Lexington Plastic Surgery News | The Center for Plastic Surgery | Sandra Bouzaglou, MD, FACS
How to Get Red Carpet Ready Skin
The Oscars are one of Hollywood’s biggest nights. Celebrities spend countless hours preparing for the long walk down the red carpet of the Kodak Theater with the hope of achieving glowing skin, flawless make-up, and rave reviews for their look.
To the average person it may seem like a lot of work but getting that red carpet ready skin (think Gwyneth) is easier than you think. The key is to implement a few things into your normal skincare routine that will enhance your skin's radiance and youthful appearance, and also look healthy, smooth and blemish free.
Here are a few tips:
To get a gorgeous glow: Start by hydrating – lots of water. If you can’t make it to the salon or spa for a facial, look for a facial mask with moisturizing properties. It will minimize the appearance of pores, and give you a glowing complexion. Masks with saffron, aloe vera, and kaolin clay are popular among top celebrities.
Next exfoliate. A great product to gently exfoliate and keep your skin clean is Clarisonic (Faith Hill is a fan). You can also try a two-step exfoliation starting with a scrub followed by a chemical peel.
To smooth fine lines: There are several good anti-aging products on the market today to smooth fine lines. Look for a product that contains glycolic acid, which works not only on the surface of the skin, but also in the layers you can’t see. Glycolic acid is a rapid exfoliate and will leave your skin feeling smooth and soft. Over time these products can also lighten sun spots and stimulate collagen production giving you a more youthful appearance. Ask your doctor what product is best for your skin type.
To diminish wrinkles: A topical treatment may not be enough to remove those wrinkles. Botox and Dysport or dermal fillers such as Artefill, Juvederm or Restylane can help with little to no downtime.
To calm redness: Follow-up exfoliation with a toner. This will whisk away dead cells and keep shine in check without over-drying. There are several categories of toners to choose from so make sure you pick the one that best suits your skin type. The percentage of alcohol varies and could actually do more harm than good. Follow toner with a cold mask and it should reduce any signs of redness.
To take away the puffiness: Take wheat and dairy out of your diet and you can remove some of the puffiness and breakouts that may occur the week leading up to an event. Lots of water and fresh juices can also make your skin look more vibrant.
Simple steps every day and regular visits to your skin care professional can help you, and your skin, shine like the star that you really are.
Reconstruction leaves breast cancer patients feeling whole again Television host Giuliana Rancic announced that she would undergo reconstruction immediately after she receives a double mastectomy to treat a recurrence of breast cancer. Advances in reconstructive techniques yield more natural-looking results and high patient satisfaction, says ASPS member Dr. Eugene Elliott. "Psychologically, patients that choose to undergo reconstruction tend to be much more positive and forward thinking, anticipating feeling and looking 'whole' again as an integral part of their recovery from breast cancer," he said. The Orange County Register (Santa Ana, Calif.) (12/6) LinkedIn Facebook Twitter Email this Story From Medscape
Medical News Breast Reconstruction: Rates Growing, Still Underused October 27, 2011 (San Francisco, California) — Women with breast cancer are undergoing postmastectomy breast reconstruction in larger numbers than ever, but the procedure is still underused and disparities in access persist, according to a large review presented here at the American College of Surgeons (ACS) 97th Clinical Congress. Other investigators reported long-term durability and good cosmesis over time with the autologous transverse rectus abdominis myocutaneous (TRAM) flap reconstructive procedure. The 2 presentations earned "Posters of Exceptional Merit" awards. Immediate Breast Reconstruction Still Underused Until now, studies evaluating trends in cancer care have suggested that immediate postmastectomy breast reconstruction is underused and that there are racial and socioeconomic disparities in delivery. "These findings have prompted legislation designed to increase utilization. However, little is known about these trends over the past decade," said Mark Sisco, MD, from the NorthShore University Health System in Evanston, Illinois. "This study sought to look at trends in reconstruction over time, and to see what is happening in terms of these disparities." To achieve this, Dr. Sisco and colleagues reviewed data from the National Cancer Data Base of the American College of Surgeons and the American Cancer Society. This is a nationwide oncology outcomes database for more than 1500 accredited cancer programs in the United States and Puerto Rico. Their analysis included 396,434 patients undergoing mastectomy for nonmetastatic invasive breast cancer between 1998 and 2007. They identified 134,479 women who had immediate and early breast reconstruction (within 90 days) between 1998 and 2000 and 105,114 who underwent the procedure between 2005 and 2007. The analysis showed that the use of breast reconstruction, both autologous and implant-based, almost doubled over time, from 12% in 1998 to 23% in 2007, a trend that was observed in almost all patient subsets. "This is great. We have come a long way. But a rate of 23% still means that 77% of women are not, as of 2007, having immediate postmastectomy breast reconstruction," Dr. Sisco noted. There also remained subpopulations of patients who were not having reconstructive procedures at the same rate as others, he added. After adjusting for tumor characteristics that might affect eligibility for reconstruction, they determined that patients were most likely to have immediate reconstruction if they were younger than age 50 years, non-African American, privately insured, cared for at an academic medical center, or residents of a large metropolitan area (>1 million persons) or had higher census-derived household income ($46,000 or greater). For this subset, the differences were highly significant compared with other groups (P < .001). Despite the overall increase in utilization, none of these disparities have significantly narrowed over both time periods, Dr. Sisco reported. "We are doing better at getting reconstruction to women, which is terrific," he said. "The disproportionate share of the gains [is] among the more affluent patients and those in major medical centers, so in that 'low-hanging fruit' we are getting somewhere. But it is clear that we haven’t done a very good job of narrowing the gap in all patients." Longevity of TRAM Flaps Examined In a second study, Chris D. Tzarnas, MD, and colleagues from Temple University School of Medicine, Philadelphia, Pennsylvania, assessed the long-term outcomes of the TRAM flap, which has been increasingly used for reconstructive procedures. The first author and presenter was Wendy Grunberg, DO. The researchers reviewed the outcomes of 294 patients (mean age, 49 years) who underwent TRAM flap breast reconstruction between 1982 and 1996 (68% had immediate reconstruction) and who were followed for 15 to 29 years. They assessed the durability of the reconstruction, maintenance of symmetry, incidence of procedure-related complications, and long-term outcomes. A review of the medical records, and personal interviews with some patients, indicated the reconstructions were still intact, and very few women required additional operations. Implant-based reconstructions, on the other hand, often rupture or harden over time, Dr. Tzarnas pointed out. Three of 294 patients experienced local cancer recurrence in the flap. Seven percent of patients developed fat necrosis or partial flap loss requiring debridement. Only 1.5% had abdominal skin necrosis. There were no total flap losses and no true hernias, Dr. Grunberg reported at the meeting. "And all the patients reported being satisfied with their reconstruction," she noted. "The cosmetic results were assessed using photographs, and their long-term outcomes were good." "This is the largest series of patients to date with the longest follow-up period for post-TRAM flap breast reconstruction in the published literature," Dr. Grunberg noted. "This demonstrates that it continues to remain a viable option for postmastectomy breast reconstruction, as long-term outcomes prove the durability of this method." Dr. Tzarnas added, "The best reconstructions are those that try to replace everything that is removed. And that has been, and I think continues to be, using the TRAM flap. It's good to show that these reconstructions are doing well and holding up long term." Need for More Awareness Among Both Providers and Patients Dr. Sisco acknowledged that medical guidelines are a work in progress, but more than'physician education is needed. "Our study really underscores the importance of continuing efforts to improve access to reconstructive surgery, in part by educating both the providers that it's safe for women to have immediate postmastectomy reconstruction but also the patients that breast reconstruction is not considered cosmetic surgery," he said. Poster discussants Barbara L. Bass, MD, and Leigh A. Neumayer, MD, agreed. "Dr. Sisco's study shows that immediate reconstruction is still relatively uncommon. A lot of women continue to believe this will make it more difficult to detect recurrence. Also, many women don't realize this is really a natural part of the surgery, that reconstruction is an integral part of breast cancer care," said Dr. Bass, from Methodist Hospital in Houston, Texas. Added Dr. Neumayer, from the University of Utah in Salt Lake City, who has also studied the breast reconstruction trend, "Patients often also look at other breast cancer patients, and if they haven’t had reconstruction and are alive and well, they say they will follow that path. It's awful to see these rates so low." Regarding the durability of the TRAM flaps, both surgeons viewed the data as very important and encouraging. "This is great long-term follow-up. It's hugely durable," Dr. Neumayer commented. "TRAM is a great adjunct, especially for unilateral reconstruction." Both surgeons acknowledged, however, that there are other effective reconstruction methods, some of which do not require moving muscle, though the TRAM procedure can be performed in a shorter surgical procedure. Dr. Tzarnas, Dr. Grunberg, Dr. Sisco, Dr. Bass, and Dr. Neumayer have disclosed no relevant financial relationships. American College of Surgeons (ACS) 97th Annual Clinical Congress. Abstracts SE100 and SE101. Presented October 25, 2011.
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confirms safety of today's silicone implants An expert panel concluded that currently marketed silicone breast implants are safe. The committee agreed that patients no longer need to be advised to get a magnetic resonance imaging test three years after getting implants and every two years thereafter to check for ruptures. New York Times (tiered subscription model), The (08/31) BREAST LIFT SURGERY What is breast lift surgery? Commonly referred to as a breast lift or boob lift, mastopexy surgery raises and firms the breasts by removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. Enhancing your appearance with a breast lift A woman's breasts often change over time, losing their youthful shape and firmness. These changes and loss of skin elasticity can result from: Pregnancy Breastfeeding Weight fluctuations Aging Gravity Heredity Sometimes the areola becomes enlarged over time, and a breast lift will reduce this as well. A breast lift can rejuvenate your figure with a breast profile that is youthful and uplifted. What breast lifts don't do Breast lift surgery does not significantly change the size of your breasts or round out the upper part of your breast. If you want your breasts to look fuller, consider breast lift and augmentation surgery. If you want smaller breasts, consider combining breast lift and reduction surgery. Is it right for me? Breast lift surgery is a highly individualized procedure and you should do it for yourself, not to fulfill someone else's desires or to try to fit any sort of ideal image. A breast lift is a good option for you if: You are physically healthy and maintain a stable weight You do not smoke You have realistic expectations You are bothered by the feeling that your breasts sag, have lost shape and volume Your breasts have a flatter, elongated shape or are pendulous When unsupported, your nipples fall below the breast crease Your nipples and areolas point downward You have stretched skin and enlarged areolas One breast is lower than the other
Learn more about Lexington, KY Plastic Surgeon Sandra Bouzaglou, MD, FACS & her team at The Center for Plastic Surgery by reading featured news & up to date information below.
The Center for Plastic Surgery & The SurgiCenter Team
Red Lipstick Filler Night
September 27, 2011
An independent panel was convened by the RAND Corporation to discuss ALCL and breast implants. This paper, which discusses the results of the structured expert consultation process, has undergone peer review and been accepted for publication by Plastic and Reconstructive Surgery - the official medical journal of the American Society of Plastic Surgeons.
In Selected Cases, Immediate Reconstruction Provides Good Results with Low Complication Rate
For Immediate Release: 04/11/2011
ARLINGTON HEIGHTS, Ill. - Immediate breast reconstruction using implants provides a new alternative for many women undergoing mastectomy for breast cancer, suggests a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).
Although it's not appropriate for all women, immediate breast implant placement provides "very good aesthetic results" with a low complication rate, according to the report by ASPS Member Surgeon Christopher A. Crisera, MD and colleagues at University of California Los Angeles. Immediate implant placement may also help lessen psychological distress, while reducing the need for multiple surgical procedures and associated costs.
Good Results with Immediate Implant Placement after Mastectomy
Dr. Crisera and co-authors report on the results of immediate implant-based breast reconstruction in 35 women with breast cancer. In this procedure, breast reconstruction with silicone-gel implant placement was performed immediately after mastectomy. The women's average age was 45 years; most underwent double mastectomy with immediate reconstruction of both breasts.
The immediate implant reconstruction technique was made possible by the use of modern surgical materials and approaches including "skin-sparing" mastectomy techniques that preserve the normal breast skin. The results were assessed an average of 15 months after surgery.
Six of the women had some type of complication-a rate of 16.6 percent. Only one of these complications was serious enough to cause loss of the implant. Overall, 37 percent of the women required additional surgery for revision.
The aesthetic results were rated good to excellent with an average score of 3.19 on a 1-to-4 rating scale. Complication and revision rates were higher for women who had undergone radiation therapy for breast cancer, who had large breasts (D-cup or larger), and who had ptotic (sagging) breasts. The same characteristics were also associated with lower aesthetic scores.
Immediate implant placement offers some potentially important advantages over other approaches to reconstruction after mastectomy. By avoiding the need for a separate reconstructive surgery, it reduces anesthesia and other surgical risks.
Immediate reconstruction may also lessen some of the psychological distress associated with mastectomy. In addition, it can reduce hospital days and costs. In the current study, the average hospital stay was less than two days.
Although more research is needed, the results suggest that immediate implant placement provides a valuable new approach to breast reconstruction after mastectomy. Dr. Crisera and co-authors conclude: "We believe that the possible advantages of immediate single stage implant based reconstruction, such as the potential to complete reconstruction with fewer operations and in less time and cost warrant its use in the appropriately selected patient."
Plastic and Reconstructive Surgery® is published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health.
Let's Go Red Luncheon December 2010
Dr. Bouzaglou & Team
American Heart Association
Go Red for Women - December 3, 2010