Litrature Reviews by Suzan Obagi, MD, and Sharleen St. Surin-Lord, MD published in
The American Journal of Cosmetic Surgery Vol. 26, No. 1,2009
Source: PLASTIC AND RECONSTRUCTIVE SURGERY VOLUME 122 (4), OCTOBER 2008
Scars: A Review of Emerging and Currently Available in scar Therapies. R. G. Reish and E. Eriksson. Pages 1068-1078.
The authors review the stages of wound healing, and the role of cytokines, growth factors, and extracellular matrix components in wound healing. Currently available and emerging scar-reducing therapies are discussed in this review. Emerging therapies utilizing the TGF-p superfamily, COX-2 inhibitors and NSAIDS, collagen inhibitors, ACE Inhibitors, minocycline and gene therapies are discussed.
LOWER LID AGING
Midfacial aging becomes noticeable in the later third and early fourth decade. Isolated hereditary lower eyelid fat prolapse can occur much earlier. The lower eyelid complex blends seamlessly with the midface and lower eyelid rejuvenation comprehensively includes midfacial and or nasojugal augmentation.
Lower eyelid aging changes are consistent and similar to upper eyelid aging. Dermatochalasia from aging and actinic damage is manifested by excess and "crinkly" lower eyelid skin. This skin is among the thinnest in the body and can be 0.2 mm thick, making it very susceptible to aging changes. As with the upper lids, the lower orbital septum weakens with age and allows prolapse or protrusion of the three lower fat pads. This in itself produces sausage shaped fat that makes patients look older and tired. The actual protruding fat can cast shadows (especially in overhead light) along the inferior orbital rim, which compounds the old and tired look. Compounding the dark circle look are true color changes from actinic or hereditary pigmentation or hemosiderin leakage. The aging changes in skin, fat, muscle and connective tissues produces an accentuated nasojugal groove producing the teartrough deformity. Suspensory laxity changes the position of the canthi and can produce canthal rounding, ectropion and scleral show.
Full article is available on SURGE magazine July 2011
Book Review:
Quality Medical Publishing, Inc., St Louis, Mo, 2009
Book authors : Sidney R. Coleman MD, and Richardo Mazzola MD
This text originated from information presented at a symposium on fat grafting and fat transplantation that took place in Milan. Italy, in 2007. It describes Dr. Coleman's 20-year experience with lat grafting. It includes clinical studies and anecdotal evidence of the regenerative effects of fat grafting. Contributions from 52 other plastic surgeons based on their experiences with fat transplantation to achieve multiple effects enhance the value of this book for the cosmetic and plastic surgeon.
The first portion of the book includes an extensive section on principles and basic concepts of fat transplantation. The chapter on the "Adipose Derived Stem Cell, Pre-Adipocytes, and Tissue Engineering" provides the basis for a detailed discussion of why fat transplantation is more than just replacement of tissue into a recipient site. Descriptions of the basic concepts of fat transplantation are included in this section, which includes "Determination of Fat Viability," "Processed Lipo-aspirate for Fat Graft Enhancement," and "Cryopreservation of Adipose Tissue for Autologous Fat Grafting."
On Dr Coleman's concepts of structural fat grafting make up a section that consists of "Overview on Structural Fat Grafting," "Concise Guide to Regional Placement," and "Recent Innovations." A section on the value of fat grafting for skin quality and texture contains excellent discussions by multiple authors of how fat transplantation plays a valuable role in improvement of Skin Quality: Animal Studies and Clinical Experience," "Scar Remodeling Following
BOOK REVIEW
Publisher: Quality Medical Publishing, Inc., St Louis, Mo, 2009
Book authors: V. Leroy Young MD, Richard Botney MDPatient safety is today's hot topic. Both the US Federal Government and the World Health Organization have gotten involved in a big way. Dr Leroy Young and Dr Richard Botney have "brought together experts from various specialties to present a comprehensive overview of safety: medical and legal issues, surgical issues and anesthesia concerns."
Implementation of safety programs can be time consuming and detailed and is resisted by some. Acknowledging this resistance as a stumbling block to implementation is part of the solution. An example of historical resistance is chronicled in the story of Ignas Semmelweis. As a pioneer of antiseptic procedures, he revolutionized the prevention of surgical infection with the outlandish concept that one should wash one's hands between patients. He later died destitute, when he was forcibly committed to an insane asylum after having his ideas rejected by the medical societies in his country.
Predictors of Satisfaction With Facial Plastic Surgery
Objective: To identify demographic and psychological factors that predict satisfaction or dissatisfaction with outcomes among patients undergoing facial plastic surgery.
Nearly 12 million cosmetic procedures were performed in 2007, according to the American Society of Aesthetic Plastic Surgery. This is an increase of 457% over the previous 10 years. Because more patients choose to undergo cosmetic surgery, improvement of surgical outcomes becomes increasingly important. Currently, there is an emphasis in the plastic and facial plastic surgery literature on surgical techniques to improve surgical results. A relative improvement in surgical outcomes, however, tends to be subjective and patient and/or surgeon satisfaction can be highly unpredictable.
Sunburn Pain Explained; Tips on How to Beat It
Sunburn is one of the summer's most enduring stings, leaving a sore, red, peeling patch long after the day's rays give way to cooler nights. Ointments and Aspirin can help soothe the sear. But the pain, part of the body's plea for shade and sunscreen, is inevitable.
That could change.
British researchers have discovered a molecule responsible for the persistent pain caused by sunburn, offering hope for a treatment that could one day block it.
"It wasn't known before that this protein was implicated in any kind of pain," said Stephen McMahon, professor of physiology at Guy's Medical School in London. "If you wanted a cure for sunburn pain, we may have found that."
The protein, called CXCL5, was elevated in painful sunburns. And blocking the protein's effects in a rat model of sunburn relieved the pain. The study was published today in Science Translational Medicine.
But McMahon, a long time pain researcher, thinks blocking sunburn pain is a bad idea.
"Pain plays a protective role," he said, explaining how the sensation alerts its victim to looming danger. "Stopping pain is not necessarily a good thing."
When it comes to technology, an apple a day does not keep the doctor away. In fact, physicians prefer Apples—or, at least the Apple platforms that run the iPad and iPhone. Nearly 30% of physicians use an iPad—six times more than general U.S. consumers—and more than 60% of physicians who use smartphones have an iPhone, according to a report released June 15 by Quantia MD.
And those market shares are likely to grow quickly. While 80% of physicians already use mobile technology, 44% of those who do not yet own a mobile device expect to acquire one this year—and the Apple products dominate among the likely purchases. Almost twice as many physicians expect to buy an iPhone as any other smart phone and iPad’s are favored nearly four to one over other tablets. In total, 66% expect to purchase an Apple product.
Facelifts. Liposuction. Dermabrasion. These are the keys to beauty and the near exclusive domain of the fairer goddesses and celebrities. No more. According to statistics released in March 2011 by the American Society of Plastic Surgeons, (www.plasticsurgery.org) more men are choosing the benefits of cosmetic surgery. In fact, while cosmetic surgery increased only 2% overall last year the largest gains were realized by more men getting body work done. While minimally invasive procedures such as injected fillers are popular, inexpensive, and have same-day recovery; they do not offer the same advantages of more traditional cosmetic procedures.
