Plastic Surgery Really Does Make People Look Younger

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Main Category: Cosmetic Medicine / Plastic Surgery
Article Date: 22 Feb 2012 - 0:00 PST Current ratings for:
'Plastic Surgery Really Does Make People Look Younger'

Plastic surgery seems to make people look about 8.9 years younger than their actual age, researchers from the University of Toronto and NorthShore University Health System reported in Archives of Facial Plastic Surgery.

Jeremy P. Warner, M.D., and team set out to determine how much younger esthetic facial surgical procedures made people look, in order to measure surgical success.

They gathered data on 60 patients who had all undergone facial plastic surgeries. They were aged between 45 and 72 years. The patients were divided into three groups: Face and neck lift groupFace and neck lift and eyelid work (blepharoplasty) groupEyelid work, and face, neck and forehead liftsForty medical students were asked to guess the age of people shown to them in photographs. They looked at pictures of patients before and after surgery.

The researchers found that: Photographs taken before surgery - students guessed they were 1.7 years younger than they actually were (average)Photographs taken after surgery - overall (all three groups), students guessed they were 8.9 years younger than they actually wereFace and neck lift group - 5.7 year change in perceived ageFace and neck lift and eyelid work - 7.5 years change in perceived ageEyelid work, and face, neck and forehead lifts - 8.5 year change in perceived ageThe medical students were fairly similar in how they perceived people's ages.

The authors explained that their study differs from previous ones in that it quantified how much younger the medical students thought the people in the photographs were after undergoing surgery. They added that the more facial surgeries people do, the younger their perceived age becomes.

The authors wrote:

"This effect is more substantial when the number of surgical procedures is increased, an effect unrelated to the preoperative age of a patient and unaffected by other variables that we investigated. The ability to perceive age correctly is accurate and consistent."

Written by Christian Nordqvist
Copyright: Medical News Today
Not to be reproduced without permission of Medical News Today

Visit our cosmetic medicine / plastic surgery section for the latest news on this subject. "Perceived Age Change After Aesthetic Facial Surgical Procedures - Quantifying Outcomes of Aging Face Surgery"
Nitin Chauhan, MD, FRCSC; Jeremy P. Warner, MD; Peter A. Adamson, MD, FRCSC
Arch Facial Plast Surg. Published online February 20, 2012. doi: 10.1001/archfacial.2011.1561 Please use one of the following formats to cite this article in your essay, paper or report:

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Christian Nordqvist. "Plastic Surgery Really Does Make People Look Younger." Medical News Today. MediLexicon, Intl., 22 Feb. 2012. Web.
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posted by Diana on 30 Apr 2012 at 12:32 pm

In fact, unfortunately, in some cases, from certain age, the diet or yoga do not help to eliminate weight or some other kind of problem! That's why I used plastic surgery to get rid of my belly! The result is great. The importaint thing is to do it in a serious clinic. For example me, I asked my friends, and one of them recommended a clinic in Paris. I was pleasantly surprised by the prices, and had a feeling to come on vacation but not to be operated.

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posted by carolina on 22 Feb 2012 at 8:57 am

i think that the age of people is more exactly seen not in a picture but in real presence, when people talk an make gestures like smiling. i think people with plastic surgery look younger when they are still, like in a picture, but not when they make all the natural gestures people make when talking, getting angry, smiling, etc.

(sorry for my english, i?m from Per?)

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'Plastic Surgery Really Does Make People Look Younger'

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Plastic Surgery - Enormous Increase In Uptake By Younger Women

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Main Category: Cosmetic Medicine / Plastic Surgery
Also Included In: Women's Health / Gynecology
Article Date: 16 Mar 2012 - 7:00 PDT Current ratings for:
'Plastic Surgery - Enormous Increase In Uptake By Younger Women'

Professor Laurence Kirwan, one of the world's leading plastic surgeons, who has appeared on BBC Breakfast to comment on the PIP breast implant scandal and who wrote in the Mail on Sunday (British newspaper) how cosmetic surgery can prolong life, has said that more and more young women between the ages of 35 and 40 years have cosmetic surgery.

Professor Kirwan says that the number of women between 35 and 40 years who have cosmetic surgery every single year for 5 years has risen by 5%.

He says that most young women opt for 'liquid lifts', injections of facial fillers, which typically consist of hyaluronic acid, a gel-like substance that occurs naturally in the skin and helps retain moisture to make cheeks look fuller and lift sagging jaws. The 'liquid lifts' together with Botox freeze the muscles to lift drooping eyebrows by interfering with nerve transmission.

Younger women tend to choose a short-scar facelift (SSFL), whereby the skin is pulled upwards and then pulled back over the bony structures of the face, whilst fat pads that have dropped with aging are repositioned into their proper place. This new and nonintrusive procedure only has a maximum two-week down time costs about ?10,000 ($16,000) with results lasting for as long as 10 years.

Kirwan says:

"This is a miracle treatment for many young women wanting to cut off the effects of ageing at the pass. They don't want to wait until they look older. They strike in advance. It is the perfect choice for those seeking to turn back the clock. It redefines the lower face, jawline and upper neck. It lifts the mid-face and the only visible sign it leaves is a 0.4in scar tucked into the crease where the ear joins the cheek. The rest of the incisions are hidden in the hairline and the back of the ear."

Many younger women also choose mini-facelifts, like the one-stitch facelift whereby the surgeon removes a semi-circle of skin at the hairline at the top of the ear, which pulls up the skin and tissues over the cheeks as the wound is stitched together. This 30-minute procedure is performed under local anesthetic and costs about ?2,000 ($3,200) but only lasts 1 year.

This procedure instantly 'refreshes' a woman's look and because it only leaves a small scar hidden in the hairline, nobody will ever be any the wiser.

Professor Kirwan, who is a member of the British Association of Aesthetic Plastic Surgeons, explains:

"Surgical techniques have become significantly more refined in the past decade and the surgery is tailored to the individual while retaining a very natural result."

According to Kirwan, the demand for plastic surgery has increased by 250% in two years, with facelifts currently being amongst the top three procedures at his surgery.

The British Association of Aesthetic Plastic Surgeons published new figures that show a 4.7% to 4,700% rise in demand in 2011 for surgical facelifts performed by their organization members.

"The growing acceptance of Botox and fillers by women under 30 has made the step-up to cosmetic surgery much less scary," explains Kirwan, continuing that younger women recommend cosmetic surgery to their friends, with the result that more and more younger women choose to have surgery.

He says:

"If it's the done thing in the young social circle and the results are fantastic, then this is playing a major part in why so many younger women are opting for cosmetic procedures."

Written by Petra Rattue

View drug information on Botox.
Copyright: Medical News Today
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'Plastic Surgery - Enormous Increase In Uptake By Younger Women'

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Male Tummy Tucks Up 15% In UK

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Main Category: Cosmetic Medicine / Plastic Surgery
Also Included In: Men's health;  Women's Health / Gynecology
Article Date: 30 Jan 2012 - 6:00 PST Current ratings for:
'Male Tummy Tucks Up 15% In UK'

Britons appear to be tightening their belts in more ways than one: 2011 audit figures from the British Association of Aesthetic Plastic Surgeons (BAAPS) revealed on Monday that the number of men undergoing tummy tucks (abdominoplasty) was 15% higher than in 2010.

However, although the percentage rise is large, the numbers are relatively small compared to women: while male tummy tucks rose from 108 to 124, female ones rose from 3,039 in 2010 to 3,251 in 2011 (a rise of 7%).

And the austere financial climate does not appear to have eroded Britons' belief in cosmetic surgery in other areas either. Not one area of cosmetic surgery fell in popularity in the UK last year.

Across the board the number of procedures carried out by BAAPS members in 2011 was 43,069, which is 5.8% higher than in 2010, matching a similar rise as from 2009 to 2010.

Fazel Fatah is a consultant plastic surgeon and the current president of BAAPS. He told the media:

"It is understandable that procedures for the more noticeable areas of the face and body -- such as breast augmentation, rhinoplasty (nose jobs) and eyelid surgery -- continue to prove popular when patients are looking to get the most 'impact' from their surgery to enhance their mental well being and self-confidence."

BAAPS President Elect Rajiv Grover is a consultant plastic surgeon and responsible for the UK national audit. He said:

"The continued popularity of aesthetic plastic surgery even through financially difficult times demonstrates that the public sees real value in the psychological and physical improvement that can be achieved."

Here are some further highlights of the BAAPS 2011 audit: Male surgery continues to account for 10% of all cosmetic surgery procedures.
Male cosmetic surgery procedures rose by 5.6% from 2010 to 2011: (from 4,017 procedures to 4,298).
There was a similar growth in cosmetic surgery procedures for women: they went up by 5.8% from 2010 to 2011 (from 34,413 procedures to 38,771).
Breast augmentation ("boob jobs") continues to hold its number one place as the most common procedure of all (nearly twice as many of these as the next most popular), and holds its steady growth of 6.2% from 9,418 procedures in 2010 to 10,003 in 2011.
Gynaecomastia ops ("man boob" reduction) were the second most common procedure in men in 2011, as they were in 2010. However, they rose by 7% from 741 in 2010 to 790 in 2011.
Another area of male cosmetic surgery rose even more than this: male liposuction went up by 8% from 473 in 2010 to 511 in 2011.Fatah said the sharp rise in tummy tucks and liposuction should come as no surprise, because more patients are having obesity treatments like gastric bands.

"These patients are usually left with a lot of loose skin that causes physical problems and unsightly body contour which can only be addressed by surgery," said Fatah.

Grover said another reason for the continuing rise in popularity of cosmetic surgery could be because techniques have advanced, so it's "harder to tell" if someone has had it: "they may just look well-rested, or refreshed".

Speculating on other reasons for the rise in procedures carried out by BAAPs surgeons, Grover said, whether it is "because of the recent implant scare or a backlash against some 'lunchtime' non-surgical treatments that don't deliver what they promise", it was reassuring that more patients appear to be "doing their homework" and going on more than just price, to select their cosmetic surgeon.

Click here for more figures from the BAAPS annual audit.

Written by Catharine Paddock PhD
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'Male Tummy Tucks Up 15% In UK'

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Cleft Lip/Palate Cause Much More Than Cosmetic Problems

Main Category: Cleft Palate
Also Included In: Pediatrics / Children's Health;  Cosmetic Medicine / Plastic Surgery
Article Date: 26 May 2012 - 0:00 PDT Current ratings for:
'Cleft Lip/Palate Cause Much More Than Cosmetic Problems'

Children born with cleft lip, cleft palate and other craniofacial disorders face numerous medical challenges beyond appearance.

Patients can face serious airway, feeding, speech and hearing problems, as well as social and psychological challenges, Laura Swibel Rosenthal, MD, of Loyola University Medical Center and colleagues write in the June 2012 issue of Otolaryngologic Clinics of North America.

"The management of patients with craniofacial syndromes is complex," Rosenthal and colleagues write. "Otolaryngologic [ear-nose-throat] evaluation is of paramount importance in providing adequate care for this patient population."

About 1 in 600 babies in the United States is born with a cleft lip and/or cleft palate, according to the Cleft Palate Foundation. The defect can range from a small notch in the lip to a grove that runs into the roof of the mouth. It can occur in isolation or in combination with other craniofacial birth defects. (A craniofacial disorder refers to an abnormality of the face and/or head.)

The first step in managing craniofacial patients is ensuring a safe airway. There's also a great potential for nasal obstruction and sleep apnea. And patients are at increased risk of developing upper airway problems such as sinusitis, laryngitis and rhinitis.

Hearing loss is common and often progressive. Thus, in addition to receiving standard newborn hearing screening, craniofacial patients should continue to receive periodic hearing tests, Rosenthal and colleagues write.

Craniofacial patients typically require several corrective surgeries, performed in staged fashion. Surgeons and anesthesiologists should be aware of the potential challenges these patients may have with general anesthesia.

The authors recommend a multidisciplinary approach, beginning with genetic counseling to determine the cause of the malformation, to inform parents about what to expect and to learn about the implications for other family members.

In addition to otolaryngologists, other specialists who typically care for craniofacial patients include pulmonologists, gastroenterologists, dentists and orthodontists. Depending on the congenital condition, a patient also may see pediatric specialists, such as cardiologists, ophthalmologists, neurosurgeons, endocrinologists, urologists, nephrologists and orthopaedic surgeons.

Most patients also need additional support services, including case management (social work), psychology or psychiatry, speech pathology, physical therapy, occupational therapy and other educational services.

The authors detail the management of major conditions associated with craniofacial disorders, including Apert syndrome, Crouzon syndrome, CHARGE syndrome, chromosome-22 and 22q11.2 deletion syndromes, DiGeorge syndrome, velocardiofacial syndrome (VCFS), Opitz G/BBB syndrome, congenital nasal pyriform aperture stenosis, Moebius syndrome, mandibulofacial dysostosis syndromes, oculoauricular-vertebral spectrum (OAVS), Goldenhar syndrome and Stickler syndrome.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our cleft palate section for the latest news on this subject. Rosenthal is an assistant professor in the Departments of Otolaryngology and Pediatrics of Loyola University Chicago Stritch School of Medicine. Her special interests include cleft lip and palate, breathing difficulties, facial lesions, nasal/sinus problems, neck masses, pediatric ear, nose and throat, special-needs children and speech delay.
Co-authors are Nadieska Caballero, MD, of Loyola's Department of Otolaryngology and Amelia Drake, MD, of the University of North Carolina Hospital.
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posted by Dr. J on 26 May 2012 at 7:11 am

As a DMD MD Facial surgeon I have studied craniofacial surgery in France and worked with patients here in the US! I noticed the absence of the mention of both Plastic and Oral Maxillofacial surgeons from this article about ENT doctors. Don't you think it's time to put the patient ahead of hospital politics and truly have that multi-disciplinary approach rather than lip service to lip and other facial deformities?

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'Cleft Lip/Palate Cause Much More Than Cosmetic Problems'

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New Research Suggests PIP Implant Failures Significantly Higher Than Previously Thought

Main Category: Cosmetic Medicine / Plastic Surgery
Also Included In: Women's Health / Gynecology
Article Date: 18 Apr 2012 - 0:00 PDT Current ratings for:
'New Research Suggests PIP Implant Failures Significantly Higher Than Previously Thought'

New research published in the Journal of Plastic, Reconstructive and Aesthetic Surgery suggests that the failure rate of silicone breast implants manufactured by Poly Implant Prosth?se (PIP) could be as high as 33.8%.

Patients who received PIP implants either for primary or secondary breast augmentation, between January 2000 and August 2005, were studied to determine implant failure rate and other complications. Results found that 7 to 12 years after implantation the failure rate for PIP implants is in the region of 15.9-.8%.

"Previous studies have typically reported failure rates of between 2% and 5% and these estimates have been based on secondary data. In this study, all participants were scanned by ultrasound, which provides conclusive indication of rupture, rather than clinical examination which is typically used. Most previous studies were based on multiple surgeon, multiple technique, with a relatively small number of patients and shorter follow up time span," commented Mr. Jan Stanek, lead author of the study.

Concerns about the durability of PIP silicone breast implants have been expressed for several years prior to their formal withdrawal from the UK market in March 2010. Although precise details of what elements were at fault remain unclear, concerns have been raised about both the elastomer (the outer cover of the implant) and the filler gel.

In this study PIP implants were used by the plastic surgeon for both primary and secondary breast augmentation. A database of patients was constructed and each patient was offered a free consultation and referral for ultrasound scan. Chief outcome measures included secondary surgery, implant rupture rate and time to rupture.

453 patients with PIP devices were identified. Of this number, 30 had already undergone implant exchange for a variety of reasons. 180 (39.7%) could not be contacted and 19 had undergone implant removal elsewhere. Of those who could be contacted, 47 declined consultation as they had no concerns. 97 had neither clinical signs nor radiographic evidence of implant rupture and elected to remain under regular review. At the time of writing, 38 had undergone implant exchange after ultrasonographic indication of rupture.

Based on these results, if the group of non-responders had no ruptures, the overall rupture rate would be 15.9%. However, it the non-responders had the same rupture rate as those examined in the study, the overall rupture rate would be 33.8%.

Mr. Stanek indicates that all PIP implants, due to the high rupture rate and uncertainty about the nature of the silicone gel, may need to be removed. Those patients with ruptured implants will have to have them removed; those with no evidence of rupture will need to be monitored on a regular basis. Further research into the nature of the elastomer and gel filler will determine whether all PIP implants should be explanted in the future.

Article adapted by Medical News Today from original press release. Click 'references' tab above for source.
Visit our cosmetic medicine / plastic surgery section for the latest news on this subject. This article is "The PIP mammary prosthesis: A product recall study" M.G. Berry and Jan J. Stanek (DOI: 10.1016/j.bjps.2012.02.019); in press, ahead of print in Journal of Plastic, Reconstructive and Aesthetic Surgery, published by Elsevier.
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'New Research Suggests PIP Implant Failures Significantly Higher Than Previously Thought'

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PiP Breast Implant Scandal, 7000 More Women May Need Replacement Or Removal UK

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Main Category: Cosmetic Medicine / Plastic Surgery
Article Date: 15 Mar 2012 - 14:00 PDT Current ratings for:
'PiP Breast Implant Scandal, 7000 More Women May Need Replacement Or Removal UK'

The UK Department of Health has issued an update on PiP breast implants scandal which struck in late 2011. Authorities have identified an additional 7,000 women in the UK that may be in need to replacement or removal of their implants, and have confirmed this should be covered under the same NHS arrangements made earlier in the year.

The additional patients have been identified from those who had surgery before 2011, where previously, the French Authorities who first investigated their local company, believed only those implants after 2001 were suspected of containing unauthorised silicone gel.

It is generally recommended that implants are replaced every ten years, so many of these women may have already elected to replace their implants, or done so under NHS care. The NHS Medical Director, Professor Sir Bruce Keogh, continues to advise that there is not enough evidence to recommend routine removal of PiP breast implants They state on their website that :

"However, we have always recommended that if women are concerned they should speak to their surgeon or GP. The NHS will support removal of PIP implants if, after this consultation, the patient still has concerns and with her doctor she decides that it is right to do so. The NHS will replace the implants if the original operation was done by the NHS. We expect the private sector to do the same for their patients.

We believe that private providers have a duty to take steps to provide appropriate after-care to patients they have treated. If a clinic that implanted PiP implants no longer exists or refuses to care for their patient - where that patient is entitled to NHS services, the NHS will support the removal of PiP implants where clinically necessary. All women should be offered the same care, whether they had their implants before or after 2001."

Health Secretary Andrew Lansley said:

"The French regulator has confirmed this week that more women may be affected by the criminal activity of the French breast implant manufacturer PiP. These women are the victims of a fraudulent company and I know this situation is causing a huge amount of anxiety. I want to reassure those affected by the news today that they will be provided with all the help they need from the NHS.

We are still working to get private clinics to live up to their responsibilities and look after their patients. Our commitment is to ensure support for all women from the NHS if needed; we will continue to press for the same standard of care or redress from private providers."

Professor Dame Sally Davies, the Chief Medical Officer said:

"The expert group advises that there is no evidence to suggest that every woman with a PiP implant should have them removed. But we know this is a worrying time for them and want them to be able to see a GP or specialist to get reassurance and have them removed if necessary. All women who had the implants put in on the NHS will be able to have them removed and replaced by the NHS. We expect private clinics to offer their patients the same care. If they refuse, the NHS will provide advice, a scan and, if necessary, remove the implants.

Private patients will not, however, be able to have their implants replaced on the NHS unless this is clinically necessary. We will be placing adverts in the weekend papers again to inform all women with PiP implants about the advice from the experts and how they can get help if they are concerned. I have also written to GPs today to remind them that we want them to help women with PiP implants."

The Department of Health is advising women with PiP implants to take three steps to reassure themselves. The steps are to:
Find out if they have PiP implants by checking their medical notes. This information can be accessed for free from clinics or through GPs. Most women who had PiP implants on the NHS should already have received a letter ... anyone who received an implant between 1997 and 2000 will be contacted in the near future.
Speak to their GP or surgeon. Women who had PiP implants on the NHS should speak to their specialist or GP and women who had them done privately should speak to their clinic.
Agree what's best for you. Women should get advice on whether or not they need a scan then discuss appropriate action with their doctor.Patients have been told that the NHS will do removals for free if the original surgery was done on the NHS. However, if the original operation was performed in a private clinic, the patient will need to speak to their clinic to see if they will replace them for free.

Further information is available at http://www.nhs.uk/Conditions/Breast-implants/Pages/PIP.

The Chief Medical Officer has written again to all GPs to set out what they should do if a private patient with PiP implants asks for their help, and to inform them about the change in advice from the French authorities. The letter is available on the NHS Choices website at http://www.nhs.uk

Written by Rupert Shepherd
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'PiP Breast Implant Scandal, 7000 More Women May Need Replacement Or Removal UK'

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PIP Breast Implants Unsafe, Say German Authorities

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Main Category: Cosmetic Medicine / Plastic Surgery
Article Date: 31 Jan 2012 - 10:00 PST Current ratings for:
'PIP Breast Implants Unsafe, Say German Authorities'

German authorities at the BfArM Institute have officially informed the International Society for Aesthetic Plastic Surgery (ISAPS) that the former GfE Medizintechnik GmbH in Germany sold breast implants under the name TiBREEZE from September 2003 to August 2004, which were manufactured with PIP components.

GfE Medizintechnik GmbH was coating silicone implants with a titanium layer and sending them to PIP in France to be filled with their silicone gel, which consisted of the same composition of industrial grade silicone that PIP and Rofil implants were filled with since 2001. The German authorities at the BfArM Institute therefore amended the recommendation to remove PIP and Rofil implants they made earlier this month to also include TiBREEZE implants as a measure of precaution, even in the absence of any symptoms.

GfE's company successor informed ISAPS that 728 implants were produced during the period of the former company's affiliation with PIP. The majority of TiBREEZE implants were sold and used in 280 patients in Germany. Other countries that bought the implants include Austria, Belgium, England, Finland, Italy, Lichtenstein, Switzerland and South Africa. It is thought that a total of 400 patients are affected.

Dr. Dirk Richter (Germany), Chair of ISAPS' Patient Safety Committee declared:

"as there are no studies yet available to prove the safety of industrial grade silicone in the human body, ISAPS supports the French and German authorities' recommendations and encourages all women with TiBREEZE, PIP or Rofil breast implants produced after 2001, to check with a specialized plastic surgeon to discuss removal of the implants."

The International Society of Aesthetic Plastic Surgery is the largest international society of individual board certified, or equivalent aesthetic plastic surgeons. It was founded forty-one years ago and counts 2,140 members in 93 countries. To join the society, surgeons must undergo a strict application process to determine their qualifications. ISAPS mission is to continue educating plastic surgeons in the latest techniques in the field of aesthetic plastic surgery and medicine and to promote patient safety.

All ISAPS members are listed on the website.

Written by Petra Rattue
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posted by PIP breast implant claims on 20 Feb 2012 at 2:40 pm

Sirs

I agree with the statement. I am a UK Solicitor taking action on behalf of women with PIP breast implants. I am disappointed with the UK stance and trust this will change otherwise the Courts will have to decide.

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'PIP Breast Implants Unsafe, Say German Authorities'

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