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July 24, 2007

Neck Lift

What do you dislike about your neck?

Here are some of the most common concerns:
• Neck Muscle bands
• Excess fat
• Too much skin Read more

Filed under Facial sculpture by Dixon Peter.
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In sailing terms the septum is the rudder of the nose!

Often a crooked nose is secondary to deviation of the septum. These deviations of the septum occur after trauma or nasal surgery or during the growth phase of the nose. Childhood injuries can lead to the occurrence of septal deviation in adolescence. It may also be caused by asymmetric development of the facial bones and by unilateral partial or complete facial paralysis. Cleft lip and cleft palate will also cause deviation and deformity of the nasal septum.

Whilst one of the aims of rhinoplasty is to straighten the nose… the recurrence of septal deviation is reported as high as 30% following rhinoplasty (nose job). I believe this is the result of techniques that rely on septal cartilage scoring as a sole means of straightening the deviation. While scoring appears to correct the deviation at the time of surgery, the weakened (scored) cartilage is prone to relapse.

I believe the deforming forces must be fully released and the deviated septum strengthened by adding septal cartilage grafts. With this technique the recurrence with these techniques is less than 5%.

Alternative procedures camouflage a deviation by using ear or septal cartilage grafts to hide the deviation, this is a compromised approach but suitable when deviations are minor and breathing satisfactory.

(Byrd HS, Salomon J, Flood J: Correction of the crooked nose. Plast Reconstr Surg 1998 102(6):2148)

Filed under Rhinoplasty refinements by Dixon Peter.
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USNewswire/ — In what they call a “stunning research advance,” investigators at Georgetown University Medical Center have been able to use non-toxic chemical injections to add and remove fat in targeted areas on the bodies of laboratory animals. They say the discovery, published online in Nature Medicine on July 1, could revolutionize human cosmetic surgery and treatment of diseases associated with human obesity.

PLD comment: This study whilst in animals, indicates that some time in the future breast implants will be of your natural tissue rather than silicone. Ultimately this will result in enhanced breast augmentation results.

Investigators say these findings may also, over the long-term, lead to better control of metabolic syndrome, which is a collection of risk factors that increase a patient’s chances of developing heart disease, stroke, and diabetes.

In the paper, the Georgetown researchers describe a mechanism they found by which stress activates weight gain in mice, and they say this pathway — which they were able to manipulate — may explain why people who are chronically stressed gain more weight than they should based on the calories they consume.

This pathway involves two players — a neurotransmitter (NPY) and the receptor (Y2R) it activates in the fat tissue: endothelial cells lining blood vessels and fat cells themselves. In order to add fat selectively to the mice they tested, researchers injected NPY into a specific area. They found that both players are activated during stress and lead to obesity and metabolic syndrome. Administration of Y2R blocker into the abdominal fat prevented both conditions.

“We couldn’t believe such fat remodeling was possible,” said the study’s senior author, Zofia Zukowska, M.D., Ph.D., professor and chair of the Department of Physiology & Biophysics at Georgetown. “We are hopeful that these findings might eventually lead to control of metabolic syndrome, which is a huge health issue for many Americans,” she said.

And perhaps the most rapid clinical application of these results will be in both cosmetic and reconstructive plastic surgery, said co-author Stephen Baker, M.D., D.D.S, Associate Professor of plastic surgery at Georgetown University Hospital. The ability to add fat as a graft would be useful for facial rejuvenation, breast surgery, buttock and lip enhancement, and facial reconstruction, he said.

Equally important, blocking Y2R resulted in local elimination of adipose, or fat, tissue, said Baker. “This is the first well-described mechanism found that can effectively eliminate fat without using surgery,” he said. “A safe, effective, non-surgical means to eliminate undesirable body fat would be of great benefit to our patients.”

Filed under In the News by Dixon Peter.
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July 5, 2007

Taking the guesswork out of cosmetic surgery

Australians who are contemplating cosmetic surgery but are confused about how to find a well trained surgeon can now visit a new online directory for recognised plastic surgeons.

The new directory has been set up by the Australian Society of Plastic Surgeons (ASPS), the peak group for Australia’s specialist plastic surgeons, and can be found at www.plasticsurgeonsaustralia.info

Confirm my Membership @ www.plasticsurgeonsaustralia.info/victoria

Read Press Release

Filed under In the News by Dixon Peter.
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