Natural Rhinoplasty and Z-Lift Facelift under local

Recently we had a wonderful day of sharing our experience with Rhinoplasty, Facial rejuvenation, face lifts and body contouring in a one day symposium. The symposium was held at the ASC of Barnabas Medical Center in Livingston, New Jersey. I was able to gain from the knowledge of Sam Hamra, MD FACS of Dallas, Texas. Although techniques of extensive face lifts were discussed, I came away with my continued commitment to the natural Z- lift, jowl and neck lift I have been using. We also discussed methods of nose job or rhinoplasty under local anesthesia with some sedation.

Rare tumor easily treated associated with breast implants.

"Risk of this new cancer about equal to being struck by lightening." Dr. Weinstein However, this is yet another reason, as rare as it is, that breast implants are not recommended for woman under 18 and silicone implants for womaen under 21.
FDA says breast implants may be linked to rare form of lymphomatous cancer.
ABC World News (1/26, story 7, 2:10, Sawyer) reported, "An important health warning tonight from the FDA about a possible link between breast implants and a rare form of cancer." ABC (Stark) added, "The government says they may be linked to a rare form of lymphoma. ... There are 60 cases worldwide, in as many 10-million women with implants."

The Washington Post (1/27, Stein) reports that the FDA on Wednesday announced it had "detected a possible association between saline and silicone gel-filled breast implants and anaplastic large cell lymphoma (ALCL)" The agency said most women with implants "do not have to have them removed or take any other steps," but they should "immediately seek medical care" if they develop "unusual problems," such as "swelling or pain around the implant."

According to the AP (1/27), the FDA based its warning on a review of "scientific literature going back to 1997 along with information provided by international governments and manufacturers." Most of the cases were "reported after patients sought medical care" for problems "around the surgical site."

The Wall Street Journal (1/27, Dooren, Mundy, subscription required) reports, FDA has identified 60 ALCL cases in women who had breast implants, of which 34 cases have thus far been verified, according to a statement released by the agency. HealthDay (1/26, Reinberg) noted that 24 of the cases were "related to silicone implants, seven to saline implants and the type of implant in the remaining three cases are not known," according to the FDA. The agency also said that "19 of the implants were inserted for cosmetic reasons and 11 were used in reconstructive procedures. The reasons for the other four procedures are not known."

The New York Times (1/27, A18, Grady) reports that in some cases, simply "removing the implant and scar tissue gets rid of the disease, but some women might need chemotherapy and radiation," said Center for Devices and Radiological Health Deputy Director Dr. William Maisel. He noted that although 60 cases is "a tiny number compared" with the number of women who have implants, it is an excess when "compared with the usual incidence." ALCL in the breast is "normally found in only three in 100-million women who do not have implants."

Bloomberg News (1/27, Larkin) says, "Allergan Inc. and Johnson & Johnson" breast implants were linked to ALCL by US investigators. Allergan, the "maker of Natrelle gel and saline breast implants," and J&J's "Mentor division each control about half the market for breast implants." Dr. Maisel told Bloomberg News that the agency is "working with manufacturers to revise their product labeling and plans to release an analysis of company-sponsored studies 'later this spring.'"

According to MedPage Today (1/26, Bankhead), Allergan released a statement, saying "company officials support the FDA recommendations" and advising all physicians to "remain diligent in their monitoring" for ALCL symptoms. A statement from the J&J Mentor division says the "company concurs with the FDA's position that the body of evidence supports the safety and efficacy of approved implants when used as labeled."

The Boston Globe (1/27, Kotz), the Louisville (KY) Courier-Journal (1/27, Carter), Medscape (1/26, Lowes), WebMD (1/26, DeNoon), the Time (1/27, Melnick) "Healthland" blog, and CNN (1/27, Young) in its "The Chart" blog also covered FDA's warning regarding ALCL in women with breast implants.

YOU ARE CORDIALLY INVITED
TO
Weinstein Plastic Surgery’s First Ever
LATINI MARTINI NEW YEAR’S BASH
on
Thursday, January 20, 2011
Weinstein Plastic Surgery Center
385 Route 24, Suite 3K, Chester, NJ
5:00 – 8:00 P.M.
Hors D'oeuvres & Specialty Martinis provided
To celebrate our ‘lash bash’ we will be giving
LATISSE KITS
to the first 24 people that RSVP!

* Goodie bags for our guests
*Demonstrations of Botox and Juvederm
*Facial, Body and Skin Evaluations
And many other Surprises!
Please RSVP by January 19, 2011
908-879-2222

BRING A FRIEND!!

Happy and Healthy Holidays

The end of the year is approaching We had our Holiday party with most of our staff able to attend. There were a few jokes, some good food, nice wine and some great dessert. From Top Row: Stephanie, Beverly, Dr. Weinstein, Linda, Liz
Bottom Row: Jill, Karen, Denise and MaryAnne
Our entire staff wishes you a Happy Holiday, Merry Christmas and Healthy New Year.

Clebrity Bust Enhancement

A recent posting about Celebrity Breast Implants may be of interest to my practice friends.
Breast enlargement and reconstructive surgery can enhance one’s shape, creating a more attractive, better proportioned figure and can increase confidence and self-esteem. Celebrities have breast enlargement surgeries for a number of reasons; some to signify a new beginning in their life, others to maintain the body they were known for when they were younger. Here are a list of the top ten rumored celebrity breast implants that exude a classy, tasteful look and have proven beneficial to the performer’s career.
1. Salma Hayek Actress Salma Hayek is known for her tremendously voluptuous shape, and in the last couple years it has become even more voluptuous. While many people attribute her extra curvaceousness to her recent weight gain, it's nearly impossible to go from a large C cup, to very large DD's in such a short period of time without augmentation.
2. Christina ApplegateChristina Applegate learned that she had a tumor in one of her breasts and a mastectomy was recommended. Applegate then opted for a double mastectomy and immediate breast reconstruction surgery, during which she received new breast implants. The procedure provided tremendous medical benefits while leaving her looking as gorgeous as ever!
3. Beyonce KnowlesBeyonce is said to have had breast augmentation that have really balanced out her "bootylicious" figure, making her appear more curvy with the classic hourglass shape!
4. Hilary Swank Hilary Swank went from looking quite flat in the early stages of her career to being very busty after the release of her breakout film "Boys Don't Cry." Whether it is simply because she was concealing her naturally large breasts or if the rumors are true; it’s hard to believe that an actress who was once so associated with having a boyish figure was concealing her breasts and that her sudden growth spurt is not to be attributed to breast implants. Swank is said to have had the breast augmentation after her divorce from Chad Lowe, signifying a new beginning in her life.
5. Nicole Richie Nicole Richie is proud of her surgery, having gone from an ultra-flat chested size zero to a very tasteful large B cup. The breast implants have done wonders for her figure and have given her once overly nubile look a very elegant shape.
6. Mila Kunis Mila Kunis began her career on That 70's Show and has never been very busty. Starring in the hit movie Forgetting Sarah Marshall," Kunis showcased more than just her acting talents! Though her breast augmentation is not confirmed, it appears as though Mila Kunis opted for a moderate upgrade. Implants of this type are typically placed underneath the muscles, making the breasts appear very natural and not distracting from the actress’ already great figure.
7. Katherine Heigl Katherine Heigl is speculated to have had breast augmentation, though older photos indicate she has always been rather well endowed in that department. If her large breasts are the work of a surgeon, they were done very tastefully and suit Heigl’s image very well.
8. Denise Richards Denise Richards has had three breast augmentations. Richards had the first of her surgeries when she was only 19 years old. Her second surgery was done in the midst of her young acting career and the surgeon made the assumption that because she was an actress, she would benefit from a move up to a D cup, which was actually much too large for her frame. Finally, Denise Richards did her research and opted for a surgeon and breast size that worked well for her. Her current implants suit her body well and seem to be the perfect shape and size.
9. Demi Moore Demi Moore has been gorgeous from the start, but after the 1996 release of the movie "Striptease" there was a great deal of speculation that she had a breast enlargement surgery. In keeping up with her boyfriend Ashton Kutcher, she has maintained her body and has since opted for a more modern bust, slightly reducing the size of her implants and later having a breast lift.
10. Nicollette Sheridan Nicollette Sheridan made her comeback on Desperate Housewives, but long before she became Edie Britt, Sheridan was already well known for her amazing body and was said to have had breast augmentation. Even now, twenty years after the beginning of her career, Sheridan is still known for her tremendously beautiful body and spectacular bust.

Z-Lift facelift perfect for healthier look.

New study indicates health perception associated with how old you look relative to your actual age. This is not a new concept, however it is the reason why many people have facial rejeuventation procedures. Looking older than your age may not be a sign of poor health EurekAlert, 11/08/2010
Even though most adults want to avoid looking older than their actual age. The study found that a person needed to look at least 10 years older than their actual age before assumptions about their health could be made. Few people are aware that when physicians describe their patients to other physicians, they often include an assessment of whether the patient looks older than his or her actual age. For patients, it means looking a few years older than their age does not always indicate poor health status. The study found that when a physician rated an individual as looking up to five years older than their actual age, it had little value in predicting whether or not the person was in poor health. However, when a physician thought that a person looked 10 or more years older than their actual age, 99 per cent of these individuals had very poor physical or mental health. Over my many years of experience I have noticed patients who complained of looking much older after childbirth, weight loss and other health related causes. With a 2 hour procedure the masculine aging look of jowls can be eliminated with a natural rejeuvenated look. Other patients have baggy lower lids, hooding of the brows, severe wrinkles or nasolabial folds that can all be improved with quick recovery relative safe procedures.

Breast Reconstruction should be discussed when Breast Cancer Diagnosed

Recently New York State has mandated a discussion of options for patients with Breast Cancer. Since my training at Sloan Kettering in New York I could not conceive of a woman not being offered the options of breast reconstruction when told of their diagnosis. A New York Times excerpt follows.
Before Breast Is Removed, a Discussion on Options
By ANEMONA HARTOCOLLIS
Published: August 18, 2010After her mastectomy in April, Alantheia Pena cried for the loss of her breast. Her partner told her not to worry about the flat spot on her chest, but she could tell it bothered him when he looked away as she took off her shirt.
It was a kindly secretary at the place where she went to get her prosthesis, an artificial breast to fill out her clothing, who noticed her crying and told her that she could have her breast reconstructed, with health insurance covering the cost. Ms. Pena said her cancer surgeon had not told her.
Now a state law signed on Sunday by Gov. David A. Paterson will require New York hospitals and doctors to discuss the options for breast reconstruction with their patients before performing cancer surgery, to give them information about insurance coverage and to refer them to another hospital, if necessary, for the reconstructive surgery.
The law came about largely through the efforts a plastic surgeon at Montefiore Medical Center in the Bronx who gave Ms. Pena, who will turn 48 next week, a new breast, which made her so happy she wore a bikini last month for the first time in her life.
“It gave me back my life,” Ms. Pena, who runs the H.I.V. ministry at Friendship Baptist Church in Brooklyn and lives in the Bronx, said on Wednesday. “It’s like my own breast. It’s beautiful. It’s perfect. It’s a perfect breast.”
Dr. Garfein, who specializes in reconstructive surgery after breast, head and neck cancer, said he had pushed for the law after a friend of his, Dr. Caprice Christian Greenberg, co-wrote a paper showing that poor, minority women were much less likely to receive breast reconstruction after cancer than more affluent women.
Congress guaranteed universal coverage for breast reconstruction after cancer surgery in 1998. Only 30 percent to 40 percent of the women who had mastectomies now received breast reconstruction.
The number would be closer to 75 percent if more women were informed of their options. Ms. Pena, had her surgery at North General Hospital in Harlem, which is defunct, but she said her doctor there had never discussed breast reconstruction with her.
One reason for the low rate of reconstruction, Dr. Garfein said, may be the lack of plastic surgeons outside of large academic medical centers, and another may be financial.
Ms. Pena is still recovering from cancer, but with her new breast, she said, “at the end of it, you see some kind of rainbow.”
Available every week to fit in breast reconstruction consults to discuss options. Larry Weinstein MD FACS www.drlarryweinstein.com