Demand for More Affordable, Non-Invasive Cosmetic Procedures Increases During Tough Economic Times

As the economy has sputtered and slowed in the past couple years, most everyone has had to scrimp and make cuts in some area or another in terms of their expenditures. Industries across the board have taken quite a hit due to this decreased spending and the cosmetic surgery industry is no exception. Contrary to popular belief, plastic surgery isn't a luxury reserved only for the rich and famous. On the contrary, the vast majority of dollars spent on cosmetic surgery procedures comes from middle-class women. So it stands to reason that in lieu of the economic downturn, many women are foregoing the more expensive procedures that are seen more as luxuries rather than necessities.

While compromises have had to be made, the fact remains that people still want to look their best, perhaps even more so now that competition in the job market is fiercer than ever. Any viable edge over the competition is seen as a welcome advantage. It's no secret that our culture is one heavily influenced by image and the corporate world is no exception. For that reason, rather than sacrificing aesthetic enhancement altogether, many are simply turning to the less expensive, non-surgical alternatives. Scores of women (and men as well) are opting for more economical treatments like Botox, Restylane and Juvederm as opposed to higher-priced procedures like the facelift, and they're discovering that spending less doesn't necessarily mean less in terms of results. The general consensus now seems to be that a little Botox goes a long way, especially in a recession.

Other non-surgical procedures have been on the rise as of late too. Plastic surgeon's offices and cosmetic deatology clinics have seen a higher demand in requests for treatments like Microdemabrasion, Laser Resurfacing, Chemical Peels and other similar services as of recent. Even in cities like Austin, TX, recently noted in Forbes Magazine as an American city still flourishing despite hard economic times, people seem to agree that spending smaller amounts here and there is more economical than splurging $10,000 on one procedure.

There are a number of different non-surgical treatment options for those who are either just starting to notice the signs of premature aging and want a less invasive quick fix or for those wishing to explore non-surgical options before committing to a larger more complex procedure. Regardless of your needs there is almost certainly a non-invasive treatment that will deliver the results you are seeking.

Beautiful Nose, Inside Out - Septoplasty Recovery Time and Procedures

In the past few years, "Rhinoplasty" became a household term as cosmetic dermatology dramatically exploded and a bunch of Hollywood celebrities admitted to undergo such treatment. Rhinoplasty is also known as "nose job", and associated with cosmetic, as opposed to reconstructive, purposes. In the medical field though, Rhinoplasty is not as simple as "nose job" in as much as there are many other kinds of procedures done to the nose. One of those procedures is Septoplasty. Septoplasty refers to the surgical reshaping of the nose's septum. The septum includes the cartilage and bone that divide the two nostrils. Septoplasty can both perform aesthetic and reconstructive function. It can improve the patient's general facial appearance and at the same time treat septum deviations that can cause further health complications. Are you curious about Septoplasty Recovery Time and Procedures? Read this up and learn.

Septoplasty is a crucial component of rhinoplasty since such procedure entails reduction of the nose's amount of breathing space. In septoplasty, surgeons begin by creating incisions that surround the nose's bridge. After this, the cartilage and bone are removed, reformed, and rearranged according to the desired look, or the planned resolution to any breathing obstruction. When all of these are done, surgeons will then close the incisions, add cartilage support, bandage the aftermath, and send the patient to healing phase.

It is important to remember though that Septoplasty is not only being done to make the nose appear more pleasant. Septoplasty, more than the aesthetic result it can bring, is concerned with healing patients that have septal problems. People who constantly experience difficulty in breathing, headaches, uncontrolled nosebleeds, and sinusitis have huge possibility of having misaligned or deformed septum.

Septoplasty Recovery Time may take from as short as 7 days to as long as 3 weeks. This actually depends on the patient's slow or fast ability to heal wounds. During septoplasty recovery time patients are strictly directed to stay at home and avoid any kind of strenuous activity. Constant movements can lead to more intense breathing, and patients will definitely feel uncomfortable when this happens.

Average cost of Septoplasty starts from 3,000 USD. It is difficult to find a good Septoplastic surgeon with a rate lower than this. Before making any decisions, make sure that the surgeon you're dealing with has a number of successful cases. If you are going to spend a significant amount of money, make sure that the procedure is worth every cent, so when septoplasty recovery time ends, you are satisfied, smiling, and blissful.

Sinus Surgery - Your Ultimate Guide

It's not our fault if we were born with a nose too flat, or too wide, or too big, or too small. It only becomes out fault when we are already offered different chances on how to enhance our appearance, but we insist on romanticizing what is so-called "natural" or "God-given". In the recent years, the field of cosmetic dermatology has dramatically improved and paved the way to the introduction of painless, affordable, and safe sinus surgery procedures. God wants us to be happy, and definitely has no reason to object something that will lead to our development.

In sinus surgery, the bone and the skin of the nose are reformed in order to be more proportional to the features of the face. The intensity of the this operation depends on how big the changes to be made. Sinus surgeons are trained on how to evaluate facial features and make the nose look more harmonious to the other parts of the face, aesthetic-wise.

The question is, what actually happens during the procedure? Sinus surgery, similar to other forms of surgery, begins with receiving anesthesia. Sinus surgery can either use general anesthesia or intravenous sedation. In intravenous sedation, only some parts of the body-in this case, parts of the face-are administered with the drug. In general anesthesia however the entire body is sedated. Sinus surgeons decide rely on the patient's health condition in deciding which type of anesthesia to use.

When the effects of anesthesia are already felt, the surgeons then will begin to cut the skin of the face. In Sinus surgery, only the skin on the inside of the nose is cut, so patients won't see any scars after the healing period. It is a rule in Sinus surgery that to avoid making exterior cuts as much as possible. Exterior cuts can only be done when the nose reconstruction is really extensive.

When all excisions are already made, surgeons will start to reshape the bones within and surrounding the nose. Bones will be removed and used in other parts in order to achieve the desired shape. When extensive overhaul has to be done, artificial bones and cartilage are also used. This is the most sensitive phase in sinus surgery, as surgeons need to be fast and precise in rearranging small pieces of bones in the nose.

When the reshaping is through, surgeons will close the cuts, bandage the nose, and proceed to post-operative procedures.

Pearly Penile Papules - What They Are and How to Treat Them

Finding a cluster of bumps on the rim of the penis is frightening for any man. You may be wondering, "Is it cancer?" or "Have I contracted an STD?" And while any strange lump or bump should be immediately checked out by a doctor, chances are you've discovered a harmless condition called Pearly Penile Papules.

Pearly Penile Papules (or hirsuties papillaris genitalis) are tiny flesh colored bumps that form around the circumference of the sulcus or corona of the penis. The bumps are generally dome shaped and tend to cluster in rows - similar to the look of a pearl necklace The lesions are typically found in males between 20 and 40, and occur with a greater frequency in those that are uncircumcised.

Diagnosis of Pearly Penile Papules

Most men assume they have contracted genital warts upon discovering pearly penile papules. However, lesions of this type are benign and not the cause of a sexually transmitted disease. Similarly, pearly penile papules are not related to poor hygiene of the genital area. They are simply a dermatological condition, just like psoriasis or a skin rash.

However, to ensure the lesions are not the result of an undiagnosed STD or cancer, a doctor's appointment should be made to examine the area in question. In most cases, a sample of the lesions will be biopsied and sent out for laboratory testing.

The doctor may perform other tests if the bumps are accompanied by pus or other secretions - which may also indicate their presence, as they tend to clog the sweat glands.

Treatment Options

In most cases, the best treatment option is to leave the bumps alone. Men suffering with pearly penile papules report that the lesions are not painful and do not interfere with sexual intercourse (although they may be embarrassing or hard to explain at first).

They are just a natural characteristic of the body, the same way a mole or scar would be. However, some men find the condition so embarrassing that it affects their self-esteem and sexual experiences.

Fortunately, a newer technology in the form of CO2 laser ablation exists for a more cosmetically appealing look. There are risks to this surgery however, including inflammation and infection, hematoma, scarring issues, swelling, bruising, and numbness.

During a CO2 laser procedure, the penis will be cleaned and coated with a topical numbing cream for approximately 30 to 60 minutes. Next, a ring block of Lidocaine will be given around the base of the penis to ensure the area is completely numb before the procedure begins. Finally, a CO2 laser will be applied to the papules to completely remove or drastically diminish their appearance.

Following the ablation procedure, a patient may experience redness, swelling, crusting and scabbing, stinging or discomfort for the first few days. Similarly, the entire surgical area will take approximately 1-2 weeks to completely heal.

Conclusion

While the discovery of pearly penile papules can cause fright and anxiety in men, the condition is typically asymptomatic and no cause for concern. Cosmetic treatment options exist for those truly uncomfortable with the physical and emotional effects that pearly penile papules can bring.

To find the best treatment option for pearly penile papules, a patient should consult with a highly respected doctor or dermatologist that specializes in cosmetic procedures to ensure a safe and aesthetically pleasing look to the penis.

7 Key Questions to Ask When Choosing Your Cosmetic Clinic

If you're thinking of having cosmetic treatment you need to find a clinic/practitioner you can trust. You want your treatment done in a sensitive way to make sure you keep a natural look, and you want it done safely and with the best products.

Sadly we all see examples of poor treatment either in magazines or on television, and walking down the local high street as well. But remember that most of your friends who are having treatment probably just look great, and no-one knows they have had any treatment.

In good hands treatments like Botox or dermal fillers can be very effective and safe, but all medical procedures involve possible risks of side-effects or complications, so you are better finding the best trained and most experienced practitioner.

How can you best decide which of these people you can trust with something as precious as your face?

I suggest you should be as questioning when it comes to choosing your clinic as you would when making any important decision. It makes sense to be cautious.

The following advice is based on my experience over the past 9 years running my own cosmetic clinic and meeting people who have had a bad experience elsewhere.

RULE NUMBER 1:

Assess Your Practitioner Before They Assess You!

Just as you wouldn't buy the first house you see, you shouldn't assume that the first person you see about your appearance is going to suit you best either.

You need to find out what you can about their background and skill, and decide how comfortable you feel with their advice and the way they talk to you.

So, here are my top suggestions:

1. "What Is Your Background/Qualification?"

In the UK you may find the answer ranges from a plastic surgeon, doctor, nurse, dentist, physiotherapist, pharmacist, beautician or none of the above. (Anywhere else in Europe and the USA no-one except medically qualified doctors can administer injectable cosmetic treatments.)

Which of these would you feel will have knowledge of dermatology and diagnosis of related medical conditions, anatomy, and the knowledge and experience needed to help should any problems arise after treatment?

Don't be afraid to ask questions - I am very surprised how few people ask searching questions about me and my practice. No practitioner should be surprised to be asked these things and shouldn't be offended - in fact the more offended or uncomfortable they are the more likely they're not as qualified as you'd like!

2. "How Long Have You Been Doing These Treatments And What Specialist Training Do You Have?"

Good question and of some help, but remember that just because someone has been offering treatments for a long time is no guarantee that they're good! As a trainer of practitioners from relative beginner to more experienced I've seen a very wide range of skills, even when they've been offering treatment for a long time.

Good training is essential, but do they have evidence that they have been assessed after they've had training? Remember that simply attending a training session is no guarantee that they are good.

3. "Are You A Member Of A Recognised Professional Body?"

In the UK this might include General Medical Council (GMC), British College of Aesthetic Medicine (BCAM), British Association of Aesthetic Plastic Surgeons (BAAPS), General Dental Council (GDC) or Nursing and Midwifery Council (NMC).

You can always check with the relevant governing body if you are unsure of someone's qualifications.

4. "How Many Treatments Have You Carried Out And What Complications Have There Been?"

For this one, you just have to see how the question is answered as they could say what they like, but it still gives you a guide. No-one with experience will say that there has never been a complication, and shouldn't be ashamed of saying so, as these are a medical fact of life. If someone insists that they never see any problems then you might question them further. If they can quote their own rate of complications then you should be impressed - this means that they monitor their treatments and results and take their practice and education seriously.

5. "How Easily Can I Contact You Or See You If I Have A Query Or A Problem?"

Some practitioners can be extremely hard to get ahold of when it comes to asking for advice following a treatment, especially if there is a problem. This is distressing and stressful if you are the patient. For example if your practitioner travels to a clinic only once a month they will not be available very often, so make sure you feel comfortable that advice in person will be available if you need it. For a more invasive procedure you should be given a mobile phone number to ring in case you have any worries out of normal hours.

6. "If I Have A Problem That You Can't Deal With What Would You Do?"

There may very rarely be a situation where more specialist advice is needed if an unusual problem arises. Someone who has thought this through will have a ready answer to this question, which might be that they have a more experienced contact in the profession, or the product manufacturer will provide back-up and advice (I know from experience that not all manufacturers are good at this)

7. "Which Products Do You Use And Why?"

I'm sure you have heard about the breast implant scandal where industrial grade ingredients were being used in medical products to make them very cheaply. This ended up making more profit for the clinics using them but had disastrous results for the patient.

There are plenty of people in the industry who believe that there will be problems in the future because untried and untested treatments are frequently being launched with little proof that they are safe over a long period.

There are at least 4 major brands of botulinum toxin (the main ones being Botox itself, Xeomin, Azzalure and Dysport) with other manufacturers, not always reliable, appearing around the world; there are several hundred different types of filler available in Europe. Cost for the different brands varies greatly, but a clinic using a cheaper brand may still charge the same as a clinic using a more expensive one. You need to be sure that your clinic chooses their recommended filler/s because they are effective and safe, not because they are the cheapest and maximise their profit!

A well-established company will have done a lot of research to back up their claims of safety, effect and durability, while others may only have tested their product on a small sample of people over a short period of time - I know which I'd rather be treated with!

The same is true with lasers - the cost to buy can range from £20,000 to £80,000 for equipment that is supposed to do the same job. Ask yourself why someone would buy such an expensive machine if a cheaper one would work as well and be as safe?

That's the seven questions but here are a few other things to think about before making your final decision about who to trust:

"Are You Being Given A True Choice Of Available Treatments Or Just Being Advised To Have A Treatment That Your Practitioner Happens To Do?"

If you are asking for advice on a particular problem you want to be sure you are offered the full range of options so you can make a choice based on the risks, benefits and costs of any treatment. Ethical advice would also include suitable treatments not offered by your practitioner - GMC guidance lays down that this is an important part of the consent process.

For example it is now agreed that the most basic part of facial rejuvenation is to have enough volume or "lift" in the cheeks, but there will be practitioners who don't have the skill to treat this area so will never offer it to you.

Positive points

If your practitioner is involved with research into new treatments, is asked for opinions on products by companies in the aesthetic field, or if they are appointed as a trainer by one of the big companies then this is a good sign that they are respected within their profession.

A good practitioner should make their own assessment of your situation and make suggestions to you that you might not have thought of rather than just give you the treatment you've asked for - they should be the expert advising you after all.

Don't forget to use your gut instinct. If someone appears open and easy to talk to the chances are that they will listen and be sympathetic to you when it comes to treatment, and you're more likely to be happy with the results; if they don't appear to listen or explain things, don't seem confident when asking your questions, or you just don't feel comfortable with the clinic setting then you would do better to look elsewhere.

Negative points

If you're not comfortable with the person during the consultation then go elsewhere.

Beware if the clinic you are in seems more concerned about selling you a treatment or series of treatments than listening to your concerns. Be especially wary if you are told that a certain price will only be valid if you book today, or if you are told that you could have additional surgery at the same time at a special rate. This is purely a sign that the clinic works on commission and may care more about its profit than your well-being.

My final piece of advice

In the end, there is no harm in going to see a few clinics so you can check out different opinions on what would suit you best. This way you'll get an idea of where you feel most comfortable.

Hyperpigmentation And Its Treatment Modalities

A clear and beautiful skin is something that women take pride for. Women go to such unimaginably sheer extent just to achieve what they want, some to the point of obsession. Yearly, about US$8 is spent by women in cosmetics and beauty products alone or roughly estimated, about US$100 a month for every American woman. In 2007, about 11.7 million cosmetic surgical and non-surgical procedures were performed in the US based on the data released by the American Society for Aesthetic Surgery.

What causes such an obsession or preoccupation with the skin condition? It is believed however that the appearance of the skin has something to do with self-esteem and self-confidence as an unsightly skin has a life-long burden on body image. The media culture has even more powered the pressure fuelled by peer pressure that set standards on what is "beautiful" and what is not.

Among the skin problems that women spent most of their money with is hyperpigmentation or dark discoloration or patches of dark spots of the skin which are caused by a variety of factors. One of the natural causes is due to the overproduction of melanin, a substance responsible in giving the skin color, due to highly excitable melanocytes. Such activity of the melanocytes in turn may be caused by certain illnesses such as lupus erythymatosus, hormonal imbalance due to Addison's disease, certain medication for malaria, seizure and hormonal therapy, heredity, age, pregnancy, certain cosmetics and activities.

Although such pigmentations are harmless, they have an impact to the general well-being of an individual. Because of this, they resort to a series of treatments ranging from conventional to surgical procedures that sometimes are costly and life threatening. If conventional treatments in the form of commercial skin care products do not solve the problem, women resort to services rendered by dermatologists.

Today, answering skin problems has become easier with various approaches. Aside from the treatment of the underlying condition that caused the skin discoloration, the skin is treated separately. Dermatologists' services include dermabrasions or skin peeling initiated by the use of chemical peelers, the use of topical steroids, skin lighteners and others. Such forms of treatments sometimes are short termed and once treatments are discontinued, the consequences are graver as spots become darker and are more difficult to address. Thus it is vital to continue the series of treatment even after the dark spots have lightened.

However, with the discovery of the laser and its use in medicine especially in dermatology, results have become more realistic and long term. Lasers are more precise compared to other procedures as it can be controlled with regards to the intensity and depth of penetration unlike other chemical peelers that are inaccurate and generically mixed for everyone's use. With lasers, the treatment is individualized and personalized depending on the needs of a client basing on the severity of the dark spots.

Pre and Post Liposuction Surgery

The cosmetic benefit of liposuction is the potential to remove large amounts of fat in a brief period of time. For women, thighs and abdomen are the most popular areas for this procedure. For men, the abdomen and flanks are the most popular areas. The average amount of weight removed from these areas is ten pounds.

Liposuction has been refined to ensure it is painless and effective. The plastic surgeon, during this procedure, could remove the appropriate amount of fat without causing any disturbance to neighboring tissues or causing a change in the fluid balance of the patient. And, the plastic surgeon will attempt to cause the least amount of pain or discomfort possible to the patient.

Pre and Post Surgery

There is a certain protocol for the safety of the patient, which should be followed before the surgery is performed and during recovery. While preparing to undergo the procedure, smoking should be avoided at least two months prior.

In certain cases, especially if an anesthesia or sedation is being received, fasting would be necessary prior to the surgery. Requirements to be a good candidate, that are urged by plastic surgeon, include being over 18, being in good health, and having tried diet and exercise but still retain an excess of ten pounds.

After the procedure is complete, the patient will be prescribed medication to prevent swelling in the affected areas. Drinking large amounts of water is recommended to prevent dehydration.

Patients should also avoid using heating pads or ice packs in the affected areas. A study published in Dermatologic Surgery 2004, further underlined the safety of the procedure, by stating that the minor complication rate was only .57% and the major complication rate, which includes hospitalization, was the minute rate of .14%.

The Variety of Choices Available

When the modern liposuction method was first introduced in 1982 by the French surgeon Dr. Yves-Gerard Illouz, it became popular due to the low morbidity rate and reproducible methods. Progress has been rapid since the introduction of this safe surgical method.

Today, there are many different types of liposuction possible: dry, wet, super-wet, tumescent and laser- assisted. Each type is defined by the technique used. For example, in laser-assisted liposuction, laser waves are used to rupture fat cells.

Advancement gives patients a choice in terms of the surgery that is best for them.

In particular situation, however, liposuction is not the only surgery a patient would need to achieve the desired look. If the problem is both excess fat and loose skin, surgeons recommend both liposuction and skin tightening treatments such as, the abdominoplasty tummy tuck.

The importance of physical appearance in modern society continues to make cosmetic surgery popular. In 2006 alone, liposuction was the most common treatment performed according to the American Society for Aesthetic Plastic Surgery. The Food and Drug Administration (FDA) cautions patients to ask their doctor about the training they have before making the final decision.

Reaching Cosmetic Patients - 5 Top Practice Growth Techniques

In today's competitive market, physicians now must also be marketers to succeed, no matter how good they are in the technical aspects of their specialty. To grow a successful aesthetic practice with increased competition coming from new practitioners entering the market necessitates getting creative and having a strong strategy with realistic goals and a well thought out plan.

The delivery of a first class product is paramount when you are building an aesthetic practice. This single element will either catapult you to success if you do it well, or come back to haunt you if you miss the mark. Your greatest source of referrals should always be satisfied patients. The philosophy of continuous improvement should be applied to every aspect of your cosmetic practice. There is always something that can be learned from your colleagues, as well as your patients, in this quickly evolving specialty. As you evaluate new technologies and procedures, not every technological advance is going to be a worthwhile adjunct. Physicians should be prepared to stay current and pay attention to new developments. Cosmetic patients are very savvy, and they are no longer satisfied to have things done the same way they have been done for decades. Consumers are on a never ending quest for the "Quick Fix." They are drawn to non-surgical or minimally-invasive or modified procedures with minimal down-time and risk.

Cosmetic doctors and surgeons are faced with the need to educate consumers, set realistic expectations, and choose the right technique for the right patient at the right time. Patients today have a lot of choices, and there is always a chance even if you did a terrific job, that the patient will not return to your practice. A sophisticated practice growth program should involve evaluating your practice objectively to figure out what needs improvement and what you could do better. You should approach your practice with a critical eye. Your staff can also be your most valuable asset, or they can be your downfall if they are not the best representatives for you.

5 TOP PRACTICE GROWTH TECHNIQUES

1. Communication vehicles - Email and print newsletters are a very popular and cost effective method of reaching out to existing patients and encouraging new patients to enter your practice. These are ideal methods to announce a new laser, the addition of a novel technique with dermal fillers, new staff members, and to gain recognition among prospective patients for your expertise. To make this work for your practice, newsletters should be sent on a regular basis, monthly, bi-monthly or quarterly. According to Dr. Judith Hellman, a board certified dermatologist in New York, New York, "My patients love reading our newsletter and it allows me to keep them up to date on what is happening in cosmetic dermatology. There is so much misinformation out there but this allows me to cut through some of the hype and my patients really appreciate having this important connection with my practice."

2. Enhance your website - Your practice website is your portal to new patients, and should be updated on a regular basis. Consumers are seeking out physician referrals online, and even if they have come across your name from another source, they are most likely to "pre shop" for doctors on the web before they ever make an appointment. Your website image should be consistent with your practice and specialization, and the content needs to be interesting, reader friendly, and include attractive visuals. Dr. Elliot Jacobs, a board certified plastic surgeon in New York, New York, and author of MANTALK (MDPUBLISH, 2006), has used his website to his advantage to increase referrals. "Having an updated website allows new patients to find us from all over the world, and we have developed a strong following of patients interesting in the specialized male body contouring procedures I offer."

3. Events and seminars - From webinars to local health fairs, cosmetic doctors today are looking for venues to meet consumers and speak about the trends and techniques they offer. To keep your events interesting and attract a buzz, consider partnering with spas, retailers, private clubs, hotels, charities, and your hospital to create and promote large scale community exposure. In office seminars can be effective, but will require a lot of staff time and effort. Many practices today are identifying opportunities for several grand scale events per year to get the word out.

4. Press releases - Generating media attention can be accomplished by professionally written press releases about your practice, especially when you are adding a new technique or have participated in a conference or clinical trial. These can be posted on your website to create exposure, and sent to key media contacts and newswires all over the internet. The media is always looking for physicians as credible sources and for new techniques or applications that are newsworthy. In addition, you can create a local news hook by incorporating case histories and before and after photographs or patients who are willing to speak to the media to describe their experience.

5. Consumer book - Physician authors are gaining great recognition with the media and consumers alike by using the power of print to promote their message and expertise. A professionally published book on the topics you know best can be the ideal jumpstart for your practice or other ventures. Being an author gives you instant credibility among consumers, the media and your peers. The elements of writing a successful book include zeroing in on a marketable topic, determining who your target audience is, and establishing your own personal goals.

According to Dr. Dennis Hurwitz, a board certified plastic surgeon in Pittsburgh, PA, and author of "TOTAL BODYLIFT" (MDPUBLISH 2006), "Writing this educational book to describe my innovations in post bariatric surgery has allowed me to reach new patients all over the country who are interested in the work I am doing. The book has been a wonderful addition to my aesthetic practice and has greatly enhanced my profile which has enabled me to expand my practice to Beverly Hills."

In addition, one of the critical elements of handling cosmetic patients is to foster a nurturing climate of focussed patient care within your practice. If patients feel that you and your staff are concerned about their care, your practice will grow and patients will be more likely to be satisfied. If you keep your patients happy, and communicate with them on an ongoing basis, you can be assured of enjoying repeat business for many years to come.

Introduction To Cosmetic Surgery

Cosmetic surgery is not a sharply defined area. An operation of any kind should achieve a good cosmetic result, even an appendectomy or a back operation for a ruptured disc. Also, many cosmetic operations have a functional as well as cosmetic aspect, such as upper eyelid surgery to improve the field of vision, or breast size reduction to alleviate neck, back, or breast pain.

By virtue of common usage, cosmetic surgery has become an acceptable term. There are some plastic surgeons, however, who prefer the term aesthetic surgery. Cosmetic is derived from the Greek word Kosmos, meaning order, beauty, or improving on beauty. Aesthetic is derived from the Greek word Aisthetikos, meaning to perceive by the senses, or pertaining to the senses of the beautiful.

There is nothing new about the desire to look younger or more attractive. Improving self-image is an acceptable concept in today's health regime. Most American women discuss restorative surgery with their friends and family and they do not feel guilty about having such surgery performed. Of course, they do not usually advertise their operation and sometimes ask how they can camouflage the postoperative look so they can return to work as soon as possible.

Many factors account for the increasing popularity of cosmetic surgery. Contemporary culture in the United States is preoccupied with youthful appearance. Women who are threatened with the loss of a job because the look too old, may have cosmetic surgery for monetary reasons. Unfortunately, many employers value the look of blooming good health associated with youth rather than years of experience and a mature sense of responsibility. The "baby boomers" in the workplace are well aware of this. Now entering their fifties, this generation was the first to enjoy the many advantages of modern medicine. They enjoyed the protection of the polio vaccine and life-saving advantages of antibiotics. Fitness programs and better eating habits have contributed to their good health also.

Another factor that accounts for the recent increase in cosmetic surgery is the publicity it has received in newspapers, women's magazines and the media. Prior to 1979, ethical plastic surgeons did not advertise. Then the Federal Trade Commission declared that this restriction created a monopoly, which was illegal. Now physicians, even those not trained in plastic surgery and advertise and they do. As a result, the number of people, particularly women, seeking cosmetic surgery has increased. So too, has the number of the qualified and unqualified practitioners.

Only diplomats of the American Board of Plastic Surgery are recognized by the American Board of Medical Specialists as specialists in plastic surgery. They have been trained in general surgery and subsequently in plastic surgery and therefore are qualified to operate on the entire body. Other groups of physicians operate above the collar bone on the head and neck. Dermatological surgeons perform chemical peels, a popular way to defeat the skin's aging process.

Who pays for cosmetic surgery? Being elective, it is usually paid for by the patient. Surgery to correct congenital deformities such as cleft lip and palate, deformities resulting from accidental injury and cancer deformities such as mastectomy may be covered by insurance. Some women forgo vacations and others spend practically no money on clothes for years so that they can save up for cosmetic surgery. Some borrow money; others sell a valuable piece of jewelry. Girls in their teens are sometimes given money to spend on a "nose job" for their 16th birthday.

Aesthetic Lasers

A laser can be defined as an optical source that emits photons in a coherent beam. Lasers were first discovered in the year 1960 and were proposed as a variation of the 'maser' principle at that time. Laser technology has improved manifold since that time and has found applications in varied fields such as science, industry, medicine, and consumer electronics.

The use of lasers has become very common in different fields of medicine such as dermatology, surgery, plastic surgery, dentistry, ophthalmology, and cosmetic procedures. These lasers are referred to as aesthetic lasers. They produce an intense beam of light with insignificant dispersion over a short distance for the treatment of various skin disorders. They are used for precise tissue destruction of skin lesions without affecting the skin tissue in the surrounding areas. The water present in naturally occurring pigments such as melanin and hemoglobin absorbs laser beams used in non-invasive surgical procedures. This has made it one of the most preferred operative tools for dermatological treatments. Aesthetic lasers can be used for the treatment of various skin conditions such as Port Wine stains, spider nevi, warts, acne scars, moles, and Lentigenes (age spots).

Apart from these, aesthetic lasers are also used for removing body hair and give excellent results in fair-skinned people. Laser hair removal may take multiple sessions but re-growth is thinner, slower, and scantier after each session. They are used for skin resurfacing in case of scars and wrinkles and involve the removal of thin layers of irregular skin. Tattoos can also be removed using aesthetic lasers in multiple sessions depending on color and depth of the pigment used in tattooing.

The success of an aesthetic laser treatment depends a great deal on the skills and experience of the cosmetic laser surgeon. This makes it very important to verify the past records before selecting a surgeon for aesthetic laser treatment.

How Hyaluronic Acid is Changing the Cosmetic Industry

We have never seen such a period of growth in cosmetic medicine. We live in an age where hair transplants; fat removal and breast augmentation have all progressed to the stage that they can be done without requiring hospital admission or even a general anaesthetic. It is a brave new world and one that will continue to progress into the emergent era of stem cell technology with new hair growth and breast tissue being prime examples of where this period will lead us. But at the moment we have Direct Hair Implants(TM) and Macrolane(TM).

Macrolane is a type of natural filler similar to some that we have been injecting into faces since 1996. It is made from hyaluronic acid, a compound that occurs naturally in the skin and connective tissue and is known to be present in every tissue of the body. Hyaluronic acid is an important cell constituent that retains water and also provides nutrients and removes waste from cells that do not have a direct blood supply, such as cartilage cells. Hyaluronic acid is found in the synovial joint fluid, the vitreous humour of the eye, the cartilage, blood vessels, extracellular matrix, skin and the umbilical cord.

It is extremely popular as an injectable skin filler for correcting the lines and wrinkles associated with aging, as well as acne scars and other skin conditions as its molecules bind to water in the skin, hydrating and firming its structure, and the loss of hyaluronic acid with aging is associated with skin dehydration and wrinkling. Because hyaluronic acid degrades rapidly in the skin, the commercially available version is cross-linked, or bound to itself chemically to increase stabilization.

The safety of hyaluronic acid has been clinically documented and supported by robust clinical studies, spanning over 10 years. The company that makes Macrolane has been making high purity stabilized Hyaluronic Acid gels in the form of an injectable dermal filler called Restylane since 1996. In this twelve year period over 8 million Restylane treatments have been successfully performed worldwide with a problem rate of about 1:20,000. This makes Restylane one of the most tried and tested dermal filler and is recognised in cosmetic dermatology as the benchmark for safety.

Pain, redness, itching, discoloration and tenderness at the point of injection are also common side effects that occur after a Restylane treatment. These effects usually subside within a day or two. Most side effects experienced by Restylane patients are classified as mild. However, roughly one in 2,000 patients suffer more serious reactions, such as tenderness, prolonged redness and acne-like skin formations. These side effects can last for only a few days after injection up to as long as four weeks after treatment. Hypersensitive skin is usually to blame for more serious reactions to Restylane.

There have been two pilot studies of body contouring with Macrolane(TM) to date that I am aware of. The first was done in 2002. It looked at using Macrolane to augment the breast of non-pregnant, non-breast-feeding females. These patients were watched for another 2 years to monitor safety and benefit. No serious adverse events were reported in the study. Treatment-related adverse events such as injection site pain and reaction were mild and transient in nature. The second study involved patients with concave body deformities following liposuction, surgical scars or post-traumatic fat atrophy.

Again no side effect were noted outside minor events noted on the day of injection. A study published in the February 2007 issue of Food and Chemical Toxicology indeed confirmed the safety of oral hyaluronic acid. It is used as a dietary supplement that supports health in joints and skin. Hyaluronic acid provides the matrix for the synovial fluid to retain moisture in the skin and cushioning in the joints. The research showed test subjects exhibited no toxicity, even at 33 times the recommended dose.

In the first breast study patient assessment data showed 95% satisfaction at three months, 79% at six months and 63% at 12 months. In the other one, more than 80% of patients reported improvements at three months and 69% at six months and some improvement was seen at 12 months.

I feel this related to the fact that a volume of 100ml of compound is injected into a protected space created by the doctor in the connective tissue in front of the pectoralis major muscle but behind the mammary gland. In this position Macrolane is intended to last for at least about 18 months. Each individual treatment programme will include a yearly top-up as required to maintain optimal treatment results.

We have already discussed the safety aspects of Hyaluronic Acid compounds but I feel there is more to it than this. We know patient demand for accessible non surgical, less invasive aesthetic treatments, which offer minimal downtime has being growing for some time. Personally, I feel this is the driving force behind this phenomenon. To be honest, cosmetic surgeons of late have not been bathed in glory in the press and patients are largely afraid to take the risk. Take barigastric banding. Obesity surgery not only helps people lose weight but also improves the associated co-morbidities of obesity such as diabetes, hypertension (high blood pressure), arthritis, joint pain, reflux, cardiovascular disease, stroke, various forms of cancer (including prostate, bowel and ovarian), and overall quality of life.

The Ailesbury Clinic opened in Dublin in 2002. It was awarded Best Medical Practice at the 2005 Irish Healthcare Pharmaceutical Awards. It was selected as runner-up in the 2008 and 2009 finals of the Best Aesthetic Medical Clinic in the UK and Ireland.

Skin Care Reviews and Tips - Based on Your Age Group

If there is one piece of beauty advice that you should always keep in mind it should be this - Don't believe everything that you read. Because just like skin care products, skin care reviews are also dependent on your age.

20s Keyword: Routine

The term "Roaring 20s" is not just applicable to the devil may care attitude which defined the flapper era, but also how most people view the importance of skin care when in their 20s. Which is to say that checking out skin care reviews isn't on anyone's to-do list.

Although when you're in your 20s your skin may feel like it can take anything on, it's not as invincible as you think. According to dermatologist and author of Beautiful Skin: Every Woman's Guide to Looking Her Best at Any Age, David Bank, MD, more than 80 percent of sun damage happens even before you reach 18 years old. And in your mid-20s, skin regeneration becomes slower and visible signs of skin aging starts to emerge.

To prevent premature aging, you do not really need to purchase extremely expensive products from the best skin care brands at this age. Instead, it's better to develop your personal skin care routine. This will greatly impact how healthy your skin will be later on. Here are some easy-but-for-some-reason-or-another-extremely-hard-to-keep tips that you can include in your routine:

- Always apply sunblock - Remove your makeup before going to bed - Apply moisturizer regularly

30s Keyword: Retinol

When you hit your 30s, you will very easily come to find out that everything isn't how they were when you were in your 20s - including your skin. At this age, you start feeling like all problems mentioned in all skin care reviews are pertaining to you. And it's no surprise, because your 30s is the time when you have to come face-to-face (pun intended) with things like dryness, sagging skin, and wrinkles.

At this time, your regular routine is not going to cut it anymore. This is because your cell turnover is considerably slower than when you were younger. So, you have to include the best skin products that will hasten cell regrowth to achieve younger, more exuberant looking skin.

Ranella Hirsch, M.D of the American Society of Cosmetic Dermatology and Aesthetic Surgery recommends including products with retinoid or retinol in your skin care kit. Aside from cell rejuvenation, retinoid promotes the production of collagen which keeps the skin looking plump. Faster cell renewal plus more collagen equals less wrinkles and younger glowing skin. Other ways to stimulate skin cells include:

- Exfoliation - Mild glycolic peel at least once a week - Increase intake of food with antioxidants such as strawberries, peppers, apricots, and peanuts

40s Keyword: Peptides

When you reach the big 4-0, reading up on skin care reviews suddenly becomes a habit and the quest for the best skin care products begins. And although nature will take its course, isn't it better for it to take its course more slowly? Or better yet, very slowly?

The number one concern of women in their 40s are wrinkles. Because estrogen levels start to drop, your skin dries out more quickly triggering the appearance of fine lines and wrinkles. To restore the skin's elasticity, products with collagen-building properties such as peptides should regularly be applied to the skin. Studies shown at the World Congress of Dermatology in Paris states that products containing peptides reduces wrinkles by more than 50 percent faster as compared to products without.

One of the most common kind of peptides in beauty products is Matrixyl. It has fatty acids as well as amino acids which goes deeper into the skin. Based on lab results, Matrixyl can cause an almost 120 percent increase in collagen creation, leading to an almost 40 percent reduction in wrinkles. Other collagen-inducing ingredients you should look for are:

- Grapeseed extracts - Vitamin A - Copper peptides

Who Should Give You Cosmetic Injections?

Botox, Juvederm, Dysport, Restylane, and Radiesse are some of the many products that are fairly easy to inject in an office setting to help reduce wrinkles, make deep folds look better, and improve your overall appearance. This eliminates a trip to the operating room. With all of the products available, you may wonder, who should you trust to give you these injections?

It depends on what state in the US or what country you may live in, but many injectables are given by nurses and doctors. Even among doctors, there are many different specialties. However, you should get an injection from someone you trust and who can also deal with the complications that may arise from these injectables.

In the US, there are thecore 4 specialties that have the educational and formal training during the post-medical school years to give these injections. These specialties are Plastic Surgery, Facial Plastic Surgery, Dermatology, and Oculoplastic Surgery. Even if these specialists choose not to do aesthetic surgery, they still undergo training as part of their overall medical education to perform cosmetic procedures. Also, Continuing Medical Education requirements are still in place, meaning that continued training, seminars, conferences, and lectures are required to maintain board certification in each of these 4 specialties.

In the US, if you are a doctor of a different specialty, you will not get this training in your post- medical school training. You will be forced to take a weekend course, a week long course, or some other alternative education to learn about cosmetic injectables.

Nursesare allowed to perform cosmetic injectables under the supervision of a doctor. This supervision varies widely, and can mean anything from the doctor being physically present, to the doctor being nearby, to the doctor being available by phone, and to whatever the nurse and doctor agreed upon. This would explain why some nurses seem to be able to perform injectables with no doctor visible or present during the procedure.

Many casual injectors outside of the "core 4" specialties are unaware of the methods and ways to avoid complications, reduce risk, and increase patient satisfaction and comfort.

There are subtle procedures within the realm of Botox and Juvederm, such as injecting into the eyebrow areas to achieve an arch, reducing neck muscle strength, getting just the right spot to reduce migraine headache pain, and other more rare and difficult procedures that require more expertise and knowledge to deliver correctly and efficiently.

There is always the issue of price. Yes, Plastic Surgeons are probably going to charge more than a nurse for the same cosmetic injectable, because they are board-certified. You are not necessarily paying just for the supplies and the cost of the cosmetic injectable, but you are paying for expertise and knowledge of how to fix things if they are not quite perfect. Working with a doctor who is well-versed in cosmetic injectables may be more rewarding for you, as the person who has to live with the results.

And of course, there is the old saying- "You Get What You Pay For".

Facts About Anti Aging and Aesthetic Medicine That You Must Know

The study of anti aging and aesthetic medicine is fascinating and in the case of cultured drugs it's got to be discussed this is a comparatively new subject as classy medicines only became known in the year 1978 and in France. In truth, classy drugs incorporates many various strategies ( cultured ) that in turn are drawn from varied specialties including dermatology and cosmetic surgery as too sports drugs; and, more. The study of anti-aging and aesthetic medicine spread from France and was taken up with interest in states like USA and Argentina and Belgium and Spain.

A Modern Specialty Medicine

When it concerns anti-aging and aesthetic medicine it has to be announced that cultured drugs has changed into a modern specialty medication that helps to improve somebody's natural beauty through use of out-patient procedures. Mexico has led the way in anti-aging and aesthetic medicine and it has developed cultured drugs as a real and real medical specialty.

Compared to aesthetic medicines, anti aging medicines only became known in the year 1993 and in the US where Robert Goldman and Dr. Ronald Klatz originated the study of such medicines. Afterward much literature has been recorded about anti aging and aesthetic medicine and many publications dig on the origins and prevention and also treatment of aging signs and disorders.

The essence of anti aging and aesthetic medicine lies in understanding that evidence of aging occur just because certain organs in the body malfunction and it's been found out that certain anti aging and aesthetic medicines can forestall or heal these indications of aging. Given that there are now available many new up-to-the-minute facilities and modern technology too has advanced so much, it's not irrational to expect modern anti aging and aesthetic medicines will in reality be in a position to do something to boost the aging condition.

Because modern medical services are better and more improved, today it has led straight to folk living longer and so there are far more folks who need to use anti aging and aesthetic medicines. There has additionally been a natural convergence of anti aging and aesthetic medicine since each has the same objective which is to help folk get shot of evidence of aging and to look better, feel better and have a richer skin too.

Today, many folks are signing up to courses like anti-aging and regenerative drugs. Only by completing these courses can certain kinds of people become certified that they can practice anti-aging as well as regenerative medicine in complete confidence. Folks that should think about such certification courses include doctors and doctor aides as too nurse clinicians and even pharmacists.

Cosmetic Dermatology To Be Ready For The Red Carpet

For many celebrities the desire to look your best is not just a personal aesthetic goal. If you are literally dependent on your stunning appearance to make money you cannot afford to look less than stellar all the time. While this is the case it is also necessary for those who are famous to maintain their unique looks so as not to inadvertently change their trademark face or body. That means that for most of these people it is impossible to have drastic plastic surgery and change their face. On the other hand it is still necessary to have smooth and flawless skin. That is why so many people have learned about, and begun taking advantage of, the field of cosmetic dermatology.

Under the auspices of cosmetic dermatology there are many different beautification procedures that can not only remove minor blemishes and discolorations but also can fully rejuvenate the skin and remove fine lines and wrinkles. The doctors who provide these services have found that their skills are particularly appealing to the rich and famous because it offers an opportunity to keep looking young without drastic surgical intervention. The Hollywood elite are availing themselves of many of the possible treatments including some of the following.

By far the most commonly undertaken treatment is the use of Botox. This medicine offers temporary relief from fine lines and wrinkles of the face. That means no more crows' feet around the eyes or worry lines across the forehead. It also can treat frown lines around the nose and mouth. Possibly the best part of this cosmetic dermatology service is the fact that there is almost zero downtime and that means one can have it done in the morning and show no side effects by later that afternoon. Another benefit that some red carpet divas are finding helpful is the way it can stop the sweat glands from producing excessive perspiration and ruining their gorgeous gowns.

Another cosmetic dermatology procedure that is gaining a huge following among the stars is the use of Restylane, which is a temporary dermal filler, that uses a gel made of hyaluronic acid to fill in wrinkles, crows feet and age lines. This medicine can also be used to fill out lips or other creases and folds of the face.

The fact is, the rich and famous know that looking good means having skin and faces that are hydrated, plumped, and glowing. That is why so many have some cosmetic dermatology before making high profile public appearances. In order to maintain their smooth and young glowing skin they have chemical peels and microdermabrasion to exfoliate their skin. Afterwards, they will often have a strong moisturizing agent applied to create a flawless and youthful look.

The Difference Between Cosmetic, Medical, and Surgical Dermatology

In the broadest sense, dermatology is the study and treatment of skin. However, not all dermatologists specialize in the same areas, nor do patients all need to go to a general dermatologist for the best results. The three major types of dermatology are considered to be cosmetic dermatology, medical dermatology and surgical dermatology. This article will seek to define each of the three types and explain what kind of work each type of dermatologist might practice every day.

Cosmetic Dermatology: This type of dermatology deals primarily with the aesthetic side of skin. Rather than delving into skin care for medical reasons like skin cancer or rashes, cosmetic dermatologists are focused on how the skin looks. Patients often go to cosmetic dermatologists to get rid of unsightly blemishes, uneven skin tone or anti aging remedies. Generally, these procedures are not covered by average health insurance policies as they are not medically necessary. However, for many people seeing a cosmetic dermatologist can greatly increase their quality of life.

Medical Dermatology: This branch of dermatology is perhaps the opposite of cosmetic dermatology. While appearance may play a small role in the field of study, the primary reasons to go to a dermatologist are because of medical conditions which manifest themselves in the skin, such as skin cancer or lupus. Medical dermatologists may also deal with patients who have rosacea, sun damage, painful rashes and more. Because this type of dermatologist treats valid medical problems, health insurance should cover the majority of costs for patients. It is often recommended for people to visit a medical dermatologist regularly even if there are no obvious problems in order to check for increased risks of skin cancer.

Surgical Dermatology: Just as the name implies, surgical dermatology refers to the treatment of skin conditions through the use of surgical methods. In some cases the surgery may be entirely for cosmetic purposes, and so it will overlap with cosmetic dermatology. This applies to surgeries like facelifts or hairline restructuring, which can be performed in some cases by dermatologists rather than plastic surgeons. It is much more common, however, for surgical dermatology to refer to the treatment of skin cancer through Mohs surgery. Mohs is a recent surgical development that can treat skin cancer with very high success rates, and requires a dermatologist to be specially trained in the technology.

Although cosmetic dermatology, medical dermatology and surgical dermatology are all distinct, different practices, they often overlap in treatment. A woman who visits her dermatologist for treatment for a painful rash, for examples, might need both medical and cosmetic help to reduce the pain and eliminate the unsightly skin condition at the same time.

Cosmetic Dermatologist and Cosmetic Surgeon: Is There a Difference?

Cosmetic dermatology, cosmetic surgery and dermatology are three terms that are normally used interchangeably. True, most practitioners fall within a branch of medical science called general dermatology, but the difference lies in their specialization. General dermatology is four-year specialization course that doctors of medicine may study to become a dermatologist. Dermatologist may pursue further sub-specialization in cosmetic dermatology and/or cosmetic surgery to focus more on maintenance, restoration and improvement of the appearance of the skin and the physical features of the human body.

To become a dermatologist a medical degree (MD) or doctor of osteopathy (DO) is required. A one year internship in general surgery or other broad-based clinical training and three years of dermatology residency are part of the requirements to become one. After satisfying these requirements they have to pass the written and practical skill test given by the American Board of Dermatologists for certification. The test is re-taken every 10 years to maintain the certification's validity. Additional sub-specialization though fellowship program are available to certified dermatologist.

Cosmetic surgery is a sub-specialization of cosmetic dermatology that dermatologist can pursue. In most cases, cosmetic surgeons are dermatologists; however, cosmetic surgery is also a specialized program of plastic surgery which can be taken by doctors who are through with their three-year general surgery residency. This is the reason why cosmetic surgeons are not necessarily dermatologists.

Although most of the general surgeons specializing in plastic surgery normally focus on restorative procedures (functional surgery), there are some that also practice cosmetic surgery (aesthetic surgery). Cosmetic surgeons need to pass the National Board Exam for Plastic surgeons before they can apply for certification from their specific State.

Cosmetic dermatology on the other hand is a sub- specialization open only to dermatologist. Cosmetic dermatologists are also called dermasurgeons. They may undergo special training on laser resurfacing, dermabrasion, microdermabrasion, dermal fillers, chemical peels, tissue augmentation, facial liposuction and sclerotherapy.

The American Board of Dermatology prescribes the requirement on the time and courses that must be satisfied for them to become a specialist on a certain field. Once they pass the requirements, they are eligible to become member of the American Society of Cosmetic Dermatology and Aesthetic Surgery, and be a full pledge dermasurgeon.

Dermatologist can go for different sub-specialization such as dermatopathology, imunodermatology, phototherapy, etc. but the most popular is cosmetic dermatology. That is why, the titles cosmetic surgeon, cosmetic dermatologist and dermatologist is sometimes difficult to differentiate. One sure way of knowing which is which, is by checking on their certifications.

Cosmetic surgery procedures such as liposuction, blepharoplasty, breast implant and removal, and so on may be done by cosmetic dermatologist and plastic surgeon for as long as they have the proper training and certification from the state board. Some of the less invasive procedures on botox, filler and laser surgery can be performed by general dermatologist. These procedures are included in their training. Certifications for specific procedures are being issued by the American Board of Dermatology, and for as long as they have these certifications then you can be sure that they are experts in that particular field.