ASDS Survey: Consumers Very Satisfied with Cosmetic Skin Treatments

Cosmetic Skin TreatmentsThe American Society for Dermatologic Surgery (ASDS) conducted a survey to find out to what extent patients are satisfied with some common cosmetic skin treatments. The results were interesting and most of the consumers expressed high satisfaction for wrinkle-relaxing injections, soft-tissue fillers and body sculpting treatments.

It was the second annual ASDS Consumer Survey on Cosmetic Dermatologic Procedures and more than 8,300 people responded. Opinions on cosmetic treatments in general and ratings for 10 specific procedures were collected. Here are the interesting findings of the survey.

  • Wrinkle-relaxing injections, soft-tissue fillers and body sculpting treatments received satisfaction ratings of 90 percent or above for the second consecutive year.
  • Those individuals who were “extremely satisfied” with the treatments showed significant increase in all three categories.
  • Consumers were most satisfied with wrinkle-relaxing injections to soften facial lines and crow’s feet.
  • Body sculpting procedures also received a high rating as regards consumer satisfaction.

The body contouring treatments opted for included tumescent liposuction performed under local anesthesia; cryolipolysis or fat-freezing treatment, laserlipolysis that safely and effectively removes localized, stubborn pockets of fat; and radiofrequency and ultrasound assisted non-invasive treatments. Another ASDS survey revealed that more patients are seeking body sculpting procedures. They noted a 16 percent increase from 2013 and a 53 percent rise since 2012.

Botox, Dysport and Xeomin were among the popular wrinkle relaxing treatments. Soft tissue fillers such as Juvederm that can effectively smooth wrinkles and folds and add facial volume were rated very high. These short procedures offer impressive outcome in minimal downtime when performed by the right physician.

The increased treatment effectiveness and safety might have resulted in improved satisfaction ratings. The reasons consumers underwent these cosmetic procedures were to look as young as they feel, to appear more attractive and to boost confidence. These were the reasons cited last year, as well.

Despite the treatment efficiency and the possibilities, undergoing any aesthetic procedure in a reliable plastic surgery practice under the guidance of a skilled and experienced surgeon does matter in experiencing optimal outcomes.

Study – Multifaceted Protocol can Reduce Hematoma Risk after Facelift Surgery

Multifaceted ProtocolAccording to a recent RealSelf survey, the risk of complications from the surgery is one of the main fears of people going under the knife. When it comes to facelift surgery, hematoma (clotted blood caused by a break in the wall of a blood vessel) is one of the major complications that can occur. A study published earlier this year in Plastic and Reconstructive Surgery sought to offer the solution by proposing a new protocol that can reduce post-facelift hematomas.

The research from University of Texas Southwestern Medical Center in Dallas involved more than 1,000 of facelift patients over several years. It was based on a multifaceted anti-hypertension regimen used to reduce hematomas.

The regimen proposed includes the use of general anesthesia as well as both preventive and responsive hypertension medicines in order to keep blood pressure below 140 mmHg during and after facelift surgery. It sought to address:

  • Patients’ pre-operative health
  • How the body reacts during and after surgery

According to the researchers, in normal cases, incidence of hematomas in facelift patients range from 2% to 8% in women and about 13% in men. When the proposed protocol was applied, it went down to less than 1% of the 1,089 patients, which was the lowest ever officially recorded.

The study notes that high blood pressure is a well-known risk factor for hematomas, but while studies have stressed the importance of hypertension control during facelift surgery, not much has been said about addressing the risk of hematomos. This led them to develop guidelines to improve the safety and outcomes of this cosmetic surgical procedure.

A report in the Cosmetic Surgery Times quotes the lead surgeon: “This safety-outcomes study supports the idea that strict blood-pressure control significantly reduces the likelihood a patient will develop a hematoma. Our positive results also suggest the regimen we used could be used by others to help control the occurrence of hematomas after facial surgery.”

More than 10 million surgical and non-surgical cosmetic procedures were performed in the United States in 2014, and according to the American Society of Aesthetic Plastic Surgery (ASAPS), facelifts are among the most commonly requested surgeries by seniors.

Boomerang Technique Found to be a Practical Treatment Option for Gynecomastia in Muscular Men

Boomerang TechniqueMale breasts or gynecomastia is a major aesthetic concern for men, and this condition doesn’t spare even bodybuilders. However, safe cosmetic procedures available can correct gynecomastia bringing about a more masculine appearance. Now, men stand to benefit from yet another practical surgical technique that will help them achieve their aesthetic goals. A recent study notes that the innovative ‘Boomerang’ technique can safely and effectively correct this condition among muscular men who have shed significant amounts of weight. In this method, gynecomastia is successfully resolved as part of comprehensive body contouring surgery.

Muscular men must have tight enough skin to reveal the superficial large muscular development. Optimal results are achieved via single or multistage comprehensive body lift surgery that would address overall skin redundancy and gynecomastia. In this new ‘Boomerang’ breast reduction method, a series of opposing boomerang-shaped elliptical excisions are designed to join above the nipple and extend transversely to complete the upper body lift (UBL).

The above mentioned study appeared in the February 2015 issue of Plastic and Reconstructive Surgery. For this study, the office charts of 24 patients who underwent boomerang-pattern correction for gynecomastia were reviewed. These were the records since 2002 and the patients involved were followed up for more than a year. In the last twelve of the ‘Boomerang’ technique patients, a J torsoplasty extension replaced the transverse UBL. Eleven patients had an extended abdominoplasty with oblique excisions over bulging flanks to complete effacement of the torso. The results observed are as follows.

  • Satisfactory improvement was observed in all 24 boomerang cases.
  • Only one among the men felt unsatisfied with distorted nipples following revision surgery.
  • Surgeons involved in the study noted that maturation of scars was a lengthy process and some took years to flatten and fade.
  • Only a limited number of complications were reported and no major revisions were required.

This innovative surgical technique has emerged as a good body contouring option for muscular men who have undergone massive weight loss. With the optimal results it ensures, men can confidently engage in beach parties and gym activities. The surgery demands considerable skill and experience on the part of the plastic surgeon and therefore it is vital that patients approach a good surgeon with excellent credentials.

Botox Improves the Pliability and Elasticity of the Skin, Says New Study

BotoxBotox is a non-surgical cosmetic procedure that enjoys tremendous popularity largely because of the excellent aesthetic results it offers. This cosmetic injection is known for its ability to temporarily reduce the appearance of facial wrinkles. When it is injected into the treatment area, it temporarily relaxes the muscles that cause wrinkles. Studies have found that Botox can treat a number of medical conditions such as chronic migraine, cervical dystonia and overactive bladder.

Researchers from Canada conducted a study to investigate the effects of Botox on the skin. Two important features – pliability (stretchiness) and elasticity (the ability to recoil) were specifically considered in the study. Among these two age-related changes, loss of skin elasticity is the most prominent.

A total of 48 women (average age of 55 years) were involved in the study. These women underwent Botox injections to lessen the appearance of mild wrinkles on the forehead and around the eyes. The effect of those two factors was assessed at 2 weeks, 2 months, 3 months and 4 months following the treatment.

  • 43 women completed the study
  • Improvement in the pliability and elasticity of their skin was found for up to 4 months
  • The duration of this impact was similar to that of the muscle-relaxing effects of Botox
  • The skin properties returned to baseline levels after this period

The skin may be subject to damage due to exposure to ultraviolet (UV) radiation and Botox cosmetic injection was found to have a positive effect on the skin by reversing these damages.

These findings are sure to help out surgeons in developing new strategies or refining the present strategies for long-term planning of anti-aging treatments. Botox is already popular among both men and women around the world and further findings are expected to improve its acceptance.

Botulinum Toxin was the most popular non-surgical procedure performed last year as a total of 4,830,911 people underwent it in 2014, says the International Society of Aesthetic Plastic Surgery (ISAPS) survey. These procedures made up 45.6% of the overall non-surgical procedures performed worldwide last year.

Possible Medical Benefits Add to the Appeal of Tummy Tuck Procedure

Tummy TuckTummy tuck is a widely performed body contouring procedure that can effectively remove excess skin and fat from your abdomen and tighten the stomach muscles to achieve a flat, attractive midsection. A procedure provided for both men and women, an experienced plastic surgeon can ensure outstanding aesthetic results. For women, it is often performed with mommy makeovers to restore the pre-pregnancy figure. This cosmetic surgery is also a good option to contour the abdomen after extreme weight loss in a short period of time.

As this report points out, the number of tummy tuck procedures performed between the years 2000 and 2014 increased by an impressive 87 percent, according to the American Society of Plastic Surgeons. In addition to the aesthetic benefits, the procedure offers certain medical benefits too.

  • Some women can develop a bladder control problem, Stress Urinary Incontinence (SUI) after vaginal birth. It is associated with out of control leakage when they cough, sneeze, exercise or even when laughing. Though SUI is typically treated without surgery, women who require more care especially those who hadn’t undergone caesarian section, tummy tuck surgery can help with recovery. To reduce incontinence, a minor bladder obstruction is created near the pelvic area by using soft tissue.
  • This procedure can surgically tighten weak muscles that are often associated with lordosis (excessive inward curvature of the spine). As the tightened muscles support the spine, patients will notice an improved posture. This can also help in relieving certain types of back pain.
  • When the intestine or abdominal tissue breaks through the abdominal wall and forms a pocket or sack, it results in a condition called ventral hernia. This is often caused due to abdominal weakness. As abdominoplasty can correct weakened adnominal muscles and pressure on the skin, it can help with hernia repair. A good surgeon may sometimes consider adding an abdominoplasty procedure to the hernia repair in order to strengthen the abdominal wall and avoid future occurrences.

Long term benefits of tummy tuck include an improvement in overall health and well-being. Feeling good about your appearance will in turn boost your self confidence. Through regular exercise and a healthy diet, you can maintain the results for long.

Study: Innovative 3D Imaging Helps Measure the Effectiveness of Injectable Wrinkle Reducers

3D ImagingInjectable wrinkle reducers such as Botox and Dysport have introduced a new era of non-invasive facial rejuvenation possibilities. People opt for these safe procedures to reduce wrinkles and restore youthfulness to the treated area. Injectable fillers reduce or improve the appearance of wrinkles by relaxing the muscles responsible for their development. According to a new study published in the May 2015 issue of Plastic and Reconstructive Surgery, an innovative 3D imaging technology can help measure the effectiveness of wrinkle reducing injections, not only when given for cosmetic purposes but also when used to reduce facial paralysis for Bell’s Palsy and stroke patients.

Three-dimensional speckle tracking photogrammetry that is often used in the automotive and aerospace industries for accurate measurement may be used to measure the efficacy of injectable wrinkle reducers, according to the study team. The photogrammetry technique makes use of photography to measure distances between objects. Researchers say that this concept can be used to measure dynamic facial wrinkles and their reduction after administering the injection. Fourteen patients were evaluated using a dual camera system and 3-dimensional optical analysis. Black speckle makeup and white foundation were randomly applied to each patient before injecting 20 units of filler in the area between the eyebrows, and two weeks after the injection. Digital camera was used to track the motion of the speckles. Analysis was made of the wrinkles in the treated areas, and before-and-after-treatment heat maps were obtained. Light blue color represented the wrinkles in the pre treatment heat map and it was found that the light blue was mostly replaced with yellow and green. These new colors signified reduced skin compression or wrinkling. This system also enables accurate measurement of wrinkle reduction.

  • When injected in the forehead, horizontal compression or wrinkling decreased from 9.11 percent to 2.60 percent and from 4.83 percent to 0.83 percent
  • Average vertical stretch during brow furrowing decreased from 2.51 percent to 1.15 percent
  • Average vertical stretch in the forehead decreased from 6.73 percent to 1.67 percent

The study author says, “As new therapies and expanded applications become available for anti-aging and the treatment of neuromuscular disorders, this method may make it possible to quantify clinical efficacy and establish precise therapeutic regimens,…..Though future studies will need to explore the use of digital image correlation in larger groups, our results are the first to show the modality can be applied to study a range of challenges in plastic surgery.”

Study Examines Changes in Personality Perception after Face Lift Surgery

Face Lift SurgeryA facial rejuvenation procedure is supposed to make your look more attractive, which typically translates to ‘more youthful’. However, a new study led by cosmetic surgeons from the Medstar Georgetown University Hospital, Washington DC, says that facelift surgery can do more than just enhance youthfulness. The study says that this cosmetic procedure can improve how other people perceive you.

The basis of this hypothesis is not something new. Like it or not, the human tendency is to judge people based on their looks. What the researchers did was to evaluate and quantify the changes in personality perception after various types of facial rejuvenation surgery. The results of the study were published in JAMA Facial Plastic Surgery and reported in Medical News Today.

A group of 170 people were shown preoperative and postoperative photographs of 30 white female patients and asked to rate them based on six personality traits – aggressiveness, extroversion, likeability, trustworthiness, risk-seeking and social skills. The procedures that the women had undergone included facelift, upper and lower eyelid surgery, eyebrow-lift, neck-lift and/or chin implant.

After looking at the pictures before and after surgery (which were standardized and controlled for bias), the results given by the raters showed that besides improvement in attractiveness and femininity, there was:

  • A notable improvement for likeability and social skills when preoperative scores were compared to postoperative scores
  • A improvement (though not a statistically significant one) in scores for the other personality traits such as aggressiveness, extroversion, trustworthiness and risk-seeking

The lead author also noted that, “Having a facelift and lower eye lift were the two procedures that appeared to garner more favorable reviews after surgery, with the lower eye lift carrying a little more weight.”

The study indicates that plastic surgeons need to look beyond achieving the trait of youthfulness when evaluating a patient for a facelift.

“The comprehensive evaluation and treatment of the patient who undergoes facial rejuvenation requires a broader understanding of the many changes in perception that are likely to occur with surgical intervention. The face is not defined by youth alone,” the study concludes.

ASDS Reports Rise in Popularity of Body Sculpting Procedures

Body Sculpting ProceduresThe American Society for Dermatologic Surgery reports that the results of a survey it conducted in 2014 show that body sculpting treatments are increasing in popularity. According to the ASDS press release, its members performed more than 207,000 body sculpting procedures in 2014, marking a 16 percent increase from 2013 and a 53 percent rise since 2012.

ASDS sent the survey to 3,980 practicing ASDS members and 826 physicians responded by reporting 2014 data from January 2 to February 6, 2015. Here are some of the interesting findings:

  • The most popular treatment was cryolipolysis with 79,000 procedures performed in 2014. This novel treatment reshapes the body by the cooling and breaking down the fat cells which are eliminated through natural metabolic processes – all while preserving the surrounding tissues.
  • Radiofrequency procedures ranked second with 49,000 treatments performed in 2014.
  • Tumescent liposuction came third with about 32,000 procedures.
  • Laser lipolysis was the fourth most popular body contouring treatment with 14,000 procedures.

The President of the American Society for Dermatologic Surgery says, “Body sculpting is among the fastest-growing areas in cosmetic dermatology….The results patients are seeing from these procedures combined with minimal recovery time make body sculpting an appealing option for more and more patients each year.”

Study Finds Increased Risk of Drooping Upper Eyelids among Contact Lens Users

Drooping Upper EyelidsMany people prefer to wear contact lenses rather than glasses as it helps them look the way they want and enjoy freedom of movement. Contact lenses are a healthy, comfortable and convenient vision correction option when handled carefully. However, the American Society for Aesthetic Plastic Surgery (ASAPS) reports that a recent study published in the Aesthetic Surgery Journal reveals that wearing contact lenses increases the risk of drooping upper eyelids.

The research found that both hard and soft contact lenses may contribute to ptosis, (the medical term for drooping upper eyelids). The study was conducted on twins who wore soft contact lenses, hard ones and those who did not wear contact lenses. The researchers analyzed 96 sets of identical twins with differing severity of drooping eyelids. They looked for an association between drooping eyelids and factors such as body mass index (BMI), sun exposure, smoking, alcohol consumption, sleep and work-related stress were studied. None of these factors were seen to have a notable impact on drooping eyelids.

The study found that:

  • Twins who wore hard contact lenses had the greatest severity of the drooping eyelids with mean ptosis measurement of 1.84 mm
  • Twins who wore soft lenses had less severity of the drooping eyelids with mean ptosis measurement of 1.41 mm
  • Twins who did not wear contact lenses had a mean ptosis measurement of 1.00 mm

According to the lead surgeon, such small differences are significant when it comes to the eyelids and plastic surgeons who specialize eyelid surgery (blepharoplasty) confirm that even a ½ millimeter can make a big difference when it comes to vision and overall appearance.

Wearing contact lenses was found to be the only external factor that was linked to ptosis, and the lead surgeon involved in the study said that that their research attributes this to “the recurrent traction of the eyelid during placement and removal of the lens”.

Fat Grafting revolutionizing Plastic Surgery, say Experts

Fat GraftingExcess fat is a major concern for most men and women as it significantly affects physical appearance. Fat is even more problematic when it is resistant to diet and exercise. Advanced body contouring techniques such as Smartlipo Triplex laser liposuction now help resolve the issue, effectively removing the troublesome localized deposits of fat and simultaneously tightening the skin to result in a well-toned look.

Plastic surgery is also performed to enhance or replace lost volume in areas like the breasts, buttocks and face, and the standard solution is to use implants. However, with more patients seeking natural looking results, fat grafting evolved as the solution. The procedure involves using the patient’s own fat removed through liposuction to enhance areas of the body that need subtle improvement. In addition to providing a natural look and feel, augmentation using autologous tissue has also turned out as a great option to improve specific features without having to insert foreign material in the body.

At a recent meeting, top-tier surgeons of the American Society for Aesthetic Plastic Surgery conceded that fat grafting is revolutionizing plastic surgery. They discussed new fat grafting techniques, their uses and combined procedures to produce natural results. A report on the discussion highlighted the views of leading surgeons on the possibilities, applications and unique features of fat transfer.

  • In addition to the breast and buttocks, fat grafting is proving useful to create more definition in earlier neglected areas such as women’s and men’s shoulders, legs, pectorals and stomach.
  • When the patient’s own tissue is used, the chances of body rejecting it are minimal, which improves the rate of success of the procedure.
  • Fat transfer treatment offers flexibility to contour the overall body shape. This is because fat can take on the physiologic component of whatever it is adjacent to, such as the bone or muscles.
  • As more people now prefer a prettier and perkier look with good shape and proportion to an increase in size, fat transfer can do a lot more than implants.
  • While implants are useful only for augmentation, fat is an ‘artistic sculpting tool’ as it can fill in defects, contour and reshape.
  • Grafting complements implants such as in composite breast augmentation, the method that is ideal when a patient wants significant augmentation or enhanced cleavage that fat or an implant alone cannot provide. Fat transfer also helps in breast lift surgery.

The surgeons also pointed out the limitations of fat grafting. Its applicability depends on various factors such as the quality of the skin, bone structure and how much the patient’s tissue can stretch. As in the case of breast implants, the volume of fat used has to suit the patient’s tissues. As with any aesthetic procedure, patient’s need to have realistic expectations about what fat grafting can achieve. The fat retention rate differs among body areas – it is an average of 40% in the breast, 60% in the buttock and 60% in the calf or legs.

When performed by a skilled and experienced surgeon, the fat grafting technique can improve overall physical appearance, and there is little doubt about the fact that it holds great promise for the future of aesthetic plastic surgery.