Liposuction: Be Careful Who You Choose

With the increase in clinics and doctors offering liposuction, it can seem that it is a procedure that can be done by anyone with a medical degree. Nothing could be further from fact. A liposuction procedure should be approached with the same level of care and consideration as any other cosmetic surgery procedure, like a breast augmentation, tummy tuck or facelift.

Recently the news has featured a number of stories of patients who have died after having liposuction done by doctors, many trained in other medical specialties, who have had a few days of liposuction training. Most of these deaths occurred when the patient experienced known complications, and the doctor lacked the proper training, experience, staff and facilities to handle the situation.

If you are considering liposuction, or any other plastic surgery, make sure you are working with a board-certified plastic surgeon who is performing the procedure. There can be complications to any procedure. Don’t put your safety in the hands of an inexperienced doctor.

For help, see our Plastic Surgery Questions.

The War on Terror Continues

Most people think of having plastic surgery for cosmetic reasons; to correct a minor flaw or improve their overall appearance. But for some people, plastic surgery is a necessity to correct devastating damage or a birth defect. From breast cancer survivors to children with cleft palates to survivors of global catastrophes, my many years as a plastic surgeon has allowed me to meet and help many of these courageous individuals.

Recently I became aware of a reconstructive surgical option available to those who have so bravely served their country. As a surgeon who has donated many hours to help those in need of reconstructive surgery, I would like to acknowledge those involved in Operation Mend, which offers reconstructive plastic surgery to men and women of the U.S. Military. Reconstructive surgery is an art, and the surgeons of Operation Mend are doing wonderful work repairing damage done during war.

As we reflect upon 911 and the price of freedom, we can take heart that many plastic and reconstructive surgeons are dedicating time and expertise to help out those so tragically affected by the war on terror.

International Plastic Surgery Tourism

Plastic Surgery Tourism: it evokes images of beautiful people in beautiful settings, basking and relaxing on a destination vacation where they also receive plastic surgery. And, it’s enticing: disappear on vacation for a week or two and return more toned, more sleek…more beautiful. And, frequently at a purportedly lower cost than having the surgery performed in the U.S.

But there is a dark underbelly to this idyllic “vacation.” A recent U.S. study by the International Society of Aesthetic Plastic Surgery (ISAPS), published in the August issue of Aesthetic Surgery Journal, found that complication rates for surgeries performed under these circumstances are alarming. The article, titled “Complications from International Surgery Tourism,” showed an increase in post-surgical complication rates in patients returning from surgery overseas.

“We see travel agencies brokering surgery for their clients with surgeons they have never met. The patients have no assurance that their surgeon is properly trained or qualified to perform the procedure they will undergo, and all too often little attention is paid to post-surgical care,” says Catherine Foss, Executive Director of the International Society of Aesthetic Plastic Surgery (ISAPS).

The US study supports the findings of a UK study presented three years ago by ISAPS member Professor James Frame (UK) during the Medical Tourism Association meeting in San Francisco. Dr. Frame reported a 20% complication rate in patients returning to the UK after surgery abroad. Many were serious enough to require hospital care.

There is a misconception that anyone with an MD can safely perform any surgical procedure, but not all MDs are even surgeons, let alone plastic surgeons. You should always ask if your cosmetic surgeon is board certified, trained to perform the specific procedure you are considering, and experienced in the procedure. And, make sure you perform due diligence to verify the answer you received. Members of medical boards typically have a profile at the Board’s website. For example, below is Dr. Ali’s profile at the American Society of Plastic Surgeons website.

www.plasticsurgery.org/md/drali.html

Clearly this study shows a growing need to educate patients about surgical safety. Some complications have very poor or no resolution, and these results can never be corrected. No surgery should be taken lightly, and traveling abroad for plastic surgery can lead to poor outcomes, often with little or no recourse for additional treatment.

For more information, see Patients Have a Right to Safe Surgery.

Anti Aging–Part Four

In this final segment of our four-part blog, we discuss face lifts, as surgical procedure designed to eliminate wrinkles, jowls and sagging skin.

Facelifts and Mini Lifts

A facelift is surgery that removes excess skin and tightens the tissue around the facial muscles. Sometimes liposuction is also employed to remove excess fat. The operation takes 3-5 hours, and face lift incisions are typically hidden around the ear. There may be a small incision beneath the chin if contouring of the chin is required. While there can be some bruising and swelling from the procedure, most patients have minimal pain or discomfort and are well healed after about two weeks. While facelifts have become fairly common it is still major surgery. Only have a facelift performed by a board certified plastic surgeon with extensive experience in this area.

The mini facelift is a good option for aging skin with mild soft tissue laxity that doesn’t require a full facelift. Different options are available, including Reveal® a non-surgical mini lift developed by Dr. M. Azhar Ali of Amae Plastic Surgery.

Anti-Aging – Part Three

In this third of our four-part blog, we discuss facial treatments, another effective product in the arsenal against the aging of skin. Facials not only reinvigorate the skin and help to replace lost collagen, they can also help people with chronic skin conditions like acne, oily or dry skin.

Anti-Aging Products: Facials, Peels and Masks

These products are very effective for de-stressing and deep cleaning the skin. A good peel or facial also reduces the signs of aging by stimulating collagen production, detoxing the skin and softening lines and wrinkles. Many times facials, peels and masks are done in conjunction with one another during a single visit for maximum effect and healing. Your Aesthetician can help you determine which procedure, or combination of procedures will give you the best results.

Next: Face Lifts and Mini Lifts

Anti-Aging – Part Two

In this second of our four-part blog, we discuss dermal fillers as an option for fighting the effects of aging on skin.

Anti-Aging Products: Dermal Fillers (a.k.a. Injectables and Liquid Facelifts)

One way to minimize fine lines and wrinkles is to inject dermal fillers into the areas of the face where wrinkles are prevalent. These typically are the forehead and around the mouth. Dermal fillers replace lost volume and smooth away moderate to severe facial wrinkles and folds. Unlike a face-lift, which pulls the skin taut, volumizing plumps up the skin, restoring youthful contours to the face, resulting in a more natural look. Some injectibles also replace lost collagen, providing longer-term results. Fillers and injectables include SculptraAesthetic® and Juvederm®, among many others. Much like creams and serums, there are different solutions for differing types of skin, so discuss your options with your Aesthetician.

Anti-Aging – Part One

There are a myriad of anti-aging products on the market. But, what causes aging skin and what do these products actually do?

Collagen beneath the skin provides volume and gives shape to your face. When we are younger, our skin is “plumper” and more elastic. At about age 30, collagen begins to break down, resulting in wrinkles, lines and folds that get worse over time. There are several cosmetic products on the market to help minimize these lines and wrinkes.

Anti-aging Products: Creams and Serums

A wide range of products exist in cream or serum form that you can apply daily and/or nightly. Depending upon the product, these perform some combination of cleaning, hydration, anti-oxidation and replacement of collagen. Formulations are different for different skin types and ages, so it is best to discuss your unique needs with an Aesthetician, who can help you understand what is best for your skin.

Next: Anti Aging: Dermal Fillers

Not All Suncreens Are Alike

The FDA has announced new labeling guidelines for sunscreens, which will go into effect in 2012. These guidelines will help clarify for consumers exactly what their suncreen does. By 2012, in order to call a sunscreen “broad spectrum,” manufacturers will have to show that the product protects against UVA as well as UVB rays. And, manufacturers of the new spray sunscreens will need to prove that consumers are using the products correctly; there is concern that not enough sunscreen is being applied. Additional changes will involve clear labeling regarding water resistance and drug interactions.

Meanwhile, if you’re looking for effective, medical-grade sunscreen products check our our monthly special. Our sunscreens from IMAGE skin care work on all types of skin types and feature ultra-sheer, lightweight delivery and vitamins and potent antioxidants.

Plastic Surgery Scars

Are you considering plastic or reconstructive surgery but are concerned about scars? Dr. Ali talks about scars and how they are minimized using proper technique.


Dr. Ali talks about minimizing scarring

And, what is the scarless technique for breast augmentation? It might not be quite as good as it sounds. Hear what Dr. Ali has to say about this technique.


Dr. Ali discusses the “scarless technique”

What is Board Certification in Plastic Surgery?

Dr. Ali talks about the board certification process and why it is important in your choice of a plastic surgeon. To insure your doctor is board certified, search for their name at the American Society of Plastic Surgeons web site.

Dr. Ali talks about board certification

To see Dr. Ali’s profile at the American Society of Plastic Surgeons website, visit www.plasticsurgery.org/md/drali.html