News Updates

With liposuction, weight should guide fat removal limits, study finds

Source: Medical Xpress

Although there’s no magic bullet for weight loss, new research suggests that surgeons may be able to safely remove more fat during liposuction surgery than previously believed.

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FDA Issues Warning Regarding Injectable Skin Lighteners

Source: Health Day

The U.S. Food and Drug Administration has issued a warning that injectable skin-lightening products are potentially unsafe and ineffective.

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Safety of microfocused ultrasound with visualization in darker skin types

Source: Medical News Today

Microfocused ultrasound (MFU) treatment to tighten and lift skin on the face and neck appeared to be safe for patients with darker skin types in a small study that resulted in only a few temporary adverse effects, according to a report published online by JAMA Facial Plastic Surgery.

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Survey finds \”fat grafts\” for facelifts growing in popularity among plastic surgeons

Source: Medical News Today

Fat grafting, the practice of transplanting fat by injecting abdominal or other fat to fill out cheeks, creases, and sags, has become more widely embraced by plastic surgeons, according to results of a survey by NYU Langone Medical Center researchers. The survey group was composed of 309 randomly selected members of the American Society of Plastic Surgeons, the largest plastic surgery specialty group worldwide.

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FAU student and surgeon collaborate on new, alternative procedure to radical mastectomy

Source: Medical News Today

Elizabeth Hopkins, an aspiring physician and pre-medical student in the Charles E. Schmidt College of Science at Florida Atlantic University, has spent more than 640 hours shadowing Hilton Becker, M.D., a local plastic and reconstructive surgeon, and an affiliate professor in FAU’s Charles E. Schmidt College of Medicine. Together, with Jeffrey Lind II, M.D., they authored a publication in the current issue of Plastic and Reconstructive Surgery Journal, which describes a revolutionary procedure developed by Becker that is an alternative to radical mastectomy.

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When surgeons listen to their preferred music, their stitches are better and faster

Source: Medical Xpress

A new study from The University of Texas Medical Branch at Galveston shows that when plastic surgeons listen to music they prefer, their surgical technique and efficiency when closing incisions is improved. The study is currently available in the Aesthetic Surgery Journal

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No Increased Risk for One-and-Done Breast Reconstruction

Source: Health Day

Single-stage implant breast reconstruction is a less invasive procedure that may offer good aesthetic outcome with no additional oncologic risk in selected patients, according to research published in the August issue of Plastic and Reconstructive Surgery.

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Cosmetic surgery leads to possible pain relief from migraines

Source: Medical Xpress

Bryan Kirsch knew something was wrong when the stairs moved. After roughhousing with his children in 2011, he was walking upstairs with one when, he remembered, “I look up the stairs, and the whole world is spinning.”

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You May Want to Think Before You Ink

Source: Daily Rx

Tattoos have really gone mainstream in the last decade or so, but for some, tattoos can leave a long-lasting mark — in more ways than one.

A new study found that tattoos had a relatively high rate of complications — such as itching, skin rashes, swelling and infections. These reactions may last for months and, in some cases, for years after getting inked.

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Breast reconstruction often involves multiple operations

Source: Medical Xpress

Most women undergoing breast reconstruction after a mastectomy will need several operations, a new study finds. Among nearly 4,000 women studied, 88 percent had at least two breast reconstruction operations, 65 percent had more than two, and 39 percent had four or more, the Canadian researchers reported.

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Pliability, elasticity of skin increase following wrinkle treatment with Botox

Source: Medical Xpress

Skin pliability and elasticity improved after treatment with onabotulinum toxin (Botox) for mild facial wrinkles and the effect lasted for up to four months, according to a report published online by JAMA Facial Plastic Surgery.

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Fat grafting for butt augmentation—combined technique gives good results

Source: Medical Xpress

Have you ever dreamed of taking fat from one area where you had a little too much, and transferring to somewhere you wanted a little more? A Brazilian plastic surgery team has done just that, using a combined liposuction and fat grafting technique to augment and enhance the buttocks, reports a study in the May issue of Plastic and Reconstructive Surgery.

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Study reveals novel use of 3-D imaging for measurement of injectable wrinkle reducers

Source: Medical Xpress

A three-dimensional imaging technique often used in the automotive and aerospace industries for accurate measurement may be useful to measure the efficacy of injectable wrinkle reducers such as Botox and Dysport, according to new research from the Perelman School of Medicine at the
University of Pennsylvania. The procedure, called three-dimensional speckle tracking photogrammetry, is described in the May issue of Plastic and Reconstructive Surgery. Authors say it has the potential to measure the efficacy of several treatments for which these types of injections are used, not only for cosmetic purposes but also to reduce facial paralysis arising from stroke and Bell’s palsy.

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FDA approves treatment for fat below the chin

Source: Medical News Today

The U.S. Food and Drug Administration has approved Kybella (deoxycholic acid), a treatment for adults with moderate-to-severe fat below the chin, known as submental fat. Using Kybella for the treatment of fat outside of the submental area is not approved and is not recommended.

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Botox to improve smiles in children with facial paralysis

Source: Medical News Today

Injecting botulinum toxin A (known commercially as Botox) appears to be a safe procedure to improve smiles by restoring lip symmetry in children with facial paralysis, a condition they can be born with or acquire because of trauma or tumor, according to a report published online by JAMA Facial Plastic Surgery.

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Google Glass shows promising uses in plastic surgery

Source: Medical Xpress

The “wearable technology” Google Glass has a wide range of possible applications in plastic surgery—with the potential to enhance surgical training, medical documentation, and patient safety, according to a special paper in the March 2015 issue of Plastic and Reconstructive Surgery, the official medical journal of the American Society of Plastic Surgeons (ASPS).

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ASPS: Cosmetic procedures increased 3 percent in 2014

Source: Medical Xpress

According to a new report, 15.6 million cosmetic procedures, including both minimally-invasive and surgical, were performed in
the United States in 2014, an increase of 3 percent since 2013. The report was issued by the American Society of Plastic Surgeons (ASPS).

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Atrophy Seen in Gluteus Maximus Post Gluteal Augmentation

Source: HealthDay

The gluteus maximus muscle presents atrophy after gluteal augmentation surgery with implants, according to a study published in the March issue of Plastic and Reconstructive Surgery.

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New research aims to refine increasingly popular plastic surgery procedures: Buttock augmentation and vaginal rejuvenation surgery

Source: Medical News Today

Two of the fastest-growing plastic surgery procedures are gluteoplasty or “butt augmentation,” to improve the appearance of the buttocks; and labiaplasty to address cosmetic and functional concerns with the vagina. New insights into the use and outcomes of these procedures are presented in the March issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

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Newborn butterfly project non-surgically corrects infant ear deformities

Source: Medical News Today

A team of researchers from Weill Cornell Medical College and NewYork-Presbyterian/Weill Cornell Medical Center has improved a non-surgical procedure that safely and effectively corrects newborn ear deformities in just two weeks – a drastically shorter period of time than previously reported.

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Good results with surgery for gynecomastia in bodybuilders

Source: Medical Xpress

With attention to some unique patient characteristics, breast reduction surgery achieves good aesthetic outcomes in bodybuilders with gynecomastia—enlargement of the male breast, according to a report in the February issue of Plastic and Reconstructive Surgery.

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Facelift surgery after massive weight loss poses challenges, reports Plastic and Reconstructive Surger

Source: Medical News Today

Authors outline their approach to facelift in bariatric surgery patients

Patients undergoing bariatric surgery for severe obesity are often left with excess, sagging skin affecting all areas of the body–including the face. The unique challenges of facelift surgery in this group of patients–and effective techniques for addressing them–are presented in a paper in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

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Dextran filler offers favorable results for nasolabial fold augmentation
Source:
Healio

In a 24-week, evaluator-blinded clinical study, researchers found that dextran-derived injectable filler provided favorable results in the augmentation of the nasolabial folds.

Researchers enrolled 20 patients with nasolabial folds rated as 3 or higher based on the Wrinkle Severity Rating Scale (WSRS). Each patient received one session of dextran filler in both nasolabial folds, with no additional touch-up visit. Follow-up visits occurred at 4, 12 and 24 weeks after initial treatment.

At week 24, WSRS score had improved by two grades in 50% of patients, and by one grade in the other 50%, according to the researchers. Mean WSRS score improvements from baseline were 2, 1.75 and 1.50 at 4, 12 and 24 weeks, respectively.
One mild treatment-related adverse event was reported during the 24 weeks of follow-up.

The researchers suggested that dextran fillers may have longer staying power when compared with hyaluronic acid fillers and may be a more favorable choice.

Disclosure: The authors have no relevant financial disclosures.

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GRASS regimen improves overall appearance of hyperpigmentation, photodamaged skin
Source:
Healio

A five-product topical regimen may provide patients with facial photodamage and hyperpigmentation with an effective, comprehensive treatment, according to study results presented at the American Academy of Dermatology Summer Meeting.
In a single-center, 24-week study, researchers assessed the efficacy and tolerance of a five-product regimen known as GRASS in 72 patients with Fitzpatrick Skin types I to IV.

The regimen included physiologically balanced growth factors, retinol, antioxidants, a multimodal skin brightener and sunscreen. Tolerability and efficacy were assessed at baseline and at weeks 4, 8, 12, 18 and 24.

From baseline to week 12, overall hyperpigmentation improved by more than 15%; photodamage improved by 13% and fine lines improved by close to 22%, according to the researchers.

By week 24, patients had mild-to-moderate improvement in overall hyperpigmentation and mild-to-moderate improvement in overall photodamage.

In a subject questionnaire, 100% of patients agreed that the system improved the evenness of their skin tone, according to the researchers.

Reference: Makino ET. Poster #114.Presented at: the American Academy of Dermatology Summer Meeting; August 6-10, 2014; Chicago, IL.

 

Disclosure: The study and poster were supported by a grant from SkinMedica, an Allergan company.

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5-FU cream, peels offer similar benefits for photodamaged forearm treatment
Source:
Healio

Five percent 5-fluorouracil cream and peels were shown to be equally effective in the treatment of photodamaged forearms, according to study results.

The interventional, comparative, evaluator-blind study comprised 32 patients with advanced photoaging on the forearms, multiple superficial actinic keratoses and compliance to twice-daily sun protection.

Patients’ forearms were randomly assigned to daily application of 5% 5-fluorouracil (FU) cream at night for 28 days on one forearm, and four sequential weekly peels with a combination of Jessner’s solution and 5% 5-FU in propylene glycol on the other, which was removed 12 hours later. SPF 40 sunscreen was used twice daily, and emollient was applied when necessary.

The researchers assessed efficacy based on clinical photodamage scores, patient and researcher opinion, and blind photographic evaluation by independent observers. Skin biopsies were used for immunohistochemical and histologic analyses, and an observation of adverse events was used to evaluate safety.

No differences were reported between the cream and peels for any of the clinical parameters evaluated, according to the researchers. Blind photographic evaluations also revealed no difference in overall skin appearance between treatments; however, the researchers did observe an improvement with respect to time, especially after 6 months.

After 90 days, patient satisfaction was equal between the two treatments. Additionally, at least one of the three evaluators identified reduction in the degree of photoaging.

Both treatments also resulted in a significant reduction in epidermal p53 expression and an increase in procollagen I level, according to the researchers.

Disclosure: The authors have no relevant financial disclosures.

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Unapproved use of intranasal splint as dermal filler linked to adverse events
Source:
Healio

The U.S. Food and Drug Administration announced that some health care providers have used an intranasal splint from Enhancement Medical as a dermal filler — an indication for which the product has not been FDA-approved.

Use of the intranasal splint, Expression, as a dermal filler has resulted in reports of adverse events, including swelling, tenderness, lumps, bumps, bruising, pain, redness, discoloration, itching and the development of hard nodules, according to a press release from the FDA.

As such, the FDA recommended that health care providers stop using Expression as a subcutaneously administered device.

Expression is FDA-approved to help minimize bleeding and swelling after surgery or trauma to prevent adhesions between the septum and nasal cavity. The splint is made of hyaluronic acid gel packaged in a syringe that, when used as intended, functions as a protective lubricant with low risks to patients.

The FDA has received reports of Expression being used as a dermal filler to reduce wrinkles on the face. Dermal fillers are classified by the FDA as class III devices, meaning they pose a higher risk to patient safety, according to the release.

The FDA has not received or reviewed data on the safety and effectiveness of Expression for use as a dermal filler.
To read the full FDA press release, click here.

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Pulsed dye laser, intense pulsed light equally effective for stretch mark treatment
Source:
Healio

Both pulsed dye laser and intense pulsed light demonstrated efficacy in improving the appearance of stretch marks, according to researchers.

Twenty patients were treated on one side of their bodies with pulsed dye laser (PDL) and on the other with intense pulsed light (IPL) for five sessions, with 4 weeks between each session. Patients’ results were evaluated clinically prior to treatment and at 1 month after the final treatment.

Both treatments yielded significant improvements in overall skin texture and a significant decrease in stretch mark width, according to the researchers.

Additionally, both PDL and IPL were shown to significantly increase collagen expression. However, PDL significantly improved collagen type I expression compared with IPL, according to the researchers.

Disclosure: The authors have no relevant financial disclosures.

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Cosmetic eye procedure may ease migraines, small study says
Source:
MedicalXpress

Cosmetic eyelid surgery involving specific nerves may do more than improve your looks—the procedure may also provide migraine relief for some, according to new research.
The technique involves making incisions in the upper eyelid to deactivate so-called “trigger” nerves. This process also lifts the lid, a technique known as blepharoplasty.

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Fat preservation better for lower eyelid blepharoplasty
Source:
MedicalXpress

Fat preservation and grafting techniques have gained popularity in lower eyelid blepharoplasty, according to a surgical pearls piece published online June 26 in JAMA Facial Plastic Surgery.
David J. Archibald, M.D., from the Center for Plastic Surgery at Castle Rock in Colorado, and Edward H. Farrior, M.D., from the Farrior Facial Plastic & Cosmetic Surgery Center in Tampa, Fla., advise surgeons on patient selection and surgical technique when using fat repositioning in lower eyelid blepharoplasty.

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Will a dimpleplasty improve your smile?
Source:
Smartbeautyguide

Julia Roberts, Jennifer Garner and Anne Hathaway may be known for their Oscar-nominated performances in a variety of films, but they are also easily recognizable by one facial feature that denotes femininity: their dimples.
Commonly associated with cartoon characters and cute children, dimples can add character to any person’s appearance. One plastic surgeon from Phoenix, Arizona, explained to Fox News 10 that men and women are coming in troves to undergo one cosmetic procedure that creates faux dimples for patients. People have unique reasons when opting for this operation, but surgeons cannot deny that more individuals are demanding dimples.

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Crafting cheekbones with cosmetic surgery
Source:
Smartbeautyguide

From chin implants to facelifts, there are a variety of procedures that can alter the appearance of one’s face. Individuals looking to add a bit of plumpness or definition to their cheeks may benefit from cheek augmentation or facial implants, both surgeries that can affect cheek structure.

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Growing array of fillers expands options for facial rejuvenation – New hyaluronic acid fillers aim to correct midface volume loss
Source:
DermatologyTimes

The pivotal clinical trial leading to approval of the new filler was conducted at 15 sites in North America. It included 235 patients who were treated to correct midface volume deficit and 47 untreated controls. Eligible patients had moderate, significant or severe midface volume deficit as assessed using a six-point validated rating scale.

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MRI Is Most Accurate Test for Detecting Ruptured Silicone Breast Implants
Source:
American Society of Plastic Surgeons

Magnetic resonance imaging (MRI) has higher accuracy than ultrasound in diagnosing ruptured silicone implants after breast reconstruction, reports a study in the July issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

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Breast Lifting May Decrease Bra Size, Says Study in Plastic & Reconstructive Surgery<
Source:
American Society of Plastic Surgeons

After undergoing breast lift surgery (mastopexy), women may find themselves wearing a smaller bra—with an average decrease of one bra cup size, reports a study in the July issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

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Scientists report successful nose reconstruction surgery using cartilage grown in laboratory
Source:
NewsMedical

Scientists at the University of Basel report first ever successful nose reconstruction surgery using cartilage grown in the laboratory. Cartilage cells were extracted from the patient’s nasal septum, multiplied and expanded onto a collagen membrane. The so-called engineered cartilage was then shaped according to the defect and implanted. The results will be published in the current edition of the academic journal “The Lancet”.

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Tissue reconstruction using autolo­­­gous engineered implants has been successfully achieved in humans
Source:
NewsMedical

Reconstruction of damaged/absent tissue using engineered autologous (from the patients’ own cells) implants has been successfully achieved in humans for the first time.
Professor Ivan Martin’s team at the University of Basel, Switzerland, successfully rebuilt the nostrils of five individuals damaged by skin cancer using cartilage engineered from the patients’ own cells.

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Fat Grafting Technique Helps Patients With Raynaud’s Phenomenon
Source:
American Society of Plastic Surgeons

Injecting Fat into Hands Reduces Symptoms in Patients With Painful Blood Flow Disorder, Reports PRS
For patients with Raynaud’s phenomenon—episodes of abnormal blood flow in the hands triggered by cold—injections of the patient’s own fat into the hands can reduce pain and other symptoms, according to a report in the May issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

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Facial transplantation: Almost a decade out, surgeons prepare for burgeoning demand
Source:
MedicalXpress

Plastic and reconstructive surgeons leading the first retrospective study of all known facial transplants worldwide conclude that the procedure is relatively safe, increasingly feasible, and a clear life-changer that can and should be offered to far more carefully selected patients.

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Mother-daughter pairs are increasingly opting for cosmetic surgery
Source:
NewsMedical

Cosmetic surgery can be an empowering experience for women who want to bolster their self-esteem. One key component to better results and recovery is having a strong support system. A recent twist on this idea is mother-daughter plastic surgery. After all, there’s strength in numbers, and with mom cheering you on throughout the journey to a new and improved you, plastic surgery can be less daunting. Of course, there’s no reason why a prospective patient should be deterred from having plastic surgery in Beverly Hills as a solo journey. However, the team at Beverly Hills Physicians understands mother-daughter pairs who choose to undergo self-improvement together.

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Quality of Life Improves after Breast Augmentation
Source:
American Society of Plastic Surgeons

Women undergoing breast augmentation surgery report substantial gains in psychosocial and sexual well-being and other aspects of quality of life, according to a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

“Breast augmentation is associated with high patient satisfaction and significant improvements in quality of life,”

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New and improved laser and light treatments take aim at cellulite, fat, tattoos, wrinkles and sagging skin
Source:
ScienceDaily

As more people look for ways to turn back the clock or improve their appearance, dermatologists are pioneering many of the newest aesthetic laser technologies – from tattoo removal to erasing fine lines and wrinkles to reducing fat or cellulite. Before considering any cosmetic procedure, dermatologists recommend that consumers do their homework to better understand the best technologies available for their specific needs.

Read More


Growth of breast lifts outpacing implants 2-to-1, stats show
Source:
ScienceDaily

New statistics show breast lift procedures are growing at twice the rate of breast implant surgeries. Since 2000, breast lifts have grown by 70 percent, outpacing implants two-to-one. Breast implants are still the most performed cosmetic surgery in women, but lifts are steadily gaining. In 2013, more than 90,000 breast lift procedures in the United States.

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New approach to breast reconstruction surgery decreases use of postoperative opioid painkiller
Source:
NewsMedical

A new approach to breast reconstruction surgery aimed at helping patients’ bodies get back to normal more quickly cut their postoperative opioid painkiller use in half and meant a day less in the hospital on average, a Mayo Clinic study found. The method includes new pain control techniques, preventive anti-nausea treatment and getting women eating and walking soon after free flap breast reconstruction surgery. It has proved so effective, it is now being used across plastic surgery at Mayo Clinic. The findings were being presented at the Plastic Surgery Research Council annual meeting March 7-9 in New York.

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Plastic surgery: Butt and neck lifts on the rise in America
Source:
FoxNews

More and more Americans are opting to enhance their assets.

According to a new report from the American Society of Plastic Surgeons (ASPS), 15.1 million cosmetic surgery procedures took place in the United States in 2013 – up 3 percent from the previous year.

While breast augmentations and nose reshaping (rhinoplasty) are still the most popular surgical procedures, butt augmentations are also on the rise.  Nearly 10,000 procedures took place in 2013, an increase of 16 percent from 2012.  The report also noted that neck lifts have become very popular, as it is one of the first areas of the body to show a person’s age.  More than 55,000 neck procedures were performed in 2013.

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How body contouring procedures offer a dramatic effect after significant weight
Source:
Examiner

Following weight loss, some people are left with what is called, redundant skin.

After skin has been stretched to help accommodate the weight gain, it is unable to be restored to where it was once before. This will leave stretched, excess skin in particular areas such as the abdomen, beasts, upper arms, face and neck, upper thighs, and buttocks.

San Diego body contouring surgery is a common plastic surgery practice, however, finding a surgeon who specializes in post bariatric body contouring surgery is a better recommendation for patients who have dropped a considerable amount of weight.

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New and improved laser and light treatments take aim at cellulite, fat, tattoos, wrinkles and sagging skin
Source:
ScienceDaily

As more people look for ways to turn back the clock or improve their appearance, dermatologists are pioneering many of the newest aesthetic laser technologies – from tattoo removal to erasing fine lines and wrinkles to reducing fat or cellulite. Before considering any cosmetic procedure, dermatologists recommend that consumers do their homework to better understand the best technologies available for their specific needs.

Read More


Breast implants are still overwhelming choice for women, but since 2000 breast lifts are up 70 percent
Source:
MedicalNewsToday

New statistics released today by the American Society of Plastic Surgeons (ASPS) show that breast lift procedures are growing at twice the rate of breast implant surgeries. Since 2000, breast lifts have grown by 70 percent, outpacing implants two-to-one. Breast implants are still by far the most performed cosmetic surgery in women, but lifts are steadily gaining. In 2013, more than 90,000 breast lift procedures were performed by ASPS member surgeons.

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Reconstructing faces using human stem cells from fat
Source:
MedicalNewsToday

Researchers in London, UK, are investigating the effectiveness of stem cell therapies for facial reconstruction.

Using human stem cells from the patient’s own fat, researchers say they may be able to improve the effectiveness of facial reconstruction.

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