A recent study published in Plastic and Reconstructive Surgery examines the use of accellular cadaveric dermis (ACD) as an alternative to the total sub-muscular approach in breast reconstruction. During the breast reconstruction study, an Alloderm ACD – a bioengineered tissue substitute – created a “retaining envelope” for the breast implant, which was hypothesized to reduce the risk of capsular contracture.
Capsular contracture is a possible complication with some breast implant patients, occurring when scar tissue tightens around the implant. The cause of capsular contracture is unknown, but inflammatory reaction is thought to be a related problem. Doctors predicted that ACD could work by decreasing the typical inflammatory response that occurs around the breast implant.
Dr. Bob Basu, along with colleagues Dr. Mimi Leong and Dr. John Hicks, assessed the results of twenty breast cancer patients (average age 47) who underwent two-stage breast reconstruction.
During the two-stage breast reconstruction procedures, the ACD was attached in the breast crease as well as the pectoral muscle. The surgeons then created a space for the tissue expander, the lower part of which was covered by the ACD. After a few months, they removed the tissue expander and replaced it with a breast implant.
Between the procedure stages, Dr. Basu and his colleagues performed biopsies of the integrated ACD, along with histopathologic analysis. They found that, compared to the control group, the samples from the ACD showed significantly reduced levels of granulation tissue formation, among other positive differences.
The doctors concluded that ACD may impede capsule formation, thus possibly inhibiting capsular contracture. Although the findings of this study make a promising case for the continued use of bioengineered tissue in breast reconstruction, Dr. Basu stresses that it is only a snapshot of a process that takes place over several years, and further investigation is necessary to determine the effectiveness of ACD in eliminating capsular contracture.
As the Christmas holiday approaches, the Australian Society of Plastic Surgeons has seen a spike in cosmetic surgery procedures, according to a story in the Herald Sun.
Since the holiday season is often an artificial deadline for some people, says Peter Callahan, the president of the Australian Society of Plastic Surgeons, people are increasingly checking cosmetic surgeries off their to-do lists.
The most popular treatments this time of year for Aussies are breast augmentation, various fillers, like Restylane, available in the US, and anti-wrinkle treatments, like Botox.
According to cosmetic surgeon Anoop Rastogi, the boom in procedures lasts from September to February, during which time Rastogi says he performs twice the amount of breast augmentations for the rest of the year combined.
Another in-demand procedure is rhinoplasty, often selected by students preparing to attend university.
Despite the popularity of many cosmetic procedures around the holidays, Rastogi warns against giving the gift of a new face or body. Rastogi says the patient should be electing to go under the knife because they want to, not because a loved one encouraged them to.
As with cosmetic surgeries performed year-round, Rostagi stresses the importance of finding a qualified surgeon and having realistic expectations about the outcome.
To keep a New Year’s resolution to get more beautified, contact Dr. Mouchantat in his Denver-area practice, and ask about procedures offered throughout the year.
One in three women said they are concerned enough with their appearance that they would consider plastic surgery, according to a UK survey covered in the Daily Mail. The sample from the survey included 3,000 women ages 40 to 65 and asked questions about specific procedures as well as the ideal celebrity appearance for women of a certain age.
Women over 40 selected model Twiggy as “the perfect advertisement” for women over 60. Meanwhile, editor of Saga Magazine, Emma Soames, who carried out the survey said Helen Mirren (and her well-publicized bikini photographs) put pressure on older women to look a certain way.
Perhaps photos like that, as well as a personal desire for increased self-confidence, are what push some women to consider plastic surgery. According to the survey, one-fifth of the women between 40 and 60 said they would get a facelift to combat signs of aging, while nearly a third said they would choose to look 20 years younger over being a millionaire.
Additionally, a quarter of the women surveyed expressed interest in an eyelift procedure, nearly one-third said they desired a tummy tuck and 29% who said they would not go under the knife favored Botox and chemical peels to appear younger.
More than just cosmetic procedures, the survey found women spend an average of £137 ($216) per year on anti-aging creams. Women over 50 are five times more likely to wear padded bras than their mothers at the same age, according to the survey, and 62% of women surveyed feel they are judged more harshly on appearance than previous generations.
The survey highlights a growing interest and acceptance of plastic surgery procedures, not only in the UK, but also around the world. To learn more about the increasing popularity of many of these procedures, contact Dr. Mouchantat in his Denver practice.
More and more women who have had mastectomies are learning their breast reconstruction options stretch far beyond the traditional implant, according to a CNN story.
In the case of Elizabeth Anderson, one month after learning she had breast cancer in April 2009, Anderson underwent a double mastectomy. Though Anderson initially believed the only option she had for reconstructing her breasts was through the use of implants, she later learned about bilateral breast reconstruction. In this procedure, skin and fat are grafted from another area of the body, the buttocks in Anderson’s case, and used to create a new breast.
Prior to the surgery, Anderson had been wearing breast prostheses and not only found them to be cumbersome, but also struggled emotionally with the loss of her breasts. Given that she had undergone radiation therapy as part of her cancer treatment, Anderson’s doctor did not recommend breast implants.
When she learned about bilateral breast reconstruction from another radiologist, Anderson shared her new discovery with other breast cancer survivors, who also had not heard of the option.
That’s believable given that the American Society of Plastic Surgeons says only three in ten women are fully aware of their breast reconstruction options. According to many professionals, communication in the medical field must increase.
Dr. Ann Partridge, clinical director of the Breast Oncology Center at the Dana-Farber Cancer Institute, said, “Medicine is not a solo-practitioner profession anymore; we need to work as teams for a better outcome.”
Still, the story has a happy ending for Anderson who, when speaking about her surgery says, “It’s amazing what doctors can do today. I’m absolutely thrilled I can just be normal. That’s all I want, is to be normal again.”
Contact Dr. Mouchantat in Denver, CO for more information about breast reconstruction.
The prevalence and frequency of the use of facial injectables has influenced some individuals to believe they can administer these drugs themselves—without a Ph.D. While wrinkle and facial fillers like Botox can be safely administered by a doctor, some untrained people have found ways to procure the drugs online and are choosing unwisely to take matters into their own hands in an effort to save a little money.
According to the Courier Post Online, Lynn Tibbets, a woman from New Jersey ordered Restylane treatments online from Canada and Switzerland over the course of two years. While she initially performed the injections herself without major issue, on one occasion she injected too much Restylane, which resulted in a large donut-shaped accumulation on her face.
Luckily, Tibbets’ doctor was able to remove the mass without much issue, but Tibbets decided the cost savings of ordering facial injectables online did not outweigh the risks to her health.
Though using injectable fillers is not a surgical procedure, the process still requires the proper training and skill that a doctor possesses and should only be performed by a professional to achieve the desired result safely.
Contact Dr. Mouchantat’s office in Denver, CO for information on a variety of safe, professional injectable treatments.
Dr. Mouchantat has been performing plastic surgery procedures in the Denver area since 1996. Some of these procedures include abdominoplasty, breast augmentation, breast reconstruction, breast reduction, liposuction, face lifts and eyelid surgery. Dr. Mouchantat is experienced in fat grafting techniques as well. Some procedures can be done comfortably in the office under local anesthesia, while others are done in an accredited outpatient surgical facility or hospital setting.