Archive for May, 2009

Surgical Enhancement: A Career Perk?

Friday, May 29th, 2009

Medical practices in Prague are offering free surgical enhancements to nurses as an employment incentive, according to this NY Times article. One nurse opted for breast augmentation and liposuction, free of charge.

The piece raises some interesting ethical questions: While the procedures could certainly be beneficial to individual nurses in the short term, would such a practice harm the nursing profession as a whole?

According to reporter Dan Bilefsky, nurses in the region “insist they are under enormous pressure to look good in a society where attractiveness is often as highly prized as clinical skills.”  Critics argue that the incentives could promote an idealized body image for nurses, in a profession already suffering from misconceptions about technical competence.  A spokeswoman from the Czech nurses association argues that nurses are still perceived as “low level workers” with little to offer besides manual labor.  Nurses after all, aren’t intended to be models, but caregivers that provide an enormous benefit to the medical profession and the public they serve.  A misplaced emphasis on their physical appearance could undermine public perceptions of their competence and value.

Still, others may not see any problem with offering incentives through procedures like breast augmentation or rhinoplasty; perhaps they’re analogous to employee discounts at a retailer, vacation packages, or other career perks.

The ethical issues being discussed probably aren’t a product of the incentive programs alone, but rather an objection to the sexism and discrimination that underlie them.

New Cosmetic, Therapeutic Uses For Botox Still Emerging

Thursday, May 28th, 2009

Botox injection works to smooth out facial wrinkles; that’s been firmly established. Surgeons across the country have chosen it as a primary wrinkle treatment. But that’s hardly been the extent of the drug’s usage. If you do a little research, you’ll find physicians using Botox for a wide variety of new and interesting purposes.botox-100units

Years ago, the Journal of the American Academy of Dermatology published the results of a survey (conducted by researchers from Allergan Inc) about sweating. It revealed that approximately 3 percent of the U.S. population (7.8 million people) experiences excessive sweating, and less than half of the respondents had sought medical help for the problem. Botox blocks the localized release of a specific chemical that stimulates sweating, so the FDA has approved it for this use.

Many doctors have used Botox to treat headaches, and their basic procedures are not much different than those of wrinkle treatment. Although it’s not entirely clear how the Botulinum toxin provides relief (it may work to inhibit pain-transmitting nerves), but many patients suffer through fewer headaches after getting Botox treatment.

Last March, the NY Times published a story on off-label Botox use to treat people who have suffered a stroke and experience difficulty relaxing certain muscles. According to the experts, “only about 5 percent of the stroke patients who could benefit from its use ever get it.”

Aside from these therapies, surgeons and dermatologists are finding even more cosmetic uses for Botox. Dr. Lawrence Reed recently told an ABC news affiliate that “we’re at the tip of the iceberg where Botox is going to be used.” Reed has apparently been pioneering some interesting new cosmetic applications.

For acne, Dr. Reed injects Botox just below the skin: “It decreases the muscle pump and blocks the production of oils, so we use it for acne,” he claims. They also found success using Botox to supplement laser skin resurfacing and other procedures.

If you’re considering Botox for any off-label use, make sure you choose a qualified physician. Despite the optimism surrounding Botox as a ‘wonder drug’, there have been complications and side effects associated with off-label use and inexperienced providers.

Dysport – The Botox Competitor – Now FDA Approved

Thursday, May 28th, 2009

dysport-reloxin1Dysport – the new Botox competitor from Ipsen and Medicis Pharmaceutical – just received FDA approval for treating wrinkles and dystonia. Plastic surgeons and dermatologists expect to have the drug available in about 30 days.

Although Medicis had planned to rebrand the product as ‘Reloxin’, they ultimately decided to retain its original European name, Dysport. (pronounced Diss-port).

Botox and Dysport both perform the same basic function – neuromuscular blocking to relax and prevent wrinkles. Dysport is said to be more diluted than Botox and perhaps, more cost effective for providers.

The April 30th announcement coincided with a 3 percent drop in Allergan’s (maker of Botox) shares, as Medicis shares jumped 14 percent. Analysts and industry professionals expect Dysport to carry a slightly lower price tag than Botox, and speculate that it may capture 30 percent of the market.

More Cosmetic Surgery Consultations Go ‘Virtual’

Thursday, May 28th, 2009

reception1At our Kentucky surgery practice, we believe the consultation is an opportunity to educate our patients and familiarize them with our procedures.

Multiple web-based communication tools have emerged to aid in this process, with email being the most prominent. Prior to a consultation in person, you can write us with questions and concerns you may have.

As more patients decide to research plastic surgery online, the popularity of these services will grow. CNN reports that some surgeons have gone as far as implementing a “virtual consultation” using live chat services like Skype or iChat. These platforms are known for being user-friendly. One East coast surgeon claims that roughly 15 percent of his patients opt for his virtual consult.

Surgeons abroad have also capitalized on the technology, which has greatly increased their clientele. For the potential patient or customer, it’s a great way to gather information or determine their comfort level with a particular surgeon. Michael Boeckle, who helps schedule surgery “vacation packages” says, “patients usually do not pick their doctor by price, but by how comfortable they feel with the information they have received.”

With any method you use to contact us, we can ensure your privacy. We’ll also do our best to address your questions in a timely manner.

Breast Implants Surpass Liposuction in Popularity

Friday, May 8th, 2009

breast_implants_poolIndustry statistics from 2008 indicate a shift in the popularity of certain cosmetic surgery procedures, most notably with breast implants. According to the ASPS, last year marked the first time that breast augmentation procedures surpassed liposuction procedures.

341,144 liposuctions were done in 2008, while breast augmentations numbered a surprising 355,671 during the same time period. “For the first time in the twelve years these statistics have been collected, liposuction is a runner up in popularity to breast augmentation”, said ASPS President Alan Gold.

Dr. Gold theorizes: “Changes in fashion, i.e. décolletage baring styles, might be a factor in bringing about this change. This turnabout will generate discussions in the medical community and the public at large”, he predicts.

We’re curious about what our readers think. Is this change surprising? Is it an obvious result of “changes in fashion”?