Cosmetic Surgery Confidentiality

Confidentiality during plastic surgery procedures is often a concern for patients. Fortunately, reputable cosmetic surgeons understand this concern and take steps to ensure that confidentiality is maintained. If you are looking for a cosmetic surgeon and are concerned about confidentiality consider a few points.

Look for a surgeon who abides by HIPAA regulations or has set standards of confidentiality.

The health insurance portability and accountability act of 1996 sets up standards for among other things, privacy and confidentiality of medical records. It also sets stiff penalties for those who break the law, often fines up to $10,000 per occurrence for breaking the laws. Unfortunately, not all physicians are covered by the HIPAA statutes, especially physicians who are not participating in insurance plans. A reputable plastic surgeon, even though not bound by HIPAA will have regulations in place in their office to ensure patient medical record confidentiality. Be sure to question your surgeon about their privacy practices.

Consider a vacation destination.

Consider having your surgery in a location which is within driving distance of your home, but far enough away that people will not know you. Recovery times vary, but you can consider a week or two 'vacation' to another city in which you have your procedure and recover before returning home. Some physicians will even offer travel discounts or special accommodations for traveling patients. You will want a physician who is close enough to your home that you could travel back to the office in case of a complication.

Determine what your physician's office flow is.

Most cosmetic surgeons will have some system for maintaining privacy of their postoperative patients. Patients coming in before surgery may have a common waiting room, but patients returning after procedures should have a separate waiting area or entrance to ensure that they can maintain privacy during their postoperative period. If there is not a completely separate area, the physician may arrange his/her schedule to ensure that postoperative patients are scheduled in such a way as to not be seen by other patients. Be sure to ask your surgeon what their accommodations are for maintaining privacy after surgery. Unfortunately, some offices do not maintain private areas and patients are required to mingle with other patients.

Ask about the use of photographs

Cosmetic surgeons will often maintain preoperative and postoperative photographs at least as part of the medical record. Patients often ask to see these photographs as evidence of the physician's skill. If you are considering facial procedures, be sure to ask your surgeon what their policy is on use of photographs. A reputable surgeon will only show photographs for which he has obtained explicit permission from the patient.

As always, finding a surgeon with experience and training is crucial. If you are considering plastic surgery in Lafayette, LA or elsewhere and are concerned about privacy, consider a trip to Dallas to visit expert facial plastic surgeon Dr. D.J. Verret. Call today for your consultation 972.608.0100 or visit him on the web.

6 Tips For Choosing A Good Plastic Surgeon

Have you considered cosmetic surgery, but you don't have a clue what to look for in a good plastic surgeon? If so, here are 6 tips to help you make the right choice.

1. Consultation - The very first step is to set up an appointment for an all-important consultation. This meeting should be a give-and-take session. The surgeon will ask you questions but make sure you ask them questions as well. You can get an idea of what their personality is like and if it's a good fit with yours. Watch out for physicians who are demeaning or who are impatient with your questions. Don't let them pressure you into more cosmetic treatments than what you initially wanted.

2. Credentials - You will not insult a good specialist if you ask to see their credentials. You need to know about their degrees and education. Check to see if they are board-certified and have an active license. These are very important.

3. Referrals - Ask for any recent referrals of former clients. Call them and ask what they liked and didn't like about the surgeon or their treatment. Another great source of info is to ask your regular health-care provider if they can recommend a cosmetic specialist.

4. Malpractice Insurance - It's vital you know their malpractice history. You don't want to be taken by surprise to find out later that there is a long trail of malpractice suits. This information can be publicly traced at your local courthouse. Ask your potential specialist if they carry this insurance. You'll want to cover all your bases and avoid lawsuits if the need arises.

5. Specialties - Every surgeon has specialties so don't be afraid to ask. You certainly don't want a nose job done by someone who only does tummy tucks. You may end up with a flat nose! The reason for this question is simply so you choose a surgeon who's had lots of experience with the surgery you want done.

6. Follow-Up Care - This is another important quality in a good plastic surgeon. Surgery itself is not the end. A good surgeon will be concerned about you for a good while after your surgery. There should be scheduled follow-up visits to determine how well you've progressed.

Be aware that complications from cosmetic surgery can be risky. It's crucial that you choose a plastic surgeon wisely. You need to educate yourself as much as possible beforehand to ensure you can pick out problems as soon as you hear them. This way you can make an intelligent choice and eliminate many risks. To consider cosmetic surgery on any part of your body is a big choice. The right plastic surgeon needs to meet all of these qualifications for a successful surgery.

Cosmetic Surgery-Benefits and Risks

If you used to think that cosmetic surgery was only for the rich and famous, you have probably already noticed that today nearly everyone can take advantage of some of the techniques available. Even some teenagers are going "under the knife" to get the look they want, whether it be a nose job, or breast implants. But, is all of this excitement really worth it? Are you going to get results that will really change your life and your looks for the better? Before you undergo any type of cosmetic surgery, there are some questions you will need to ask of yourself and your potential surgeon to make sure this decision is right for you.

1. What are your reasons for wanting the surgery? If you have an unsightly scar or birthmark, it may be something very obvious. But, if you just want to change your looks to appear younger or to enhance one of your features, which may be more of a personal preference. Either reason may be a worthwhile motivation to get cosmetic surgery, but you must still keep in mind that surgery is surgery and is a very serious decision. Surgery is not a "cure-all" for any self-esteem issues you may be having, it is just one part.

2. Who is your surgeon? Did you know that to perform cosmetic surgery you do not technically have to have any specialized training? Once you have graduated from medical school you can practice any type of medicine-including cosmetic surgery. However, your surgeon can be certified by the Board of Medical Examiners and also by national organizations which have strict guidelines about training and qualifications. Any surgeon you choose should be well-qualified and experienced in your type of surgery.

3. Are you aware of the risks? From one to four percent of people who have cosmetic surgery experience difficulties of one kind or another. These can be simply a problem with symmetry, or as serious as an infection, too much skin being removed, or even death. Some people are opting to head south of the border to Mexico and other locations for low-cost cosmetic surgery, only to find less than ideal operating conditions and doctors who are not adequately trained. Serious complications can result-so just as you would check out your surgeon here, check out your surgeon anywhere-maybe even more carefully.

4. Are there reasons you should not have cosmetic surgery? If you are suffering from self-esteem issues, and all of your self-worth is based on your outward appearance, you may not find the answers you are looking for with cosmetic surgery. Beauty truly is only "skin deep." There are limitations to the results that you will get with surgery. Your surgeon should be very honest with you about what you can reasonably expect. Look inside yourself to find what your motivations are an where your sense of self-worth is coming from.

Microdermabrasion Home Treatments - The Startling Truth

Some of the most common complaints I hear as a cosmetic dermatologist are from clients wondering why their skin is constantly red, irritated and breaking out. Asking, "What products are you using?" or, "What is your skin care regimen?"... I discover they are using over-the-counter products like microdermabrasion kits, scrubbing pads, granular exfoliants, and other harsh treatments trying to combat acne, rough skin and other skin conditions.

The problem is, these treatments simply don't work and are often overused to the point skin tissue experiences abuse, causing severe inflammation. And inflammation is the root cause of most skin problems! I find many skin conditions actually are aggravated by the use of these over-the-counter treatments.

Here's the bottom line: Find a skin care line or product that works for you. Have your skin analyzed by a Board Certified Cosmetic Dermatologist who can recommend the best treatment protocol for your unique skin care needs. Make sure your home skin care regimen includes medical grade products. I, for one, can't live without my DNA repair cream - this revolutionary product repairs the skin's DNA so that it is able to self-heal. It's a must-have for all skin types. There is no substitute for medical microdermabrasion.

Don't waste your money on products available at the mall or drug store. To date, no product exists delivering the kind of results seen with medical microdermabrasion. Be sure you are receiving a safe treatment with state-of-the-art technology (like our Crystal Free equipment) operated by a trained and experienced professional. Only a Board Certified Cosmetic Dermatologist will understand your skin's needs and recommend the best treatment options for you.

Microdermabrasion addresses many skin conditions in as little as 6-8 sessions including:

o Rough skin on the face resulting from aging or sun damage
o Comedonal (blackhead/whitehead) acne on the face
o Mild acne scarring
o Sun-damaged skin and brown spots
o Mild lines and wrinkles

Crystal-free microdermabrasion works well even on delicate and sensitive areas of your skin. Treating the outer layer of the skin, microdermabrasion removes dead surface cells, cleanses and smooths the skin, and refines pores... giving your skin a healthy and radiant glow. The treatment involves the use of a low-abrasion pad covered with micro-diamonds, removing irregularities on the skin's surface, leaving behind a softer, smoother, healthier-looking surface. It dramatically lightens and removes ugly, blotchy brown spots.

Acne sufferers especially benefit from microdermabrasion because treatments remove pore-blocking debris and plugs known as blackheads, allowing oil to flow freely and safely to the surface, where it won't cause pimples. The dead, unhealthy skin is exfoliated and abolished, along with blemishes and fine scars.

Microdermabrasion also increases blood flow, stimulating cell renewal and collagen production. These treatments are perfect for busy people because sessions are short, there is no extensive recovery time, and it is safe and effective. Clients experience immediate results even after the first treatment.

Popularity Rising in Cosmetic Surgery for Men

Believe it or not, aging is as much of a concern for men as it is for women. When you hear cosmetic surgery, you usually think of women getting breast augmentation, a nose job (Rhinoplasty) or a facelift. We do not think about men going under the knife to improve their appearance. In our society, a lot of emphasis is placed on how we look, especially in the business world. The desire to look younger, thinner, and improve one's appearance is today's main reason for partaking in cosmetic surgery.

Men are now turning to cosmetic surgery and products to help them look younger and more energized in the workplace. Like women, men have turned to products to color their hair, make their skin look younger and even using makeup to hide blemishes. Statistics show men 45-55 are the most likely to turn to cosmetic surgery as they feel the effects of aging.

Like patients, cosmetic surgeons have recognized more and more men are turning to surgery. Back in 1985, only 10 percent of the patients were men. In 1995, that percentage had doubled. Today, more than 35 percent of patients are men. Cosmetic surgeons have opened their practice up to serve the needs of men. More and more clinics have expanded their services to include hair transplants, chin implants, hair removal and even laser lipolysis for 'man boobs".

Most men complain about baggy eyelids, wrinkles, receding hairlines, excess body hair, frown lines, crow's feet, sagging necks and fatty chest area (man boobs). Hair transplants top the list of the common procedure performed on men. Men also have nose surgery, collagen injections, eyelid surgery, face lifts, ear tucks and chin implants. Laser surgery is also becoming popular with men to remove wrinkles, smoothing aging and sun spots and repair baggy eyelids. Liposuction is another very popular surgery requested by men to remove double chins, "love handles" and "spare tires" around the waste.

Men will also see a cosmetic surgeon for implants. Chin, pectoral and calf implants are used to increase the appearance of these areas. Just like women, men have become more focused on their appearance and desire to look younger. Men claim the reasons for getting cosmetic surgery is to look younger in the workplace and more competitive in the workplace, they have seen the great results from their wives surgeries and they need help losing access fat.

If you are a thinking about getting cosmetic surgery and are a male, make sure you do your homework. Only have a cosmetic surgeon who is properly qualified, trained and specialized and who carries out the operation in a hospital or clinic. Make sure you are realistic with the surgery outcomes, you understand the risks that are involved in cosmetic surgery and you stop smoking and drinking prior to the surgery. If you are taking medication or are overweight, make sure consult with a cosmetic surgeon about the procedure you desire. It may be the case you are not suited for cosmetic surgery at the time.

Cosmetic Procedures to Make Your New Year's Resolutions Come True!

New Year's resolutions - we all make them! Does your list include things to make you look better? Cosmetic procedures are high on the list for so many of my clients, and why not? If you've resolved to treat yourself well and present your best, most vital appearance in the coming year, the time to start is right now.

That's because many of the top skin rejuvenation and other cosmetic procedures work through a series of treatments. Here are suggestions for treatments by your cosmetic dermatologist to help you look your best for spring, when the heavy winter clothing comes off. Each treatment is brief, but you'll want to plan ahead and schedule a complete series, for maximum results.

If you're looking for wrinkle and crows feet treatments, something to erase discoloration, reduce pore size, tone and tighten your skin - absolutely nothing beats the unparalleled Fraxel laser. This revolutionary, safe, non-invasive cosmetic procedure reverses skin damage and the effects of aging, with next to no downtime. It doesn't destroy your surface skin, the way earlier laser treatments did. Targeting "MicroThermal Zones" in your mid-dermal layer, the laser energy leaves healthy tissue surrounding the zones - and it stimulates this tissue to create your own, new, fresh collagen and elastic tissue in just days, rapidly restoring the healthy youthful tone of your skin.

Along with smoothing wrinkles and improving skin tone, the Fraxel laser is the only procedure that erases melasma, the mask of pregnancy. It is hands-down the best treatment for acne scarring. And you can have Fraxel laser treatment on your neck, chest, arms, and hands, as well as your face. If I sound excited about this - well, I am! The results my clients have achieved are simply astonishing. If you've resolved that you deserve to look as young and vital as you feel, Fraxel laser treatments are for you.

Another laser treatment to get started on now is permanent hair removal. Lasers treat targeted areas with "pulses" of light energy that are absorbed by the pigment in the hair follicle, destroying it. Through the treatment series, the technology targets darker and coarser hair - leaving finer, lighter, almost imperceptible hair. Laser hair removal, unlike other methods, is painless, with no unpleasant side effects like scarring and ingrown hairs. And - again unlike other hair removal procedures - laser hair removal is perfect for the bikini and underarm areas, to get you ready for swim season. Just imagine never shaving, plucking, or waxing those unwanted hairs again!

If you cringe every year, looking at your wardrobe of shorts, short skirts, and swimsuits, why not resolve to make this the year you do something about unsightly leg veins? Two kinds of spider vein treatments can give you a cringe-free spring and summer. Sclerotherapy injection has been a successful spider vein treatment since the 1930s. In this process, a sterile saline solution is injected directly into the vein using a very fine needle - so the discomfort is minimal. The solution affects the lining of the blood vessel, which closes and turns into scar tissue, fading away over time.

Or, laser varicose or spider vein treatments may be preferable, depending on your individual needs. Brief, intense emissions of laser light, at the optimal setting for precisely controlled levels of penetration, eliminate the superficial blood vessels. Both sclerotherapy and laser vein treatments are very low-risk procedures. Side effects are extremely rare, and recovery requirements are minimal (just wearing support hose for a while, and keeping your feet up when you sit). Spend some time this winter treating yourself to clear, vein-free skin, and you'll feel more confident about your appearance in shorts weather!

Eating right, getting exercise, quitting smoking - you know how important these are for your health. Well, taking care of your appearance is just as important for your emotional well-being and self-confidence. We're so lucky to live in a time when technology keeps offering newer, better cosmetic procedures and treatments that are non-invasive, pain-free, easy on your busy schedule. So if your New Year's list didn't include caring for your skin, check with your cosmetic dermatologist for the right procedure for your needs. It's not too late to add a new resolution to your list!

Plastic Surgery Laws - What is the Minimum Age to Have Breast Augmentation?

When it comes to the breast augmentation procedure, there are a few federal regulations that anyone needs to be aware of. For starters, even though a minor can go in for other forms of plastic surgery, unless it is a reconstructive procedure that minor cannot get a breast augmentation.

In 2000, the federal government passed a new regulation stipulating that no person under the age of 18 may have a breast augmentation procedure except for some rare occasions in which that breast augmentation is truly a reconstructive procedure. A few years later in 2006 another regulation was passed that further amended the age 18 stipulations for breast augmentations.

This new regulation that was passed in 2006 stipulated that no person under the age of 22 was allowed the option of silicone filled breast implants. Basically a person who is going in for a breast augmentation and is between the ages of 18 and 22 is only allowed the saline solution filled breast implants.

The reasons cited for this new stipulation regarding the silicone filled implants was due to the fact that a woman's breast have been know to still be in the process of forming well passed the age of 18 in into their 20's. This was also due to the belief that a young adult is still not mature enough mentally to make a sound decision regarding the procedure. There are also no known risks of implant rupture of a saline filled implant where as the silicone filled implants are still under investigation.

Even upon reaching the age of 22, it is important to always discuss the risks associated with young adult breast augmentations with your doctor as there may be some cases in which having the procedure formed by be more detrimental to the patient's health.

If you are between the ages of 18 and 22, you should most likely wait to be sure that your breasts have completed their growing process before contemplating undergoing a breast augmentation. Should you be one of the many minors who are under the age of 18 and contemplating a breast augmentation, then chances are you are only thinking about it to be like someone on TV. It is in this reasoning that the federal government has disallowed persons under the age of 18 from undergoing a breast augmentation.

Botox: Its Latest, and Most Exciting Cosmetic Uses

Undoubtedly, the fastest growing non-surgical cosmetic procedure is Botox injections, with over 1.3 million administered last year alone. Type-A exotoxin, or Botox Cosmetic®, marketed by Allergan, Inc., Irvine, CA, is produced, perhaps surprisingly, by the bacterium Clostridium botulinum, the cause of botulism.

While skin researchers have demonstrated that wrinkles in the aging face are clearly related to the accumulated effects of excessive sunexposure, smoking, volume loss, and gravity, facial expressions and animation, known as dynamic wrinkling, also play a major role in the development of many types of neck and facial lines and furrows. By binding to the junction between nerves and muscle tissue, Botox effectively blocks the release of acetylcholine, the chemical responsible for normal muscular contractions, weakening the ability of certain facial muscles to induce fine lines, wrinkles, frowns and furrows through their repetitive use.

Botox has an excellent safety record in humans. Since the late-1970s, it has been used to treat muscle abnormalities associated with certain tic disorders, vocal cord problems and ocular abnormalities. And in the more than twenty-five years since its introduction and FDA-approval for these indications, it has consistently proven not only safe but reliable in millions of injections.

Cosmetic Uses of Botox

While other procedures, like laser resurfacing, dermabrasion and chemical peeling deal primarily with wrinkled skin at rest, Botox is considered the treatment of choice for movement-related wrinkles. Although initially used only to treat the so-called "scowl" (frown) lines between the eyes, Botox injections have been found remarkably effective for treating a wide range of facial and neck lines and furrows. Great improvement may be seen in the horizontal "worry" lines of the forehead and the "crow's feet" lines on the sides of the eyes, which in many cases may be eliminated entirely with treatment. Even more recently it has been used as a chemical (nonsurgical) browlift to restore the more youthful-appearing subtle upturning of the lateral eyebrows, to reduce the crepe paper-like crinkles under the eyes and creases around the chin, to counter the "marionette" line downturning at the corners of the mouth, to soften "smoker's" (lipstick bleeding) lines around the lips, and to reduce laugh lines. Even the so-called "bunny" lines on the sides of the nose may be eliminated by Botox. In the neck, Botox has been employed successfully for improving the appearance both of the vertical "chicken-neck" ("turkey gobbler") ropelike bands on the upper neck and the horizontal "necklace" lines encircling the lower neck. Even more recently, it has been successfully employed to lift the tips of drooping noses, a common problem with aging. Results of these treatments are usually seen between one and ten days after treatment and typically last for four to six months, although after several treatment periods more prolonged benefits may be seen.

Best Candidates for Treatment

While the "typical" Botox patient is usually a woman in her mid-forties to mid-sixties, many men and women older and younger have also been treated successfully. Individuals with neuromuscular disorders and pregnant women and nursing mothers, however, are not candidates for treatment.

What To Expect

Botox is a watery-looking substance, which is administered, for greater comfort, through a needle finer than most sewing needles. The actual number of injections and the amounts given vary with the areas being treated. Prices for treatment sessions also vary considerably, depending upon locale and the number of sites treated, and may range from $500 to $2000.

Certain medications and food supplements may increase the possibility of bruising, so you should discuss with your doctor stopping them prior to treatment. These include aspirin, non-steroidal antiinflammatory drugs (eg. Advil, Aleve), alcohol, vitamin E, ginseng and ginko biloba. Although injections tend to be somewhat uncomfortable, a simple ice pack applied beforehand generally suffices to reduce discomfort. It take about fifteen minutes to treat an entire face and neck.

Happily, complications of Botox treatments are few and short-lived, and Botox can truly be counted among the "lunchtime beauty fixes," meaning that in almost all cases, patients can immediately return to work or social activities. Minor complications include swelling, bruising and tenderness at the injection sites, which usually disappear in a few days; slight headache, which may last a few hours; and rarely, a slight lid drooping, which most often resolves in two weeks. There have been no reports of generalized illness from treatments with Botox. One treatment session is often sufficient, but If a touch up is needed, it is best done at least a month later to reduce the chance of inducing any resistance to the material.

To prevent Botox from spreading beyond the treatment sites, a few physicians advise their patients to remain upright for at least four hours immediately afterward and not to massage the treated areas. Most simply advise patients to repeatedly contract the treated muscles for up to hours hours afterward in order to work the material into the body of the muscles.

Some patients fear, unreasonably, that following Botox therapy they will have a "Kabuki-like" mask appearance and that they will also lose skin sensation. In reality, only the treated muscles will be relaxed leaving all else functioning perfectly intact, including sensation. In the overwhelming majority of cases, Botox patients are delighted with their "calmer," more relaxed, less wrinkled, less frowning look. And the future of these treatments looks bright as other forms are being studied and newer uses being tested.

The Available Plastic Surgery Procedures

Plastic surgery is something you can choose to make yourself look younger or better. You can choose to have procedures done to enhance your chest, your face or to help you lose the weight you have been struggling to lose.

These procedures have been done for many years; however, they are much more popular lately. This is due to several reasons. One of these reasons is the advances that have been made. Years ago, many people faced horror stories from procedures. Today, this is very unlikely. These procedures are much safer and doctors are trained more thoroughly to perform them. Another reason they are more popular now is because of the price. Today, these procedures are very reasonably priced. People can now afford to have these done; whereas years ago, they could not. These were procedures that movie stars and rich people had, but other people didn't because they couldn't afford them.

To learn about the costs and options of plastic surgery, talk to a trained physician in this field. You can find these in every large city and town. They are now very easy to find, but choosing the right one is vital. A good plastic surgeon has very precise skills and has an eye for details. This is important because this is your body we are talking about. You would not want anyone to touch your body if you did not feel confident in their skills with plastic surgery.Think about getting a facelift done. Would you want any person to do this, or would you want a highly trained and reputable plastic surgeon? The answer here is very simple.

One common procedure that is done often is rhinoplasty. This is another word for a nose job. Millions of people are unhappy with the way their noses look. One person may think his nose is too large, while another person may think his nostrils are too big. Some people are unhappy with the bump their nose has, while others believe their nose just doesn't fit their face. A rhinoplasty surgery can change any nose. Skilled doctors can take a nose and make the necessary changes to create the nose that the person has always wanted.

A facelift is another common procedure. If you are tired of the wrinkles that you see each day, have a facelift done. There are many variations to choose from with this, and some of them are quite simple to perform. One of these is a feather lift. It is fast and easy, but the results can still be astounding.

You can also choose from more specific types of facial surgeries. If you are unhappy with the shape or size of your ears, doctors can now modify those. If you hate your eyes and are tired of the bags under your eyes, doctors can also modify those with various kinds of plastic surgery. The choices are up to you, and you can choose one or more procedures. A trained plastic surgeon will be able to help you look better and this will give you more confidence in yourself and will help increase your self-esteem.

Hydradermabrasion - The Crystal Clear Solution?

Microdermabrasion has been a mainstay of non-surgical skin rejuvenation treatments in clinics in the UK for over a decade now, as its minimally invasive technique and skin 'freshening' qualities are an attractive treatment option for many consumers.

In the USA, over 8 million treatments have been performed in the last ten years, reaching a peak of over 1 million in 2004, making it the fourth most popular cosmetic treatment in America, according to the American Society of Aesthetic Plastic Surgery (ASAPS).

Microdermabrasion involves a stream of fine, micro particles or crystals being blasted across the skin, normally treating the face, by a special handpiece as it is moved across the area. Movement of the crystals, usually aluminium oxide or sodium derivatives, at high pressure causes the exfoliation of the outer layers of the skin, similar to a mild sandpapering effect. Loosened dead skin particles, the crystals and other debris are then vacuumed away by the machine.

Microdermabrasion is clinically used to improve the appearance of the skin, increase circulation and provide a 'healthy glow' as the remaining layers of skin increase their production of new skin cells to renew the surface layer. In many cases, specialist skincare products such as those containing antioxidants are also applied to the skin following the microdermabrasion treatment to speed up and increase this dermal renewal.

However, like all non-surgical treatments, there are some minor draw backs. Although the treatment is generally considered to be painless, depending on how aggressively it is targeted, it does leave the individual with a tight feeling to the face and redness of the skin which can last for several hours as the inherent hydration of the skin's surface has been stripped away briefly by the mechanical action.

So scientists have been looking at ways to improve on this technology and not only increase its efficacy in terms of skin rejuvenation, but also remove any associated discomfort and downtime; and now they think they've cracked it with the introduction of hydradermabarasion, the crystal free microdermabrasion.

What is Hydradermabrasion and What Can it Treat?

Hydradermabrasion, marketed by the innovative company behind the first technology, as the Hydrafacial(TM) treatment, is indeed similar in concept to its older cousin; however the primary difference is the lack of any crystals used to assist in the exfoliation process, and the use instead of a specially shaped spiral tip which exfoliates and removes impurities along with delivering pneumatically applied serums that cleanse, hydrate and provide antioxidant infusion during the treatment process.

The HydraFacial(TM) system was first introduced at the American Academy of Dermatology Annual Meeting in 2005. It won the industry's "Best of The Best Award" in 2006 and was nominated for the award again in 2007 and 2008. It became available in the UK in 2009.

Hydradermabrasion takes its name from the word 'hydrate' meaning to 'cause to take up moisture'. This ability to actively moisturise the skin during the treatment process sets it apart from all other skin resurfacing procedures available, such as microdermabrasion, chemical peeling and laser/IPL treatments.

According to the manufacturer the Hydrafacial(TM) treatment is clinically proven to improve the appearance of fine lines, wrinkles, congested and enlarged pores (e.g., blackheads), oily or acne-prone skin and hyperpigmentation (i.e. dark areas of the skin, such as brown age spots).

How Does it Work?

The special tip, which is the unique part of the Hydrafacial(TM) devices, is known as the Hydropeel(TM) Tip. It is passed over the surface of the skin in smooth, stroking movements, whilst proprietary serums are simultaneously directed onto it and then vacuumed away, along with loosened dead skin cells and other debris. All the waste is retained in a separate closed container to avoid any risk of contamination. Treatment is generally considered to be painless and a new treatment tip is used per patient.

The treatment works differently from traditional microdermabrasion due to the spiral shape of the tip, which has multiple abrasive edges, meaning that the skin is exfoliated several times as the tip is moved over it in a planing motion, whilst the serums applied soften the skin and sebum (skin oils) making it much easier to extract away impurities.

Treatment is said to be safe for most skin types and colours, including thinning or ageing skin, dry or oily skin and ethnic coloured skins; however those individuals who have been treated with isotretinoin for severe acne within the last six months, those with active skin infections, such as herpes simplex (cold sores), or with a history of problems associated with skin healing are not suitable candidates for treatment.

The proprietary serums within the Hydrafacial MD(TM) range, which are delivered direct to the skin's surface via the Hydropeel(TM) Tip, include activ-4(TM) which contains glucosamine and lactic acid, as well as active botanicals for cleansing and hydrating all skin types, beta-hd(TM) which contains salicyclic acid for cleansing and hydrating oily and acne prone skin and antiox-6(TM) an antioxidant treatment serum for all skin types containing hyaluronic acid, vitamins A and E and white tea extract designed to combat the damage created by free radicals within the environment, and deeply moisturise the skin.

The manufacturers of the Hydrafacial(TM) device have also teamed up with leading skincare company Skinmedica® to enable them to offer their TNS® (Tissue Nutrient Solution) Serum which contains NouriCel MD(TM), a proprietary mix of human growth factors, cytokines, soluble collagen, antioxidants and matrix proteins, discovered through more than a decade of wound-healing research. Growth factors and cytokines are proteins that the body produces for regular growth and repair of tissue. The proteins are believed to work in concert with each other to produce the desired effects of reducing the appearance of fine lines, wrinkles and sun damage. A home use kit of Skinmedica products is often recommended following the Hydrafacial(TM) TNS® Serum treatment to enhance and maintain the results.

According to Dr Bruce Freedman, who has recently published a study on the use of hydradermabrasion for non-ablative facial rejuvenation looking at the efficacy of applying topical antioxidants on their own or mechanically applying them to post-hydradermabraded skin: "the key step is the pneumatic application of the topical antioxidants; manual application is not as effective"; he said.

Additionally the Hydrafacial(TM) system offers a chemical peeling treatment in conjunction with the hydradermabrasion procedure. There are three Glysal(TM) peel strengths available, ranging from the Mild Glysal(TM) Prep which is suitable for most skin types as a pre-peel or preparation product, the Moderate Glysal(TM) Peel for oily, acne prone skin and to target fine lines and hyperpigmentation and the stronger Aggressive Glysal(TM) Peel.

Finally red and blue LED (Light Emitting Diode) handpieces can be applied to the Hydrafacial(TM) treated skin to aid skin rejuvenation and acne treatment respectively.

The energy delivered by red LED light has been shown to enhance cellular metabolism, accelerate the repair and renewal of damaged skin cells, as well as stimulate the production of collagen leading to improved skin texture and firmness. The Del Sol(TM) red light handpiece emits 615nm red light. Unlike more powerful laser and IPL treatments there is no pain associated with the delivery of the LED light to the skin.

The Del Sol(TM) blue light handpiece emits 420nm blue light. Propionibacterium Acnes or P.Acnes bacteria is known as the cause of acne and porphryin which is a compound generated by P.Acnes is photosensitive and has been proven to react to the wavelength of 405 - 440nm (blue) light which leads to the destruction of the bacteria. The combination of Hydrafacial(TM) as a pre-treatment to the blue LED light means that dead skin and debris is removed first so that the blue light is better targeted at the acne prone skin layers beneath.

Treatment sessions usually take approximately 30 minutes, with most people returning to work or normal activities immediately after treatment with only slight redness to the skin and a possible tight feeling which should resolve in less than 1 - 2 hours. Treatments using the peel products may prolong any redness however. The manufacturers report that many people see visible skin improvement after just one treatment with the results and skin hydration lasting between 5 and 7 days, and sometimes longer, making it an ideal one off treatment for a special occasion or a 'freshen-up'. However, a series of six to ten treatments are usually recommended for improving the appearance of fine lines, wrinkles, acne and oily skin or areas of hyperpigmentation, with ongoing maintenance treatments every 2 to 8 weeks. A treatment programme incorporating the various serums, growth factors, peel products and LED light will be customised on a per patient basis, depending on the individual skin requirements.

The average cost of a basic HydraFacial(TM) treatment is approximately £100, with advanced treatments including LED lights, peels or growth factor serums being in the range of £125+; generally discount packages are available for a course of treatments. As this treatment is currently so new there are only a handful of clinics currently offering it within the UK.

Clinical Results

A number of clinical trials into the use of hydradermabrasion and the associated application of antioxidant serums, both as a stand-alone treatment and in conjunction with other non-surgical skin rejuvenation procedures, such as Intense Pulsed Light (IPL), have been carried out by influential American physicians Dr. Patrick Bitter and Dr. Bruce Freedman.

A study by Dr. Freedman involved 20 volunteers being split into two groups, one group had six hydradermabrasion treatments using the mechanically applied antioxidant serum, spaced 7 - 10 days apart, and the other group simply had the serum applied manually, again for six treatments spaced 7 - 10 days apart. Results gathered two weeks after the final treatment showed that the group treated with hydradermabrasion demonstrated increased thickness in the skin layers, with the deposition of new collagen fibres and increased levels of antioxidants in the skin. Fine lines, pore size and hyperpigmentation were also decreased following treatment. The other group showed no change in skin structure, clinical attributes (such as wrinkling, hyperpigmentation etc.) or antioxidant levels. It was therefore concluded the Hydrafacial(TM) treatment effectively improved skin quality and increased the antioxidant levels present in the skin, whilst the lack of an abrasion element and a manual application of antioxidants did not result in detectable skin changes.

If we are to criticise this study in any way, it would be to note that a third group was not established who were treated with traditional microdermabrasion and topical antioxidant application, so as to establish the exact effect of the differing types of skin abrasion (wet versus dry) and the subsequent take up of the serums by the skin.

In a study by Dr. Bitter, presented at the ASLMS conference in 2009, he looked at how hydradermabrasion worked in conjunction with IPL on facial skin. Two groups of patients were treated with either a series of IPL treatments alone or a combination of IPL and hydradermabrasion. In the combination group, results showed that fine lines, texture, pore size and overall skin appearance were improved. This study showed that hydradermabrasion appeared to enhance the effects of the IPL, which was due to the antioxidant infusion which is part of the Hydrafacial(TM) treatment's uniqueness.

Other Options
Although the Hydrafacial(TM) systems are becoming the most widely known and heavily marketed devices within the hydradermabrasion arena. There are some other systems available which also use the concept of high pressure fluids to exfoliate or hydrate the skin as part of an abrasion treatment.

JetPeel(TM)-3 from Israeli company TavTech Ltd and distributed in the UK by Cross Medical Ltd is also a hydradermabrasion device, in that it uses a pneumatically applied liquid to exfoliate the skin; however the company manufacturing it have chosen a name to market it aligned with a peeling process rather than a microdermabrasion process. Some clinics offering treatment with this device are however choosing to use the term 'hydrodermabrasion' to emphasise the use of water, rather than the implied peeling products.

Each JetPeel(TM) treatment effectively "pressure washes" the skin using microdroplets of water (saline) and pressurised oxygen or air, delivered at supersonic speed - up to 200m/sec. When the jet stream of droplets strikes the skin the kinetic energy of the droplets causes an exfoliation effect. It is claimed that this gentle cleansing unclogs pores and removes any dead skin cells and debris that has built-up on the skin. Unlike other systems, this device doesn't use any kind of vacuum system to remove the resulting waste. The saline can be combined with other topical products containing vitamins and supplements such as hyaluronic acid designed to address different skin conditions, which are said to penetrate better in combination with the superficial exfoliation achieved and barometrically pressure environment caused by the pressurised gas upon the skin.

U.S. company Genesis Biosystems, a long standing producer of microdermabrasion machines, launched the Accelafuze(TM) in 2008; (distributed in the UK by Eden Aesthetics). The device combines traditional microdermabrasion using crystals followed by a rapid 'dermalinfusion' of various topical solutions such as a glycolic acid based cleanser, moisturising, lightening and peptide replacement serums and a lactic acid based peel with LED treatment options using red, blue and yellow light.

Although, like the Hydrafacial(TM) system the Accelafuze(TM) targets the mechanical application of topical products and the use of LED light, the use of traditional crystal based microdermabrasion means that this device cannot truly be classed as a hydradermabrasion option as it still relies on the use of dry crystals for the exfoliation element.

Summary

The popularity of microdermabrasion as a long term treatment programme for maintaining a healthy glow to the skin to reduce the appearance of fine lines, wrinkles and sun damage is well established, along with its versatility as a one-off, special occasion treatment when you want to look your best for a wedding etc.

With the introduction of hydradermabrasion many within the industry are seeing this as the next generation of minimally invasive skin resurfacing which moves on from traditional microdermabrasion by offering a painless treatment with less post treatment redness, along with the pneumatic application of antioxidants directly to the skin during treatment, rather than by topical application post-abrasion.

As with many new technologies, manufacturer claims tend to be somewhat embellished, and we must also offer a small note of caution on their safety and efficacy, as until long-term clinical evidence is gathered, little is known of any potential future complications.

As experience with this technology evolves in the UK you can be sure that we will be here to update you with the facts as they emerge.

Copyright © 2009 The Consulting Room(TM).

Cosmetic Surgery - The Most Cost Effective Way

Where once it was frowned upon or ever laughed at, plastic surgery in China is now among some of the highest quality in the world. Many of the surgeons have spent years training in the US and then taken their skills and knowledge back to China where they can perform the same surgeries with the same level of quality as you would expect to find in the US for a fraction of the cost. In many cases people in US do not get the cosmetic surgery they want or need because of the extremely high cost of these procedures in US facilities. While many of these procedures are purely elective and have no real medical value, it still does not stop people from continuing to want them; however the one thing that does stop them is cost.

Fortunately plastic surgery in China can be as much as 70% less than the same procedure in the US making it far more affordable to travel overseas. Here in the US only those plastic surgeries that are deemed exceptionally medically necessary may be covered by insurance policies or included in HMO plans, and in many cases only a percentage is covered requiring huge co-payments that many people cannot afford even when they desperately need the procedure done. In China plastic surgery may be done on a cash paying basis but because the costs are so much lower, more people can afford to finally get the surgery they need and actually be able to pay for it. There are many different types of plastic surgery in China, many of which are purely cosmetic such as penis or breast enlargements that no insurance company is going to pay for. Face lifts and tummy tucks are becoming very common place and combined with liposuction and Botox injections to give older ladies a chance to look much younger than their true age would have them look.

These procedures prove to be cost prohibitive in the US, but are easily affordable when you travel to China. While you may be in foreign country for you treatment, you will find that having plastic surgery in China is probably more pleasant and less stressful than having the same surgical procedure done in a US hospital, especially when you factor in Chinese hospitality. If you have been considering plastic surgery in China there are companies that specialize in helping to arrange for you to go to China for the procedure you desire. A company such as International Medical Tourism Group can help connect you with the right doctors and hospitals to get the type of surgery you wish to have done. They will take care of everything from getting you on the plane to China with the right travel papers to the minute you arrive back in the US following your surgery. All cases managers are medically trained and have the expertise to make your trip as worry free as possible.

Few Remarkable Advantages of Undergoing Plastic Surgery

This is true that we all want to look beautiful. The reason behind this is our common inclination towards judging a person by his outer appearance. We have a belief that if we can look attractive, others will think highly about us and we will be able to get public attention. In few words, the society, where image is considered to be everything, looking and feeling good is indeed a compulsion. Now, a question may arise that how will you beautify your looks. In this regard, the one and only answer is plastic surgery. If you can select a proper surgeon, getting new look is indeed not impossible.

About Physical Benefits

In the true sense, cosmetic surgery is the body enhancement through advanced surgical procedures. On the other hand, this surgery is also known as restorative procedure, which helps the patient to get back his original body state. Though this surgery is quite tough, but if it can be done with utmost efficiency, it is definitely going to create positive effect on the patients.

Since a long time, this type of surgery is in demand but it is mainly popular among the people having physical deformity. As for instance, if you are born with a cleft lip or you have a scarring, this is the perfect option to adopt. In fact, if you are not physically deformed but a particular part of your body has got flaws; you can go through these surgical corrections.

About Psychological Benefits

In the true sense, this surgery gives the patients opportunity to enjoy high self-esteem. By resolving the physical defects, patients get back the confidence and they also feel the urge to live a normal life. In some cases, it has also been seen that this surgical procedure encourages people to try something new, which he wouldn't have tried otherwise.

Finding out the Right Plastic Surgeon

It has been found out that nowadays success rate of these surgeries is high. But still, if you want to get the best outcome, it is better to seek assistance from a highly experienced cosmetic surgeon. You may try to understand the doctor's efficiency by going through his prior work. Sometimes personal reference is also considered to be helpful.

These days most of the cosmetic surgeons prefer to offer consultations to their patients totally free of cost. So, if it is your first time and you are quite confused about the whole thing, you can make the full use of this opportunity.

How Long Does It Take to Recover From Cosmetic Surgery?

How long it takes to recover from cosmetic surgery depends basically on what you get done. Getting your surgery done by a reliable plastic surgeon using the latest technology would reduce the risk of post-surgical complications and speed up healing.

Factors influencing Cosmetic Plastic Surgery Recovery Time

• Cosmetic surgery procedure: Recovery time varies between procedures. It would take longer to recover from a liposuction and breast surgery than a simple eyelid enhancement procedure
• How extensive and complex the procedure is: if the surgery is performed on a very large area, (liposuction of the hips and buttocks or inner thigh liposuction) the recovery time would be greater
• Number of procedures performed: If cosmetic surgery is done on more than one area, recovery would take longer. For instance, a breast lift and a tummy tuck at the same time
• Age and general health: Younger people in good health recover faster than older candidates
• Following post-operative instructions: Diligently following the surgeon's instructions on medication, wearing a compression garment, physical rest, and so on, speeds up healing
• Mental relaxation: A relaxed state of mind is important for post-operative recovery

Recovery with Various Procedures

Recovery time differs among cosmetic plastic surgery procedures. The healing period of some popular plastic surgery procedures is as follows:

• Rhinoplasty: Recovery time depends on various factors and could take up to one year. If the procedure involves a septoplasty besides enhancing the shape of your nose, healing would take longer. Usually, the patient can get back to regular activities (though not physical work or sports) after a few weeks.
• Breast augmentation: Soreness, bruises and swelling usually last for about two weeks. Recovery speeds up as your body adjusts to the breast implants. Surgical scars, if any, fade within a period of six months to one year.
• Abdominoplasty: Normally, patients can return to work one to two weeks after an abdominoplasty, though some may take up to a month to recover. Individuals in good physical condition recover fast. Strenuous exercise is to be avoided for about six weeks.
• Blepharoplasty: Some swelling, discomfort and bruising are normal with eyelid surgery or blepharoplasty, though improvement is visible within a week. Resuming physical activity and exercise, however, could take a little longer.
• Facelift: For a facelift, recovery and healing time could range from one week to even a few months, and depends on the surgery performed. With a standard procedure, the patient could return to work in about ten days, while for a simpler procedure, the recovery time could be just a weekend.

The latest cosmetic plastic surgery techniques are safe, have minimal side effects and promise faster healing. For instance, the revolutionary SmartLipo Triplex for high definition body sculpting ensures superior results, better skin tightening, minimal pain and discomfort, and most important, fast recovery.

Established Plastic Surgeon for the Best Results

To ensure a speedy recovery and the best results for your aesthetic surgery, locate an AAAASF-accredited surgery center. Make sure the plastic surgeon has sufficient experience in performing the procedure you are interested in. It is also important that he uses the latest technology. Discuss your issue thoroughly with your surgeon and make sure you know how long it takes to recover from the cosmetic surgery procedure.

How to Treat Adult Acne

Acne vulgaris (commonly called acne) is a common skin condition, caused by changes in the pilosebaceous units. These units are skin structures consisting of a hair follicle and a sebaceous gland. The changes occur as a result of increased sebum production via testosterone stimulation. Both men and women have varying amounts of testosterone. Acne is most common during adolescence, affecting more than 85% of teenagers, and frequently continues into adulthood. This type of acne affects the areas of skin with the largest amount of sebaceous follicles. These areas include the face, the upper part of the chest, and the back. Whenever acne becomes inflammatory it can damage the skin by destroying the collagen. For most people, acne diminishes over time and tends to disappear-or at the very least decrease-after one reaches one's early twenties. There is, however, no way to predict how long it will take to disappear entirely, and some individuals may continue to suffer well into their thirties, forties and beyond.

Patients may be surprised to learn that development of acne vulgaris in later years is actually quite uncommon. True acne vulgaris in an adult woman may be a feature of an underlying condition such as pregnancy and disorders such as polycystic ovary syndrome or the rare Cushing's syndrome. It is also known that menopause-associated acne occurs as production of the natural anti-acne ovarian hormone oestradiol fails at menopause. The lack of oestradiol also causes thinning hair, hot flashes, thin skin, wrinkles, vaginal dryness, and predisposes to osteopenia and osteoporosis as well as triggering acne (known as acne climacterica). So what is adult acne and why does it occur in later life? Why does it also seem to affect mostly women and occur around the mouth area where there are fewer pilosebaceous units? In fact why does it last for years and not respond to the normal treatments such as Benzoyl peroxide or Salicylic acid 2% (Acnesal) products. I would also ask why is it so common and bothersome for so many people?.

Is adult acne really acne?

I think these effects happen because what we call adult acne is probably a totally different disease. Several factors are known to be linked to acne, including the tendency for the condition to run in families and exposure to certain chemical compounds such as dioxins. Remember the thirties are the decades of rosacea and what we see is often a different disease called perioral dermatitis masquerading as adult acne. Many GPs also call this acne and treat it the wrong way. Stress, through increased output of hormones from the adrenal (stress) glands causes outbreak of the condition. While the connection between acne and stress has long been debated, scientific research indicates that "increased perioral dermatitis" is "significantly associated with increased stress levels.

So what exactly is perioral dermatitis?

Perioral dermatitis is a condition closely related to acne vulgaris that affect young women between the ages of twenty and forty five. Occasionally men or children are affected. Perioral refers to the area around the mouth, and dermatitis indicates redness of the skin. In addition to redness, there are usually small red bumps or pus bumps, and mild peeling. Sometimes the bumps are the most obvious feature, and the disease can look a lot like acne. The areas most affected are within the borders of the lines from the nose, to the sides of the lips, and the chin. There is frequent sparing of a small band of skin that borders the lips. The skin lesions can affect the area around the eyes. It is not uncommon, and has a tendency to recurrence in individuals who have had it once. This condition is often related to stress and become common in summer time as it acts like rosacea, becoming worse with sunlight exposure. Sometimes there is mild itching or burning.

How long does it last?

If not treated, perioral dermatitis may last for months to years. Even if treated, the condition may recur several times, but usually the disorder does not return after successful treatment.

What causes perioral dermatitis?

The cause of perioral dermatitis is unknown. We know it is a neurodermatis and hence related to stress. Some dermatologists believe it is actually a form of rosacea or sunlight-worsened seborrheic dermatitis. We know that strong corticosteroid creams applied to the face can cause perioral dermatitis. Once perioral dermatitis develops, corticosteroid creams seem to help, but the disorder reappears when treatment is stopped. In fact, perioral dermatitis usually comes back even worse than it was before use of steroid creams. Some types of makeup, moisturizers, and dental products may be partially responsible. There is also a suspicion that fluorinated toothpastes are related to an outbreak of this condition.

Can it be prevented?

There is no guaranteed way to prevent perioral dermatitis. Do not use strong prescription strength corticosteroid creams on the face. Your dermatologist may have suggestions about the use of moisturizers, cosmetics, and sunscreens, and may advise against using toothpaste with fluoride, tartar control ingredients, or cinnamon flavouring.

Are laboratory tests needed to diagnose the problem?

Most of the time, no tests are necessary. A dermatologist can usually make an accurate diagnosis by just examining the skin. Sometimes, scraping or a biopsy of the skin is done. Occasionally, blood tests are ordered to eliminate other conditions that can look similar.

How is this condition treated?

Dermatologists tend to use oral antibiotics, similar to the ones we use in Rosacea to treat the condition. This means a patient would require taking doxycycline or tetracycline for minimum of 3 months to prevent recurrence. For milder cases or pregnant women, topical antibiotic creams may be used. Occasionally, your dermatologist may recommend a specific corticosteroid cream, just for a short time to help your appearance while the antibiotics are working.

Is this similar to the treatment of acne?

Yes and no. I suppose systemic antibiotics are a mainstay in the treatment of ordinary acne vulgaris. Some of these antibiotics, such as Doxycycline (ByMycin) and Minocycline (Minocin) have anti-inflammatory properties and generally more effective than tetracycline. However, resistance is becoming more common and other antibiotics, including Trimethoprim (Septrim) are reportedly more helpful in acne than perioral dermatitis. Roaccutane (Isotretinoin) is a systemic retinoid that is highly effective in the treatment of severe acne vulgaris. It does this as it depresses sebum excretion by 70%, is anti-inflammatory, and even reduces the presence of acne bacteria. I do not tend to use it with perioral dermatitis as the basis of the condition is not sebum related. Roaccutane is a teratogenic and pregnancy must be avoided. A negative pregnancy test result is required prior to the initiation of therapy. A doctor will also check your cholesterol and liver tests monthly.

Are lasers of any value?

Lasers that use Photopneumatic™ technology such as the PPx and Isolaz has little use treating this condition as the underlying problem is not related to an increase in sebum However IPL (as used in Rosacea) appears to be of some benefit in controlling the condition.

What can be expected with treatment?

Most patients improve within two months of oral antibiotics. If corticosteroid creams were used for treatment, there may be a flare-up when the creams are stopped. If antibiotic treatment is stopped too early, however, the problem can come back.

Are there any other treatments?

There are many OTC products available for the treatment of acne, many of which are without any scientifically-proven effects. Generally speaking, successful treatments show little improvement within the first two weeks, instead taking a period of approximately three months to improve and start flattening out. Many treatments that promise big improvements within two weeks are likely to be largely disappointing. However, short bursts of cortisone can give very quick results to ordinary acne but are not recommended for this condition. .

Topical bactericidals

Topical bactericidal products containing benzoyl peroxide may be used in mild to moderate acne. The gel or cream containing benzoyl peroxide is rubbed, twice daily, into the pores over the affected region. Bar soaps or washes may also be used and vary from 2 to 10% in strength.

I normally do not recommend benzoyl peroxide to be used in this condition as it is a keratolytic (a chemical that dissolves the keratin plugging the pores) and the primary problem is not due to blocked pores. Other antibacterials with less keratolytic effects include triclosan, or chlorhexidine gluconate.

Topical antibiotics

These include ointments such as erythromycin, clindamycin or tetracycline. They act by killing the bacteria that are harboured in the follicles. While topical use of antibiotics is equally as effective in ordinary acne as oral use, I do not find them as effective in this condition. However, sometime I use Rozex and Metrogel (metronidazole) in much the same way I would treat a Rosacea patient.

Hormonal treatments

In females, ordinary acne can be improved with hormonal treatments. The common combined oestrogen/progestogen pill has some effect, but the antiandrogen, cyproterone in combination with an oestrogen (Dianette) is particularly effective at reducing androgenic hormone levels. Most patients with adult acne are too old to use this drug so it is not generally used

Topical retinoids

This group of medications are used to normalise the follicle cell lifecycle. They include brands such as tretinoin (brand name Retin-A), adapalene (brand name Differin), and tazarotene (brand name Tazorac). Like isotretinoin, they are related to vitamin A, but they are administered as topicals and generally have much milder side effects. They can, however, cause significant irritation of the skin and I never use them in this condition.

Phototherapy

It has long been known that short term improvement can be achieved with blue and red light. Recently, visible light has been successfully employed to treat acne (phototherapy) - in particular intense violet light (405-420 nm) generated by purpose-built fluorescent lighting, LEDs or lasers used twice weekly has been shown to reduce the number of acne lesions by two thirds. It is even more effective when applied daily. The mechanism appears to be that a porphyrin produced within P. acnes generates free radicals when irradiated by 420 nm and shorter wavelengths of light. These free radicals ultimately kill the bacteria.

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.

Hollywood to High Street: Why Natural-Looking Cosmetic Procedures Are So Popular

These days, it's not just the rich and famous that get to enjoy the benefits of looking and feeling younger and healthier. Although a whole galaxy of stars, from Angelina Jolie to Catherine Zeta-Jones, are widely rumoured to have had cosmetic procedures, the average British woman (or man) is now more likely than ever to have undergone one of the many basic beauty treatments available.

So why the sudden rise?

The British Association of Aesthetic Plastic Surgeons (BAAPS) reports a 6.7% rise in plastic surgery for men, and a 5% rise among women. This reflects the fact that we are becoming more accepting of cosmetic procedures that promote beauty and wellbeing, while still preserving a natural look that some celebrities we could name have definitely lost!

What procedures are available?

The spectrum of cosmetic surgery ranges from liposuction (surgical fat removal) and breast augmentation to the most popular anti-ageing tool of all, the humble Botox injection. Since its introduction in 2002, Botox has steadily gained in popularity with both the celebrity and the public. Quick and simple to perform, this anti-wrinkle treatment consists of small injections that allow the muscles of the face to relax, reducing the appearance of lines and wrinkles.

Recently, alternatives to Botox, such as hyaluronic acid and poly-L-lactic acid (PLA) have broadened the market and made more choice available for people looking for a hassle-free way to combat those tell-tale signs of ageing. Both of these treatments use products that fill out the skin, producing an instant and recognisable reduction in bags and wrinkles.

Another treatment that seems to be on the rise is laser hair removal. Tired of the costs and inconveniences of regular shaving, rushing to waxing appointments and painful plucking, many women are now choosing to have hair more permanently removed with laser treatment. This almost painless procedure is a fast and efficient way to eliminate unwanted hair growth in almost any area. The chin, underarms and bikini line are some of the more requested treatment spots.

Is it all too good to be true?

Cosmetic procedures, like all medical treatments, are not without some small risks and side effects. Generally, these are limited to discomfort and slight bruising at the site of administration. Although mildly unpleasant, the effects usually disappear within a short period of days or weeks. The good news is that the staff at cosmetic surgery clinics are qualified experts, and should be more than happy to discuss any concerns with you before your procedure. Equally importantly, support and follow-up afterwards is a normal part of practice.

The Beauty Revolution

As we stride into the new decade, it seems we are fast leaving our hang-ups and misgivings about cosmetic procedures behind us. Today, both men and women are increasingly relaxed about accepting a little help in maintaining their youthful looks. This is partly because it has never been easier or cheaper to access, and partly because we no longer accept that beauty is the sole preserve of a privileged few. Vive la r矇volution!

The Cosmetic Dentist - How to Choose a Good One

There can be no doubt on the part of any observer of American trends: the cosmetic dentist is providing one of the most popular services of the day. Tooth care is never going to be as glamorous as Botox or the latest hair styles -- not even semi-underground trends like the grill could usurp more standard accessories -- but services like whitening are certainly becoming more and more popular every day. And why not? Your teeth are among the first things people notice about you. You deserve to make a good impression. If you want to have the best smile possible, you'll need a dental office that can provide the best service possible. Here's how you can choose a good one.

Certification

Almost as important as where a cosmetic dentist received their original degree is their level of continuing education. This is where various certifications and accreditations become important. Any dental professional that cares about providing the best healthcare possible will see to it that they are constantly learning the newest techniques and outfitting their offices with the best technology. This should be obvious in not just the offices themselves, but in the certifications and honors they have received. Any DDS can claim to be a cosmetic dentist. Make sure you find one who has something to back up that claim.

Experience

All of the schooling in the world can't beat even a year's worth of experience. You never want to feel like someone's guinea pig, even if it means you get a break on the price. Demand some serious experience from your cosmetic dentist or go elsewhere. You want to be able to look back on pictures of patients who have had successful whitening, veneers, implants, or whatever procedure you're considering. Experience is especially important should something go wrong. This is very unlikely in the vast majority of procedures, but you need someone who can quickly handle things if a mistake occurs.

Availability

You might not be surprised to learn that the cosmetic dentist with the best reputation in town is also the busiest. Keep in mind that a full roster of patients doesn't necessarily translate into higher quality, of course. Some dental professionals prefer to keep an open schedule and are choosy about taking new patients. Others simply excel at advertising their business. You want a dental office you can get into within the next six months, so don't feel bad if you don't get your first choice.

Aesthetic or Cosmetic Plastic Surgery - Beauty Mantra

In today's world, every individual is looking for 10/10 beauty. To get that perfect look, beauty-conscious people really don't mind to undergo the surgeon's knife in order to correct or beautify their looks.

Around the globe, aesthetic or cosmetic surgery has become very common, with more and more people obsessed with their looks are now opting for cosmetic plastic surgery procedures to have an ideal feature.

Teenage and aged persons, especially girls and women specifically have been attracted to the process of beautifying, with a number of them are undergoing different kinds of aesthetic surgeries in order to improve their body image and looks.

The latest statistics by the American Society of Plastic Surgeons (ASPS) show that 13.8 million surgical and minimally invasive cosmetic plastic surgery procedures were performed in the United States in 2011, which is a 5 percent increase on the year before. In addition, the number of reconstructive plastic surgeries increased by 5 percent, with 5.5 million surgeries undertaken last year.

Cosmetic Surgery- an Overview

Cosmetic or aesthetic surgery is the best-known form of plastic surgery. This surgery is performed to enhance the appearance of otherwise perfect body parts of an individual's body beyond the average level toward some aesthetic ideal.

As mentioned above, cosmetic plastic surgery procedures can be performed in two ways- surgically or minimally invasive procedures.

ASPS recognizes about 27 different kinds of cosmetic plastic surgery procedures that can be done to a person's facial or body part. Some of the surgical aesthetic/cosmetic procedures include:

• Breast augmentation (also called "breast implant" or "boob job")


• Mastopexy or breast lift


• Rhinoplasty or nose job


• Abdominoplasty or tummy tuck


• Liposuction (Also known as suction lipectomy)


• Blepharoplasty or eyelid surgery


• Rhytidectomy or facelift


• Lip enhancement


• Chin augmentation


• Ear surgery (otoplasty)

These cosmetic surgeries are done to shape any feature of a person's body according to the way they want it to be. These procedures aim not only to make people look good from outside, but also feel good from inside.

The most common minimally invasive cosmetic plastic surgery procedures are Botulinum toxin type A or simply called Botox, soft tissue fillers, chemical peel, laser hair removal and Microdermabrasion.

Reconstructive plastic surgery is performed to improve function and appearance to abnormal structures of the body impaired by congenital defects, such as cleft palates or cleft lips; developmental abnormalities, traumatic injuries, such as facial bone fractures and breaks; burn, infection, cancers, tumors or disease.

Tumor removal, laceration repair, maxillofacial surgery, scar revision and hand surgery are some of the commonly used reconstructive plastic surgery procedures.

People can either have surgery on particular body part, such as Lip augmentations and reduction, Nose job, Breast augmentation or Face lifts, or can opt for multiple procedure packages like Breast augmentation/Abdominoplasty; Breast lift with implant Abdominoplasty; Breast reduction/Breast implants/Abdominoplasty; Breast augmentation with Liposuction - hips & abdomen; Breast augmentation/ Nipple reduction or Areola reduction; and Forehead lift/ Face lift along with Neck lift.

However, when it comes to aesthetic cosmetic surgeries, finance matters a lot. Like several other surgeries, cosmetic surgeries too come with a hefty price tag. The extremely high cost of cosmetic plastic surgery procedures in several developed countries of the world often come as major obstacles in the way of people who want to alter their looks.

Fortunately, easy-on-the-pocket cosmetic plastic surgery procedures are available in some other regions of the world. Several healthcare providers in developing nations are using state-of-the-art instrumentation to provide people with the highest possible quality standard of aesthetic cosmetic surgeries at prices much lower than what these would cost back home.

So people, do not let that abnormal or misshapen body part ruin your beauty and confidence when there are low-cost, high-quality aesthetic cosmetic procedures available in foreign lands. All you need to research extensively to seek the right, most dependable place to get your beautification surgery abroad.

Types of Cosmetic Dentistry Services

Cosmetic dentistry is a service that has become much more popular in recent years, and there are many people who are improving their appearance through cosmetic dentistry. There are many procedures that you can choose from.

Any procedure that improves the appearance of your teeth is considered cosmetic dentistry. For many years, dental procedures simply focused on the medical treatments to prevent and treat conditions such as tooth decay, tooth aches, and gum disease. But, now there is a big surge in people wanting cosmetic dentistry to improve the look of their smile.

Types of Cosmetic Dentistry

• Teeth Whitening: The most basic and common type of cosmetic procedure is teeth whitening. This is an inexpensive way to improve your smile, and many people are striving for the bright, white teeth that are shown in the TV commercials. Tooth whitening can be completed several different ways. Your dentist can help you find the best method for you.


• Veneers: Some people aren't happy with the way their teeth look, so they may have veneers put on over their teeth. These are contact lens thin pieces of porcelain that go on the front of your teeth to correct the shade, size or shape. There are many reasons why veneers can be beneficial, and they are a great option to improve your smile. It is important to talk with your dentist about how the veneers would affect your teeth, because the procedure is not reversible.


• Filling Replacement: When a person chooses to replace fillings it can be for a medical or cosmetic reason. In the earlier years of dentistry, fillings contained mercury. Now, it has been discovered that those fillings can be quite dangerous because of the toxicity that they may cause. So, many people are choosing to have their fillings replaced because of the health implications of having mercury in their mouth. Another benefit of the filling replacements is that the older fillings were very noticeable because they were silver. The new fillings are tooth colored, so you can't see them as well because they blend in with the tooth.


• Orthodontics: Wearing braces to straighten the teeth is considered a form of cosmetic dentistry, although most people don't have this procedure completed by their regular dentists. If you are interested in straightening your teeth, you can talk with your dentist to get a referral to an orthodontist that they enjoy working with.

Sometimes, multiple cosmetic dentistry procedures will be done in order to create the best smile possible. If you want to improve your teeth, it is a good idea to talk with a cosmetic dentist in order to determine what procedures would be needed in order to improve your smile.

No matter your reason, there can be many benefits to cosmetic dentistry. Many people find that a few simple techniques will greatly improve their confidence because they will be happier with their smile. Having a good appearance is an important element of self confidence, and a beautiful smile is a central part of your overall appearance.

Cosmetic Surgery Overseas

Cosmetic surgery overseas is a cheaper option for plastic surgeries you want performed. More good news is that while the rate is cheaper the quality is not compromised at all. The results are the same, if not better. This makes surgery abroad a popular choice for many individuals who want to have something done. The cheaper rate opens up the opportunity to people who cannot afford the expensive surgery in their own country, but can afford the cheaper rate abroad.

However, should cosmetic surgery overseas or plastic surgery in general be encouraged? Why do people get cosmetic surgeries?

Improve self-esteem

When a person is not contented with his / her physical appearance, insecurities and self-esteem issues will arise. In turn, the insecurities and poor self esteem will breed a whole new set of problems. The person may not have the confidence to perform well in school, work, or in any social situation. His / her insecurities can affect personal relationships. It can hamper his / her potential and growth as an individual.

Cosmetic surgery abroad will provide a solution to this problem. However, ethical issues can also arise. It must be said that one's self-worth and self-confidence shouldn't be based on one's physical appearance. However, it also cannot be denied that plastic surgery is one way to improve one's self-esteem.

Restorative and functional rather than aesthetic

Cosmetic surgery overseas is not only for aesthetic purposes. Some surgeons also can perform restorative or reconstructive procedures. There are also surgeries that need not be restored. These are 'cosmetic' surgeries that improve the functioning of the individual. Dental cosmetic surgery for example in terms of dental implants and veneers - dentists perform these operations for the better functioning of the teeth and mouth. When performed in the US, the price range is anywhere at $700 - $2000 per set of teeth but abroad, it is only at least $340 per set of teeth. Tooth extractions are charged $35 per tooth. You can literally overhaul your 'mouth' in a flash. Another surgery that will provide immediate relief to some women is breast reduction. It can relieve back ache and muscle strains caused by their breasts which literally pulls them down. This simple procedure is expensive in their countries but when done abroad, it is affordable and convenient.

Seen this way, cosmetic surgery overseas is able to help a lot of individuals. It is not purely for aesthetic purposes. It addresses poor self-esteem and some very useful surgeries.

Asian Rhinoplasty - Key to Achieve Desired Nose Structure

The popular doll Barbie is considered as one of the most influential things that causes a person to long for aesthetic needs. For many decades now, the western look of Barbie, especially her well-shaped nose, became a standard for beauty. Moreover, cosmetic breakthroughs introduced by TV shows and beauty icons enhanced this standard. As a result, cosmetic surgery was born.

In general, the face is the most prominent part of the body. Among the facial features, it is the nose that plays a significant role as it is placed at the center. With this, having an asymmetrical nose can lead to a feeling of distorted body image that may later affect self-confidence.

In most Asian nations, a Barbie-like nose is not common. Southeast Asians in particular, are born with flat nasal bridge and broad nostrils. For this reason, Asian rhinoplasty became a very popular form of cosmetic surgery.

An Asian nose job is more focused on reshaping of the nasal tip. Common clients who undergo this procedure are showbiz personalities and socialites who seek improvement in self-image and self-confidence. Although the price of an Asian rhinoplasty is considerably high, it is more affordable rather than travelling to a western country for surgery.

The main concern for most clients seeking to have their nose reshaped is the competence of the surgeon. This is also the reason why many Asians travel in a western country just to have their nose fixed. The good news is that Asian rhinoplasty can now be rendered safely and accurately. There are a lot of Asian surgeons who specialize in plastic surgery and are highly skilled to do a nose job.

Anyone who wants to undergo an Asian nose job must meet certain qualifications that will give evidence that you are ready for surgery. These include the absence of a bleeding and any blood disorder, absence of diabetes, and good social support. Young Asians can also undergo rhinoplasty provided that they are more than 16 years old. Doing a nose job to a person less than 16 years old might put the person at risk for delayed healing and other complications because the nasal bones are not yet fully developed.

The prognosis of an Asian rhinoplasty is good. The most successful nose jobs are met when the client presents a sketch or clear picture of the exact appearance that she expects prior to surgery. Since most Asians are known vegetarians, it is encouraged to add some protein-rich food in your diet. This will hasten surgical recovery and would facilitate proper wound healing. The inclusion of foods rich in vitamin C are also advised as this would prevent infection and secondary complications.

There is no law that prohibits you from doing things that would give you satisfaction. If you are currently not happy with the shape of your nose, now is the perfect time to go for an Asian Nose Surgery. It will bring you not only the desired look that you want, but most of all, the confidence that will lift you up.

Cosmetic Dermatology Can Stifle the Comment - You Look Tired

It's not what most of us want to hear: "You look tired!" Maybe it's just sympathy - but if you hear it a lot, even when you're NOT tired, you may be at your wit's end trying to figure out what to do about it.

In my cosmetic dermatology practice, I hear this complaint most often from clients who have lines around their eyes, grooves between their eyes above the bridge of the nose, or drooping upper eyelids. "Squint lines" and "frown lines" can also make people look angry when they really aren't!

These problems may be just the bad luck of heredity. One client came to me in distress about the three deep grooves between her eyes that she gets from squinting. She said she gets these from her father's side - "My dad's and aunt's grooves are so big they can hold a dime in the slots!" she told me.

For some people, the wrinkles, lines and sagging may result from the drying and damage that sun exposure does to our skin. And aging, bringing the loss of the collagen and elastin that support the delicate skin of the face, leaves it vulnerable to gravity. But whatever the cause, there are non-invasive cosmetic dermatology procedures available that can reverse these effects.

First, people most commonly turn to surgical remedies for drooping upper eyelids caused by a sagging brow. However, many can achieve satisfying results through the use of Botox. This safe and effective preparation, precision-injected into carefully-targeted forehead muscle areas, relaxes the muscle and relieves the downward pressure, effectively lifting the eyebrows and the lids below them. Many of my clients find it well worth trying this cosmetic dermatology procedure, and thereby frequently avoiding the more drastic step of surgery.

Botox also provides a great solution to frown lines between the eyebrows - the "dime-holders" my client described above. Even for those of us who manage to train ourselves not to squint or frown while awake, it's another story when we're sleeping. Sleep research photos reveal that most people give their facial muscles quite a workout while dreaming, and there's not much we can do about it! Injection of Botox into key areas of these muscles holds them in a relaxed state so they're not capable of contracting, and the skin over these muscles smoothes out.

Another cosmetic procedure that's highly effective in erasing the "tired" look is injection of a dermal filler such as Juvederm or Restylane. These gel-like products contain hyaluronic acid, a substance occurring naturally in human skin gradually depleted through time, aging and exposure to pollutants and sunlight. Hyaluronic acid binds moisture into the skin giving it volume and "plumping" it, while also stimulating natural collagen production. And collagen, you probably know, is the fibrous, elastic protein that keeps skin firm.

So, if deeply-incised grooves remain between the eyebrows and radiate from the outer corners of the eyes ("crow's feet") even after muscles are relaxed, cosmetic dermatologists will often combine Botox treatments with fillers like Juvederm or Restylane, erasing the lines and filling in the grooves.

Now, I'm not saying that cosmetic dermatology is the right answer for everyone who looks tired. In some cases of severely drooping eyelids, cosmetic surgery may be the best remedy. And sometimes the solution is simple and obvious - get more sleep! That alone is one of the best things you can do for your skin. But if you decide that cosmetic dermatology procedures might improve your tired appearance, there's one more thing you should consider.

The practice of these procedures is as much art as science; a doctor must have even more than a thorough knowledge of the fine, delicate anatomy of facial muscles. Especially with Botox, knowing exactly where to make the injection, and how much to use, is crucial. Make sure you entrust your treatment to the hands of a highly-skilled, experienced physician. You want someone who understands how to create subtle effects, avoiding that frozen look of the occasional celebrities who turn up in the media with Botox overkill or badly applied fillers.

Smooth, relaxed skin around your eyes erases the false impression of stress and exhaustion - so you can stop hearing "You look tired!"

Plastic Surgeon: When You Aren't Pleased With The Results

When you aren't happy with your results, should you contact your plastic surgeon? The answer is always, yes. There are a variety of reasons to speak up including figuring out what went wrong, what can be done to fix it, and if you are entitled to some sort of compensation. Make an appointment to have the issues addressed.

What Happened?
At the very least, you need to talk to your plastic surgeon about what happened. Was there a problem or complication during the operation? If something did happen hopefully your physician mentioned it. If not, you have a reason to be concerned. Sometimes once the doctor gets started, he or she realizes that the area may be more complicated that first expected.

There are a variety of reasons that something could have gone wrong. As a patient, you have every right to know what happened. If you are confident in the answer that your plastic surgeon gave, you can go to another doctor to get a second opinion. This will help you determine if there is a real problem or if another doctor believes that everything turned out okay.

What Can Be Done?
Now that you know what the problem is, you obviously want to know what can be done. If it is possible to fix or improve the area your plastic surgeon should be able to provide you with some options. It could be as simple as a minor operation without the need for general anesthesia. On the other hand, it may take major surgery to improve the overall look.

Either way, you want to know what you can do to make things look better. If your doctor is in any way responsible, you want to find out whether or not he or she will make the corrections at no charge. If you cannot come to an agreement, you may need to find another plastic surgeon that will work the make the necessary repairs.

What Are You Entitled To?
Only a legal professional can help you determine whether or not you are due any compensation. Before making this type of a threat to the doctor, make an appointment for an initial consultation with a personal injury or malpractice attorney in your area. You want to bring along all paperwork and documentation you have, including before and after photos. Be sure to explain what happened when you meet with the physician and told him that you were unsatisfied with the results.

Just because an attorney will take the case does not mean that there is a legitimate problem. You need to work with you lawyer to find out if this is something that you need to pursue.

Vaginal Cosmetic Surgery Continues To Sky Rocket

Ever since women have had the option to have cosmetic surgery done on their vagina there have been increasing numbers of women that have been looking into this. With the way the economy looks many people thought that the use of plastic surgeons would go down but that does not seem to be the case.

Conferences all over the world are starting to pop up as training is now being offered at how to get into this ever growing business. There are many different reasons that these doctors want to get into this business. The biggest reason of course is money.

All of the clients that come into their office do not carry insurance because insurance will not pay for cosmetic procedures. The doctor gets to enjoy cash payments without hassles with insurance or with payment plans from patients that do not have the money.

Besides for the less hassle and the quick profit doctors also notice that they are able to make more money overall when they are in this profession. What does that mean for the women that are interested in having cosmetic surgery performed on their vagina?

With the rise of options that are available women may be able to see a slight reduction in price but considering the fact that having vaginal rejuvenation done is between eight thousand and nine thousand dollars this is still out of the grasp of most women.

Many of the women that go in to get vaginoplasty work done do not need this done because they have some sort of health problem. Oftentimes it is just because they want their vagina to look a certain way. There are many different procedures that can be done when it comes to this field.

Some women do not want to change the look of their vagina but they simply want to make their vagina tighter. Going into the plastic surgeon is one way that you can do this but remember that there is always the possibility of complications. If there are ways that you can work on tightening your vagina naturally I would highly recommend that you do this instead.

There are now natural products that help with tightening the vagina. Many women are not aware of them but they are being marketed more and more so that women will soon know about their different options instead of only having the option of vaginal surgery.