November 1st, 2011 by John Di Saia, M.D. in Opinion
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Tummy Tuck surgery is almost invariably greatly appreciated by the proper patient. These top ten facts might help you figure if you are such a person. 
(1) Tummy Tuck surgery is one of the largest scale operations a plastic surgeon can offer a patient.
(2) Patients who have lost a good deal of weight or completed child bearing involving large weight gain and loss are the most common candidates. Patients do not lose much weight from the operation itself in most cases….maybe a few pounds on average.
(3) Post-operative pain used to make it necessary to admit the patient to a hospital for narcotics.
(4) Pain pumps when properly utilized can Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
October 24th, 2011 by John Di Saia, M.D. in News
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The British HM Revenue and Customs is planning to impose a tax on cosmetic surgeries by slapping VAT on any artificial enhancements and procedures. According to the new guidelines by the department responsible for collecting UK’s taxes, doctors performing more invasive procedures will have to register for VAT and pass the charge on to their patients. The guidelines suggest that patients having such cosmetic procedures will have to pay the tax unless they can persuade the doctor that the operation is being carried out for “therapeutic” reasons. Although the move is being considered to help plug the deficit in Britain’s public finances, but Fazel Fatah, president of the British Association of Aesthetic Plastic Surgeons (BAAPS), said that this could harm many patients.
Source: dnaindia.com/lifestyle/report_boob-tax-to-increase-cost-of-cosmetic-surgery-by-20-per-cent_1599777
The government in the UK seeks to hasten the movement of cosmetic surgery business out of the country it seems. That will likely be the effect of the planned extension of the VAT tax to cosmetic surgery. It is already less expensive for British citizens to leave the country for their cosmetic surgery. The care in most cases is not equivalent. The reason to consider it just got 20% more persuasive however. That is a huge tax!
Here in the US, Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
October 20th, 2011 by John Di Saia, M.D. in Opinion
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In years gone by, I spent far too much time removing small skin bumps in the office. At the time, I was sharing space with another doctor who was profiting by any service I provided. His staff scheduled me with tons of things that simply made me no money. [Meanwhile his stuff diverted some of my better business into his schedule as opposed to mine.]
The facts of life are that medicine is a business and when I am paying a huge chunk of change to overhead, I need to make that back or I operate at a loss.
Patients frequently don’t understand why I cannot remove their moles for what their insurance pays and make a profit. Well, Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
October 14th, 2011 by John Di Saia, M.D. in Health Tips, Opinion
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Breast Lift surgery (Mastopexy) is obviously surgery to lift the breast. There are variations of this operation – quite a few variations. Breast lift operations are usually discussed relative to the “full breast lift” which has also been called the anchor lift. This operation leaves scars around the areola, under the breast and vertically between the two. The shape of the scar configuration resembles an anchor, hence the name. The potential for scars is one of the major concerns potential patients have with the surgery. This version of the operation also has the greatest potential to change the shape of the breast.
Reduced scar breast lifts came into creation to limit the potential for scarring. The important compromise, however, is that these modified breast lifts “lift” less. Reduced scar lifts can involve any portion of the full lift scar pattern. The modified lift with an incision above the areola only is called a “Crescent lift.” It provides only Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
September 30th, 2011 by John Di Saia, M.D. in Opinion
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The ladies in this story have had a “new” form of lipo instead of a tummy tuck. Their stomachs do look thinner but their skin in wrinkly. Would they have been better served by having a tummy tuck and then lipo? Is it just their age that has their skin looking that way?
Source: dailymail.co.uk/femail/article-1215196/
New-5-000-treatment-claims-melt-away-muffin-top.html
VASER liposuction has been around for a while. I have used it and it is effective. The main question with newer lipo technologies is: “Are they worth the added expense and can they increase problems?”
Many of them (VASER included) make it even easier to take out more and more fat. As we have discussed here before of course more fat removal is not always desirable. Read more »
*This blog post was originally published at Truth in Cosmetic Surgery*
