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October 3, 2014

We are saddened to learn of another death at a cosmetic surgery clinic in Seoul. According to Korea Bizwire, a South Korean woman in her 50's died on September 27 during abdominal liposuction operation at a cosmetic clinic in the Gangnam district of Seoul.

While such disasters can happen by qualified plastic surgeons, one imagines that the risk is higher by lesser trained surgeons. From what I can surmise, the International Academy of Cosmetic Surgery does not require board certification in plastic surgery or have rigorous operating room standards.

The only international society of plastic surgery that counts is ISAPS – the International Society of Aesthetic Plastic Surgery. The American Society for Aesthetic Plastic Surgery also has a large number of international members. All members of these two groups are board certified and go through a rigorous approval process. If you are looking for a plastic surgeon abroad, you should look at these websites.

September 30, 2014

September 28, 2014 was Brigitte Bardot’s 80th birthday. In my mind she had some of the most elegant and beautiful facial features of the last century. Check out this cool video and read the wonderful bio on Jezebel.

It is at once interesting and sad. She had such big eyes, full cheeks, and wonderful lips. Those are the way full lips should look – not the ridiculous overstuffed Juvederm lips of our generation. What a beauty!

September 16, 2014

For a piece published August 20, 2014, Dr. Teitelbaum was interviewed by the New York Times for a controversial piece about using saline injections to temporarily enlarge the breasts for 24 hours.

Dr. Steven Teitelbaum, a plastic surgeon in Santa Monica, Calif., and an associate clinical professor of plastic surgery at the U.C.L.A. School of Medicine, called the saline solution unnecessary. “Between good bras and chicken cutlets, you can always look good in clothes,” he said.

As for its use in gauging implant size, he added: “The feel of saline is sharply dissimilar from an implant, and the appearance is different because the edges diffuse and feather, which an implant does not.” Three-dimensional imaging, which has become a viable option for projecting surgical outcomes, would be a more accurate prediction of size and shape, he said. (Indeed, a recent study published in the Aesthetic Surgery Journal found that 3-D imaging was more than 90 percent accurate in predicting postoperative breast volume and surface contour.)

Read the full article in the New York Times: What a Difference a Day Makes

March 5, 2014

 

A recent study published in plastic surgery’s leading journal demonstrated that “trained listeners” heard changes after surgery, but there was no change with speech function.

 

http://consumer.healthday.com/cosmetic-information-8/cosmetic-surgery-news-157/nose-job-voice-change-plastic-and-recon-surg-release-batch-1121-684326.html

 

The study was done on individuals in Iran having “ethnic rhinoplasty.”  I wonder whether the change in size of those noses is representative of what the typical rhinoplasty patient experiences.

 

I’ve done rhinoplasty for over 17 years, and no patient or patient’s family member has ever commented that they noticed a change in their voice.  So I think this finding is interesting, but probably not applicable to the population of rhinoplasty patients whom I see in my practice.

 

March 5, 2014

The story of the young girl who died as a result of complications following a tonsillectomy is absolutely horrible.

But the way the flames were flamed by the media could be compared to, “Remember the Maine.”

http://gawker.com/judge-orders-oakland-teen-be-kept-on-life-support-after-1492048713

The media kept referring to this, using some combination of, “…died following a botched routine tonsillectomy…”

But hemorrhage is a known complication of tonsillectomies; in fact I myself bled two days after mine and was rushed to the hospital. 

Was it “botched” because she bled in the hospital and wasn’t saved?  Getting an “airway” into a frightened and massively obese teenager bleeding from their mouth would be daunting for even the world’s best anesthesiologist.

 

Routine?  This girl had morbid obesity and had the surgery to correct sleep apnea.  That is a far cry from the typical tonsillectomy we all think of, an operation typically done on young healthy children suffering from chronic infections.

 

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