like a nice big office, on-site surgical suites, and lots of equipment. Or maybe he just bought a penthouse condo and a Mercedes convertible! I have come across doctors in various parts of the country who finance everything from racecars to yachts to private planes through their practice. This is not to say there’s anything inherently wrong with that – if someone is successful, he should reap the rewards of his labors – but as a patient advocate, it’s my role to tell you that higher price does not necessarily mean better results. Vice-versa, cut rates also don’t mean better value.

Saturday, April 17, 2010

Menopause and Dry Skin?

For me this was the answer to my dry menopausal skin and I promise you’ll agree that this revolutionary product is a real breakthrough in skin care. Seraphim all-in-one Peel & Bleach Cream for the body will bleach, tone, diminish the appearance of spider veins and remove sunspots. Results are stunning!

Active Ingredients: .1% Tretinoin, 5% Hydroquinone, 1% Hydrocortisone

cut and paste link below

Monday, April 5, 2010

How much money was spent on cosmetic surgery in 2009?

10.5 billion!

Cosmetic Surgery Statistics for 2009 are out!

Breast augmentations are still in the lead!


The top five surgical procedures for women were:

breast augmentation, liposuction, eyelid surgery, abdominoplasty and breast reduction.


The top five surgical procedures for men were: liposuction, rhinoplasty, eyelid surgery, breast reduction to treat enlarged male breasts, and hair transplantation

Daddy Makeovers

Most daddies won’t admit that they want a makeover, but like women, their body starts to change in the beginning of their forties. Fat starts to distribute in the trunk of their body, they can’t find the time or energy they used to have for the gym, and they start loosing muscle mass and then here comes Mr. Pot Belly along with his tires, who sometimes needs a bra. The most popular ‘Daddy Makeover’ I see in my office is liposuction of the chest, tummy, and love handles. Also, men are deciding they’d rather have their flat stomach back and opt to have a tummy tuck. So bring it on daddy because nobody has to know, and you can have that thirty-something body back before you know it.