News Article | April 27, 2017
Plastic Surgery Associates is excited to announce that Heather Furnas, MD, and Francisco Canales, MD, have been asked to present at the upcoming Aesthetic Meeting. Held in San Diego, at the San Diego Convention Center, the annual event will run from April 27-May 2. Drs. Furnas and Canales will lend their expertise to the Premier Global Hot Topics session, speaking on genital rejuvenation. Hosted by the American Society for Aesthetic Plastic Surgery (ASAPS), the Aesthetic Meeting is known for providing a unique opportunity for top plastic surgeons and aesthetic professionals to share in the latest trends and developments in cosmetic medicine. This year marks the 50th anniversary the event, which first met in Venice, Italy in 1967. The organization now boasts a membership of more than 2,200 international professionals from the fields of facial plastic surgery, plastic surgery, dermatology and oculoplastic surgery. ASAPS Aesthetic Meeting will consist of a five-day conference, filled with a variety of educational presentations, board-room breakout lectures, lunch and learn sessions and a Corporate Satellite Symposia. The highly interactive and engaging learning experience will include presentations from leading experts on selected topics selected on the face, breast and body, as well as patient safety and practice management. All of those in attendance have the opportunity to earn up 48.75 AMA PRA Category 1 CME credits. During the Premier Global Hot Topics session, held on Friday, April 28, Drs. Furnas and Canales will present on the advances of female genital plastic surgery. Their talks will cover the viewpoints of both function and aesthetic changes achieved through genital rejuvenation. The surgeons will expand on the innovative ways that new, cutting-edge technology plays an important role today for improving a woman’s quality of life. Additionally, Dr. Furnas will provide the welcome message and introductions at the the 4th Annual Women Aesthetic Surgeon’s Symposium, held on April 27, as part of the Aesthetic Meeting. The scheduled presentations of Dr. Furnas and Dr. Canales will cover a variety of genital rejuvenation topics, including: Dr. Furnas co-founded Santa Rosa’s Plastic Surgery Associates in 1992 with her husband, Dr. Canales. As avid lecturers, educators and writers, Dr. Furnas and Dr. Canales often speaks on a variety of plastic surgery topics at conventions around the United States and internationally. Both board certified by the American Board of Plastic Surgery, they are current members of the California Society of Plastic Surgeons, the American Society of Plastic Surgeons, and the American Society for Aesthetic Plastic Surgery. Details on the 2017 Aesthetic Meeting in San Diego, can be found on the ASAPS website or by calling 562.799.2356. Registration will be open the entire meeting, during regular business hours. Get more information on Dr. Furnas or Dr. Canales by calling Plastic Surgery Associates at 707.537.2111 or filling out an online Contact Us form. For patient convenience, Plastic Surgery Associates has two locations, in Santa Rosa and Novato, California.
News Article | March 21, 2017
Breast implants can be associated with a rare type of cancer that may have led to the death of at least nine, the U.S. Food and Drug Administration (FDA) has warned. The federal agency pointed to anaplastic large cell lymphoma (ALCL) — a rare kind of non-Hodgkin’s lymphoma — and said it is now checking into over 350 cases linking saline and silicone breast implants with the condition. As of Feb. 1, the FDA has received 359 reports of breast implant-associated ALCL, including the nine fatalities. Of these reports, 203 involved textured implants while 28 were smooth implants, and 186 were silicone gel-filled implants while 126 contained saline solution. “All of the information to date suggests that women with breast implants have a very low but increased risk of developing ALCL compared to women who do not have breast implants,” the FDA said in its announcement. Breast augmentation surgery remains a leading cosmetic procedure. According to the American Society of Plastic Surgeons (ASPS), there were around 290,000 of these operations done in 2016, an increase of 4 percent from the previous year. The cancer then remains very rare even with hundreds of cases over 10 years or longer, and it can be treated if detected early on, the FDA added. In most cases, breast implant-linked ALCL is addressed via the removal of the implant as well as the capsule surrounding it, and chemotherapy or radiation in certain cases. The FDA first began to look into the link between implants and ALCL back in 2011, at which time it knew of very few cases, making it impossible “to determine what factors increased the risk.” Now more information has surfaced, including a WHO report and hundreds stepping forward to complain. On average, the disease can take around a decade to develop after the implant first enters the body. The cancer typically stays in the area surrounding the implant but can break out and spread, according to WHO researchers last year. A diagnosis is usually done once the patient discloses pain and swelling in the breast area. The FDA, which maintains a website dedicated to breast implants, recommends doing research prior to getting these cosmetic implants. BIA-ALCL, for instance, tends to manifest more often in patients with textured rather than smooth-surfaced implants, so the FDA urges patients to talk to their doctor about the risks and benefits. The difference in risk relating to the implant surface remains unclear, but the body reacts differently to textured implants versus smooth ones. Plastic surgeon Dr. Alex K. Wong explained to the NYT that tissue grows into microscopic grooves in the textured ones, which lead to a peeling sound when taken out. “Whereas with a smooth implant, it’s like Jell-O. You can spin it around. It moves really easily,” he said, adding that the cancer appears to be linked to a specific bacterial infection in some cases. Those with breast implants need not to change their routine care and follow-up, the FDA added, but suggested following the doctor’s instructions on breast implants as well as getting routine mammography. For those with silicone implants, MRI scans can search for actual leaks. “The FDA-approved product labeling for silicone gel-filled breast implants states that the first MRI should occur three years after implant surgery and every two years thereafter,” the FDA noted. © 2017 Tech Times, All rights reserved. Do not reproduce without permission.
News Article | April 17, 2017
According to the American Society of Plastic Surgeons the number of cosmetic procedures performed in the U.S. grows every year. What’s notable, however, is the shift in the types of procedures that Americans are choosing to undergo, as, with each passing year, ones that focus on specific areas of the body are becoming more popular. In fact, several of these body-specific treatments have been derived from more general, ostensibly one-size-fits-all procedures that don’t always accommodate everyone. “Fortunately, people are choosing their facial plastic surgeons based on their results and credentials and less on fancy marketing,” says Dr. Kulbersh. “A patient’s trust in his or her cosmetic surgeon is paramount, as is a mutual understanding of the patient’s goals. I believe this shift coincides with more body-specific procedures because these types of procedures require more highly-advanced skills and training.” One such procedure is the Comfort Minilift, which addresses early aging concerns on the lower third of the face. It’s a different take on the full facelift, and it suits patients seeking rejuvenation with less downtime and discomfort. In general, it is often more suitable for people with sagging skin and small jowls along the jawline and neck, who also have healthy, elastic skin. “A full facelift is designed for people who have excessive skin laxity and/or fat in their jowls, chin, and neck,” says Dr. Kulbersh. “For many patients, a full facelift would not be the best option. A Comfort Minilift is best for younger or skinnier patients seeking long term results to angulate the jawline and tighten loose skin. At Carolina Facial Plastics, this procedure can be performed under local anesthesia, which not only ensures that the patient is as comfortable while limiting their recovery time.” A Comfort Minilift is not intended for people with fine wrinkles (for this, peels and laser resurfacing procedures are more effective) or larger creases such as the nasolabial folds running from the nose to the corners of the mouth (injectable facial fillers are better for this). In the current atmosphere of new lasers and tightening devices, a mini lift such as the comfort mini lift remains the gold standard in lifting and tightening loose skin and fat for patients with early aging changes. I believe it remains the most predictable and longest lasting option. Learn more about facial fillers at https://CarolinaFacialPlasticSurgery.com/Non-Surgical-Treatments/. “The Comfort Minilift is often combined with a facial liposuction or a chemical peel to ensure even better, more refined results,” Dr. Kulbersh said. “Of course, each patient’s needs and goals are different, which is why choosing a skilled, experienced doctor whom you’re comfortable with is so crucial. It’s your face, so I believe patients should choose an expert.” Double board-certified as a facial plastic surgeon and fellowship-trained in facial plastic and reconstructive surgery, Dr. Jonathan Kulbersh is the founder and director of Carolina Facial Plastics in Charlotte, North Carolina. Dr. Kulbersh received training in facial plastic surgery in Beverly Hills with renowned surgeons, Babak Azizzadeh, MD, FACS, Paul Nassif, MD, FACS, (well-known for his show Botched) and Guy Massry, MD, and has experience in facial rejuvenation procedures, including facelift, rhinoplasty, eyelift and injectables (Botox and fillers). Additionally, as an expert in the function of facial nerves, Dr. Kulbersh has a special interest in patients with facial paralysis and Bell’s palsy. Dr. Kulbersh has published numerous articles, as well as chapters of medical textbooks, including Master Techniques in Blepharoplasty and Periorbital Rejuvenation. Please visit our website: https://CarolinaFacialPlasticSurgery.com/.
News Article | May 8, 2017
MARINA DEL REY, Calif.--(BUSINESS WIRE)--Grant Stevens, M.D., FACS, a board certified plastic surgeon, founder and medical director of Marina Plastic Surgery in Marina del Rey, CA, and an international traveling professor, was elected president-elect of the American Society of Aesthetic Plastic Surgery (ASAPS) at the Aesthetic Meeting this month in San Diego, CA. ASAPS is the leading national aesthetic medical organization comprising more than 2,600 board certified plastic surgeons who specialize in face and body aesthetic surgery. Also elected are Clyde H. Ishii, MD, Honolulu, president; Charles Thorne, MD, New York, vice president; Herluf G. Lund Jr., MD, St. Louis, treasurer; and William P. Adams, Jr., MD, Dallas, secretary. Dr. Stevens is a clinical professor of plastic surgery, University of Southern California, as well as Chairman of the USC-Marina Aesthetic Surgery Fellowship and Director of the USC Division of Aesthetic Surgery. He is featured in Castle Connolly's "Top Doctor Guide" recognizing him as one of the best plastic surgeons in America and is one of the select few to be featured in "Plastic Surgery: The World's Top Surgeons & Clinics." Dr. Stevens is an active member at Marina Del Rey Hospital, where he is the past Chairman of the Department of Surgery, the Chairman of the Liposuction Committee, and the Medical Director of The Breast Center. He is also on staff at St. John's Medical Center, the Marina Outpatient Surgery Center and USC. Dr. Stevens graduated with honors from Washington University Medical School in St. Louis where he was awarded the Senior Prize in Surgery. He completed his general surgery training at Harbor-UCLA Medical Center, then returned to Washington University-Barnes Hospital where he completed a Fellowship in Plastic and Reconstructive Surgery with Dr. Paul Weeks, Dr. Leroy Young, Dr. Tom Mustoe, Dr. Jeffrey Marsh and Dr. R. Christie Wray. He is a board-certified Diplomate of the American Board of Plastic Surgery, a Fellow of the American College of Surgeons and the International College of Surgeons. He was appointed by the governor of California to the Medical Board of California Medical Quality Review Board. Dr. Stevens is an ASAPS Traveling Professor and has been an invited visiting professor at numerous U.S. and international universities. Dr. Stevens is a third vice president on the board of directors of the International Society of Aesthetic Plastic Surgery (ISAPS) and he is on the Board of Directors and one of the International Traveling Professors. Dr. Stevens has authored more than 70 articles and chapters on aesthetic plastic surgery. He recently completed a chapter on mastopexy and mastopexy augmentation in Grabb and Smith. Dr. Stevens is a member of many medical societies, including ASAPS, ISAPS, the American Society of Plastic Surgeons, the International College of Surgeons, the American College of Surgeons and the American Society for Laser Medicine & Surgery. Dr. Stevens is the past Chairman of the California Medical Association Advisory Panel on Plastic Surgery. He received the California State Assembly and the California State Senate Certificate of Recognition. He has also received the Special Congressional Certificate of Recognition and the Distinguished Service Citation from the Medical Board of California. For more information, visit Marina Plastic Surgery; like Marina Plastic Surgery on Facebook; sign up for the blog BeautyByStevens.com and follow on Twitter @DrGrantStevens.
News Article | April 26, 2017
With summer around the corner, breast implant surgery or breast augmentation surgery is a popular procedure for many women to get ready for bikini season. Did you know that there were 290,467 breast augmentation procedures performed in 2016, which is an increase of 4% from 2015? (American Society of Plastic Surgeons) Did you know that there are different incisions for breast augmentation or breast implant surgery? A very popular incision in our practice is the transaxillary or armpit incision. Over 90% of our breast implant patients choose to have the this incision and are happy they did as they have NO SCAR on their breast! “Many women come into our office confused about their choices. Often, they express concerns after meeting with other surgeons who do not perform the armpit cut for breast implant surgery. I find that after spending time with women and discussing their options, most women choose the armpit cut as they realize that they is a safe way to have breast augmentation without leaving a scar on their breast” Dr. Lo is able to offer all available incisions or cuts for breast implant patients and he is able to expertly perform ALL approaches whether it be the transaxillary/armpit, crease, or periareolar/nipple incision. Dr. Lo will spend the time to educate the patient about the advantages and disadvantages of each approach, and let the patient decide based on the patient’s individual situation and wishes. MYTH: The armpit approach has more complications than other incisions. FACT: When done properly by a trained breast augmentation surgeon, the transaxillary (armpit) incision does not have more complications than other incisions. Dr. Lo has been performing the procedure for over 20 years. The transaxillary incision is very superficial. Dr. Lo does not disturb any nerves, blood vessels or lymph nodes. Your nipple sensation should be preserved and you should not lose feeling. FACT: There are no scars on the breast area with the transaxillary incision. Traditional cuts such as the crease(underneath the breast) and periareolar(around the nipple) can leave bad visible scars on the breast which is often upsetting to the woman having a cosmetic procedure. FACT: The armpit scar heals beautifully and you can wear any clothes you desire, such as bikinis, tank tops, and sleeveless dresses! Often times, the scars are barely visible or look like an armpit crease. As Dr Lo says "keep them guessing" as without scars on your breasts, it is often difficult to tell if you have breast implants. FACT: It doesn't matter which incision you choose, Dr. Lo has to make the same precise pocket for the implant for placement resulting in a natural cleavage. Dr. Lo uses endoscopy with a video camera system to ensure proper creation of the pocket for the breast implants. FACT: The transaxillary incision is not more painful than other incisions. There is less cutting of breast tissue. Pain would be similar to other incisions and is variable based upon patient tolerance.. Recovery is the same or quicker. FACT: Implant exchanges and minor revisions can be done through the armpit. FACT: Both saline or silicone implants can be placed through the transaxillary armpit incision. FACT: Dr. Lo will discuss the advantages and disadvantages of each incision with the patient, and based on the patient’s examination and wishes, he will decide whether the armpit approach is recommended. In his practice, 90% of patients choose the armpit cut, 10% the crease or periareolar/nipple cut. Dr. Lo will work with the patient to decide which approach is best for their dreams and desired outcome. For further information about transaxillary or armpit breast implant surgery, please contact Dr. Adrian Lo at 215 829 6900 or visit his website at http://www.scarlessbreastimplants.com.
News Article | February 15, 2017
Dr. Kenrick Spence is a distinguished and award-winning facial plastic surgeon in Raleigh who routinely uses fat grafting to rejuvenate the face. However, Dr. Spence is now meeting a new demand from his Raleigh patients by offering fat grafting as a means of chin enhancement or chin augmentation. Traditional techniques involve chin implants to improve the appearance of the chin. With fat grafting, however, patients gain significant advantages, including a softer, more natural feel to the chin as well as a reduced risk of complications. Furthermore, Dr. Spence can perform the entire procedure under local anesthesia. Ideal candidates for fat grafting to the chin are those that want a modest increase in chin projection. Patients may need more than one grafting session to achieve ideal results, but fat grafts are typically readily available and taken easily from other areas of excess fat in the patient’s body. In general, Dr. Spence has had an excellent rate of patient satisfaction with this procedure, as it allows patients to attain dramatic, natural-looking results in chin enhancement with just minimal downtime. Moreover, preferential grafting also gives Dr. Spence the ability to sculpt the chin shape based on a patient’s unique needs and overall facial structure. “We are thrilled to offer fat grafting as a patient preferred chin augmentation technique. With less downtime, less risk and more natural results, I believe fat grafting will continue to be a highly sought after procedure at our Raleigh office,” says Dr. Spence. Dr. Kenrick Spence was born in London, raised in Jamaica and earned his medical and surgical training in the United States. Dr. Spence is board certified in Plastic and Reconstructive surgery. He completed his medical education at the University of Connecticut, then spent five years as a General Surgery Resident at St. Rahael Hospital, a Yale School of Medicine hospital. Dr. Spence went on to complete three years of Plastic and Reconstructive surgery training at the University of Texas. He is board certified by the American Board of Plastic Surgery, a Fellow of the American College of Surgeon and a Member of the American Society of Aesthetic Plastic Surgeons and the American Society of Plastic Surgeons. When treating patients, Dr. Spence values an attentive, non-hurried approach so that each patient feels respected and their personal goals are clearly understood. For more information on chin enhancement using fat grafting, visit the website of Dr. Kenrick Spence at foreverfacesplasticsurgery or contact his office in Raleigh directly at (919) 973-5222.
News Article | February 15, 2017
Fillers are known for building youthful facial volume, plumping lips and filling age-related lines and wrinkles. Few people know that popular cosmetic fillers can enhance earlobes and rejuvenate an aging décolleté, according to cosmetic surgeon Dr. Richard Buckley, who is medical director of the MilfordMD Cosmetic Dermatology Surgery & Laser Center, in Milford, Penn. “People often forget about the look of their ear lobes and don’t realize how great ear lobes can look after being treated with half a syringe of filler,” Dr. Buckley says. “Doesn’t it make sense to put a nice canvas behind the beautiful earrings?” Soft tissue fillers, including hyaluronic acid fillers, were among the top five minimally-invasive procedures performed in 2015, according to statistics by the American Society of Plastic Surgeons. These fillers, including Restylane products, Juvéderm and Belotero, ranked second, after botulinum toxin type A injections (including Botox, Dysport and Xeomin), and popularity for dermal fillers is climbing steadily, increasing 6 percent from 2014 and up 274 percent since 2000, according to the American Society of Plastic Surgeons. “We spend so much time focused on using fillers to improve the face that other areas, such as the ear lobes, the neck, the chest and the backs of the hands, tend to take a backseat,” Dr. Buckley says. “I know how effective fillers can be off the face. It’s time to let more patients know.” After years or decades of wearing earrings, earlobes begin to deflate and droop. And piercings go from small round holes to ear slits. Like areas of the face, earlobes can even form wrinkles. Hyaluronic acid fillers can address all those areas by adding volume to the lobe. In only a few minutes in the office, Dr. Buckley can rejuvenate earlobes using hyaluronic acid fillers. He may use a little numbing cream to ensure patient comfort, although it is a very comfortable procedure without any numbing. There’s no downtime or pain post procedure. Patients can wear their earrings right after, or even during, the procedure. And results last up to a year. Using fillers for earlobes is beginning to catch on. Vogue reported on it late last year, suggesting the era of the ear could be next in cosmetic medicine. “Many of my patients have stopped wearing their favorite dangly earrings. Some even try to cover their ears,” Dr. Buckley says. “There’s no need, with this quick, simple and effective use of fillers.” Another use of fillers that is a best-kept secret, Dr. Buckley says, is the use of Sculptra to rejuvenate the aging chest. “It works very well. We put one vial of Sculptra in the décolleté area and repeat for at least two monthly intervals, for total of at least three treatments. The Sculptra stimulates the body to make new native collagen and the chest is rejuvenated and wrinkles minimized,” he says. “Again, the more youthful looking décolleté is the prefect canvas for dresses or sweaters with deep necklines or a stunning necklace.” Sculptra Aesthetic is injectable poly-L-lactic acid--a biocompatible and biodegradable material used safely for decades not only as a cosmetic filler, but also in resorbable stitches. It works over time to replace lost collagen, helping to correct wrinkles and deeper lines. For a limited time this New Year, patients at the MilfordMD Cosmetic Dermatology Surgery & Laser Center can save more than 25 percent, or $200, on earlobe rejuvenation. The offer is valid through February 28, 2017. For more information on the special, call the MilfordMD Cosmetic Dermatology Surgery & Laser Center at (800) 664-1528. The MilfordMD Cosmetic Dermatology Surgery & Laser Center offers state-of-the-art highly specialized procedures in laser and cosmetic surgery and aesthetic skin care. In addition to its AAAHC accredited surgical center and extensive laser surgery capabilities, MilfordMD offers physician designed skin care products for home use. Milford Pennsylvania’s MilfordMD Cosmetic Dermatology Surgery & Laser Center is sought out by patients from around the world for expertise and innovation in cosmetic treatments performed by Richard E. Buckley, M.D. and Marina Buckley, M.D. MilfordMD Cosmetic Dermatology Surgery & Laser Center is located at 303 W. Harford Street, Milford, PA 18337. Tel: (800) 664-1528. For real patient video testimonials, visit our MilfordMD YouTube channel.
News Article | February 15, 2017
As recently as a few years ago, breast augmentation was the number one cosmetic surgery procedure in the country according to the American Society of Plastic Surgeons. The desire of so many patients to have breast augmentation, as well as other procedures such as breast reduction and lifts, has led the team at aestheticbreastexperts.com to start 2017 by expanding its article database. According to the senior editor of the website, “One of our main goals is to explore the world of breast surgery and make it easy for the average patient to understand. This goal also includes providing relevant and important information about the various forms of breast surgery including enhancement, reconstruction, lift and reduction. Our articles cover the medical aspects of the procedures as well as providing insight into why some people decide to undergo breast surgery.” The expanded database of articles is also intended to reflect the changing nature of breast surgery. The senior editor went on to say “breast surgery has improved greatly in the past decade. The techniques used by surgeons has improved and so has the recovery time experienced by patients. Our updated and expanded set of articles contains the most up to date information as of the time the articles being published on the website. An informed patient is a patient that is well prepared and knowledgeable about how to prepare for the procedure as well as what to expect after surgery.” Aestheticbreastexperts.com plans to continue growing its article database throughout the calendar year of 2017. According to the senior editor, the constant advancements and improvements in the way breast surgery is performed is a popular topic in the medical community. The website also plans to include updates throughout the year about breast surgery research and new medical techniques and news related to the topic of breast surgery. About Aesthetic Breast Experts Launched in late 2015, AestheticBreastExperts.com aims to be the number one resource on the Internet related to the breasts and any breast related health issues of interest to both existing and future patients.
Swanson J.A.,American Society of Plastic Surgeons
Plastic and reconstructive surgery | Year: 2010
Evidence-based medicine is defined as the conscientious, explicit, and judicious use of current best evidence, combined with individual clinical expertise and patient preferences and values, in making decisions about the care of individual patients. In an effort to emphasize the importance of evidence-based medicine in plastic surgery, the American Society of Plastic Surgeons and Plastic and Reconstructive Surgery have launched an initiative to improve the understanding of evidence-based medicine concepts and provide tools for implementing evidence-based medicine in practice. Through a series of special articles aimed at educating plastic surgeons, the authors' hope is that readers will be compelled to learn more about evidence-based medicine and incorporate its principles into their own practices. As the first of the series, this article provides a brief overview of the evolution, current application, and practice of evidence-based medicine.
News Article | February 21, 2017
As recently as 2015, rhinoplasty was one of the Top 5 cosmetic procedures in the United States according to the American Society of Plastic Surgeons. Some patients want to make a change in the appearance of their nose while others want to address the functionality of their nose and improve their breathing ability. The team at usrhinoplasty.org is expanding its article database to better inform its readers about how nasal disorders can be treated by rhinoplasty. According to the senior editor of the website, “Rhinoplasty involves much more than simply altering the appearance of the nose. The surgery can also be used to improve the ability of patients to breathe on a daily basis. People with chronic sinus issues can have their lives affected consistently by their breathing problems. We discuss the issue of sinus problems as well as the rhinoplasty options to address and correct this condition.” The newly expanded article database also covers nasal disorders such as a deviated septum and cleft lip and palate. The senior editor went on to say “these are two topics that often need to be explained to the public. Many people aren’t sure how to tell if they suffer from a deviated septum. Also, parents are looking for information about how to help their children born with a cleft lip or palate. Our articles give them an overview about these conditions as well as information about their medical options.” According to the senior editor, the team at usrhinoplasty.org plans to grow its nasal disorder article database throughout 2017. He went on to say “advancements and improvements in the field of rhinoplasty make it a popular subject among patients and the medical community. The website will feature updates throughout the calendar year about the development of any new nasal disorder rhinoplasty techniques or studies related to the subject conducted by the medical community.” About USRhinoplasty.org USRhinoplasty.org aims to be the number one resource for information and issues related to rhinoplasty for both current and future patients.