Liposuction Turns 20

The evolution of liposuction will be discussed by leading experts at the Annual Meeting of the American Society for Aesthetic Plastic Surgery (ASAPS), being held at the Mandalay Bay Hotel & Convention Center May 2-7, 2009. “Liposuction 20 Years Later: Precision in Shaping, Prevention and Correction of Contour Irregularities”

In the early 1970s, “suction-assisted lipectomy” (SAL), or lipoplasty (liposuction), first appeared in the peer-reviewed literature. Originally used to remove lipomas (fatty tumors) and fatty deposits in various reconstructive procedures, the procedure was soon found to have a much wider application as a cosmetic surgery technique. In 1989, the U.S. Food and Drug Administration (FDA) classified suction lipoplasty systems for use in aesthetic body contouring.

Since that time, the demand for liposuction has grown significantly and, according to ASAPS statistics, it was the second most popular surgical cosmetic procedure in 2008, with 341,144 procedures performed. With such popularity, however, comes greater responsibility to patients in terms of safety and cosmetic outcomes.

The panel will discuss liposuction technologies that have appeared over the years, including ultrasound-assisted, laser-assisted, power-assisted, and VASER®-assisted liposuction methods, the POLICE (Pre & Post Liposuction Contour Equalization) technique, fat grafting for the correction of deformities, and others.

In addition, which technologies yield the best outcomes will be debated. Some plastic surgeons feel that the best liposuction results are obtained without the use of the latest technologies – particularly those technologies that aim to thermally or otherwise damage fat cells.

There is more to successful body contouring than advanced technology or surgical technique. An understanding of aesthetic body proportions can mean the difference between a svelte, womanly figure and a “boxy”, man-like appearance. And thorough documentation and analysis of deformities, for example – particularly through the patient’s perspective via refined photographic techniques – is instrumental in ensuring predictable and pleasing results.

Whatever advances lie ahead and debates that remain, it is important to note that, just as when the first lipoplasty systems for aesthetic contouring were approved twenty years ago, today’s lipoplasty technology is still secondary to the skill of the surgeon. Every surgery has risks, but selecting a qualified, board-certified plastic surgeon helps to ensure both patient safety and satisfaction.

Get a Liposuction done by Doctor Roberto Martinez Rinaldi

Before and After photos

Information about the Minimally Invasive Surgery

For this technique the surgeon creates a surgical field and the surgery is performed using small instruments and a high-definition camera to provide magnified images on a monitor.

An inert mesh is used in the affected area to reinfoce the adominal wall without generating tension. The surgery can thus be performed with three incisions of 3 to 5 mm each, and the detailed, magnified images allow the suregon to perform the surgery with great confidence, minimizing complications.

How is the surgery performed?

On the Day of Surgery:

Typically, the patient is admitted to the hospital during the morning and after the surgery, the patient stays under supervision in the recovery room until he/she is fully awake. After a variable period of observation, the patient is discharged on the day of the surgery or the following day.

After the Surgery:

You will be able to perform normal activities having to avoid big efforts. Physical activities can be resumed within 15 to 20 days after the surgery.

Benefits of this type of surgery:

Less pain: Faster healing time and less pain.

Maximum comfort: quicker return to normal activities.

Aesthetic: Less noticeable scars (2 to 4 mm).

Shorter Hospital Stay: Hospital discharge within 12 to 36 hours.

Procedures performed using the minimally invasive technique:

General Surgery: Inguinal Hernia, Vesicle, Appendix, Gastro-Oesophageal Reflux Disease, Small and Large Intestine Diseases, and so on.

Endocrine Surgery: Thyroid, Parathyroid, and Suprarenal Glands, and so on.

Other Specialties: Gynecology, Urology, Traumatology, and so on.

Mini Invasive surgeries are performed by Doctor Norman Jalil and Doctor Juan Sanchez Pulgar

Considering plastic surgery after your divorce? You’re not alone. According to the American Society of Plastic Surgeons, 12.1 million people had plastic surgery in 2008 alone.

For many patients, a divorce or other dramatic life change was a motivating factor in their decisions to receive treatment. More than 40 percent of women in a national survey conducted by the National Women’s Health Resource Center sought to improve their physical appearance after a divorce or other significant life transition.

“Potential patients typically fall into one of two categories. “There are people who have always been unsatisfied with their appearance – these people have rhinoplasties (nasal surgery) for large noses, chin implants for small chins, and ear setbacks for protruding ears,”. “And then there are those people who were happy with their appearance when they were young but are disturbed by the changes of aging. These people might have facelifts or eyelid lifts, and also abdominoplasties (tummy tucks) and breast lifts.”

A guy thing, too

Women are not the only ones receiving plastic surgery, however. “Plastic surgery among men is getting more and more popular. It’s become more acceptable for men to be concerned about appearance,”. Men, who comprised nine percent of all patients in 2008, most often receive nose reshaping, eyelid surgery and liposuction, according to the American Society of Plastic Surgeons.

In addition to improving physical appearance, plastic surgery can also alter a patient’s self esteem and outlook on life. “Plastic surgery can improve how a person looks and feels about themselves,”. “I have seen patients at all times of their lives – not just (after) divorce – who become more confident and feel better.”

Contact us to get a free quotation with Dr. Roberto Martinez Rinaldi.

Source: lansingstatejournal.com

Nearly 40 Percent of Americans Reel From Heel Pain

While foot problems such as bunions, corns and dry, cracked skin affect many Americans on a daily basis, one particular ailment—heel pain—stands out among foot disorders, according to a new survey by the American Podiatric Medical Association (APMA).

The 2009 APMA survey, which polled close to 420 Americans aged 18 and older, found that 39 percent of adults have experienced heel pain more than any other foot ailment within the last 12 months. Additionally, nearly 60 percent of respondents believed they suffered heel pain while wearing ill-fitting footwear. However, 64 percent of respondents said they had not yet visited a medical professional—such as a podiatrist—to diagnose and treat their heel pain.

“Heel pain is a detrimental foot ailment that affects millions of Americans every day, and foot pain of any kind is not normal,”. “If detected early, most types of heel pain—including the most common, plantar fasciitis—can be treated with non-invasive treatment options. However, the longer one waits to have their heel pain evaluated, the more difficult it is to successfully treat.”

Sixteen percent of Americans surveyed regularly experience heel pain. Wearing shoes that fit well, wearing the proper shoes for each activity, not wearing shoes with excessive or uneven worn heels or soles, and stretching foot and ankle muscles properly before exercising are several ways to avoid heel pain altogether. However, visiting a podiatric physician, also known as a podiatrist, as soon as foot pain is experienced drastically improves the chance of finding a solution for heel pain.

Get any foot procedure done by Doctor Juan Sanchez Pulgar

Foot surgery

Source: www.apma.org

Fertilización Asistida: Disfunción Sexual e Infertilidad

Disfunción Sexual

Es común que las parejas experimenten alguna forma de disfunción sexual durante su relación. La función sexual es una combinación de expresiones físicas, emocionales y sociales que permite a los individuos reproducirse, acercarse y disfrutarse uno a otro. El contacto íntimo y la actividad sexual son influenciados por factores psicosociales como la crianza, las creencias religiosas, las emociones, y una multitud de factores fisiológicos como las hormonas, la anatomía y las enfermedades. A través del sexo comunicamos nuestros sentimientos a la vez que procreamos, sin embargo, los avances en medicina reproductiva han permitido separar la concepción del encuentro sexual en los casos de infertilidad.

Disfunción Sexual e Infertilidad

La disfunción sexual puede ser una causa o una consecuencia de la infertilidad o subfertilidad. Éstas son causadas por la disfunción sexual en aquellos casos en que diversos problemas en la relación sexual impiden lograr el embarazo.
Los tipos de disfunción sexual que causan infertilidad son: ausencia de coito, coito poco frecuente, disfunción eréctil o eyaculatoria (inhabilidad de mantener la firmeza del pene y/o de producir semen durante el orgasmo) y el vaginismo o dispaurenia (dolor en la mujer durante el coito).

El estrés, la presión psicológica y los procedimientos invasivos asociados con los tratamientos de infertilidad pueden afectar la autoestima, el deseo y el desempeño sexual. La necesidad de sexo “obligado” (como por ejemplo tests post-coitales, obtención de muestras de semen) puede causar disfunción sexual.
Para que la concepción tenga lugar el hombre debe tener un orgasmo (eyaculación) pero ésto no es necesario en la mujer. Como resultado de la infertilidad y su tratamiento los hombres pueden sufrir impotencia transitoria, y las mujeres pueden no alcanzar el orgasmo. Ambos miembros de la pareja pueden experimentar una disminución del deseo sexual. Para muchas parejas infértiles “hacer el amor” se transforma en “hacer bebés” y lo que era un juego pasa a ser un trabajo, perdiéndose en parte la emoción de la intimidad sexual.

Evaluación y tratamiento de la disfunción sexual

En la evaluación de la disfunción sexual son fundamentales una historia clínica y un examen físico completos, que incluya evaluación de niveles hormonales, medicaciones que pudieran estar afectando el funcionamiento sexual y otros factores anatómicos y orgánicos. Las condiciones médicas masculinas que comúnmente se asocian con la dificultad para lograr o mantener una erección comprenden: presión arterial elevada, enfermedades coronarias, diabetes, cirugías genito-urinarias, enfermedades o lesiones del sistema nervioso, problemas hormonales, depresión y ciertos medicamentos. Además deben evaluarse factores psicológicos como la estabilidad de la pareja, la comunicación, depresión, problemas emocionales y antecedentes de abuso sexual.

La disfunción sexual puede tratarse con medicación, quirúrgicamente, o con mecanismos que corrijan problemas anatómicos.
Las dificultades sexuales causadas por problemas emocionales o de pareja, estrés o falta de información requieren de apoyo psicológico a cargo de un terapeuta sexual.

Recursos

El objetivo del equipo médico es educar a las parejas en el funcionamiento de sus cuerpos e investigar sus metas como pareja. Si usted está experimentando dificultades sexuales durante la etapa de infertilidad, hable abiertamente con su médico ya que este podrá ofrecerle libros, información, aconsejarle algún terapeuta u otros recursos que podrán ser de su ayuda.

Contáctenos para tener una consulta con el  Doctor Andrés Juárez Villanueva o el Doctor Gustavo Gallardo.

10 Cosmetic Plastic Surgery Predictions for 2009

The American Society for Aesthetic Plastic Surgery (ASAPS), the leading national organization of board-certified plastic surgeons who specialize in cosmetic surgery, offers its predictions for cosmetic surgery in 2009. Predictions are based on interviews with leading plastic surgeons around the country.

* Aesthetic Medicine has seen a dramatic increase in the diversity of the patients treated over the past decade and this trend is expected to continue to grow stronger than ever, with applications that cater to all people. The appeal of both aesthetic surgery and cosmetic medicine will continue to spread across the spectrum of our population, as plastic surgeons further tailor treatments to meet the sometimes unique needs of that expanding population.

* The growth and popularity of cosmetic fillers (Evolence, Juvederm, Restylane, etc.) will continue to increase as products continue to evolve and new players enter the market.

* As our population increasingly realizes the dangers and health consequences of obesity, the number of patients seeking plastic surgery procedures for body contouring after dramatic weight loss (abdominoplasty, lower body lift, upper arm lift, etc.) will rise in 2009.

* Reloxin (an injectable form of Botulinum Toxin Type A) will gain FDA approval and compete with Botox (the most popular cosmetic procedure for the past 5 years) and other similar products may begin to enter pre-market clinical trials.

* Consumers looking for a bargain on cosmetic procedures will unfortunately lead to an increase in horror stories about “discount injectables” bought offshore and cosmetic medicine and cosmetic surgical procedures performed by untrained or poorly trained practitioners.

* Experimental techniques for non-invasive fat removal (SonoScultpt, UltraShape) as a future alternative or adjunct to liposuction (lipoplasty) surgery, will continue be tested in clinical trials.

* Men will represent a growing segment of the aesthetic surgery market. (According to a February 2008 consumer survey commissioned by ASAPS, 57 percent of men approve of cosmetic surgery, and 20 percent would consider having cosmetic surgery. Seventy-nine percent (79%) of American men surveyed said they would not be embarrassed if people in addition to their family and close friends knew they had undergone cosmetic surgery.)

* As the popularity of non surgical and minimally invasive procedures continues to grow; surgeons and manufacturers will develop new techniques and products that advance the science, produce even better results and lessen recovery time.

* Following the trend in increased consumer sophistication regarding healthcare choices, board certification of practitioners, and accreditation of surgical facilities will play an even more important role in choosing a cosmetic surgeon.

For more information about minimally invasive procedures, get a free quotation with Doctor Norman Jalil.

Get any cosmetic procedure done by Doctor Roberto Martinez Rinaldi.

Source: www.surgery.org

Liposuction No Longer the Most Popular Surgical Procedure According to New Statistics

Over 10.2 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2008, according to statistics released today by the American Society for Aesthetic Plastic Surgery. The Aesthetic Society, after collecting multi-specialty procedural statistics since 1997, says the overall number of cosmetic procedures has increased 162 percent since the collection of the statistics first began. The most frequently performed nonsurgical procedure was Botox injections and the most popular surgical procedure was breast augmentation.

“For the first time in the twelve years these statistics have been collected liposuction is a runner up in popularity to breast augmentation. There is no doubt that this turnabout will generate discussions in the medical community and the public at large,” Alan Gold, MD, Aesthetic Society president, reflects that “changes in fashion, i.e. décolletage baring styles, might be a factor behind this change.”

Racial and Ethnic Distribution

Racial and ethnic minorities accounted for 20 percent of all cosmetic procedures in 2008. Hispanics again led minority racial and ethnic groups in the number of procedures: Hispanics, 8 percent; African-Americans, 6 percent; Asians, 4 percent; and other non-Caucasians, 2 percent.

Location and Fees

Over fifty-three percent (53 percent) of cosmetic procedures in 2008 were performed in office-based facilities; 26 percent in freestanding surgicenters; and 19 percent in hospitals. Americans spent just under $12 billion on cosmetic procedures; $7.2 billion was for surgical procedures, and $4.6 billion was for nonsurgical procedures.

Have any plastic surgery procedure done by Doctor Roberto Martinez Rinaldi.

Source: www.surgery.org

Survey Finds That Women Are More Likely To Consider Plastic Surgery Than They Were Ten Years Ago, But Men Are Less Likely

A new survey shows that more than half (56%) of all Americans approve of cosmetic plastic surgery and nearly one-third (30%) say they would consider having cosmetic surgery themselves, either now or in the future. The February 2009 consumer attitudes poll of 1000 American households was commissioned by the American Society for Aesthetic Plastic Surgery (ASAPS) and conducted by the independent research firm Synovate.

Women are more likely than men to contemplate cosmetic surgery; 40% of women said they would consider having cosmetic surgery, compared to 18% of men. But many of those who might not want surgery themselves say it has nothing to do with what others might think. Almost three-quarters (73%) of all women and 69% of all men said that if they had cosmetic surgery, they would not be embarrassed if other people knew about it.

Opinion                                                    2009                                                        2000

Americans’ general approval of cosmetic surgery

Women                                                   62%                                                          61%
Men                                                         51%                                                          63%

Would not be embarrassed about having cosmetic surgery

Women                                                   73%                                                          77%
Men                                                         69%                                                          77%

Would consider cosmetic surgery for self, now or in the future

Women                                                   40%                                                          31%
Men                                                         18%                                                          20%

Would consider cosmetic surgery for self,
now or in the future, by race/ethnicity [includes both men and women]

White Americans                                   29%                                                          26%
Non-White Americans                           31%                                                          24%

Other key findings of the study include:

* The majority of men and women (73 percent) have not wavered on their attitude toward cosmetic surgery in the past five years; although 20 percent said their attitude was ‘more favorable’ and 7 percent that said their attitude was ‘less favorable’ than it was five years ago.

* Out of all age groups, men and women between the ages of 25 and 34 are the most likely to consider plastic surgery for themselves now or in the future.

* Men and women age 18 to 24, at 65 percent, are the most likely to approve of cosmetic surgery, while those age 55-64, at only 49 percent, are the least likely to show approval.

* Ethnicity has little effect as to whether respondents would be embarrassed if people outside their immediate family and close friends knew they had cosmetic surgery.   Exactly the same percentage (71%) of white respondents and nonwhite respondents said they would not be embarrassed.

According to 2008 ASAPS Cosmetic Surgery Statistics, last year women had more than 9.3 million cosmetic procedures (92 percent of total), and men had over 800,000 procedures (8 percent of total). Overall, the number of surgical and nonsurgical cosmetic procedures decreased 12 percent from 2007.

Get any plastic surgery procedure done by Doctor Roberto Martinez Rinaldi.

Source: www.surgery.org