Lu-Jean Feng, M.D., is the founder and medical director of the Clinic and is the one and only plastic and reconstructive surgeon on staff. She is board certified, has more than 28 years of experience and is recognized on a global level.
Lu-Jean Feng, M.D., is the founder and medical director of the Clinic and is the one and only plastic and reconstructive surgeon on staff. She is board certified, has more than 28 years of experience and is recognized on a global level.
In the past, cosmetic surgery was associated with women, but statistics show that more and more men are going under the knife in the name of looking good.
There are many reasons why more men are considering surgery, from increased pressure to look good and a more intense focus on male beauty in the media, to increased access to male cosmetic treatment and a change in societal attitudes to male cosmetic surgery.
Figures show that the most popular cosmetic surgical procedures for men in 2013 are likely to be:
Nose reshaping (rhinoplasty)
Rhinoplasty, commonly known as a nose job, is a very popular procedure with both men and women. The aim of the surgery is to improve the aesthetic of the nose by re-shaping it, making it bigger or smaller and smoothing out any bumps. According to the American Society of Plastic Surgeons (ASPS), 62,000 procedures were carried out on men in 2011. Rhinoplasty is a very common procedure because many people are unhappy with the shape of their nose and think their nose is too big, some think it is too small and others believe it is wonky, bent or uneven. A nose job can help to balance the other facial features, as well as improving the look of the nose.
Eyelid surgery is a popular procedure for middle-aged and older people, who have developed bags around their eyes. The aim of eyelid surgery is to remove excess fat and skin from around the eyes to create a more youthful look. According to the ASPS, 29,000 eyelid procedures were carried out on men last year.
Liposuction and body contouring
Liposuction has become more popular among men in the last five years, as more and more men look for a perfect, toned physique. Liposuction removes excess fat from the body and it can be performed on several areas of the body, including the stomach, buttocks, thighs and arms. Body contouring is designed to create more definition and a sleek, toned physique, which has become very popular in the media. Men’s magazines often feature muscular athletes and models and advertising campaigns use models with clear muscular definition. Last year, 23,000 procedures were carried out on men in the USA.
Breast reduction has become much more popular in the last few years and a growing number of men are choosing to have surgery to tackle the problem of ‘moobs’, a name given to male breasts. The procedure removes excess tissue from the chest to give a flatter, more masculine look. There has been a great deal of media focus on ‘moobs’ of late and this has undoubtedly influenced the figures for male breast reduction surgery. Last year, 20,000 procedures were performed on men, which represent an increase of 8 per cent since 2010.
A facelift is designed to combat the signs of ageing, such as lines and wrinkles, to produce a smoother, younger complexion. Male surgery has become much more acceptable in society than it used to be and most men are no longer afraid to admit to having surgery to make them look better. In 2011, 11,000 male facelift procedures were performed in America. Many men are also opting for smile makeovers such as veneers, tooth whitening and other cosmetic treatments to improve the aesthetics of the face at smile makeovers London.
Male cosmetic surgery has become increasingly popular over the last five years and this trend looks set to continue in 2013.
Form stable cohesive gel breast implants differ from the round breast implants that the FDA approved in 2006. These implants, which have been given the nickname “Gummy Bear” implants over the years, are the newest generation of silicone gel breast implants. In March of 2012, Sientra became the first US manufacturer to obtain FDA approval for the sale of their version of the shaped form stable breast implant. Form stable breast implants, manufactured by Mentor and Allergan are currently considered investigational devices in New Jersey and the US and are not yet FDA approved. Developed in the early 90’s, and used widely throughout the rest of the world, the Style 410 manufactured by Allergan, and the CPG manufactured by Mentor, remain in clinical trials in the United States until their anticipated FDA approval. Although each of these manufacturers has developed a form stable cohesive gel implant, they differ from each other with respect to the consistency of their fill (cohesivity), their shape, and the percentage of gel that they are each filled with.
I am presently continuing to enroll patients in the Allergan style 410 studies, until their anticipated approval by the FDA. Because the value of these studies is so significant, Allergan encouraged specialized training in the use of their devices, and I underwent extensive training in Sweden before being given the opportunity to enroll patients for study. I have now been enrolling patients since 2005 and have extensive experience with form stable breast implants. In the United States there are presently two groups of patients who may enroll in a clinical trial with the form stable cohesive breast implants. The first group are women who request a revision breast augmentation or breast reconstruction after mastectomy (CARE study), and second, are those women who desire a primary breast augmentation (410 implant study). All patients must agree to return for scheduled follow-up exams for a period of 10 years from the date of their surgery. After their FDA approval, there will still be a need to continue long term follow-up of augmentation, reconstruction, and revision augmentation patients, in order to collect long-term data on surgical outcomes.
Frequently Asked Questions
How are form stable highly cohesive breast implants different from standard round gel implants approved in 2006?
Cohesivity: The more cohesive silicone gel is, the thicker and firmer it becomes. This explains why silicone can come in a liquid form, like in your hair gel, as well as the solid form like your kitchen cutting board. There is a range of firmness within silicone products, and the form stable cohesive gel implants are believed to be just firm enough to resist forming creases and folds, yet soft enough to feel like a natural breast. Each of the different manufacturers, Allergan, Mentor, and Sientra, have designed form stable breast implants with different degrees of cohesivity. The increased form stability of these breast implants may lead to reduced implant visibility and palpability through the overlying breast tissue and skin.
Shape: The form stable cohesive gels offer plastic surgeons and their patients the opportunity to select shaped breast implants. This means that the breast implants have a variable width, height, and projection. The possible advantage to a shaped device is that it offers plastic surgeons more options in selecting an implant that can fit your individual body shape and size, as well as the quality of your breast tissue. Shaped form stable breast implants are especially useful for patients with breast or chest wall asymmetries, or patients with tuberous or constricted base breasts. No one breast implant is the right one for all women. Some may still prefer the fuller look of a round implant while others may prefer a more proportionate breast augmentation.
Rupture Rates and Capsular Contracture: The 7 year data collected from the United States, as well as the data collected from Europe and Canada, shows very low rupture rates with the form stable cohesive gel devices. More data will continue to be collected over the next 10 years.
Will I need a larger incision if I choose form stable gel implants?
Because these implants cannot be folded on themselves, the surgeon must use a slightly larger incision to place these implants into the body without damaging the implant shell or the cohesive gel. Incision sites should be discussed with the surgeon.
Do I need to have an up-to-date mammogram prior to undergoing this procedure and what screening techniques are used after?
Mammography and MRI: Your breast health should be your primary concern. Pre-operative mammography is strongly suggested on all patients over 35 and as indicated by the American Cancer Society guidelines thereafter. After breast augmentation, specialized views may be necessary for women with breast implants. Presently, an MRI is the best technique routinely available for evaluating the integrity of breast implants, but newer High Resolution ultrasound techniques are on the horizon.
How can I enroll in a form stable highly cohesive gel breast implant study?
Until their FDA approval in the United States, patients must enroll in a FDA approved long-term study to obtain the form stable implants manufactured by Allergan and Mentor. The Sientra form stable breast implants are presently available with voluntary long-term study enrollment. As a requirement of these studies, patients are encouraged to return for scheduled visits over a ten year period. Patients interested in enrollment can visit www.drglicksman.com or www.cohesivebreastimplants.com and click on “find a cohesive breast implant surgeon” to locate a highly experienced board certified plastic surgeon in your region of the country.
Are form stable breast implants ideal for all patients?
There are advantages and disadvantages to all breast implants. A careful breast exam and lengthy consultation are necessary to determine the best breast implant for you. Additional assessment of your breasts can also be performed with the Vectra 3D simulation. This gives women the opportunity to visualize several different breast implant options and creates a better educated patient.
Source Caroline Glicksman, MD
In 2012, the French based company PIP (Poly Implant Prothèse) had their implants banned because it was discovered that they were utilizing a non-medical grade silicone as the filler for their gel implants. In addition, the recent reported death of a French woman from the rare form of cancer ALCL, who had PIP breast implants has led to a tremendous amount of media concern about a company recognized by few American women. Inspections in France as early as 2001 had revealed numerous non-conformities surrounding the manufacture of PIP implants. In 2009, it was reported that there were high rupture rates with their implants in France, leading to allegations of implant shell problems. In 2010 distribution was suspended and the company filed for bankruptcy.
PIP appears to have used two types of silicone gel within their breast implants; the “Medical Grade” silicone manufactured by Nusil, (made in US and France), and a less expensive formula that they claimed was chemically identical. When implant manufacturers describe their silicone gel, they often uses terms such as “Industrial Grade”, “Medical Grade”, “Health Care Grade” and even “Implant Grade.” These terms can differ around the world. There are multiple tests for silicones including mechanical, chemical, animal, biochemical, cell culture tests and clinical evaluations that are required to determine what silicone formulations are safe for long term human implantation.1 Summing it up, “Medical Grade” silicones are those that have passed extensive, strict biological testing, and in the United States the manufacturers must formally submit their data to the FDA for approval.
The fallout from this discovery has left women worldwide confused and worried. It appears that various European and South American Health Ministry’s are offering different options to women who have these devices. While France is offering to pay for the removal and replacement of PIP implants used in breast reconstruction, Venezuela will pay for explantation only. Other European nations, such as the Netherlands, Ireland, Austria, and Denmark, to name a few, are suggesting only close follow-up of women who have these devices. Each health ministry, as well as the FDA, has repeated their conclusion on breast implants that although there may be a very low but increased risk of developing ALCL adjacent to breast implants, with less than 70 cases reported in the world literature to date, these represent a very small fraction of the 5-10 million women who have received breast implants worldwide. In addition, PIP implants have not played a significant role in the US market since the company’s 2000 request to market saline implants in the US was denied. The silicone implants that are presently used in the United States are manufactured by Allergan, Mentor and Silimed/Sientra, and must all meet the strict requirements of our FDA.
Finally, as with all silicone gel breast implants, there is no exact expiration date. No implant will last a life-time, and all silicone implants, regardless of their manufacturer, should be followed and imaged as they age.
1 Allistar Winn, Manufacturing and FDA Compliance Support, date accessed 12-29-11, date modified October 10, 2011.
Source Caroline Glicksman M.D.
|Stem cell treatment|
|The search for the Fountain of Youth and eternal life has been present in humanity since mythological times. For centuries men tried in vain to reach immortality. It might be that we have finally given our first step towards that direction.In order to prolong life the first step would be to make people healthier longer enabling them to fight off diseases arising from advanced age, such as Alzheimer and cardiovascular diseases. Pragmatically the goal to reach eternity can be better attained simply be fighting old age.In mapping human DNA, scientists came to many propositions of how to fight old age, among them, the ones gaining more importance due to results, are fat ingestion reduction and stem cells treatment. It is on this last resource, allied to cosmiatry, in which that Dr. Magno Lott Caldeira acts and focuses.Over the last ten years, various researches were developed seeking the use of stem cells on the correction of flaws and deformities, and regression of pathological process, promoting wellness and even healing.Aiming at the reversal of this series of physiological processes, currently stem cells can be used to heal deformities of cardiac muscles and correct many conditions regarding the skin aging process. Among these is the regression or reversal of facial alterations related to degenerative or traumatic processes. Treatment with stem cells works like a replacement set. Old tissue, which has been spoiled trough time, is regenerated by new cells.Lab tests around the world are proving that stem cell treatment is more efficient and promising. Experiments in humans have already repaired vital organs such as the heart which, on top of regeneration, gained benefits such as an increase in blood flow and reduction of dead tissue areas in patients with chronic heart failure.The use of stem cells is based on their withdrawal, mainly from the adipose tissue, where there are plenty of mesenchymal cells. To treat body aesthetics, many evaluations were performed over the last years in order to estimate the performance of mesenchymal cells on the reversal of skin aging process with very promising results. These stem cells can be introduced on the patient’s subcutaneous tissue aiming to improve general conditions of the skin. When filtered, these mesenchymal cells promote an aging reversal. There are two major positive aspects on the utilization of these cells: the first is the fact that they are from the patient’s own body and the second, in that they promote the reversal of the skin aging process with extremely natural results; dissociated of any artificial cosmetic procedure.|
The main tissue used for this process is the abdominal adipose tissue, due to its richness in stem cells. Such tissue serves as filling for other areas, especially the ones devoid of such a large quantity of stem cells.
This fat can either be used for skin filling or in cryopreservation, a technique which preserves stem cells present in the fat. In cryopreservation, there is a proliferation of these stem cells so they can be used on the target-organs needing treatment. I.e., after the fat preparation, it is possible to reutilize the stem cell on the cardiac muscle, for instance, or on skin regions which need restructuring, either because of severe skin aging or traumatic destructuring processes regarding skin structure.
It’s very common having people complain about a small detail in their body that causes discomfort. It may be just a tiny issue, caused by genetics, natural aging, weight alteration, pregnancy, or other factors that can end up affecting a patient’s psychological or social well being.
It may happen to you and not always be well accepted or understood by the people surrounding you. Friends and family tend to think everything is perfect the way it is. You, and only you, know how much that tiny detail may be disturbing. What you may not know is that the UN, the United Nations, through the World Health Organization, agrees with this premise.
This is how they define perfect health: “Perfect health is defined by humans physical and psychological well being”
And that’s exactly where Plastic Surgery may help, integrating mind and body, giving your self esteem a well desired boost. Searching for solutions to fix an aesthetic physical discomfort is an absolutely normal well being pursuit as well as an accomplishment for the best possible integration with your social environment.
It doesn’t matter if you love your bra or not, or if your bras are cheap or expensive. Here are some tips to care for them so they’re in a good shape – which means you’re comfortable and happy.
Switch up bras every day
Avoid wearing your bra for two consecutive days. Your body exudes heat and heat makes the Lycra in the bra stretch when it is warm. Wearing your bra for more than one day in a row will cause it to deteriorate faster. Lycra needs at least 24 hours to cool off — so alternating bras each day will go a long way towards good bra care.
Store your bras properly
It is best if you have a dedicated lingerie drawer. If you place lingerie with other clothing items, or toss them into a chest in an unorganized manner, it will cause early wear and tear on your bras. Hooks snaps, and some other clothing items or objects can snare fabric. So it is best if you make room specifically for your fine lingerie. Furthermore, you might want to organize your lingerie collection by type (e.g. all bras in one drawer, all panties in another drawer, etc.) Or you can put matching sets of lingerie together.
Dr Paul Belt from Brisbane Australia.
Dr Paul Belt has completed extensive training in Plastic, Reconstructive and Cosmetic Surgery over a period of more than seven years. This training was in addition to his basic medical and surgical degrees and tertiary postgraduate qualifications in General Surgery. He has also completed a Fellowship in Oxford after obtaining his Plastic Surgical qualification from the Royal Australasian College of Surgeons (FRACS Plast).
Today Paul is talking to us about Breast Reduction.
This operation involves the removal of breast tissue and usually some breast skin. The reduction in breast volume will result in smaller, lighter breasts and may lead to improvement in posture and relief of back, neck and shoulder strap pain. The procedure can also reduce the risk of rashes which form under the breasts (intertrigo).
The reduction in breast size and weight can result in a new lease of life allowing greater unrestricted activity. The procedure can also produce an uplift of the breasts so correcting any downward pointing of the nipples. The above all help to increase self confidence and self esteem.
How do I decide on the size of my new breasts?
Dr Belt will discuss the ideal size you want to be during your two pre-operative visits. No guarantee of a specific cup size is made, as this is a relatively unscientific measurement. Different bra manufacturers can differ in the cup size by up to two breast sizes. Your ideal size is influenced by your wishes, height, and weight and body shape. The best results are obtained when you are as close to your ideal body weight as possible before the operation.
Weight gain or loss after the surgery can affect the quality of the result. The risks will be discussed with you in detail before you consent to the operation. The risks can be broken down into general risks associated with any operation, and those specific to breast reduction. General operative risks include anaesthetic complications, bruising, bleeding, infection, wound breakdown and abnormal scarring.
Specific complications include:
How is this surgery performed?
This surgery is performed with the skin being removed in a keyhole pattern (“wise” pattern). This produces the “anchor” pattern whereby a scar runs around the nipple in a circular fashion and is connected to a vertical scar running from the nipple to the fold underneath the breast and a small scar runs in the groove underneath the breast.
Smaller reductions may be able to be achieved using only a circular scar around the nipple or alternatively a “lollypop” with a scar running around the nipple and a short vertical scar only. The breast tissue is usually removed and the nipple is preserved on a mound of tissue. This can either be based from below “the inferior pedicle” or from above “using the supero medial pedicle”.
The inferior pedicle technique is more likely to preserve the sensation to the nipple but does potentially produce a more ‘boxy” shape. This also has the possibility of “bottoming out” with time. The supero medial pedicle technique produces a better shape and a shape that is more likely to last. This is because the most gravity dependent part of the lower breast tissue is removed and this enables the sides (or lateral pillars) of the breast to be coned so producing a more natural rounded shape and restoring the volume to the upper pole of the breast. This also produces a shape that lasts more with time. There is a possibility that greater loss of sensation to the nipple may occur with this technique.
What happens after the operation?
Most people will stay in a hospital overnight. A drain is usually inserted into each side. You may leave hospital with the drains still in place. You will be given a prescription for strong painkillers upon discharge from the hospital. You will be advised to wear a crop top for the first six weeks (day and night). I recommend that you plan a very quiet week immediately after your surgery and avoid driving for 2 weeks and vigorous exercise for 6 weeks.
The stitches are dissolvable and therefore don’t need removing. You will be seen regularly after the operation at one week, two weeks, six weeks and six and 12 months.
What costs are involved?
Please contact Dr. Belt’s rooms and his staff can answer any questions you may have. A personalised quote and information can be sent to you regarding your procedure
Dr. Paul J. Belt
Plastic, Reconstructive and Aesthetic Surgeon
M.A., B.M., B.Ch. (Oxon), FRCS (Eng), FRACS (Plast)
Buying a Bra
When you buy a new bra, there are a few pointers to bear in mind, so you can achieve your dream fit:
A new bra should fit perfectly when using the first hooks, as the bra is worn and stretches over time, you can then adjust accordingly.
Don’t forget If you’re exercising you MUST wear a sports bra which fits you and is suitable for your chosen activity. Our breasts start growing in puberty and they reach their full size somewhere around 21-22.
Click here for Lingerie Care
The Age-Related Breast Surgery Trends That’ll Keep You Guessing…
“Nobody’s boobs are that perfect! They can’t be real…surely?”
How often have you played that game while people-watching with your mates? But could you guess which breast surgery procedure created the hourglass object of envy?
Here’s a clue: There are distinct age-related trends in cosmetic surgery.
Teens: This age group is unlikely to have had breast surgery because breasts continue to develop into your early twenties. Aurora Clinics gets a lot of enquiries from teens, but any reputable surgeon will suggest you wait and see what nature intends before making a decision.