Breast Augmentation New Technique
Dr. G. Bitar's technique of performing breast augmentation by inserting a saline implant through a small armpit incision at the back of the muscle with non use of any endoscopic equipment is controversial. Doctor Bitar, who has performed over 200 such surgeries, dispute that his results are excellent, and that his complications rates are lower than the reported national rates.
The article written by a plastic surgeon located in the United States, Dr. G. Bitar entitled: "Breast Augmentation: The Axillary Approach" was published in the October issue of Plastic Surgery Products Magazine. The article focuses on performing breast augmentation by inserting a saline implant through a small armpit incision behind the muscle without the use of any endoscopic equipment.
At the same time as this technique is considered controversial by many, Dr. Bitar who has performed over 200 such breast augmentations he also argues that his results are excellent.
"There were no breast implant infections, high-riding implants, double-bubble signs (implant bulging below the breast), pneumothoraces (lung deflation), cases of inability to breast-feed, eternal losses of nipple sensation, major medical complications, or deaths," he states. "My rate of capsular contracture (a condition where scar tissue growth around the implant hardens the breast causing an unnatural look) is 1%," he said.
Prospective studies of saline-filled breast implants approved by FDA in May 2000 showed rates of significant capsular contracture of 9% at 3 years and 10-11% at 5 years for augmentation patients. The general consensus is that infection with breast augmentation occurs in about 1-2% of patients.
While Bitar's technique yields many advantages including shorter intra-operative time, minimal bleeding, less trauma, scarring, pain, and bruising; and a shorter recovery time with minimal complications, his technique has a few minor disadvantages. These include: an evident 2 cm scar under the armpit for the first few months after surgery before it fades, inability to remove the implant through the same axillary incision in case future surgery is required, and finally, the risk of loss of sensation in a small area of the axilla if a nerve is injured.
Multiple before and after photos of patients who underwent axillary breast augmentation along with the complete version of the article can be found on Dr. Bitar's his website
G. Bitar, MD is a board certified plastic surgeon and medical director of the B. Plastic Surgery Institute, a multi-location institute in the US. The editorial was co-written by Mr. Vinood Choopra, a medical student at the USA University who interned at the Bitar Plastic Surgery Institute.
Medical Tourism in Costa Rica
In recent years, the number of people travel abroad for medical care outside of the United States has skyrocketed. According to Josef Wooodman's Patients Beyond Borders:
As the cost of medical care in the US continues to skyrocket and wait times for many procedures grow longer, many Americans are taking advantage of foreign hospitals & physicians to provide much of their medical care. In fact, the medical tourism market is expected to grow to $40 billion by 2010, and should carry on to boost as the Baby Boom generation ages. In some cases, the cost of care at accredited overseas hospitals offering first-class care is as little as one-tenth the cost of similar procedure in the United States. More than 150,000 Americans traveled outside the United States for health care in 2006, and some project the number to double in 2007; Patients are primarily traveling to India, Thailand, Costa Rica and Singapore. Patients can undertake just about any medical procedure they want, including oral dental work, heart surgery, orthopedics, plastic surgery, neurosurgery, fertility treatments, LASIK eye surgery and cancer procedures. World Congress will bring together under one roof key employers, health plans, hospital systems and international medical tourism providers to share the latest insights on the opportunities and challenges that lie ahead for medical tourism.
Bangkok’s Bumrungrad caters to international patients. According to the hospital's Web site, Bumrungrad was the first Asian hospital accredited by the Joint Commission International (JCI), the international arm of the organization that reviews and accredits American hospitals. More than 200 of the doctors on staff are U.S. board certified.
In India at the Heart Institute and Research Center performs more then 15,000 heart operations every year, and the death rate is lower than the rates seen at many hospitals in the United States, according to the authors of Hospitality 2010: The Future of Hospitality & Travel.
Not all overseas clinics will have the same reputation as these two examples, however. Experts advise anyone considering traveling abroad for medical care should carefully think about where they go and whom they get their information from. Complications are seen at every hospital and clinic no matter which country it is based in, so patients should always be sure they are seeing a surgeon they can trust.
There are dozens of organizations that will book your next trip out of the country for medical care. As in Costa Rica; Betterlooks is providing their clients all information needed for them to feel as comfortable as possible when they do make the decision for any type of these surgeries or treatments. For a fraction of what it would cost a person with no health insurance for a complicated procedure, like coronary bypass, a person could travel to somewhere like Costa Rica and stay in a resort for their recovery. Just as many companies recommend, Better Looks in Costa Rica, always recommend their clients to do their own research on the doctor or surgeon, and ask the online assistants as many questions as possible.
New treatment for cellulite.
VelaShape - New treatment for cellulite.
Nowadays there is a new technology in the fight against that orange skin known as cellulite.
K. Rebes, a former flight attendant, is pleased with her results. "My stomach area is tighter,” said Rebes. “My pants are looser after just one treatment." She gives credits to the cellutites treatment called VelaShape, FDA-approved in August 2007. VelaShape uses massage and two forms of energy.
So how does it work?
"Broad spectrum light and radio-frequency power that heats the tissue," explained plastic surgeon Dr. J. Moreehead. "Not just the skin, more importantly deeper in the skin." Dr. Moreehead says that deep heating breaks up cellulite better than ever, so it can be more easily metabolized and flushed from the body.
Dr. Moreehead admits to being a skeptic about cellulite treatments. But he says he's seen good results smoothing dimples on thighs, tightening tummies, and leveling love handles on men. In 19 years as an aesthetician, Sandi Dixon Perry says it's the first non-invasive body shaping device that she's seen give immediate results."They're noticing incredible inch loss and also firming, tightening in the areas that we're treating," says Perry. "We've actually had clients call the day after their treatment telling us that they can actually see change."
Other cellulite regimens may take a dozen or so cellulites procedures over time. VelaShape commits to have results in 4 to 6 treatments, 30 days or less. The treatment manufacturer admits the patients needs to have maintenance only a few times a year instead of every month.
VelaShape has only been on the market for two months, so not many people have tried it. And results do vary. Some may see a 3-inch loss and virtually all of the cellulite disappears, others may see no change.
Costs begin at about a thousand dollars. It is not covered by insurance. Something very similar to this treatment is hidrolipoclasy, click here for more information
Rhinoplasty Surgery - REPAIR A BAD NOSE JOB
COSTA RICA 2007-- If you don't like the way your nose looks, rhinoplasty can be an option to change its size and shape, but if you've had a previous injury to your nose, the process can be much more difficult. While the majority cosmetic treatments are relatively safe, this does not mean that each surgery goes exactly according plan. Recovery troubles, unforeseen complications, side things and low skilled surgeons can all contribute to problematic results. Nowadays Rhinoplasty, or nose job surgery, is one of the most common plastic surgeries, but like all treatments, it carries some level of risk. If you’ve had the unfortunate experience of having a bad nose job, there are ways to repair the damage and improve your appearance. With a revision rhinoplasty surgery, you can finally achieve the look you want and eliminate the effects of a badly performed nose job.
Medical Center plastic surgeon Dr. Graig worked on a patient who suffered a broken nose and currently has breathing problems and a nose she doesn't like. He said it would be a difficult rhinoplasty. "Her nose looks overoperated on," Plastic Surgeon Graig said
Difficult rhinoplasties are usually patients with a injury, cancer, birth defect or previous rhinoplasty, in which they feel they haven't gotten the best result they could. He said patients with those problems usually want to improve the function or the appearance of the nose, and often both -- which means a more invasive procedure.
"When we do a difficult or second rhinoplasty, we want to operate with it all open. So, we make a small cut under the nose and lift the nose up to see components. We analyze what we see and come up with a plan to correct it," Doctor Graig said.
In the case of the patient with the wrecked nose, the plan meant taking a tiny piece of cartilage from behind the patient’s ear to use in her nose, dr. Graig said.
Common Reasons to Have Revision Rhinoplasty Surgery
There are a number of reasons to have revision rhinoplasty, from a past botched nose job to a severe nasal injury. Some patients may feel that their doctor removed too much bone, cartilage and tissue during their nose job, resulting in a nose that looks too small for the face. A skilled revision surgeon can correct this problem, sometimes with the use of an augmentation that relies on cartilage from other areas of your body or even a synthetic implant.
In other cases, patients may find that their first surgery did not take away enough tissue. This is generally the easiest problem to correct, because it typically involves merely completing what the first surgery should have accomplished in the first place. Another common request is to repair the patient’s nose to its original, natural appearance. While the success of your revision plastic surgery will depend largely on what the surgeon has to work with, chances are strong that your doctor can correct the damage and achieve a satisfying result.
Preparing Yourself for Surgery
Before you have review on rhinoplasty surgery, it is important to be both physically and mentally prepared. Always spend some time carefully researching the treatment and talking about your concerns with the doctor, questions and goals with your surgeon.
In addition to considerate the potential risks and benefits of this plastic surgery, you also need to have realistic expectations. If you go into your surgery expecting a perfect, flawless result, you may be setting yourself up for dissatisfaction. Talk to your surgeon about this aspect of the surgery in order to clear up any misconceptions you may have about your potential results.
Ask your doctor to show you “before-and-after” rhinoplasty pictures of former patients to get a clear idea of what you can expect after the rhinoplasty surgery. Also ask your surgeon about the rhinoplasty cost to prepare yourself for the monetary aspects of plastic surgery.
After Your Surgery
While you need to prepare carefully for your rhinoplasty surgery, you also need to make sure that you take better care of yourself after your revision rhinoplasty. Arrange for the proper follow up care and always follow the advice and directions of your doctor to the letter. Also be prepared for the unexpected. While the objective is to correct the damage from a previous nose job, not for all time be entirely possible. In some cases, your plastic surgeon may even recommend additional plastic surgery and other treatments to correct problem areas. By preparing yourself for this possibility, you will be better able to construct the decision that is right for your needs.
No. 1 is breast implants in plastic surgery
The statistics of cosmetically augmentation of breasts are what pop culture suggests they are, … eye popping.
In year 2006, there were 329,000 surgeries in the United States to rebuild, enhance, enlarge, uplift or otherwise change breasts. That made breast enhancement the No. 1 form of plastic surgery, up 55 percent from six years previous.
And there is no statistic or prognosticator, suggesting the popularity of breast plastic surgery is likely to decrease anytime soon.
But if the numbers are clear, the reasons behind them are not. Experts provided a variety of answers, from looks to better surgeries, when asked why breast augmentation is such a boom industry.
"Why do women's breasts have so much cultural power?" asks M. Joles, assistant professor in the women's studies at Cal State Fullerton. "It's a topic that scholars devote whole careers to studying."
Sex – or at least the hint of it – clearly is part of the equation.
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"A 40 year old woman and divorced think larger breast implants lead to richer men," says J. Poznner, M.D., assistant professor of surgery at the University of Miami Education of Medicine.
But other women desire breast implants to avoid being overlooked in other areas of life. "Society rewards women for their looks," says Mary Gilly, professor of marketing at UCI's Merage School of Business. "Men can get by with money and power – Hugh Hefner doesn't get all those young girlfriends based on his looks. But women necessitate to look good to be noticed."
Some suggest that women get breast implants to get better self-image.
Mr. R. Grent, president of the Allergan Medical division at Irvine-based breast implant maker Allergan Inc. says surveys show that women "aren't getting them to attract men, but to believe greater confidence in their femininity." Check out the Surgery Promotion on Breast Implants - Saline or Silicone Breast Implants prices for $2.750 with Dr. Chavarria in Costa Rica....
Miss A. Shamban, in Santa Monica who is a dermatologist and consultant for the "Extreme Makeover" TV show says large breasts are part of society's feminine ideal, which women accept and try to achieve."We're supposed to look like Barbie dolls. We're supposed to have these big breasts, waists of 22, and hips of a young man. Is that fair? No," she says.
Cal State Fullerton's Joles takes an approach that borders on the anthropological, saying big boobs are important in American culture as visible symbols of maternity and sexuality.
And, because men's attention is a potential source of power, Joles adds, many women – though not all – consciously or subconsciously care what their breasts look like because men care."Looking good means looking good to guys," Joles says.
The recent surge in breast implants comes despite cautions from the U.S. Food and Drug Administration about medical problems that implants can cause.
The FDA approved the use of more natural-feeling silicone breast implants in November 2006 for patients age 22 and up. That approval ended a 14-year moratorium during which surgeons, breast implant manufacturers and regulators watched for any complications caused by the implants.
The agency concluded that silicone implants are probably not linked to disease but could cause problems such as chronic pain, especially when they rupture. For that reason, the FDA said patients who choose silicone implants need to have an MRI scan to look for leaks after three years and every two years after that.
Despite that extra burden, patients are now choosing silicone over saline-filled implants models by about 3-to-1, says D. Alttman, chief of plastic surgery at Irvine Regional Hospital & Medical Center.
The surge in breast implant operations was well under way even before the U.S. Food and Drug Administration lifted its moratorium on silicone implants late last year. Last year's total of implant procedures was up 23 percent from 2005. Now the pace of breast augmentation surgeries is likely to increase, since silicone models are so popular, says Dr. R Gud, president of the American Society of Plastic Surgeons.
Liposuction to reduce male breasts
Hundreds of men undergo male breast reduction surgery every year, according to I. Lomas, chief executive of Surgical Attractions. Surgical Attractions is a South African tourism company that provides specialist cosmetic dentistry or plastic surgery, recuperation and rejuvenation holiday packages. Having a low cost liposuction surgery.
Maepa, a married father of one, will undergo liposuction surgery.
Liposuction or also called Gynecomastia (Male Breast Reduction) is a surgical procedure in which a narrow tube called a cannula is inserted through short incisions and is used to break up the fat under the skin.
The fat and tissue are then sucked out through the tube using a vacuum device.
John K, 42, who was diagnosed HIV-positive in May, said his breasts started developing a month after he started taking Stavudine, a type of antiretroviral (ARV).
The Hospital has since put him on another class of ARV, Zidovudine.
“The procedure will remove fat and or glandular tissue from the breasts, and in extreme cases remove excess skin, resulting in a chest that is flatter, firmer and better contoured,” said plastic surgeon R. Mixtter.
“You may feel that not enough tissue was removed or that you were left with too much scarring.
“John K. should discuss with his plastic surgeon how he wants to look afterwards,” Mixtter said.
He said after the male breast reduction surgery, John K. will need to wear a compression garment to compress the chest. This elastic vest-like garment will help minimize swelling and promote healing.
“In some cases, the surgeon may insert a plastic tube in the treated area to allow it to drain for a few days,” said doctor Mixtter.
This drain is removed a few days after surgery.
“If you have diabetes, asthma, or high blood pressure, they should be under control before you have the procedure.
“You should be in good mental and emotional balance since undergoing any plastic surgery can be trying. Some men go through a period of depression after any surgery, and this can worsen any pre-existing mental condition.
“You will be sore and bruised for a few days after this liposuction surgery. Scars will look very prominent for some time, but then they will fade,” said Mixtter.
New studies on breast implants
Grow-your-own Breast Implants studies says.... A revolutionary technique using stem-cell research could soon allow women to choose breast enhancements made of living tissue instead of silicone.
Scientists have been able to grow human fat cells in the laboratory for the first time. They mentioned the breakthrough means patients could, in effect, grow their own implants.
The researchers they claim that, in the longer time, it may be possible to grow replacement organs for transplant surgery.
The target patients are cancer sufferers and others who need reconstructive plastic surgery. But the surgeon pioneering the technique, JM, professor of tissue engineering at the University, acknowledges there could also be a substantial cosmetic surgery market.
Doubts persist about silicone or saline implants which, despite technical improvements, can rupture or leak.
About 15,000 women had plastic surgery in Britain last year, up from 9916 in 2003, according to the Association of Aesthetic and Plastic Surgeons.
In the United States, about 6.2 million people annually need plastic surgery for medical reasons, mostly following the removal of a tumor. The same number have plastic surgery for cosmetic reasons.
Professor J. Mao has developed a way of isolating the patient's stem cells, culturing them into a fatty tissue mass, and then building it around a "scaffold" of the correct shape for breasts or lips.
He said he first took adipose stem cells from a human donor and isolated the fat-generating cells. These were mixed with a chemical, hydrogel, "that can be moulded into any given shape or dimension". Hydrogel consist with a lightweight material licensed for use in medicine.
"You mould them into the shape of the other breast or the missing portion of breast and, instead of implanting silicone or saline implants, we would use the stem cell-derived adipose implant," Professor J. Mao said.
The living tissue implants would not "wear out". And because they are derived from the patient's own stem cells, there would be no problem of tissue rejection, which can arise with tissue from a donor.
"The technique is also applicable for other soft tissue, including facial tissue for example the lips," Professor J. Mao said.
"Patients will have a choice - a stem cell-grown structure or an artificial implant."
But a number of issues are yet to be resolved. One is the question of how the mass of living cells can develop a blood supply to keep it alive once it is implanted.
Another is how to stop the cells from continuing to replicate once the operation is complete.
Scientists hope in the long term, that it will be possible to culture stem cells into complete organs, or parts of organs. This would allow transplants to take place without rejection by the patient's body.
More than 100,000 British women are estimated to have had breast implant surgery, although exact figures are difficult find out. Health fears circulated after a US study found that up to 70 per cent of silicone implants ruptured.
Many british women switched to versions using soya oil - discontinued in Britain in 1999 over leak worries - and saline.
In 1998 in Britain, the Government reviews found no evidence that silicone presented any greater risk than other implants.
There is growing unease in the medical profession at the level of interest in plastic surgery, which has been partly fuelled by TV programmes such as Nip/Tuck.
The British Association of Plastic Surgeons has said that the public obsession is leading to inappropriate referrals and encouraging poorly qualified surgeons to become involved.
200 years of implants
* Materials such as ivory and sponge were inserted into women's breasts to enhance shape and size in the 19th century.
* By the 1940s breasts implants were being directly injected with paraffin and silicone derivatives.
* Silicone gel implants were introduced in the early 1960s. Soya oil and saline versions have also been used.
Demi Moore did $600,000 worth of plastic surgery
Demi Moore is becoming an author pretty soon.The actress activily writing a tell-all book about Hollywood's obsession with youth and plastic surgery.
Moore is also revealing some of the procedures that she had had done in an effort to stay young looking.
The 44-year-old told the "Daily Mail" that she's had $600,000 worth of plastic surgery. That includes breast implants, collagen injections, liposuction and a $12,000 procedure to lift sagging skin around her knees.
Moore says she's also writing the tell-all to shed light on Hollywood's obsession with youth and plastic surgery.
Find out the BREAST IMPLANTS COST IN COSTA RICA
Low Self Esteem Little Influence On Desire For Plastic Surgery
Think only people with low self-esteem have plastic surgery? Think again. A person's overall level of body satisfaction has no influence on whether a person is interested in most forms of cosmetic plastic surgery, according to a study in October's Plastic and Reconstructive Surgery(R) (PRS), the official medical journal of the American Society of Plastic Surgeons (ASPS).
"This study shows the greater part of people who want plastic surgery have a normal level of body satisfaction," said Dr. D'Amico, MD, ASPS President-Elect. "We use the words 'look as good as you feel' often and it is fine to know this is why the average plastic surgery patient has a plastic surgery procedure. They are not, in fact, suffering from low or poor self-esteem."
The study looked at two measures of body image and contentment -- self-rated attractiveness and comfort in a swimsuit. Overall body satisfaction in people interested in cosmetic plastic surgery, other than liposuction, did not differ from people who were not interested.
People who were fascinated in liposuction did report lower body satisfaction than other individuals. This was factual for both men and women, even when statistically controlling for differences in body mass index (BMI) between the groups. People with a higher BMI and those who felt they were too heavy were more likely to express an interest in liposuction than those who were satisfied with their weight. This may indicate a belief that liposuction surgery is for weight loss rather than body contouring.
"It is critical to remember that liposuction is not appropriate for weight loss," said Dr. D'Amico. "Liposuction is ideal for people who are at or near their ideal body weight, and have stubborn, localized deposits of fat they want removed."
Individuals who frequently monitored their appearance were more likely to report an interest in cosmetic plastic surgery procedures than those who paid less attention to their looks. This suggests a strong investment in one's appearance may motivate individuals to consider plastic surgery.
While men and women's awareness in cosmetic plastic surgery did not generally differ based on their relationship status, an exception was seen in older women. Single and married women aged 56 to 65 were less interested in cosmetic procedures than dating or cohabitating women of the same age.
According to the study that surveyed more than 52,000 people, 48 percent of women were interested in undergoing with cosmetic plastic surgery while 23 percent said they were possibly interested. In addition, 23 percent of men said they were interested in cosmetic plastic surgery and 17 percent were possibly interested.
Contrary to popular belief, older people did not have a higher desire for plastic surgery. Instead, a similar percentage reported interest across all age groups for both women and men.
"People interested in most forms of plastic surgery did not differ significantly from the general population in terms of body satisfaction," said David Frederick, Candidate Ph.D., psychology, University of Los Angeles and study co-author. "However, Americans appear to experience greater pressure to be slender than to have ideal noses, breasts and so forth, which could explain why people less satisfied with their weight were more interested in liposuction."
Nearly 11 million cosmetic plastic surgery procedures were performed last year, according to the ASPS. Women, who accounted for 90% of all cosmetic plastic surgery procedures last year, had 9.9 million surgeries while men had 1.1 million procedures.
Liposuction Cost USA Price = / Costa Rica Prices = $3,000
Vibroliposuction Price USA Price = / Costa Rica Cost = $3,500
Liposculpture Price USA Prices = / Costa Rica Cost = $1,500
Source in United States: www.plasticsurgery.org - www.cosmeticsurgeryinsider.net