Health and Fitness

Breast Reconstruction Varies By Race

Latinas who spoke little English were less likely to undergo reconstruction surgery after a mastectomy for breast cancer, according to a study from researchers at the University of Michigan Comprehensive Cancer Center. The study compared breast reconstruction among white women, African-American women, Latina women who were highly acculturated and Latina women who were less acculturated. Acculturation is a measure of how much a person is integrated into American society. For Latinas, a significant factor is whether they speak primarily English or Spanish. The researchers looked at 806 women treated for breast cancer in Detroit and Los Angeles. They found 41 percent of white women and 41 percent of highly acculturated Latinas underwent reconstruction, while only 34 percent of African-Americans and 14 percent of less acculturated Latinas did. Results of the study appear online Oct. 5 in the Journal of Clinical Oncology. "We have good data that shows reconstruction after mastectomy improves quality of life.

Chin Augmentation May Be Recommended For Nose Job Recipients

In order to ensure an aesthetically-balanced face, surgeons performing rhinoplasty should also assess the patient's need for chin augmentation, according to new research presented at the 2009 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO, in San Diego, CA. In fact, the research suggests that the focus on what complications may arise has changed. The chin and nose form an important part of a patient's profile, and according to the authors, not addressing it could contribute to post operative disappointment with the rhinoplasty. The study's authors evaluated pictures of their institution's 100 most recent patients to undergo rhinoplasty, using four popular assessment methods (Silver, Legan, Merriford, and Gonzales-Ulloa). Based on these evaluations, between 17 and 62 percent of men, and 39 and 81 percent of women could have benefitted from further assessment with a view to chin augmentation. Twenty-one percent of men scored positive on three or more methods, 58 percent for women.

Cosmetic Eyelid Surgery Can Boost Quality Of Life For Patients

Cosmetic surgery that repairs droopy eyelids, also known as blepharoplasty, has an overall positive impact on patients' quality of life (QOL). In a paper presented at the 2009 American Academy of Otolaryngology - Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO in San Diego, researchers administered a retrospective questionnaire survey of 26 adult patients undergoing bilateral upper and lower lid cosmetic blepharoplasty. The authors used the Glasgow Benefit Inventory (GBI), which is a validated QOL questionnaire that aims to assess the impact of an otolaryngologic intervention on a patient. Patients undergoing surgery for non-cosmetic indications, or those who had additional cosmetic procedures performed, were excluded. Blepharoplasty (BLEF-uh-ro-plas-te) is surgery to repair droopy eyelids by removing excess skin, muscle and fat. Eyelids stretch and lose elasticity as people age. As a result, excess fat may gather above and below the eyelids, causing sagging eyebrows, drooping upper lids and bags under your eyes.

Judging Facial Beauty Among Races

Standard ideals of facial beauty and harmony may differ depending on geographic location, with a specific difference between North American beauty ideals and those of Brazilians. In a paper presented at the 2009 American Academy of Otolaryngology - Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO in San Diego, researchers studied the preferences of a group of health professionals who work with facial esthetics, a group of artists and sculptors, and a group of general citizens. They were asked about their esthetic impression of three nasal root height variations, produced with computer imaging from the profiles of six women between the ages of 18 and 30 years. The low position of the nasal root, between the upper eyelid crease and the pupil level, was considered the most beautiful by the Brazilian health professionals, artists, and lay public (53%), followed by the regular position (36%). When asked about the worst profile, the high level was chosen (73%).

Demand For Cosmetic And Surgical Procedures In Dermatologic Surgery Rising Rapidly, Researchers Find

Researchers from Boston University School of Medicine (BUSM) and the Laser and Skin Cancer Center of Indiana, (Carmel, Indiana), found that there has been a dramatic increase in the number of procedures performed and patient demand for dermatologic health care since 2000. The findings, which were recently reported in Dermatologic Surgery, parallels the growth in the age of individuals between the ages of 40 to 55, who make up the "Baby Boomer" generation. The number of cosmetic and non-cosmetic surgical procedures performed by dermatologic surgeons has been rising rapidly, but there are few consistent data sources that track procedure volumes over time. Accurate reporting is critical to assess adequacy of current training for residents and fellows to meet patient demand. In addition, reporting is critical for making future workforce projection models of the need for additional dermatologic surgeons and to anticipate the proportion of demand in cosmetic and non-cosmetic dermatologic surgery.

Better Laser For Treating Facial Spider Veins Identified By BUSM Researchers

Researchers from Boston University School of Medicine (BUSM) have concluded that the 940nm wavelength laser is superior for treating facial spider veins (telangiectasias) as compared to the 532nm wavelength laser. The findings, which appear in the recent issue of Lasers in Surgery and Medicine, are the first time these lasers were tested against each other for superiority. Telangiectasias are open (dilated) blood vessels in the outer layer of the skin usually caused by sun damage or aging. When appearing on the legs, they are often called spider veins. They are common to a number diseases, including acne, rosacea, birthmarks (port-wine stains), scleroderma, several types of inherited disorders (ataxia-telangiectasia, hereditary hemorrhagic telangiectasia, xeroderma pigmentosum, and others), or with prolonged use of oral or topical corticosteroids. According to the researchers, while both the 532 and 940nm wavelength lasers are effective for facial telangiectasias, they lacked evidence to support whether one wavelength was superior to the other until now.

Cedars-Sinai's Bariatric Surgery Program Recognized For High Quality Of Care By American College Of Surgeons

The Cedars-Sinai Center for Weight Loss has received re-accreditation as a Bariatric Surgery Center of Excellence from the American College of Surgeons. This is a nationally-recognized acknowledgement of the high quality of care provided at Cedars-Sinai to patients who have bariatric surgery - such as lap-band, gastric sleeve or gastric bypass. "We believe that a comprehensive approach to weight loss is the key to achieving long-term treatment success, " said Edward Phillips, M.D., director of the Cedars-Sinai Center for Weight Loss and chief of the division of general surgery. "This accreditation validates our approach of providing excellent surgical outcomes paired with an unwavering commitment to providing each patient with an individual, thorough and safe plan of care. We're pleased that the high quality of our bariatric program has received the ACS accolade." More than 550 patients each year receive bariatric surgery procedures at Cedars-Sinai Medical Center, more than any other program in Southern California.

Own Stem Cells Help Boy With Rare Condition Grow New Cheekbones

In a groundbreaking tissue engineering procedure, doctors in the US used the patient's own stem cells to help a 14-year old boy with a rare rare genetic condition that left him with underdeveloped and partly missing cheekbones grow new facial bone. They say the successful operation vastly increases the reconstructive surgery options available to patients with facial bone disfigurements, including those who have been in car accidents, soldiers injured in battle, and also patients with inherited diseases. Doctors at Cincinnati Children's Hospital Medical Center took stem cells from Brad Guilkey's fat tissue and combined them with growth protein and donor tissue to help him grow viable cheek bones. Brad, who is now 15, underwent the main surgical part of the procedure earlier this year on 28 May. Brad has a rare condition known as Treacher Collins syndrome where the zygomatic bones on either side of his face were underdeveloped. The zygomatic bones form the prominence of the cheek and part of the outer rim of the eye socket.

American Society For Aesthetic Plastic Surgery Partners With SAGE In 2010 To Publish The Aesthetic Surgery Journal

The American Society for Aesthetic Plastic Surgery (ASAPS) has partnered with SAGE to publish the Aesthetic Surgery Journal (ASJ) beginning in 2010. A peer-reviewed international journal indexed in MEDLINE/PubMed, ASJ focuses on scientific developments and clinical techniques in aesthetic surgery. ASJ is an official publication of the 2400-member ASAPS and is the official English-language journal of eleven major international societies of plastic, aesthetic and reconstructive surgery from South America, Central America, Europe, Asia, and the Middle East. It is also an official journal of The Rhinoplasty Society. "The selection of SAGE as our publishing partner will help facilitate the wider dissemination of ASJ content, " said Foad Nahai, MD, Editor-in-Chief of ASJ. "We are confident that SAGE can meet all aspects of the journal's needs, especially with regard to quality control, international marketing and distribution, and enhancement of the journal's electronic publishing capabilities.

ASAPS Partners With SAGE In 2010 To Publish The Aesthetic Surgery Journal

The American Society for Aesthetic Plastic Surgery (ASAPS) has partnered with SAGE to publish the Aesthetic Surgery Journal (ASJ) beginning in 2010. A peer-reviewed international journal indexed in MEDLINE/PubMed, ASJ focuses on scientific developments and clinical techniques in aesthetic surgery, ASJ is an official publication of the 2400-member ASAPS and is the official English-language journal of eleven major international societies of plastic, aesthetic and reconstructive surgery from South America, Central America, Europe, Asia, and the Middle East. It is also an official journal of The Rhinoplasty Society. "The selection of SAGE as our publishing partner will help facilitate the wider dissemination of ASJ content, " said Foad Nahai, MD, Editor -in-Chiefof ASJ. "We are confident that SAGE can meet all aspects of the journal's needs, especially with regard to quality control, international marketing and distribution, and enhancement of the journal's electronic publishing capabilities.

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