January 1st, 2012 by John Di Saia, M.D. in Opinion
No Comments »
Online resources for tummy tuck information suffer with a great deal of misconception. Even surgeons may disagree regarding choosing between different tummy tuck operations for a given patient. Reduced cost, pain and extent of surgery tend to push patients toward lesser surgery. These days “less invasive” is a popular selling point. As my practice has progressed, however, I have found the satisfaction rate of mini tummy tuck to be too low to support doing many of them. I do “minis” only in rare circumstances these days.
Mini tummy tuck surgery corrects much less than more involved full versions of the operation. If there is any significant looseness above the belly button, the mini will not address it much. If there is any more than a tiny bit of excess skin, the mini will not touch it much at all. The feeling of having been “under corrected” is common after mini tummy tuck surgery. If patients are unhappy with the results of a mini tummy tuck it is not always possible to Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
December 27th, 2011 by John Di Saia, M.D. in Health Policy, Opinion
No Comments »
My dad’s wife called to ask if I could see a friend of my brother’s. This 30 year old woman had been “put through the ringer” by her HMO dermatologist. He looked at her nose diagnosed a “pre cancer” and treated her with freezing. Then he put her on a cream. The “wart” is still there and she can’t get in to see the doctor (actually a physician’s assistant) for 2 months.
Welcome to capitation medicine.
This evil creation of your local managed care plan pays a doctor Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
December 22nd, 2011 by John Di Saia, M.D. in News, Opinion
No Comments »
The U.S. Food and Drug Administration today announced that it has taken action against eight California surgical centers and the marketing firm 1-800-GET-THIN LLC, for misleading advertising of the Lap-Band, an FDA-approved device used for weight loss in obese adults. The FDA issued Warning Letters to Bakersfield Surgery Institute Inc.; Beverly Hills Surgery Center; Palmdale Ambulatory Center; Valley Surgical Center; Top Surgeons LLC; Valencia Ambulatory Center LLC; Cosmopolitan Plastic & Reconstructive Surgery; San Diego Ambulatory Center LLC; and to 1-800-GET-THIN because Lap-Band is a restricted medical device that is misbranded as a result of misleading advertising by these groups. In the letters, the FDA warns that billboards and advertising inserts used by recipients of the Warning Letters to promote the Lap-Band procedure fail to provide required risk information, including warnings, precautions, possible side effects and contraindications. The FDA also is concerned that the font size of information related to risks on the advertising inserts is too small to be read by consumers.
Source: fda.gov/NewsEvents/Newsroom/PressAnnouncements
/ucm283455.htm#.TueG3YY1aZY.facebook
We have blogged on 1-800-Get-Thin and Lap-band surgery in general before. Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
December 17th, 2011 by John Di Saia, M.D. in Opinion, Research
2 Comments »
Despite the benefits of immediate post-mastectomy breast reconstruction, only a small minority of women, regardless of age, choose this option, a new study indicates. Research has shown that compared with a delayed procedure, immediate post-mastectomy reconstruction improves psychological well-being and quality of life. The new study, headed by Dawn Hershman, M.D., associate professor of medicine and epidemiology at Columbia University Medical Center, indicates that only about one-third of women opt for the procedure, according to the American Association for Cancer Research.
Source: cosmeticsurgerytimes.modernmedicine.com/
cosmeticsurgerytimes/article/articleDetail.jsp?id=751765
Immediate breast reconstruction does lead to better results in patients with early stage breast cancer. That is a pretty much well known fact. This statistic of less than a third of women seeking this type of reconstruction in this light seems kinda sad, but keep reading: Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
December 8th, 2011 by John Di Saia, M.D. in Research
No Comments »
“According to that study, nearly half of the 500 most popular sunscreens may actually increase the speed at which malignant cells develop and spread skin cancer such as melanoma.
Why? Because they contain Vitamin A, an ingredient that was added to sunscreen formulations because it’s an antioxidant that slows skin aging.
This isn’t necessarily new information….as some studies suggest “that vitamin A might have some phototoxicity.”
Source: health.msn.com/health-topics/skin-and-hair/articlepage.aspx?cp-documentid=100260739
Take it easy folks. One study on the effects of Vitamin A on skin cancers in animals does not invalidate sunscreen use. We don’t really need Vitamin A in sunscreens though. We need good blockers of UVA and UVB at an SPF of at least 30.
*This blog post was originally published at Truth in Cosmetic Surgery*
