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Latest Posts

Looking For A Surgeon: Board Certification Is Not The First Thing To Consider

Don’t simply look for a surgeon who is board certified.  Make sure they are trained to do the procedure you are having.  Yes, board certification is important, but the training is more so (in my humble opinion).

If you are having a breast augmentation, you don’t want a board certified maxillofacial surgeon or Ob-Gyn or neurosurgeon.  You want someone trained in plastic surgery.  It is a bonus if they are board certified.  By the same token, if you need brain surgery you don’t want a board certified plastic surgeon you want someone trained in neurosurgery.

This rant was prompted by Read more »

*This blog post was originally published at Suture for a Living*

Do Breast Implants Have An Expiration Date?

I read someone said she had to get her implants re-done 20 or so years later. I thought that getting breast implants was a one-time thing. How long do breast implants last?

Breast implant surgery is definitely not to be considered a “one time thing.” That is one good finding that came out of the breast implant craziness of the 1990′s in the US; the time at which the FDA banned silicone gel implants and demanded studies.

Interestingly, the implants themselves are not always the problem that leads to re-operation. It can be the body’s reaction to them. Silicone gel breast implants in particular can Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Infection From Plastic Surgery: Who’s To Blame?

When things are done properly, infection is pretty uncommon in a plastic surgery practice. Surgery and infection are unfortunately related however and will co-exist at least occasionally even when everything is done correctly. This is just a fact of life.

People interestingly enough seem to believe that an infection is evidence of malpractice. Infection can be present when malpractice has occurred but by itself is not evidence of anything.

Minor infections can often can be treated and cause no long term problems. More serious infections can Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

The Problem With Dermal Fillers

From Forbes:

But today, a range of dermal fillers can be injected into those crow’s feet, marionette lines, thinning lips and furrows between the brows, taking years off the face–and all can be done during your lunch hour, with no invasive surgery and little recovery time.
Source: forbes.com/2009/05/26/dermal-filler-cosmetic-forbes-woman-well-being-facelift.html

I love how the press tends to make it seem like Dermal Fillers are the solution for which we have all been waiting. They make it an issue of just “choosing the right one.”

The issue here is that dermal fillers Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Plastic Surgeon Discusses Safety And Effectiveness Of New Anti-Wrinkle Product

The FDA has granted a license to the maker of laViv which is said to improve the appearance of smile lines without freezing the muscles of your face. Have you heard of this new drug? Does it work like it claims? Are there any side effects that are worrisome?

Source: dailymail.co.uk/femail/article-2028456/New-biological-wrinkle-cure-touted-alternative-Botox-frozen-face.html

Maybe.

As we have discussed before, FDA approval is not a stamp of approval that a drug is effective. It just means that as far as current studies show, it is not harmful. Some drugs are FDA approved for years until later the FDA reconsiders and removes them from the market. Look at the relatively recent removal of Darvocet from the market after many years of FDA approval.

LaViv is an interesting concept. Read more »

*This blog post was originally published at Truth in Cosmetic Surgery*

Latest Interviews

The Surprising Economic Burden Of ADHD (Attention-Deficit Hyperactivity Disorder)

If you can read this you need to download a more recent browser It is estimated that as many as million U.S. adults have ADHD Attention-Deficit Hyperactivity Disorder A recent research study publication-pending suggests that the economic burden of ADHD on America could be as high as billion annually. I…

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Is The Adderall Shortage A Harbinger Of Future Drug Supply Problems?

If you can read this you need to download a more recent browser Today most- if not all- Doctor’s offices are strained by the shortage of some prescription medication or vaccine. A month ago President Obama signed his executive order directing the FDA to take steps to reduce drug shortages…

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Latest Book Reviews

Book Review: The First Step To Improve Health Care Is A Close Examination Of How It’s Delivered

My friend and former Chair of the CFAH Board of Trustees Doug Kamerow has written a book that I think you will like. Besides being a mensch and witty as heck Doug is a family doctor and a preventive medicine specialist. In his new book Dissecting American Health Care Commentaries…

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“Your Medical Mind” Explores Factors That Influence A Patient’s Medical Decisions

Recently I had a conversation with Shannon Brownlee the widely respected science journalist and acting director of the Health Policy Program at the New America Foundation about whether men should continue to have access to the PSA test for prostate cancer screening despite the overwhelming evidence that it extends few…

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Book Review: Food Truths, Food Lies

Food Truths Food Lies written by family physician Eric Marcotte M.D. may be the most refreshingly evidence-based diet book of the decade. You will not find a single mention of super-foods magical berries or supplement must-haves in the entire book. What you will find is the cold hard truth about…

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