Juvederm, Restylane and Perlane are now available with the anesthetic lidocaine. Lidocaine in the products offer you added comfort during your treatment. These all natural products are composed of hyaluronic acid which requires no allergy testing. These natural fillers may be used to decrease facial folds, facial wrinkles or can be used to enhance lip fullness. Specifically, the fillers can be used to decrease smile lines (nasolabial folds), marionette folds, wrinkles around the mouth and eyes as well as decrease frown lines (glabella furrows).
Hypotrichosis is condition of inadequate eyelashes. Latisse (bimatoprost ophthalmic solution) can more than double eyelash fullness in sixteen weeks. With over than 2.5 million kits sold, nightly application of Latisse has proven itself to grow eyelashes, making them darker, thicker and longer. Results may be seen as early as four weeks.
Silicone breast implants are NOW FDA APPROVED for cosmetic breast augmentation. Nearly 300,000 breast augmentations are performed each year using saline implants. Since 1992, the FDA has instituted a moratorium on the cosmetic use of silicone breast implants, with some exceptions and saline implants have dominated the US market. Science has shown silicone breast implants to be safe and the advantages over saline implants is significant for many patients. The patients that will likely benefit most from silicone implants are patients that are thin and have minimal breast tissue. These patients will have improved cosmetic outcome having less implant rippling and a more natural feel and appearance compared to saline implants.
We are excited for the reintroduction of silicone implants for cosmetic breast augmentation.
Sculptra is NOW FDA APPROVED for cosmetic facial rejuvenation. This is an injectable treatment containing microparticles of poly-L-lactic acid (PLLA) for the correction of facial volume loss . Facial folds, wrinkles and contour deficiencies are improved with a series of treatment sessions. Following each treatment session there is a gradual correction over several weeks. There is no down time associated with this procedure and the results last for years.
At Dr. Mezrow’s office, we now offer Venus Freeze. Venus Freeze by Venus Concept is a great addition to the cosmetic center for wrinkles, skin tightening, fat shrinkage and cellulite reduction. This is the most comfortable, non-invasive device that penetrates the layers of the skin using a synergy of multi-polar radiofrequency and magnetic pulses for the face and body.
Through a series face and or body treatments, wrinkles, skin tightening, cellulite and circumferential reduction can be accomplished.
The Venus Freeze is completely non-invasive. There is no downtime associated, or anesthesia required. In fact, many patients compare the treatment to a warm relaxing massage.
For more specific information and before-and-after photos, visit:
Our newest addition to Dr. Mezrow’s Aesthetic Center is a revolutionary new FDA-approved medical cellulite treatment called the VelaShape. The VelaShape is the first and only medical device that combines powerful energies (elos technology) to receive clearance from the FDA for the effective treatment of cellulite and shape areas of concern by reducing circumference in as few as four treatments. It combines bi-polar radio frequency, infrared light, and tissue mobilization to re-contour the skin surface. It melts the unwanted fat that gives cellulite its “cottage cheese” appearance, while it tightens the skin. It is completely non-invasive. There is no downtime associated, or anesthesia required. In fact, many patients compare the treatment to a warm relaxing massage.
Dr. Larry Nichter of the Pacific Center for plastic surgery would like to make prospective patients aware of the risks and downsides of medical tourism (traveling abroad to undergo elective surgery).
Medical tourism has becoming increasingly popular in recent years; patients have been flying out of the U.S. for plastic surgery, lured by lower prices.
However, a parallel trend has also appeared: plastic surgeons in the United States are finding themselves treating an increasing number of patients who plastic surgery abroad, correcting complications and errors. A survey by the American Society of Plastic Surgeons found that 80% of the responding doctors had treated American medical tourists for complications including infection, contour abnormalities, and hematoma.
Medical tourists are often led to believe that they will receive the same quality of care for a lower price in a foreign clinic. But while it is true that the cost of plastic surgery in some foreign countries is lower, this is often because the quality of care and surgery is compromised. Such patients also seem to neglect the possibility of complications and the need for a follow-up visit.
In addition to the risks posed by sub-standard medical care abroad, medical tourists must consider the risks of injections and implants in other countries. The recent crisis with French breast implant maker Poly Implant Prothese (PIP) exemplifies this problem. PIP used industrial- rather than medical-grade silicone on their implants in an effort to reduce costs, a measure which probably increased the danger of rupture. PIP implants have not been used in the United States since 2000. Removal of these implants has been recommended by the International Society of Aesthetic Plastic Surgery.
It is often the case that medical tourists end up spending more money because they have to pay to treat complications from their overseas surgery.
Source: The Cost of Medical Tourism – Medscape Medical News
Source: Official Statement on Faulty PIP and ROFIL breast implants – ISAPS
Dr. Larry Nichter of the Pacific Center for Plastic Surgery would like to make prospective breast augmentation patients aware that the FDA has approved a new silicone gel-filled breast implant made by Sientra, Inc.for use in the United States.
The implants will be available for women at least 22 years old seeking augmentation surgery, and women of any age seeking breast reconstruction surgery.
Silicone gel-filled breast implants are medical devices implanted under the breast tissue or under the chest muscle for breast augmentation or reconstruction. These implants have a silicone outer shell that is filled with silicone gel. They come in different sizes and have either smooth or textured shells.
This approval introduces a third company into the U.S. breast implant market, which previously consisted only of Allergan and Mentor.
The deputy director for for science at the FDA’s Center for Devices and Radiological Health, Dr. William Maisel, commented that although silicone gel-filled breast implants have demonstrated consistent safety, “It’s important to remember that breast implants are not lifetime devices. Women should fully understand risks associated with breast implants before considering augmentation or reconstruction surgery, and recognize that long-term monitoring is essential.”
The approval of these new implants follows a 3-year study involving clinical trials of the implants on 1,788 women.
As a condition of the approval, Sientra will carry out five- and ten-year studies into the long-term health effects of their implants.
Source: FDA – FDA approves new silicone gel-filled breast implant
Are You What You Eat?
Millions of Americans are plagued with acne and are doing everything they can to make better decisions towards improving their skin. A common place people begin looking for what is causing their skin to break out is their diet. Linking foods to acne breakouts has been debated in literature for decades. It can sometimes be hard to tell if some of the foods you are eating are causing you to have acne flare-ups, but there is convincing evidence that can possibly make people think twice about how the types of foods they’re eating may affect their skin.
Let’s start with dairy: a set of ingredients in most processed foods we consume. Migration studies have shown that people who are not accustomed to “Westernized diets” that are high in processed ingredients, sugar, beef, and dairy products have increased occurrences of acne. Individuals who reported drinking more than three servings of milk a day were shown to develop acne more often than those who drank milk infrequently. However, keep in mind whether it is skim, 2%, or whole, there is no correlation between fat content in the milk that is consumed and acne.
Studies have demonstrated a notable connection between dairy and high-glycemic-index foods with acne.
The glycemic index is a numerical index that rates how fast your body is able to breakdown carbohydrates in foods. This system is on a scale from zero to 100. Foods on the higher end of the scale indicate that they cause a rapid increase in your blood sugar levels; foods on thelower end of the scale do not cause such a sharp spike in blood sugar levels and increase blood sugar levels slowly.
High-glycemic index foods include:
- white bread
- sugar (of course)
Foods that are on the lower end of the glycemic index include:
- bean sprouts
When compared to those whose diets have a high glycemic load, those who ate low glycemic-load foods had a lower number of acne blemishes and lower body weight. Low glycemic-load diets may not only help to regulate weight, but may reduce acne and improve insulin sensitivity.
Dairy, especially low-fat and non-fat, have not always had an obvious connection to acne, whereas chocolate tends to get the blame. It seems to be quite the contrary; there is no correlation to eating chocolate and causing acne breakouts or worsening existing ones.Studies have shown that chocolate seems to have little to no effect on acne. On the other hand, dairy, even non-fat dairy, has been linked to acne flare-ups.
If you have any questions about these diet and acne myths or facts, you can always ask the docs! Dr. Larry S. Nichter and Dr. Jed H. Horowitz can answer your questions and also share with you what they’ve learned throughout their years as medical doctors.
I often get asked by patients which is better saline or silicone implants? I generally tell my patients silicone…why? The new silicone implants are gel-filled, not the old liquid filled implants. They will not leak throughout ones body, since they are not liquid. Silicone implants feel more natural, less like the water balloon feel of a saline implant. The new silicone implants have been approved since 2006 by the FDA. Saline implants life span is around 10 years, then they will break and have to be replaced. Silicone implants should last longer than that, since the old liquid filled silicone implants have lasted 20-30 years in many cases. So if the lifespan is longer with silicone, they would be a better value and less out of pocket expense versus saline implants.