The Booty Plastic Surgeon: Butt Enhancement via Lipo Fat Transfer

July 24th, 2008 Constantino Mendieta M.D. Posted in Body, Booty Plastic Surgeon, Butt Augmentation | No Comments »

Dr. Mendieta Photo I am a board certified Miami plastic surgeon who is also widely known as the “Booty Plastic Surgeon.” Recently, Elana Pruitt of PlasticSurgery.com asked me a few questions regarding the popularity of butt enhancement after we met at the ASAPS show in San Diego. Here is a part of our conversation:

Elana Pruitt: Dr. Mendieta, why do you think butt enhancement has become so popular?

jennifer-lopez-green-dress.JPG Constantino Mendieta, M.D.: Well, the buttock wasn’t addressed for years because, really, there was more concentration on other body parts. Then there was Jennifer Lopez and the green dress, and I realized that there was nothing out there to really enhance the buttock area. The biggest misconception about butt enhancement surgery is that women want to make their butt bigger. But really what they want is to make it shapelier. That is why I have created my own system of evaluation: “Highlight Liposculpting and Lipo Fat Transfer.”

E.P.: What type of patients visit your practice for butt enhancement surgery?

C.M.: Patients of all cultural backgrounds and ethnicities come in for consultation, ranging in ages from 18 to 65. However, the bulk of the operations are performed on those in their late 20s, early 30s. Hispanics were always interested, and in the last couple of years there has been a 20% increase in blacks undergoing buttock enhancement. There are also more Caucasian patients interested in this procedure.

kim-kardashian-red-dress_003.jpg E.P.: Do you also use butt implants in addition to offering the fat transfer method?

C.M.: In the beginning, the implant was used because there was nothing else out there. It just made the butt bigger. Lipo-contouring allows me to use the patient’s own body fat, inject it into specific areas of the buttocks, and shape it much better with more creative freedom. In 2000, 70-80% of cases were with butt implants, and now the numbers have switched to 98% fat transfer.

E.P.: Do males also visit you for this butt enhancement surgery?

C.M.: Yes, 92% of the guys who come in share the complaint that they are tired of their pants falling off!

E.P.: What makes your specialty so unique?

C.M.: “Highlight Liposculpting and Lipo Fat Transfer” is an artistic concept: removing fat from selective areas to specially highlight and sculpt other areas, such as the hip and buttock area. This technique is a sexier, highlighted art, and it gives me a panoramic view – a 3-dimensional view – while creating these new curves.

E.P.: Do you predict that butt enhancement will eventually rise to the growth and popularity of breast augmentation?

C.M.: I think it will, but it’s a concept of re-sculpting the buttock. It still has a negative connotation. When you open the view of it, it’s more “pan-cultural.” Lipo is the #1 procedure across the world, so it’s just learning how to transfer the fat into the buttocks.

Photo Credits: Jennifer Lopez http://www.celebspin.com
Photo Credits: Kim Kardashian: http://www.celebnewswire.com

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Top 5 Remedies for Unsatisfying Plastic Surgery

June 27th, 2008 Dr. Linder | Dr. Kotler Posted in Tuck n Stitch | No Comments »

Tuck ‘n’ Stitch

kotler-linder_photo211-headshots.jpg YourNewBodyBlog.com welcomes two eminent Beverly Hills plastic surgeons, Dr. Stuart Linder and Dr. Robert Kotler.

On this site, we know Dr. Kotler as the “FaceDocBlogger” because his work as a surgeon is devoted to plastic surgery of the face and neck. Meanwhile, we call Dr. Linder our “BodyDocBlogger” because he has a plastic surgery practice limited to only plastic surgery of the lower body.

Exclusive to YourNewBodyBlog.com, Doctors Linder and Kotler appear here most weeks as the ultimate plastic surgery insiders with unique takes on the news, trends and practices in cosmetic plastic surgery.

angry_woman_2-iynmeyer-photo.jpg
(iynmeyer photo)

This Week: Plastic Surgery Unsatisfying? Top 5 Remedies

Tip 1: Don’t get Angry

BodyDocBlogger: The first thing not to do is sulk, write contentious e-mail, or be angry. Even in the most expert of hands, plastic surgery does not always go perfectly. As we surgeons say, the only surgeon who has no complications is the surgeon who never operates!

FaceDocBlogger: That’s right, doctor. And don’t confuse an unexpected complication with an imperfect surgical result. Although the occurrence is unlikely, any surgery is open to possible infections, scarring, or poor healing. There’s no reason to be angry with the surgeon because unexpected complications are not the fault of your surgeon.

Tip 2: Ask for Some Time with your Surgeon

BodyDocBlogger: Nationwide, about 15 percent of plastic surgeries require some form of touch-up, additional work, or even a revision. If you have selected a boardcertified plastic surgeon, he or she has probably seen your case before and knows exactly what to do.

FaceDocBlogger: Moreover, the competent surgeon will stick with the problem until it’s rectified. Not only did he or she take an oath to do so, your surgery represents a walking advertisement, so it’s in the doctor’s best interests for you to be satisfied.

Tip 3: Look at Your Before Pictures Again

BodyDocBlogger: Due to typical swelling and bruising and a healing process that can take weeks, patients sometimes forget what they looked like before surgery. So take another look at your before photos and compare them with your present state. In the case of the average liposuction, you should be willing to wait three or four months to let the procedure settle before you consider a revision.

FaceDocBlogger: A rhinoplasty can take up to a year to fully heal. After all, the third party in your surgery is Mother Nature. And she just might take her time letting your body heal for your surgical enhancement to shine through. So sometimes, a little more time for healing will solve the complaint, disappointment, or any real or perceived unsatisfactory results.

Tip 4: Consider Minor Touch-Ups

BodyDocBlogger: Being dissatisfied with your surgery is not the end of the world. Quite often, a minor touch-up or a series of small procedures may correct the problem quite well. In a breast augmentation, for instance, it is not a major undertaking to inject a little more volume into one breast implant if the patient’s bust line does not look quite symmetrical.

FaceDocBlogger: Certainly. The most important thing is that patient and doctor meet, be totally honest with each other about what can — and can’t — be done and be mutually respectful. In the case of a rhinoplasty, for instance, some minor divots in the nose can be filled in the surgeon’s office with Juvederm or Restylane. The business details of the touch-up — that is, who pays for what — should be found in your pre-surgical agreement.

Tip 5: Consider a Second, or even a Third, Opinion

BodyDocBlogger: Caring physicians always have the patient’s best interests at heart. So if you and your doctor can’t agree on exactly what should be done next, ask for a second opinion from a highly-qualified physician who specializes in the same procedure.

FaceDocBlogger: For instance, suppose a rhinoplasty patient is not happy and wants a smaller nose. However, the surgeon says he can’t really make the nose any smaller — and still be safe. Nonetheless, the patient insists.

BodyDocBlogger: That would be the perfect time for some fresh thinking in the form of a second opinion. Some plastic surgeons will even suggest that at the beginning of the discussion.

FaceDocBlogger: That’s right doctor. Sometimes, a new idea crops up and just as often, the physician giving the second opinion tells the patient, “You know what? Your doctor is correct. It would not be safe to make your nose smaller.”

Have a question for FaceDocBlogger or BodyDocBlogger? Let us know and we’ll do our best to have it answered. Feel free to leave your comments below.

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Lives Changed for the Better by Plastic Surgery

June 19th, 2008 Dr. Linder | Dr. Kotler Posted in Tuck n Stitch | No Comments »

kotler-linder_photo211-headshots.jpgOn YourNewBodyBlog, Dr. Kotler is known as “FaceDocBlogger” because he devotes his practice exclusively to cosmetic plastic surgery of the face and neck. Dr. Linder, our “BodyDocBlogger,” has a practice dedicated to plastic surgery procedures of the body.

Exclusive to YourNewBodyBlog.com, Doctors Linder and Kotler frequently appear as ultimate plastic surgery insiders with unique views and information about the untold side of plastic surgery.

This Week: Lives Changed for the Better by Plastic Surgery

Plastic surgery is transformation. Why? It goes far beyond mere ego or a medical search for the fountain of youth. A plastic surgeon can change lives by providing patients with a rejuvenated look by enhancing a disliked body feature that has somehow held a person back, made him or her shy, self-conscious, or reluctant to take a confident step forward in life, love, or career.

open.JPG
(Edward Bock photo)

Virtually all plastic surgery patients say they feel a renewed sense of self-confidence and pride in their appearance after plastic surgery. But what those patients often do with that confidence can be a stellar moment that changes their lives; typically changing the lives of the people that orbit them as well.

BodyDocBlogger (Dr. Linder): Older movies always showed a post-op plastic surgery patient looking completely different than his pre-surgical self. But what we surgeons usually do is mitigate one or two disliked features that have somehow been holding a person back.

FaceDocBlogger (Dr. Kotler): It seems like every one of the 4,000-odd rhinoplasty patients I’ve seen went to some length to try and disguise an unattractive nose. For women, growing hair longer and letting it hang down in their faces is common.

BodyDocBlogger: When it comes to women who need a so-called “mommy makeover” — usually a tummy tuck and a breast lift — the disguising item is usually baggy clothing like men’s shirts and big sweaters.

FaceDocBlogger: After a surgical rejuvenation, the person’s energy and thoughts are usually channeled elsewhere. For instance, a 53-year-old computer sales professional came here to surgically repair his baggy lower eyelids and drooping upper eyelids. Later, he wrote that he no longer looked sleepy and tired but, and I quote: “a more vigorous and energetic version of myself.”

BodyDocBlogger: What happened then with all that vigor and energy?

FaceDocBlogger: Actually, he had been in the doldrums and jobless for half a year and under-employed for two years before that. But, buoyed by the extra confidence he felt in his new, refreshed appearance, he redoubled his search and landed the highest paying computer sales job he ever had.

BodyDocBlogger: Many actresses — Demi Moore, Pamela Anderson, Carmen Electra, and others — take a giant leap forward in their careers after a breast augmentation. It’s not only because the actresses look better, but because they feel better and sexier and project that confidence. Sophia Loren once summed it up well. She said “Sex appeal is 50 percent what you’ve got and 50 percent what you think you’ve got.”

FaceDocBlogger: Any other patients like that?

BodyDocBlogger: I recall a very successful businessman in his late 30s with a wife and four children at home. He had always dreamed of becoming a professional golfer. So by selling his businesses, he raised enough to support himself and his family for two years while going through golf school. He lost about 70 pounds in the process but had a large amount of hanging skin on his waist that affected his golf swing and putt. So he had plastic surgery to remove the excess skin through body shaping. That allowed him to play better and enter the pro ranks, fulfilling his life-long dream.

FaceDocBlogger: That’s amazing, doctor. Haven’t you enhanced quite a few Playboy models?

BodyDocBlogger: I recall one young woman interviewing at Playboy for a centerfold spread. She already had breast implants but they were too far apart, positioned incorrectly and did not look natural. So she was turned down. Later, she came to me looking for a breast revision and a more natural-looking bust line, which I happily provided. End of story? She was later selected “Playmate of the Month” and brought the magazine with her story to my office.

FaceDocBlogger: As you know, one of the hottest trends in cosmetic plastic surgery right now is facial plastic surgery so people will look more eager, energetic, refreshed, and be able to do the work for which they were hired or the jobs they want to land.

Want to respond to what the FaceDocBlogger or BodyDocBlogger have to say? Feel free to leave your comments below!

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Negotiate Fees with Your Plastic Surgeon

June 3rd, 2008 Dr. Linder | Dr. Kotler Posted in Tuck n Stitch | No Comments »

Tuck n Stitch

kotler-linder_photo211-headshots.jpg YourNewBodyBlog.com welcomes Dr. Stuart Linder and Dr. Robert Kotler, two prominent Beverly Hills plastic surgeons.

With a practice exclusively devoted to cosmetic plastic surgery of the face and neck, Dr. Kotler is known as the “FaceDocBlogger.” Dr. Linder, who is known here as the “BodyDocBlogger,” specializes in plastic surgery procedures of the body.

Exclusive to YourNewBodyBlog.com, Doctors Kotler and Linder are reputable plastic surgery insiders with unique takes on the news, trends and practices in cosmetic plastic surgery.

This Week: Negotiate Fees with Your Plastic Surgeon!

At a time when families are more concerned than ever about budgets, spending and costs, it comes as good news for many that you may be able to get a discount on the cost of a plastic surgery procedure you’ve had in the back of your mind.

But you have to play your cards right and be willing to have surgery during the surgeons’ slower times of the year.

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No to My Beautiful Mommy

May 22nd, 2008 Wendy Lewis Posted in Home | No Comments »

wendy-lewis-img-2.jpg The Knife Coach Says ‘No’ to “My Beautiful Mommy” – A Children’s Book about Plastic Surgery

As the mother of A 16-year-old girl who has more than one experience with a needle, laser beam, and scalpel, the need for a comic book about how to tell your kids about your cosmetic surgery baffles me.

What is more mystifying is the media’s obsession with one Florida plastic surgeon’s tasteless vision of what “mommies” look like in My Beautiful Mommy.

Most kids would be embarrassed to have their moms flaunting their bare midriff and torpedo-shell boobs all over the mall. While the idea on its face may seem harmless, the execution looks like something a teenage boy’s fantasies are made of. This Disneylike cartoon, puzzles and games the author is now promoting under his brand, is reminiscent of books like, “Where Do Babies Come From?” Parenting presents many challenges indeed, not the least of which is explaining sex and birth to kids, but making a case for why mommy needs new boobs is an intensely personal issue that every parent should deal with in a manner they feel most comfortable with – or not.

Many of my clients struggle with whether to come clean about their cosmetic enhancements with their toddlers, especially girls. My advice is that 4-year olds have no filter and unless you want them telling all their preschool buddies about your sucked out thighs and lip injections, KEEP IT A SECRET and send them to grandma’s until you heal up.

Consider the message you are sending to young girls who are so vulnerable about their own self-image before normalizing cosmetic surgery too young. And please save your $19.95!

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Hollywoods Awful Plastic Surgery

May 14th, 2008 Dr. Linder | Dr. Kotler Posted in Tuck n Stitch | 1 Comment »

Tuck ‘N’ Stitch

Dr. Kotler and Dr. Linder | Tuck n StitchYourNewBodyBlog.com welcomes two eminent Beverly Hills plastic surgeons, Dr. Stuart Linder and Dr. Robert Kotler.

Here, Dr. Kotler is known as “FaceDocBlogger” because his practice is exclusively devoted to cosmetic plastic surgery of the face and neck. Dr. Linder, who is known as “BodyDocBlogger,” has a practice that only performs plastic surgery procedures of the body.

Exclusive to YourNewBodyBlog.com, Doctors Linder and Kotler appear as the ultimate plastic surgery insiders with unique takes on the news, trends, and practices in cosmetic plastic surgery.

This Week: Hollywood’s Awful Plastic Surgery

We’ve all seen the strange features on the faces of Hollywood celebrities: huge, overblown lips, badly-mangled noses that do not flatter faces, breast augmentations that look like grapefruit halves stuck to a chest, and other cosmetic surgery gone wrong.

Given the ability to pay for the best of anything and living cheek-by-jowl to — if not in the middle of — Beverly Hills (the world Mecca of excellent plastic surgery), it seems odd that wealthy celebrities such as Faye Dunaway, Meg Ryan, Kenny Rogers, and Bruce Jenner would endure bad plastic surgery.

kenny-rogers.JPG

According to Dr. Kotler, most men do not like their eyebrows
placed too high during a facelift like Kenny Rogers, pictured above,
who has said he’s not pleased with his facelift.
(Photo by AFF/USA)

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Breast Implants and Greeting Cards!

May 6th, 2008 Wendy Lewis Posted in Breast | 2 Comments »

The Knife Coach - Wendy Lewiswendy-lewis-img-2.jpg

According to a report from Fox News in North Carolina, a woman who had undergone breast augmentation six weeks before the incident, was allegedly roughed up by a police officer after repeatedly telling him she has just had surgery. After she was pulled over with her fiancé, who it seems was wanted on a bench warrant in another state, the woman ignored police warnings to stay in the car. In an effort to pin her to the ground to arrest and handcuff her, the woman claims that the officer stepped on her breast causing bruising and that a doctor told her the implant might be ruptured?

Of course police have their job to do, and I’m not sure that this woman sounds completely on the up and up, but the moral of the story is that we are now so accustomed to talking openly about cosmetic surgery to total strangers. Makes you wonder what else she told those officers?!

And speaking of breast implants…

“Congratulations on your new boob job?” “Glad to see you got a breast lift?” I always thought these are the kinds of compliments you don’t actually want to get. If the whole world knows your breasts are enhanced or your face has been done, you’re busted. So what is really the point? But a new company has apparently seen a void in the marketplace and is selling a questionable line of greeting cards especially for plastic surgery patients, www.liftmeupcards.com. I’m pretty sure that Hallmark doesn’t have to be too nervous.

Photo Credit: www.wlbeauty.com

* New book by Wendy Lewis, “The Knife Coach ®” Plastic Makes Perfect: The Complete Cosmetic Beauty Guide, available today!

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Anesthesia Not So Bad After All

May 5th, 2008 Dr. Linder | Dr. Kotler Posted in Tuck n Stitch | No Comments »

Tuck ‘N’ Stitch

kotler-linder_photo211-headshots.jpg YourNewBodyBlog.com welcomes two board certified Beverly Hills surgeons, Dr. Stuart Linder and Dr. Robert Kotler.

As the “FaceDocBlogger,” Dr. Kotler’s practice is exclusively devoted to cosmetic plastic surgery of the face and neck. Dr. Linder, the “BodyDocBlogger” specializes in plastic surgery procedures of the body.

You’ll find Doctors Linder and Kotler exclusively on YourNewBodyBlog.com as the ultimate plastic surgery insiders who have unique views and, often, the untold story behind the story. They are also sharp on trends, news and practices in cosmetic plastic surgery.

This Week: Anesthesia — Not So Bad, After All!

If you read a lot of blogs or posts about cosmetic plastic surgery, you’ll find that many patients fear going under anesthesia. Decades ago, it was more difficult to recover from general anesthesia that put you completely to sleep while the doctor operated. Side effects used to include nausea, headache and a foggy mind lasting longer than a basic hangover. The risks were greater.

But even today, some misinformed people think they stand a good chance of never coming out of anesthesia. However, times have changed, according to Doctors Linder and Kotler, and anesthesia isn’t at all like it used to be. It’s better and safer.

anesthesia.JPG
An intubated patient receiving general anesthesia.
A tube is used to deliver the anesthetic directly to the lungs.
The patient’s face is surgically marked
in places where facial fat grafts will be placed.
(Photo, courtesy of Brent Moelleken, M.D.)

BodyDocBlogger (Dr. Linder): The world of anesthesia took a giant leap in 1985, Dr. Kotler. Know what happened?

FaceDocBlogger (Dr. Kotler): I know what you are getting at because I attended a medical convention that year and my eyes popped out at what I saw being demonstrated by the anesthesia equipment companies.

BodyDocBlogger: Right. A lot of technology born for the safety of space program astronauts was released to the civilian medical market. So we surgeons got compact, micro-circuitry monitors that show the most important vital sign readings that an anesthesiologist needs to best monitor the health of the patient undergoing surgery.

FaceDocBlogger: Those readings would be — in additional to pulse and blood pressure — the percentage of oxygen and carbon dioxide in the patient’s bloodstream which is important data that we always longed for in the past.

BodyDocBlogger: These nifty machines, not much larger than a desktop computer, were portable and thus could be used during surgery and then accompany the patient to the recovery room.

FaceDocBlogger: And what a boon it has been! General anesthesia is now very safe, with many plastic surgery patients staying under for as long as seven or eight hours, with very little risk. One form of lighter anesthesia — local anesthesia with intravenous sedation — allows the patient to be pain-free and remember nothing. Yet, they can sit up, answer questions and cooperate with the surgeon. It’s ideal for upper eyelids and brow lifting where the surgeon must be certain of brow position and symmetry.

BodyDocBlogger: I don’t have the luxury of I.V. sedation in body procedures. I often explain anesthesia to my patients as being very much like an airplane ride. The gentle take-off is when the anesthesia is smoothly introduced via an intubation tube, like in the above photo; the smooth flight is when I am doing the procedure and the gentle landing is equal to when the intubation tube is easily removed.

FaceDocBlogger: Don’t forget to mention the flight’s pilot, doctor. For our patients, at the controls is a board-certified doctor-anesthesiologist. An anesthesiologist is an internal medicine specialist who limits his practice to the operating room. Our patients are comforted knowing there are two MDs at their side.

BodyDocBlogger: I use an anesthesiologist because my patients must lie completely still, like statues, while I’m working. During a breast augmentation, for example, I’m only an inch above the lungs. While using a liposuction wand, I require complete stillness of the patient because a slight shift of body could cause the wand to poke into a bowel. My rule is: no general anesthesia, no surgery.

FaceDocBlogger: Also, realize that plastic surgeons are working on the skin and layers just beneath. These layers are very shallow. We don’t enter the major body cavities, such as the abdomen or chest, as a general surgeon does. So cosmetic plastic surgery patients need not be as deeply under anesthesia but just enough to not move and have no awareness. I myself was put under a general anesthesia about a year ago and woke with no after-effects or hang over. I felt great four hours later and went hiking the next morning.

BodyDocBlogger: Doctor, you’re saying the process is very safe and there’s nothing to fear?

FaceDocBlogger: Let’s put it this way: You are safer in an operating room of an accredited outpatient surgery center, in the hands of a doctor-anesthesiologist, than you are in your car — driving on a freeway — getting to that surgery center.

Have a question for FaceDocBlogger or BodyDocBlogger? Let us know and we’ll do our best to have it answered. Feel free to leave your comments below!

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260 Pound Woman Becomes a Shadow of Her Former Self

May 1st, 2008 Charles Posted in Body, Home | No Comments »

Surgeons everywhere are reporting huge increases in the number of patients who undergo bariatric surgery — the procedures that reduce the size of the stomach and the amount of food it can hold.

Because any meal is then limited to only about a half a cup, bariatric patients lose such huge amounts of weight, doctors have assigned a new medical status for them: “MWL,” meaning massive weight loss.

S. S., 48, of Avada, Colorado, is one such patient.

ss_before.JPG
S.S. at work, showing a horse before her surgery.
(Photo courtesy of patient)

Bariatric Surgery

At exactly five feet and 260 pounds, she (who asked for medical privacy) could not properly do her job as a horse groomer and shower of horses. And, being so heavy, it was hard to get – and stay – on any steed. Moreover, it was exhausting for her to stay on her feet all day to do the horse grooming.

After fighting obesity her entire life, S.S. opted for bariatric surgery as a final solution in March, 2005. With her stomach surgically reduced to hold only ounces of food, her weight dropped to 133 pounds within a year.

But there was another problem — loose hanging skin.

S.S.’s skin had been stretched by the excess pounds for so long, it could not spring back. An apron of skin hung from her stomach while her legs, rear end and breasts sagged with useless folds of skin. When she worked or exercised, the sheets of skin rubbed together and created sore spots. Also, there was a lot of skin flapping around when she tried to jog or sit on a trotting horse.

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Overblown Ads and Misleading Promises

April 25th, 2008 Dr. Linder | Dr. Kotler Posted in Home, Tuck n Stitch | No Comments »

Tuck n Stitch

kotler-linder_photo211-headshots.jpg YourNewBodyBlog.com welcomes two eminent Beverly Hills plastic surgeons, Dr. Stuart Linder and Dr. Robert Kotler.

Here, Dr. Kotler is known as “FaceDocBlogger” because his practice is exclusively devoted to cosmetic plastic surgery of the face and neck. Dr. Linder, who is known as “BodyDocBlogger” has a practice that only performs plastic surgery procedures of the body.

Exclusive to YourNewBodyBlog.com, Doctors Linder and Kotler appear often as the ultimate plastic surgery insiders with unique perspectives regarding the news, trends, and practices in cosmetic plastic surgery.

Overblown Ads and Misleading Promises

We’ve all seen the advertising – Perfect French in 20 Days! Flawless Abs While You Sleep! Lose 10 Pounds Every Week!

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Hurry! Hurry! Hurry! Step Right Up! (aqndresr Photo)

Overblown promises also exist in the world of cosmetic and plastic surgery; and unfortunately, those promises play to people’s unrealistic desires about what rejuvenation surgery can do.

The BodyDocBlogger and FaceDocBlogger discuss a few such misleading ads, like “lunch hour facelifts,” which can lead you down the garden path in search of reliable, lasting rejuvenation surgery.

BodyDocBlogger (Dr. Linder): We plastic surgeons often speak about “unrealistic expectations.” An example? Even if you have an I.Q. of 300, you’re not going to learn perfect French in 20 days!

FaceDocBlogger (Dr. Kotler): What we mean by realistic expectations is that a skilled plastic surgeon can make a 45-year-old look like the best possible version of herself –but not like she looked at 20. Or, like another person, say a famous movie or rock star. Likewise, there is no fabulous and long-lasting cheap “quickie” lunch-time procedure. Quality plastic surgery is not done in a snap.

BodyDocBlogger: Surely, doctor, you are referring to unhappy patients who have bit on the ads hyping “lunchtime” or “one-hour face lifts?”

FaceDocBlogger: You hit the nail on the head, doctor. A good rule of thumb is, “Short operation, short procedure lifespan.” Another aggressively advertised quick-fix are facial “Thread Lifts.” Yes, the patient is in the doctor’s office for less than an hour and, yes, the recovery time is short. But, the unbending rule is: minimal efforts yield minimal results.

BodyDocBlogger: In my world, I see many patients after some splashy advertising has convinced them to have a procedure using a heating or a radio frequency device that “melts” fat under the skin. But most of what I see are unhappy patients, some of whom have burns and need skin grafts, due to injuries from these new gizmos.

FaceDocBlogger: Doctor, what type of results, if any, do you see with the widely advertised lipodissolve or mesotherapy shots that propose to remove fat from the body?

BodyDocBlogger: A patient would be better off trying to speak perfect French in three weeks! Some have ended those supposed weight loss procedures with skin ulcers and skin atrophy. And usually, the only thing lightened is the patient’s wallet. What really works, day in, day out, is tumescent liposuction.
Doctor, going back to the “lunch-time face lift.” What else do you see wrong with it?

FaceDocBlogger: The surgeon only lifts a small amount of skin and tissue from its foundation. But the surgeon can’t reach down from a short incision near the ears to repair sagging neck tissues. Of course, a plastic surgeon can still perform a proper “short scar” face lift, but the procedure may take longer than an hour and the patient’s recovery time will be longer.

BodyDocBlogger: Sometimes, there is just no point for shortcuts when we have proven, reliable, safe methods already at our fingertips.

FaceDocBlogger: That’s right, doctor. For instance, the thread lift fallacy is that threads or strings will lift and support the weight of the skin, fat, and muscles at a higher position. But it doesn’t happen. Tissue weight, gravity and skin elasticity overcome the thread’s traction. And, sometimes, the barb on the end of the thread can poke right through the skin. Also, there are two sides to a face. Any difference in “pull” or longevity and the whole face looks unbalanced.

BodyDocBlogger: From what I’ve seen, the supposed “quick” Thermage and Titan devices just don’t produce satisfactory, long-term results. Most patients are disappointed.

FaceDocBlogger: Bottom line? A little skepticism for new cosmetic plastic surgery procedure is healthy. While most new devices are FDA- approved as not harmful, nobody really knows what is going to happen until the device or procedure has been used on thousands of patients.

Have a burning question for FaceDocBlogger or BodyDocBlogger? Please leave your comments below!

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