Company Aims to Make “No-needle” Botox a Reality

July 29th, 2010

Botox cream before & after photosRevance Therapeutics, a bio-pharmaceutical company in California, is exploring a “no-needle” Botox product that could be applied to the skin in cream form, reports WCBS-TV in New York City.

There are still two years of clinical trials to go for the product, called RT001, after which the FDA will decide whether to approve the drug.

The cream is being tested for use on crow’s feet, and patients in the early trials tended to see a moderate reduction in wrinkles around their eyes after using the product for about a month.

While having a non-injectable alternative to Botox may seem like a no-brainer, some doctors point out the potential dangers. In an interview with WCBS-TV, New York City dermatologist Dr. David Colbert says he worries that such a product would be so popular that black market versions would be sold online without oversight and that the potential muscle paralyzing effects could be dangerous.

“I think it’s a brilliant idea, but I’m more concerned about the welfare of people who would use it irresponsibly,” Colbert says.

Others feel differently. Dr. Scott Newman, a plastic surgeon in New York City, told  WCBS-TV that he feels the potential benefit is worth the risk. “It’s like the holy grail. If you can get a wonderful result with less downside, why wouldn’t that be an attractive option?”

Dr. Anthony Youn, a plastic surgeon in Michigan, had his own thoughts on the product’s potential that he shared on his website: “I think a huge application of this topical botulinum toxin is in sweat reduction. Could you imagine an antiperspirant stick with this product that lasts several months with each application and leaves no residue? I’d buy it!”

The segment can be view on WCBS-TV’s website at http://wcbstv.com/video, by searching for “Botox cream.” (Pictured: before & after use of RT001 for 28 days; image via WCBS-TV)

Is there a “Beauty Advantage”? Newsweek Report Says Yes

July 22nd, 2010

Blond womanA new special feature on Newsweek.com reports on what it calls “The Beauty Advantage” and says that the quest to look good isn’t just “a vain pursuit.”

The article explains how beauty can affect your career and life and argues that in today’s economy looking good is something that can’t be dismissed as frivolous.

“Economists have long recognized what’s been dubbed the ‘beauty premium’—the idea that pretty people, whatever their aspirations, tend to do better in, well, almost everything. Handsome men earn, on average, 5 percent more than their less-attractive counterparts (good-looking women earn 4 percent more); pretty people get more attention from teachers, bosses, and mentors; even babies stare longer at good-looking faces (and we stare longer at good-looking babies),” according to the article.

Economist Daniel Hamermesh concurs, saying that a good-looking man will make some $250,000 more during his career than his least-attractive counterpart. Thirteen percent of women and 10 percent of men say they’d consider cosmetic surgery if it made them more competitive at work, according to surveys by the American Society of Plastic Surgeons and Newsweek respectively.

Newsweek also surveyed 202 corporate hiring managers and 964 members of the public on the topic. Fifty-six percent of hiring managers said that qualified but unattractive candidates are likely to have a harder time getting a job. Furthermore, more than half advised job seekers to spend as much time and money on “making sure they look attractive” as on perfecting a résumé.

The survey also asked hiring managers to rate nine character attributes from one to 10 of what they look for in candidates. Looks was third, after experience and confidence, and above where an applicant went to school.

The special feature also includes a variety of online essays, photo galleries, and interactive features on the “beauty advantage.”

Collagen Fillers on their Way Out as Other Fillers Grow in Popularity

July 12th, 2010
Radiesse before and after photos

Before and after photos of Radiesse patient (Courtesy of www.radiesse.com)

The latest issue of Dermatology Times reports on the changing U.S. injectables market, given that most collagen fillers will be gone from the market at year’s end.

In late 2009, Johnson & Johnson announced that it was discontinuing its collagen filler Evolence. As covered previously in Dr. Lo’s blog, patients who have received treatment with Evolence will continue to receive support regarding medical inquiries and reporting of adverse reactions. Despite the discontinuation, the company maintains that Evolence offers effective results and a “favorable safety profile.”

Then, in January 2010, Allergan announced it would be discontinuing its collagen line of fillers at the end of the year. The company stopped production of the products in 2009, but manufactured sufficient inventory to meet estimated market demand through the end of 2010, according to Kelly Lao, manager of corporate communications.

“The discontinuation of the sale of our collagen products … is in response to declined market interest … since the introduction of hyaluronic acid dermal fillers like Juvéderm have become more popular,” Ms. Lao says.

“There is an overwhelming popularity of the new kid on the block: the hyaluronic acids. They have been embraced universally, and suddenly collagens aren’t as popular,” says Dr. Seth Matarasso, clinical professor of dermatology at the University of California School of Medicine, San Francisco.

The popularity of hyaluronic acid products, including Restylane, Perlane, Juvéderm, Radiesse, and Sculptra, is due to several factors:

  • Longer-lasting results
  • Appear to give a better fill
  • Some contain lidocaine for less painful injections

Dermatology Times reports that future improvements of hyaluronic acids will provide more volume and contour-changing ability, as well as the ability to fill deeper lines.

The full story is available online at Modern Medicine. About Faces Cosmetic Surgery in Tucson, Arizona offers patients three hyaluronic acids fillers: Restylane, Juvéderm, and Radiesse.

Today Show Features Fraxel Patients

July 6th, 2010

Fraxel was one of the noninvasive cosmetic procedures highlighted on NBC’s Today Show on July 2.

Visit msnbc.com for breaking news, world news, and news about the economy

Dr. Anne Chapas, a New York City dermatologist, explained how she used Fraxel, Thermage, and Isolaz to help women with a variety of skin problems, which included skin laxity, acne, and sun spots.

Fraxel restore was used on Jill, a 40-something with years of skin damage from the sun. The treatment penetrates deep into the skin to remove old, damaged cells, stimulate the body’s own natural healing process, and replace the cells with fresh, glowing, healthy skin.

Jill says she is thrilled with the Fraxel treatement. “It really got rid of so much of the sun damage that I could see. It just makes me feel like I have fresh, new skin.”

It usually takes 1 to 3 treatments to see results, and patients may have a few days of redness and a little dryness after the treatment, according to Dr. Chapas.

The Today Show also highlighted Thermage, which was used to tighten the stomach area on a mother of two.

Thermage can also be used in conjunction with Fraxel. Lisa B., another patient featured in the segment, suffered from skin discoloration, breakouts and blotches, and looseness. She first received Thermage, which helped tighten her skin and build collagen; a week later she received Fraxel, which helped even out her skin tone.

Dr. Lo is the only practitioner in Tucson to offer treatment with Fraxel Repair.

Cosmetic Surgery Discounts May Come at the Cost of Safety

June 30th, 2010

Plastic Surgery billboardDiscounted plastic surgery may come at the cost of safety reports a recent story on AOL’s Stylelist website. The article warns consumers about the bargain cosmetic surgery trend, citing billboards that advertise “bargain boob jobs” in California and an ad near Clearwater, Florida that touts “$8 Botox” injections.

While some are just marketing ploys other “bargains” could be at the expense of safety. “To get the cost down, they could be cutting back on things like general anesthesia. They make you feel like the procedure must be easier and not so serious if you’re just getting local sedation. Nothing could be further from the truth,” says Long Beach, Calif., plastic surgeon Dr. Marcel Daniels.

Another cosmetic procedure trend is that doctors who studied a different branch of medicine, such as gynecology, are performing plastic surgery procedures, according to Stylelist.

“Many physicians not trained as plastic surgeons can legally perform a surgical procedure in their office. These people often claim that they can do the same procedure as a plastic surgeon under local anesthesia and may even claim they are more scientifically advanced,” says Dr. John Anastasatos, a Beverly Hills plastic surgeon. “The truth is that they don’t have surgical privileges at hospitals and surgery centers because they simply are not surgeons and never trained as surgeons.”

The article recommends researching your doctor to make sure he or she has plastic surgery training and viewing before-and-after photos of actual patients the doctor has worked on.

Dr. Lo completed two separate fellowships over three years to master the art of cosmetic surgery. He first completed an ophthalmic and facial plastic surgery fellowship at the Arizona Centre for Plastic Surgery, which focused on plastic surgery around the eyelids and face. His cosmetic surgery fellowship at the Anderson Plastic Surgery Center expanded his scope to general cosmetic surgery.

Read the full article, “‘Free’ Plastic Surgery: The Dangers of Bargain Breasts and Botox,” on Stylelist.com. (Photo by Aaron Gruenert, courtesy of Stylelist.com)

Men See the Benefits of Plastic Surgery

June 24th, 2010

While women make up the majority of cosmetic surgery patients, more men are embracing it as well. According to 2009 statistics from the American Society of Plastic Surgeons (ASPS), men received 13 percent of all cosmetic surgical procedures and 9 percent of all cosmetic minimally-invasive procedures performed in the United States in 2009.

Bill Neville, 52 and father of a four-year-old son, recently shared his plastic surgery journey with reporter Elise Morgan of WHNT NEWS 19 in Huntsville, Alabama. Neville began to worry about how old he looked. “He’s [my son's] going to start t-ball, swimming, and I don’t want to be out there with the rest of the dads and have them looking at me like, ‘Hey! Grandpa is out here to watch his grandson!’” he said.

Changes in his diet and exercise helped, but he decided to get plastic surgery as well. “Just rolling back the clock a bit on this turkey gobbler and possibly getting the skin off my eyelids would be great,” he said before his surgeries.

Neville had several procedures, including his eyelids, a facelift, a neck lift, laser resurfacing of his skin, and injections to fill in wrinkles. “I was hoping not to look real “plasticky” and stretched, and I don’t think I do. I think it looks real natural and everyone I’ve talked to thinks it looks great,” he said.

Wondering what the most common procedures for men are? ASPS statistics show that the top 5 cosmetic surgical procedures and minimally-invasive cosmetic procedures for men last year were:

  1. Rhinoplasty (surgical) / Botox (minimally-invasive)
  2. Eyelid surgery / Microdermabrasion
  3. Liposuction / Laser hair removal
  4. Breast reduction / Chemical Peel
  5. Hair transplantation / Wrinkle fillers

Bill Neville’s story and a video are on the WHNT News website: “Plastic Surgery for Men Isn’t Taboo”.

Related story:A guy could get used to this no-lines life” – A male Los Angeles Times reporter writes about his experience getting Botox treatment.

Study Investigates if Botox Affects Emotions

June 17th, 2010

Woman smilingA study published in the June 2010  issue of  Emotion, a journal of the American Psychological Association, examined if Botox injections have an effect on emotional experience.

To test if feedback from facial expressions influences emotional experience, Joshua Davis and Ann Senghas, Barnard College professors who led the research, compared the impact on self-reported emotional experiences of a group who had Botox injections, which paralyze muscles of facial expression, and a control group who had Restylane injections, a filler that does not affect facial muscles.

The abstract says, “When examined alone, Botox participants showed no pre- to post-treatment changes in emotional responses to our most positive and negative video clips.” However, comparing the Botox group to the Restylane group showed that Botox participants exhibited an overall significant decrease in the strength of emotional experience.

“With the advent of Botox, it is now possible to work with people who have a temporary, reversible paralysis in muscles that are involved in facial expressions,” said Davis. “With Botox, a person can respond otherwise normally to an emotional event, e.g. a sad movie scene, but will have less movement in the facial muscles that have been injected, and therefore less feedback to the brain about such facial expressivity. It thus allows for a test of whether facial expressions and the sensory feedback from them to the brain can influence our emotions.”

The findings suggest that feedback from facial expressions is not necessary for emotional experience, but may influence emotional experience in some circumstances.

The study is titled “The effects of BOTOX injections on emotional experience” and the abstract is available online. Dr. Lo offers both Botox and Restylane injections at his Tucson, Arizona office.

Plastic Surgery Trend: A Gift for Graduates

June 9th, 2010

Crain’s New York Business recently examined one of the latest trends in plastic surgery: cosmetic surgery among teens as a graduation present.

The story reports that the demand for plastic surgery among teens has swelled in the last few years, and plastic surgery is sometimes given as a high school or college graduation present to young women.

According to the American Society of Plastic Surgeons,  8,199 U.S. teenagers aged 18 and 19 had breast enlargements in 2009—more than triple the number in 2001. This increase was seen despite the recession, at a time when there was a drop in the overall number of plastic surgeries.

Teens make up just 2 percent of all cosmetic surgery patients in the United States, but their numbers are growing, which Crain’s attributes to reality shows like Extreme Makeover and daily press coverage of celebrities’ bodies.

“In the past few years, I’ve seen more younger people doing more plastic surgery than ever before,” says Dr. Andrew Jacono, a plastic and reconstructive surgeon in New York City. “There’s a lot of pressure on young people to look a certain way, and when kids go away to college, it’s a chance to start all over.”

Nose jobs, liposuction treatments, and breast augmentations are among the most popular procedures for teens. “Breast surgery is at the top of the list for graduates now,” according to Manhattan plastic surgeon Dr. Mauro Romita.

Stephanie Michelle, who just graduated from the University of Buffalo, first asked for a nose job for her high school graduation present, but her parents told her to wait for her college graduation. Now that she’s earned her degree, the family is researching doctors.

“This is the perfect time to do it,” says Ms. Michelle. “I am going to be on my own and moving to the city and becoming an adult.”  View the full story on this trend at Crain’s New York Business.

Considering Cosmetic Surgery? Ask Your Mom.

May 10th, 2010

The mother-daughter relationship should be one in which you can find support and make the right decision about a cosmetic surgery procedure.  Given that ideal, we were happy to find these news stories that demonstrate it.

If your mom had a successful rhinoplasty, would you do the same?  One young woman gives her compelling nose-job story to Elle, discussing the years she spent deliberating about the operation and how she finally decided to follow in her mother’s footsteps. After her rhinoplasty, she confesses: “I hate to say it, but my mother is right: It’s the nose I was meant to have.”

[Elle]

Would your mother undergo cosmetic surgery before you?  If so, you might find yourself inspired to do the same when you see the results.  The number of mother-daughter pairs visiting Dr. James Koehler in Tulsa has him seriously considering a “family discount.”

[msnbc]

Last month, reporters confirmed that supermodel Christie Brinkley had a facelift and her daughter Alexa Ray Joel checked in for a rhinoplasty the following day.  According to reports from the New York Post, the pair have already made several public appearances to show off their new looks.

[New York Post]

Blepharoplasty Procedures up 42 Percent Says AACS

April 30th, 2010

Results of a recent survey by the American Academy of Cosmetic Surgery say that eyelid surgery (i.e. blepharoplasty) increased by 42 percent last year.  Over 60,000 procedures were performed by members of the society, a figure they say indicates a rising trend in facial cosmetic enhancement.

According to the Academy, the “baby boomer generation” is responsible for this trend; men and women in their 50s and 60s who aren’t “ready to concede their looks just yet.”  Statistics show that the average age of patient undergoing eyelid surgery is 52.3 years.

Our website contains more information on blepharoplasty in Tucson, AZ.  Also, read the press release from the American Academy of Cosmetic Surgery.