2016 Plastic Surgery Statistics Report Methodology and Validity
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Rejuvenation of the Aging Face
Rejuvenation of the Aging Face Christopher A. Perro, MD, FACS UT Health‐Facial Plastic Surgery February 2, 2020 1 Rejuvenation of the Aging Face • The process of facial aging: what happens to our face and neck as we age and why • Full range of options for facial rejuvenation including skin care, skin resurfacing, dermal fillers, Botox, and surgery • Detailed discussion about surgical options including facelift, brow/forehead lift, eyelid surgery (blepharoplasty), neck lift, and chin implants • Hair restoration and its role • Functional problems related to aging of the face like visual field deficits related to excess upper eyelid skin 2 1 Increase in cosmetic procedures • Advances in medicine allowing people to live longer and with improved quality of life • Sparks desire to “look as good as you feel” • Improved safety of procedures • Anesthesia is safer than ever before • Well developed products: implants, dermal fillers, Botox, etc. • Emphasis on natural looking results 3 How do we age? 3 Dimensions of Facial Aging • 1. Skin Surface Aging Changes • 2. Volume Loss • 3. Drooping/Descent of Soft Tissues 4 2 What makes a face look youthful or beautiful? • Vibrant fat pads in the cheeks • Upside down egg shape • Few shadows on the face • Smooth, homogeneous skin texture and color • Seeing natural almond shape of eyes, unobscured • Facial harmony, balance, proportion, and symmetry 5 Shapes 6 3 Skin Changes • Coarse lines/wrinkles • What happens? • Static • Loss of collagen support of skin • Dynamic‐related to chronic • Thinning of skin tension -
August 2–4, 2018 Cover Art Senarighi Rae by Cover Wellness
Remembrance • Resistance • Resilience August 2–4, 2018 Cover Art Senarighi Rae by Cover Wellness PTWC offers a space for trans people and our allies, families, and providers to come together to re-envision what health and wellness means for trans people. Three days of free workshops, networking opportunities, youth programming, plenary speakers, a professional development track offering continuing education credits, an opening reception and a Resistance Ball. Get the latest conference updates by downloading the TRANSPHL app on iOS or Android. PTWC is supported by the Philadelphia Department of Public Health, and by foundation funding from Arcus Foundation and the E. Rhodes and Leona B. Carpenter Foundation. Welcomes the Mazzoni Center Thursday, August 2 to Saturday, August 4, 2018 Trans Wellness Conference returns to Philly with a focus on the future The Mazzoni and have formal evalu- years, and know well the education to our commu- Center’s 17th an- ations for every work- event’s long history and nity, we want to share in shop, as well as the en- powerful legacy. different stories,” said de nual Philadelphia tire event,” said Ashley “Knowing that, this Luz. summit is paving Coleman, the Mazzoni’s year we wanted to be even Another fresh focus the way for a more senior events manager more intentional, and of Mazzoni’s Trans Well- in charge of the annual more inclusionary with ness Conference regards inclusive commu- Trans Wellness Confer- all of our programming educational programs nity. ence, its logistical support and all of the outsourc- for kids and the addition and for “putting out fires” ing,” said Coleman. -
Laser Hair Removal Pre/Post Treatment Instructions
21785 Filigree Ct, Suite 206 Ashburn, VA 20147 1860 Town Center Drive, Suite 255 Reston, VA 20190 Tel: (703) 574-2588 www.novaplasticsurgery.com Laser Hair Removal Pre/Post Treatment Instructions PRETREATMENT INSTRUCTIONS 1. Avoid the sun 4-6 weeks before and after treatment. Pigmented cells in your skin compete with melanin in your hair. 2. Your provider may ask you to stop any topical medications or skin care products 3-5 days prior to treatment. 3. You MUST avoid bleaching, plucking or waxing hair for 4-6 weeks prior to treatment. The melanin-containing hair must be present in the follicle as it is the “target” for the laser light. 4. If you have had a history of perioral or genital herpes simplex virus, your provider may recommend prophylactic antiviral therapy. Follow the directions for your particular antiviral medication. 5. If you have a tan or have a darker skin type, a bleaching regimen may be started 4-6 weeks before treatment. 6. RECENTLY TANNED SKIN CANNOT BE TREATED! If treated within 2 weeks of active (natural sunlight or tanning booth) tanning, you may develop hypopigmentation (white spots) after treatment and this may not clear for 2-3 months or more. 7. The use of self- tanning skin products must be discontinued one week before treatment. Any residual self-tanner should be removed prior to treatment. INTRATREATMENT CARE 1. The skin is cleaned and shaved prior to treatment. The use of a topical anesthetic is optional. 2. When treating the upper lip, the teeth may be protected with moist white gauze. -
Healthcare of the Transgender Patient and the Powers Method of Hormonal Transitioning V5.4 Dr
Healthcare of the Transgender Patient and The Powers Method of Hormonal Transitioning v5.4 Dr. William Powers Facebook.com/DrWillPowers PowersFamilyMedicine.com © 2017-2019 - Dr. William Powers Optimized for MS Office 2016 PPT Lecture Goals & Objectives Understanding gender dysphoria and the transgender patient 01 02 Preventative medicine for transgender people 03 Understanding the process of basic hormonal transitioning Please Note This lecture is designed to be presented to physicians / medical providers in the context that they will be providing medical or HRT care to transgender people. If it has ended up in your hands, and you are not one of those, please keep this perspective in mind! Additionally, language is used in this PowerPoint which is medical in nature. It contains the statements of major medical groups or publications. This language may not be sensitive to the very people this presentation is about. That being said, it cannot be edited without misquoting the source, so please be mindful of this as well. In short, not all the words here are mine. Some are quoted from other sources. Please Note Transgender Medicine is an evolving field. No major medical society has standards of care yet for transgender people (Such as the AOA, AMA, ACOG, etc) Some of the information presented here is based on my own personal observations with my own patients. I see approximately 10-15 transgender patients daily, and have somewhere around 1500 in my practice. I therefore have derived some information not yet published or independently verified/peer reviewed. This is information based on my personal experience and not trial data. -
Buttock Augmentation Procedure
Page 1 From: "Procedure Information" <ProcedureInformation.tmcidpoxuaauggyrafd@email.plasticsurgery.org> To: [email protected] Date: 4/18/2020 10:31:29 AM Subject: Buttock Augmentation Procedure Jerome Chao, MD, FACS Certified Plastic Surgery of NY, PLLC 13 Century Hill Drive Latham, NY United States Phone: +1 (518) 203-2582 BUTTOCK AUGMENTATION What Is Buttock Augmentation? Consultation & Preparing for Surgery The Procedure Risks & Safety Recovery &Results Cost 9/14/2020 Page 2 WHAT IS BUTTOCK AUGMENTATION? Buttock augmentation surgery involves using implants, fat grafting or sometimes a combination of both to increase the size of your buttocks. This procedure can: Increase fullness, roundness and projection of your buttocks Improve the balance of your figure Enhance your self-image and self-confidence 9/14/2020 Page 3 Buttock augmentation surgery is right for someone who does not like the shape of their buttocks or is looking to balance their body. It is performed in one of two ways, with implants or fat transfer. The fat transfer procedure is commonly known as a Brazilian butt lift. Is it right for me? Buttock augmentation is a very personal procedure and you should do it for yourself, not for someone else. It is a good option if: You are physically healthy You have realistic expectations You are bothered by the feeling that your buttocks are too small You are unhappy with the roundness or general shape of your buttocks Your buttocks are asymmetrical 9/14/2020 Page 4 CONSULTATION & PREPARING FOR SURGERY During your consultation, be -
Plastic Surgery
Edward Via College of Osteopathic Medicine 4th Year Clinical Rotation: Plastic Surgery MED 8300: Surgical Selective Clinical Rotation I MED 8301: Surgical Selective Clinical Rotation I MED 8310: Surgical Selective Clinical Rotation II MED 8311: Surgical Selective Clinical Rotation II COURSE SYLLABUS Chair Contact Information Michael Breiner, MD Phone: 540-231-0600 Chair of Surgery - VC Email: [email protected] Tom Lindsay, DO Phone: 864-327-9842 Associate Chair of Surgery - CC Email: [email protected] Paul Brisson, MD Phone: 334-442-4023 Chair of Surgery - AC Email: [email protected] I. Rotation Description Students will spend their time in the operating room or in the surgeon’s office. They will participate in the daily operating schedule. They will be expected to evaluate the patients and their radiographs in the pre-op area and then discuss the choice and execution of procedures with attending surgeons and residents involved in the procedure. They can anticipate the development of skills in sterile technique, prepping and draping, operative positioning, opening and closing of surgical wounds, control of bleeding, tying, suturing, drain placement, and more. They will develop an appreciation for tissue variability and will develop skills in the delicate manipulation of such tissues. II. Rotation Goals a. Gain an appreciation for the wide range of pathology and procedures that encompass plastic surgery b. Understand the more common operations of plastic surgery: Closure of complex wounds, Coverage of Soft tissue deficits, Breast reconstruction after mastectomy c. Receive an introduction to the principles of cosmetic surgery d. Develop skills in evaluating open wounds, non-healing wounds, and potential soft tissue loss e. -
Laser Hair Reduction Pre & Post Treatment Care Potential Side Effects
Laser Hair Reduction Pre & Post Treatment Care Potential Side Effects • The best way to minimize the risk of side effects is to avoid UV exposure for 7 days pre and post treatment. • Avoid sunburns or tans for at least 2 weeks prior to treatment. • Avoid sunless tanning products for 7 days before treatment. • Provide your technician with an accurate and up to date medical history in order to receive safe and effective treatments. • Side effects are uncommon but may include; Hyperpigmentation (darkening of skin), Hypopigmentation (loss of skin pigmentation), mild to moderate burns or blisters, permanent skin discoloration, temporary redness, follicular edema (little pink/red “puffiness and small bumps like “goose bumps”) swelling and itching in the treated area, hives, rashes, bruising, and lack of desired results. • Clients who are pregnant cannot be treated. • Technicians cannot treat over tattoo’s. • If you have Epilepsy Ciao Bella Medical Spa & Vein Clinic is unable to provide treatment. Pre-Treatment Care • The area to be treated must be clean-shaven. Unshaven clients will be rescheduled. • Avoid UV exposure 7 days prior to your treatment. • Clients who are sunburned or tan must wait at least 2 weeks before being treated to avoid additional skin damage. • Avoid sunless tanning products 7 days prior to your treatment. It is recommended that you exfoliate the area to remove any residual color. • If applicable, apply numbing cream 30 to 40 minutes prior to your treatment. All products must be completely removed prior to treatment. • Clients should come to appointments with clean skin in the area to be treated. -
Whitened Anxiety: Bottled Identity in the Emirates
Whitened Anxiety: Bottled Identity in the Emirates Aaron Parkhurst (University College London) Introduction This chapter briefly explores a failed relationship between identity, the body and medica- materia1 through the context of skin-bleaching in the United Arab Emirates, and Dubai specifically. What is outlined here is a material failure of both human skin and the tools used to alter it, expressed and performed by those who engage with skin bleaching techniques. In this case, embedded within skin whitening creams, and in turn, white skin, is a relationship in the form of a promise: an intense unwritten social contract imbued with both hope and hype. In this context, skin is a conduit of the ‘self’; it is a material condition that delineates an individual’s identity. Ethnography among plastic surgery in Brazil has explored how body alterations are pitted against intense social disparity, politics, and values of race and sensuality (Edmonds 2010). As Edmonds highlights, discourse surrounding the ability to change bodily features is, in many ways, a language for the failures of the state. Patients in state funded cosmetic clinics alter their faces and their bodies under a drive towards social mobility, even if these drives are largely prone to failure. In engaging with skin bleaching technology in Dubai, what is often at stake for people is their position in society, their marriageability, their access to wealth, and their very identity. Weary of societal judgements and pressures, and cognisant of what they perceive as harmful social prejudices, many Emirati advocates with whom I’ve worked speak against the use of skin whitening creams and commonly refer to the practice as ‘racism in a bottle’. -
A Novel Approach to Structural Facial Volume Replacement
Aesth Plast Surg DOI 10.1007/s00266-012-0052-6 REVIEW AESTHETIC A Novel Approach to Structural Facial Volume Replacement Neil S. Sadick • Suveena Manhas-Bhutani • Nils Krueger Received: 15 February 2012 / Accepted: 29 November 2012 Ó Springer Science+Business Media New York and International Society of Aesthetic Plastic Surgery 2013 Abstract Improved understanding of the anatomy and supraperiosteal depot injections of volume-depleted fat pads physiology of the aging face has laid the foundation for and dermal/subcutaneous injections for panfacial lipoatrophy adopting an earlier and more comprehensive approach to with PLLA is presented. The combination of treatments with facial rejuvenation, shifting the focus from individual wrinkle fillers; toxins; light-, sound-, and RF-based technologies; and treatment and lift procedures to a holistic paradigm that surgical procedures may help to forestall the facial aging considers the entire face and its structural framework. This process and provide more natural results than are possible article presents an overview of a comprehensive method to with any of these techniques alone. address facial aging. The key components to the reported Level of Evidence V This journal requires that authors strategy for improving facial cosmesis include, in addition to assign a level of evidence to each article. For a full description augmentation of volume loss, protection with sunscreens and of these Evidence-Based Medicine ratings, please refer to the antioxidants; promotion of epidermal cell turnover with Table of Contents or the online Instructions to Authors techniques such as superficial chemical peels; microlaser www.springer.com/00266. peels and microdermabrasion; collagen stimulation and remodeling via light, ultrasound, or radiofrequency (RF)- Keywords Cosmetic techniques Á Face Á Poly-L-lactic based methods; and muscle control with botulinum toxin. -
The History and Evolution of Plastic Surgery
Res Medica, Spring 1965, Volume 4, Number 4 Page 1 of 5 The History and Evolution of Plastic Surgery A. B. Wallace M.Sc., F.R.C.S. Ed. Reader in Plastic Surgery, University of Edinburgh Abstract Plastic surgery is a branch coming from the main trunk of medicine and surgery and the origins are in antiquity. Of all branches of medical science plastic surgery is probably the most frequently misunderstood. The word ‘plastic’ is not modern. Today it is used in the main for products of a great modern industry. When one refers to plastic surgery, most people think of cosmetic surgery and unfortunately in some quarters plastic surgery and cosmetic surgery are virtually synonymous. This is far from the case. Again, some persons in ignorance believe that in plastic surgery plastic materials, are used to close wounds and to make scars invisible. Copyright Royal Medical Society. All rights reserved. The copyright is retained by the author and the Royal Medical Society, except where explicitly otherwise stated. Scans have been produced by the Digital Imaging Unit at Edinburgh University Library. Res Medica is supported by the University of Edinburgh’s Journal Hosting Service: http://journals.ed.ac.uk ISSN: 2051-7580 (Online) ISSN: 0482-3206 (Print) Res Medica is published by the Royal Medical Society, 5/5 Bristo Square, Edinburgh, EH8 9AL Res Medica, Spring 1965, 4(4): 7-10 doi: 10.2218/resmedica.v4i4.435 Wallace, A.B. History and Evolution of Plastic Surgery, Res Medica 1965, 4(4), pp.7-10 doi: 10.2218/resmedica.v4i4.435 HISTORY AND EVOLUTION OF PLASTIC SURGERY A. -
Msrv 2020 148072
STATE OF CONNECTICUT DEPARTMENT OF SOCIAL SERVICES OFFICE OF LEGAL COUNSEL, REGULATIONS, AND ADMINISTRATIVE HEARINGS 55 FARMINGTON AVENUE HARTFORD, CT 06105-3725 2020 Signature Confirmation Client # Request # 148072 NOTICE OF DECISION PARTY PROCEDURAL BACKGROUND On 2019, Community Health Network of CT (“CHNCT”), sent (the “Appellant”), a Notice of Action (“NOA”) denying a request for prior authorization for a buttock augmentation, adding fat filler to the buttock area, for gender affirming surgery. On , 2019, the Appellant requested an administrative hearing to contest the Department’s denial of the medical service. On 2019, the Office of Legal Counsel, Regulations, and Administrative Hearings (“OLCRAH”) scheduled an administrative hearing for 2019. On 2019, in accordance with sections 17b-60, 17b-61 and 4-176e to 4-189, inclusive, of the Connecticut General Statutes, OLCRAH held an administrative hearing. The following individuals participated in the hearing: Appellant Heather Shea, RN, CHNCT Marci Ostroski, Hearing Officer - 2 - STATEMENT OF THE ISSUE The issue to be decided is whether it was correct for CHNCT to deny prior authorization for a buttock augmentation, adding fat filler to the buttock area, for gender affirming surgery. FINDINGS OF FACT 1. The Appellant was 57 years old (DOB ) at the time of her request. (Exhibit 1: Prior Authorization Request) 2. The Appellant is a participant in the Medicaid program. (Hearing Record) 3. CHNCT is the Department’s contractor for administering the Medicaid program. (Hearing Record) 4. The Appellant has a diagnosis of gender dysphoria and transsexualism. She is transitioning from male to female and has identified as female since adolescence. (Appellant’s testimony; Ex. -
LASER HAIR REMOVAL Treatment Instructions
LASER HAIR REMOVAL Treatment Instructions LASER HAIR REMOVAL PRE TREATMENT INSTRUCTIONS • No tanning, sunless tanning or tanning beds. Tanning should be avoided for 4-6 weeks prior to treatment. Self-tanning creams and sprays need to completely fade. An SPF of 30+ should be applied generously 20 minutes prior to sun exposure. • Avoid Certain Medications. Medicated Creams (i.e. glycolic, tretinoin, retinol, some antibiotics) that make you photosensitive should be stopped one week prior to treatment. • No facials, peels or laser skincare treatments. No peels or strong skin care treatments in laser hair removal areas for two weeks before and after laser treatments. • No waxing, tweezing, bleaching or threading. Lasers target the pigment melanin in the hair beneath the surface of the skin. Do not wax, tweeze, bleach, thread or use depilatory agents before, during or after your treatment. Shaving is the only recommended hair removal method when performing laser hair removal. • Do not use lotion, cream, make-up or deodorant on areas to be treated. Come to your appointment with clean skin free of any topical products. Any products applied to the skin can obstruct or refract laser light negatively and decrease effectiveness of the treatment. LASER HAIR REMOVAL POST TREATMENT INSTRUCTIONS Immediately after treatment there may be mild redness and swelling at the treatment site, which could last up to 2 hours or longer. Redness can last up to 2-3 days. The treated area may feel like a sunburn. Anywhere from 5-20 days after the treatment, shedding of the surface hair may occur and will appear as new hair growth.