Archive for the ‘In The News’ Category

Cosmetic Surgery TV Shows Leave Viewers with Favorable Impression

Sunday, August 29th, 2010

Woman smilingGiven the popularity of cosmetic makeover television programs that have aired in recent years, including Extreme Makeover, I Want a Famous Face, Dr. 90210, researchers set out to examine the influence of media messages about cosmetic surgery on teenagers’ interest in changing their own physical appearance with surgery. Charlotte Markey, of Rutgers–Camden, and with Patrick Markey, of Villanova University, completed two studies on the topic and published their results in Body Image journal.

Study 1 – Impressions of cosmetic surgery shows

The first study surveyed 170 teens (average age 19.77, 59% female) on “their impression of reality television shows featuring cosmetic surgery, appearance satisfaction, self-esteem, and their interest in cosmetic surgery,” according to the article’s abstract.

The researchers found that those who had favorable impressions of cosmetic surgery reality television shows were more likely to have an interest in pursuing cosmetic surgery.

Study 2 – Reactions to watching cosmetic surgery shows

The second study divided 189 participants (average age 19.84, 51% female) into two groups; one group watched a program with a cosmetic surgery makeover and the other group watched one with a neutral message.

As Dr. Charlotte Markey suspected, women were more likely to want cosmetic surgery than men, and those who viewed the cosmetic surgery show were more inclined to consider the procedure for themselves than those who watched the neutral message program.

Markey noted that many people equate changing their appearance with being happier, even though she says there is no evidence to prove this theory.

The abstract of the article “A correlational and experimental examination of reality television viewing and interest in cosmetic surgery” is online at Science Direct,

United States, Brazil Are Countries with the Most Plastic Surgery Procedures

Monday, August 16th, 2010

Woman smillingThe first-ever reliable international plastic surgery survey data has been released by the International Society of Aesthetic Plastic Surgery (ISAPS), revealing that the United States was the country with the most plastic surgery (surgical and non-surgical) procedures performed last year. Brazil was the number two country, where 14.3% of  all procedures were performed.

The top five nations were rounded out by China (12.7% of total procedures); India (5.2%); and Mexico (4.8%).

“It is no surprise to me that the United States has the largest number of aesthetic procedures, and same with Brazil,” says ISAPS President Foad Nahai, MD, a plastic surgeon in Atlanta. “But countries like China and India with emerging economies are generating a lot wealth and as that wealth is passed around, people are choosing to their spend discretionary income on aesthetic procedures.”

Non-Surgical Procedures Top Surgical Ones

“Reflecting both advances in cosmetic surgery innovation and the desirability of less expensive treatments,”  the total number of non-surgical procedures topped the number of surgical procedures, according to ISAPS.

The top five non-surgical procedures were:

  1. Toxins or neuromodulators injections (Botox, Dysport) (32.7%)
  2. Hyaluronic acid injections (such as Juvederm) (20.1%)
  3. Laser hair removal (13.1%)
  4. Autologous fat injections (5.9%)
  5. IPL Laser Treatment (4.4%)

The top five surgical procedures were:

  1. Liposuction (19%  percent of all surgery procedures)
  2. Breast augmentation (17%)
  3. Eyelid lift (13.5%)
  4. Rhinoplasty (9.4%)
  5. Tummy tuck (7.3%).

The survey found variations for the top procedures among countries. “It is not always liposuction and breast augmentation that are No. 1,” says Dr. Nahai. For instance, injectables are not yet as popular in other countries as they are in the U.S, he says.

For more details on the worldwide statistics, visit the ISAPS website.

Cosmetic Criminals on the Rise According to MSNBC Report

Sunday, August 8th, 2010

A disturbing cosmetic procedure trend that has nothing to do with needles or knives has been reported at msnbc.com: a patient gets cosmetic procedures and leaves without paying or writes a bad check.

One case recently in the news was a woman who received over $3,000 worth of Botox and dermal fillers in a Fort Lauderdale cosmetic dermatology center and then disappeared after saying she needed to get cash at a nearby ATM.

The suspect, dubbed the “Beauty Bandit” by local practitioners (as she’s done this at more than one center in the area), was arrested recently, but is just one in a line of “cosmetic criminals” who undergo beauty treatments and then leave without paying.

Other Botox bandits have been reported in Newport Beach, Calif.; Port St. Lucie, Fla.; Tampa, Fla.; Brisbane, Australia and Kenton, England.

According to the report, some surgeons point to the bad economy and the perceived “necessity” of cosmetic procedures as the catalyst behind these crimes, dubbed “pricks-and-runs.”

“Botox is no longer a luxury,” says Dr. Jon Grazer, a Newport Beach plastic surgeon who was hit by a Botox bandit last year. “It’s something people have to have, and if they can’t afford it because of the economy, I think it’s going to push them to get it by whatever means they can.”

How will this rash of crimes affect your cosmetic procedure experience? Some practices hit by criminals have changed their payment rules, for instance requiring all new patients to pay upfront for non-surgical procedures.

FDA Approves Botulinum Toxin for Therapeutic Treatment

Tuesday, August 3rd, 2010

InjectablesThe U.S. Food and Drug Administration has approved XEOMIN, a botulinum toxin type A for treating adults with cervical dystonia or blepharospasm. This is the third product of this kind to be approved in the U.S., after Botox and Dysport.

Dystonias are movement disorders in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures, according to the National Institute of Neurological Disorders and Stroke.  Focal dystonia, which includes cervical dystonia, and may be characterized by twisting of the neck, and blepharospasm, or excessive eyelid spasm, is estimated to affect about 295 out of one million people in the U.S., according to a study conducted in Rochester, Minnesota.

The FDA approval of XEOMIN, a product of Merz Pharmaceuticals, is based on the results of two U.S. clinical trials. In a study cited in the Journal of Neurological Sciences on the efficacy and safety of XEOMIN, it showed “non-inferiority” to Botox when used in the same doses to treat cervical dystonia. The study concluded that XEOMIN is a safe and effective treatment for the disorder.

XEOMIN is the only botulinum toxin that doesn’t require refrigeration prior to reconstitution, and Merz therefore believes this may “simplify product distribution and storage and help ensure product integrity at the time of injection.”

Earlier this year, Merz announced it would be acquiring BioForm Medical, a leader in the dermal filler market in the U.S. and Europe with its Radiesse dermal filler. Following completion of the acquisition, Merz and will be renamed “Merz Aesthetics.”

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

Thursday, 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

Thursday, 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

Monday, 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

Tuesday, 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

Wednesday, 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

Thursday, 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.