Saturday, February 27, 2010

DermaMatrix : Best Graft Material for Rhinoplasty

DermaMatrix Acellular Dermis may provide a new option in rhinoplasty technology for surgeons. DermaMatrix, which was introduced to the surgical market in 2006, is made from acellular dermis, an innovative technological breakthrough substance which has been used as an alternative to Alloderm in rhinoplasty by Denver plastic surgeon Dr. Jeffrey Raval. Dr. Raval who presented the technique at the January 30, 2010 Annual Meeting of the American Academy of Cosmetic Surgery (AACS) in Orlando Florida.

Dr. Raval reports that “rhinoplasty poses a number of challenges- the ideal graft material being one of them.” Traditionally, Alloderm has been used as the grafting material in rhinoplasty surgeries. Unfortunately, despite its widespread use, Dr. Raval believes that Alloderm has not proven to be the “ideal grafting material” for several reasons. First, before being used, it has a short shelf life, and must be refrigerated. When used in a surgery, it requires a long rehydration time and displays reabsorption characteristics. DermaMatrix is derived from donated skin where the cells are removed to minimize inflammation or rejection at the surgical site and the acellular dermis is then freeze-dried for preservation.

DermaMatrix provides a better alternative. Dr. Raval reports that it rehydrates quickly, is uniformly soft and pliable after being rehydrated, passes the USP standard for sterility, is bacterially inactivated, has a three year shelf life at room temperature, has greater tensile strength, has a 90 percent consistency of thickness, is easier to surgically manipulate, and displays less reabsorption characteristics than Alloderm. These many advantages make it both easier to use and better for patients and can help the effects of rhinoplasty last longer.

Dr. Raval, who presented DermaMatrix at AACS, is a double board certified plastic surgeon and is regarded as the premiere revision rhinoplasty surgeon throughout the Western states. In addition to performing rhinoplasty revisions, which are often regarded as more complex than original rhinoplasty surgery due to the presence of scar tissue, Dr. Raval also treats the head and neck and performs both non-invasive and surgical procedures.

Source : American Health and Beauty

Monday, January 25, 2010

London Welbeck Hospital Offers Rhinoplasty

Reputed and well known cosmetic surgery hospital, London Welbeck Hospital is now offering great offers on cosmetic surgery. You can now get Breast Augmentation or Rhinoplasty done from only £3299. This offer is currently being offered as part of their 'New year - New You' campaign.

The purpose of the breast implant is to push your own breast tissue up and
outwards, resulting in a natural look, feel and behaviour of the breast. Implants come in various shapes, sizes and materials. The breast augmentation surgeon will discuss with you the most suitable shape and size for you. It is important to take into consideration your personal expectations as well as your current breast and body shape.

The London Welbeck Hospital in Welbeck Street, City of Westminster, London was established in the early 20th century and now specialises in cosmetic surgery.
Over the years, London Welbeck Hospital has had many clients returning happily with their service. Situated in the heart of the London medical scene, this is a welcoming environment, where our dedicated staff are friendly, professional and committed to providing an excellent standard of care for patients, from the moment they walk in at the reception, to the moment they leave us.

Registered with The Healthcare Commission, we work with some of the most prominent surgeons in the UK. Our surgeons are not only highly qualified but also vastly experienced and innovative.

To find out more or to contact London Welbeck Hospital, please visit their website at www.londonwelbeckhospital.co.uk

London Welbeck Hospital offers complete cosmetic surgery treatments including breast augmentation, eyelid surgery, ear surgery, breast implants and many other cosmetic treatments.

Friday, January 15, 2010

Heidi Montag admits she's addicted to plastic surgery

Heidi Montag, star of MTV's The Hills but best known for an apparent starvation for attention, has confessed that she is addicted to plastic surgery. This is bad enough when we're talking about aging starlets, but Heidi was a beautiful girl of 21 when she had her first surgeries, a breast augmentation to a C cup and rhinoplasty. Her recent surgeries, at the age of 23, included liposuction and buttocks augmentation, an "upgrade" for her "boob job," a chin reduction, pinning back her ears. And yet she says, "I'm just starting," she says. "Let's just say there's a lot of maintenance. Nobody ages perfectly, so I plan to keep using surgery to make me as perfect as I can be. Because, for me, the surgery is always so rewarding."

I have been saying that Saturn in Libra will test our standards of beauty, but I couldn't have anticipated this. In a society where teens are given cosmetic surgeries for graduation gifts, reality shows portray ordinary people receiving extreme makeovers, and an MTV show called "I Want a Famous Face" turns unique individuals into clones of their favorite movie star - Saturn arrives in Libra not a moment too soon.

But the question is, will teens look at Heidi's makeover from beautiful girl to plastic sex toy and be horrified, or will they want to emulate her? In any case, the discussion over how far is too far has certainly begun.

Source : blog.beliefnet.com

Thursday, January 7, 2010

Rhinoplasty News : Injectables for Post Surgical Operations

Rhinoplasty, sometimes referred to as a “nose job,” can improve the shape, size and general appearance of the nose. However, imperfections following rhinoplasty are common, which is why some surgeons have turned to injectable fillers as a means of smoothing out irregularities and asymmetries that remain after initial rhinoplasty surgery. An article appearing in the November/December issue of Aesthetic Surgery Journal, a publication of the American Society for Aesthetic Plastic Surgery (ASAPS), discusses the potential benefits and risks of soft tissue fillers as an adjunct to surgical reshaping of the nose.

Injectable fillers allow surgeons to correct post-surgical imperfections without the expense, anesthetic risk, or recovery downtime involved with additional surgery
According to ASAPS statistics, rhinoplasty is among the top five surgical cosmetic procedures, with 152,434 procedures performed in 2008. With the growing availability, variety and popularity of filler materials, it stands to reason that the potential use of these products in conjunction with nose reshaping would be explored.

“Injectable fillers allow surgeons to correct post-surgical imperfections without the expense, anesthetic risk, or recovery downtime involved with additional surgery,” says Steven Dayan, MD, one of the ASJ article’s three authors and clinical assistant professor in the Department of Otolaryngology, University of Illinois Medical Center in Chicago.

Hyaluronic acid (HA), calcium hydroxylapatite gel (CaHA), and liquid silicone (all used off-label) have been used to treat nasal deformities with varying degrees of success. Silicone is generally not recommended, however, because of the greater risk of severe complications such as nodules, cellulitis and ulceration. “The use of any soft tissue filler in the nose should always be approached with caution and with thorough consideration of a patient’s individual circumstances,” says Dr. Dayan.

As with all injectable filler treatments, technique is paramount to success. Limiting the use of fillers to the top and sides of the nose while generally avoiding the base and tip, and placing the fillers at the proper depth in the skin, are important for minimizing complications such as a bumpy appearance, soft tissue damage, or compromising of the blood vessels in the nose.

While soft tissue fillers may be an effective treatment for certain post-surgical deformities, they are generally not recommended as a first-line option for nasal reshaping. Neither are they recommended for patients considering revision surgery, since persistent material in the nose may complicate a future procedure. “Fillers are no substitute for excellent surgical results,” cautions Dr. Dayan. “Rhinoplasty surgeons must continue to strive for perfection in the operating room.”

“Injecting fillers into the nose requires a high level of skill as well as a thorough understanding of nasal structures and soft tissues,” says ASAPS President Renato Saltz, MD. “To minimize the risk of poor results or serious complications, patients should seek treatment only by a board-certified physician with relevant training and experience.”

This rhinoplasty news article came from this link.
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I hope this injectables will not pose any health threats to rhinoplasty patients. What do you think?

Sunday, December 20, 2009

Senate Democrats Would no longer tax Rhinoplasty

Your fears of a 5 percent tariff on butt lifts, rhinoplasty, and injectables like Botox and Restylane are over! Senate Democrats have dropped the so-called "Botax," likely after major uproar from the well-moneyed cosmetic surgery industry, which was supposed to raise $5 billion. But don't think Dems have entirely thrown out the idea of taxing America's addiction to aesthetic improvements: The cast of Jersey Shore is about to see their tanning experience get hit with a hike.

In place of Botax is a 10 percent tax on indoor tanning. Or, as the Senate's bill refers to it, the tax will be "intended for the irradiation of an individual by ultraviolet radiation, with wavelengths in air between 200 and 400 nanometers, to induce skin tanning." Which, as far as we're concerned, is a tax on WHITE PEOPLE!

Looks like spray-ons it will be.

SOURCE

Sunday, December 6, 2009

Rhinoplasty Stories : Camilla Belle


Young actress Camilla Belle may be most recognizable for her heavy dark eyebrows, but Make Me Heal is more interested in the possible nose job the brunette beauty may have had to achieve star status.

At 23-years old, Camilla has achieved a lot, becoming an in demand actress and dating a Jonas brother. But has she also had a rhinoplasty to help her rise to fame?

In addition to thinning her eyebrows as she ages, it also looks as though Camilla’s nose may have thinned out a bit too. However, it could be a result of clever makeup application, rather than plastic surgery.

Manhattan plastic surgeon Dr David Shafer says, “Camilla Belle dose not need anything in particular. Her nose does look a bit narrower in the pictures, but it is unclear whether she has had surgery. “

On the other hand, Camilla’s newly thinned nose could be the result of a clever plastic surgeon doing a well-done nose job.



Plastic surgeon Dr Sherrell J Aston says, “From the photographs I can see, it appears that Ms. Belle has had a Rhinoplasty. Her facial changes are mostly visible when looking at frontal photographs. One can see that the width of her bridge is much more narrow now. Her surgeon also refined her tip and nostrils. I think that her plastic surgeon did an excellent job with achieving a natural look.”

Whether or not Camilla has been under the knife, she looks great and is sure to continue to rise to the top of Hollywood’s elite.

SOURCE

Monday, November 23, 2009

Rib Cartilage Grafts in Rhinoplasty

Rib cartilage from human donors is well tolerated as a grafting material in nasal plastic surgery and yields positive functional, structural and cosmetic results, even in complex cases, according to a report in the November/December issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals.

"The search for the ideal nasal implant remains an ongoing effort," the authors write as background information in the article. "We desire a substance that is readily available in large quantities; resists infection and absorption; is completely integrated into host tissues; causes little patient morbidity [illness or injury]; and can be molded, shaped or carved with ease." The patient's own cartilage is often the preferred choice, but is sometimes too thin, there is an insufficient quantity or it may cause problems at the site from which it is removed. Irradiated homologous costal cartilage -- donor tissue from human ribs that has been treated with radiation to decrease the chances of an immune response or resorption once placed in a donor -- could serve as an alternative.

Russell W. H. Kridel, M.D., of the University of Texas Medical School at Houston and Facial Plastic Surgery Associates, Houston, and colleagues reviewed the medical charts of 357 patients who underwent primary or revision rhinoplasty (nasal plastic surgery) using autologous costal cartilage as the principal graft material between 1984 and 2008. The patients were an average of 37 years old and were followed up for an average of 13.5 years (and for a range of four days to 24 years). The 1,025 homologous costal cartilage grafts and 373 other grafts used were evaluated for warping, infection, resorption (being absorbed back into surrounding tissues) with or without infection, mobility and extrusion (forcing out). Forty-two patients also completed a satisfaction evaluation.

The total complication rate related to irradiated homologous costal cartilage grafts was 3.25 percent, including 10 warped grafts, nine infections, five cases of infective resorption, five non-infective resorptions and three cases of graft mobility. Among the nine cases of infection, two patients received grafts using homologous costal cartilage alone and seven in combination with other materials, so the infection rate related to the use of homologous costal cartilage alone was two of 1,025 (0.2 percent).

"Not only did very few complications occur following the use of 1,025 irradiated homologous costal cartilage grafts in 357 patients after 386 rhinoplasties over 24 years (rate, 3.25 percent), but the rate of complications was no greater than rhinoplasty complication rates when autologous [the patient's own] cartilage grafts are used," the authors write.

During an average follow-up of 7.9 years, 94.2 percent of patients reported being satisfied with the results, considering categories such as their appearance, ability to breathe and quality of life. The irradiated homologous costal cartilage was not associated with any allergic reactions or systemic diseases and also proved to be reliable in patients with autoimmune diseases and in those with complex cases involving repairs of perforated septal tissue.

"The results indicate safety and reliability and justify the convenient use of irradiated homologous costal cartilage grafts for primary and revision rhinoplasty without creating donor site morbidity," or damage to the area from which an individual's own cartilage is harvested, the authors write. "Irradiated homograft cartilage grafts should be considered as an alternative or even a primary grafting material when the patient does not have adequate quantities of septal or auricular [ear] cartilage remaining to provide the correction or when the shape or quality of such an autologous cartilage does not adequately provide the structure required."

Editorial: Papers Highlight Science of Facial Plastic Surgery

"As we begin our second decade of publication, the Archives of Facial Plastic Surgery has evolved but maintained its original vision," writes Wayne F. Larrabee Jr., editor of the journal, in an accompanying editorial. "Two significant articles in this issue epitomize our mission to 'promote the art and science of facial plastic surgery by publishing significant peer-reviewed articles in all aspects of reconstructive and cosmetic surgery of the head and neck."

"The first article -- 'The Technical and Anatomical Aspects of the World's First Near-Total Human Face and Maxilla Transplant' by Alam and colleagues -- presents the first successful combined face and maxilla transplant, which was performed on a patient who had undergone 23 previous reconstructive procedures," Dr. Larrabee writes. "The second article -- 'Long-Term Use and Follow-Up of Irradiated Homologous Costal Cartilage Grafts in the Nose' -- epitomizes the meticulous clinical observation that we all should strive to achieve in our practices."

"As we strive to fulfill our mission statement to publish 'the most accurate information available,' the quality of the clinical science in our manuscripts becomes progressively more important," Dr. Larrabee concludes. "Facial plastic surgery is an art and craft, but results must be reported based on sound clinical science."

SOURCE