Saturday, April 5th, 2014
I was pleased and surprised to find out yesterday that I was included as one of Harper’s Bazaar’s 24 “Best Beauty Surgeons” in the United States. I’m honored to join such esteemed colleagues as Dr. Steven Teitelbaum, Dr. Raj Kanodia, Dr. Rod Rohrich, and Dr. Jennifer Walden on this list of elite cosmetic plastic surgeons. Thank you to Harper’s Bazaar and Alexandra Parnass for including me!
You can read the article of the “Best Beauty Surgeons” HERE.
Tuesday, April 1st, 2014
New survey results from the American Society of Plastic Surgeons (ASPS) show that since 2000, breast lifts have been outpacing breast implants by two-to-one. Although three times as many women undergo breast augmentations as breast implants, the number of women undergoing breast lifts has increased 70% since 2000. What is this from?
I think there are many causes to this trend. First, more and more women are undergoing breast enhancement surgery, period. Especially since the lifting of the FDA moratorium on silicone breast implants in November 2006, the numbers of women undergoing breast augmentation have increased impressively. Second, more and more women are losing weight via bariatric surgery. Losing weight can cause the breasts to shrink and droop, prompting women to have them lifted. Finally, I think patients are getting better educated on breast lifts. Nine years ago I saw countless women who were convinced by a local ENT (Ear Nose Throat) physician that lifts weren’t needed, and the implants would actually lift the breast. Now more patients are doing their research online and finding out for themselves that this just isn’t the case.
The big thing to keep in mind, though, is that breast lifts create scars. These scars are permanent. Although it’s a very effective surgery, the scars will be with you the rest of your life.
Even when you’re 90 and your breasts are droopy again.
Tuesday, March 25th, 2014
The American Society for Aesthetic Plastic Surgery recently released its annual plastic surgery statistics from the year before. Here are some highlights:
· There was a 6.5% increase in the total number of surgical procedures performed last year as compared to 2012. Almost 2 million procedures were performed among the core group last year
· Americans spent $12 billion on cosmetic procedures for the first time since 2008 when the recession hit
o Of that total, more than 7 billion was spent on surgical procedures and more than 5 billion was spent on nonsurgical procedures
· Lipo was the number one procedure, increasing 16% over 2012. This is in spite of the burgeoning growth of technologies such as CoolSculpting
· As previously stated, Buttock augmentation has increased 58% over last year and Labiaplasty increased 44% over last year
· Injectables are way up this year:
o Botulinum toxin, (Botox, Dysport and Xeomin): 3,381,476 in 2013 – up from 2,915,865 in 2012 – a 16% increase
o Hyaluronic acid: 1,738,999 for 2013 – up from 1,318,197 in 2012 - a 32% increase
· Aesthetic plastic surgery for men is being de-stigmatized
o Liposuction is up for men by 24% since last year alone
o Injectables for men are up 16%
o Men broke the million mark for number of procedures performed first time since 2007
There are a few surprises here. I’ve seen my personal numbers for liposuction surgery decrease, I believe due to the plethora of non-surgical liposuction alternatives out there. Although these alternatives (like Coolsculpting and Body FX) don’t have nearly the dramatic results of actual liposuction, a lot of people are having them done. With the FDA approval of the cheek filler Voluma, I expect hyaluronic acid filler injections to increase significantly in 2014, with a decrease in injections of Sculptra. I’ve found Voluma to be a very effective alternative to Sculptra and fat grafting in many patients.
Plastic surgery was definitely hot in 2013. I think the numbers will be significantly higher in 2014.
Wednesday, March 19th, 2014
From one of my latest CNN.com articles:
I’m sitting cramped in the window seat of an airplane, awaiting takeoff for a flight that will bring me from Detroit to Los Angeles. The large man in the middle seat has his arm draped over the arm rest, leaving me leaning and squashed against the side of the plane. I don’t know how I’m going to endure four and a half hours like this.
Then it gets worse.
He starts to talk. The stench hits me like a sledgehammer to my face.
Halitosis. Dragon Breath. Stank Mouth.
An estimated 50 million Americans suffer from bad breath. For most, it’s a problem that only rears its ugly head in limited situations, such as in the morning or after eating pungent food. But for some, halitosis is a problem that is ever-present, no matter whether they brush and floss their teeth, rinse with mouthwash, or suck on mints. Chronic bad breath can profoundly affect a person’s self-esteem and daily life, even to the extent that that person may isolate himself for fear of embarrassment.
So what causes bad breath?
Bad breath can emanate from many, many sources. Certain foods, such as garlic, can become digested, absorb into your bloodstream, travel to your lungs, and reappear as bad breath. Other contributors to halitosis include poor dental care, dry mouth, tobacco products, and certain medications and medical conditions. But what about those people who don’t have any of these contributors? Why do these millions of people still suffer from constant bad breath?
If this describes you, then it’s very likely that your bad breath is caused by bacteria living on the back of your tongue. These little critters create a foul-smelling gas (called volatile sulfur compounds) that resembles the smell of rotten eggs. Unfortunately, these bacteria usually live so far back on your tongue that brushing your tongue with a normal toothbrush can’t reach them.
Fortunately, there is a solution that appears to work for over 90% of bad breath sufferers. Here are four simple steps to hopefully curing your halitosis:
1. Rinse with a mouth wash containing chlorine dioxide. Then gargle with your tongue sticking out. Studies show that chlorine dioxide is very effective at neutralizing the stinky volatile sulfur compounds created by oral bacteria.
2. Using a specialized tongue scraper / cleaner (can be purchased at your dentist’s office or online), scrape the back of your tongue, going from back to front. It may help to pull your tongue out with the fingers of one hand and scrape with the other hand. The farther back you scrape off those little critters the more effective this will be. Rinse the tongue cleaner after each scrape.
3. Brush and floss your teeth with your regular toothpaste, taking care to brush the rest of your tongue and the inside of your mouth.
4. Consider rinsing one more time with the chlorine dioxide rinse, keeping with the instructions on the bottle.
Prior to embarking on a treatment regimen for your bad breath, make sure to check with your dentist to confirm that your halitosis doesn’t have a medical cause. Otherwise, these four simple steps can hopefully save you unnecessary embarrassment and make you a much better seat neighbor on a plane.
The following is a type of chlorine dioxide bad breath system that I hear works really well:
Tuesday, February 25th, 2014
Tuesday, January 28th, 2014
This is from today’s Bethenny show. The woman interviewed here was profiled on TLC’s My Strange Addiction and has breasts that are “one cup short of a gallon” on each side. And somehow she’s found a cosmetic or plastic surgeon who has agreed to make them even bigger! Who does that??
The biggest commercially available, non-custom breast implants are 800cc. This is compared to a gallon, which is almost 3800 cc. Reality star Heidi Montag had 700 cc implants placed. The average implant size I insert is between 350-375 cc.
I wish the show would have posted the rest of addiction specialist Dr. Mike Dow’s comments. I would have loved to hear what he had to say to her!
Wednesday, December 18th, 2013
This one is hilarious. Check out this local news story where a woman claims that making funny, extreme facial expressions (and sounds) can smooth your wrinkles and tighten your face. No, I don’t buy this one at all. If anything, I believe that making some of the faces she recommends can worsen wrinkles, as these expressions can cause the muscles of facial expression to be stronger. It’s the exact opposite of Botox, which smooths wrinkles by weakening muscles. I’d love to see her ‘before-and-afters.’
Tuesday, December 10th, 2013
This is from my latest article from CNN.com that went viral. A lot of comments on this one, mainly from people who disagree with some of the things I wrote!
A young man in his 20s — let’s call him George — sits across from me in the exam room.
“Dr. Youn,” he says, “I have man boobs.”
I notice a not-so-unfamiliar smell wafting from his body. It’s the same odor that floated my way during a rock concert I recently attended.
“How long have you had a problem with this, George?”
“Hard to say. But it seems to have gotten worse over the past year or so.”
“George, the first thing you need to do is stop smoking pot. Marijuana could be causing your man boobs.”
Gynecomastia, otherwise known as man boobs (or moobs for short), is a condition that affects approximately 33% to 41% of men between the ages of 25 and 45. It’s even more common during puberty, affecting 60% of 14-year-old boys. Interestingly, it also affects 55% to 60% of men aged 50 and older.
Although most cases of gynecomastia resolve spontaneously within a few months to a few years, in 2012 nearly 23,000 people underwent surgery to correct the condition. According to the American Society for Aesthetic Plastic Surgery (ASAPS), it was the fifth-most common cosmetic surgery in men.
Gynecomastia is caused by a hormone imbalance between testosterone and estrogen. When the ratio between testosterone and estrogen tips in favor of estrogen, the body responds by creating excessive breast tissue. Hence, man boobs.
Animal studies have shown that exposure to the active ingredient in marijuana can result in a decrease in testosterone levels, a reduction of testicular size, and abnormalities in the form and function of sperm.
In humans, the effects of marijuana on testosterone and estrogen levels aren’t as clear. Lower testosterone levels have been reported in chronic marijuana users compared to nonusers, but not all studies support this.
To read the rest of the article, visit the page on CNN.com HERE!
Saturday, November 30th, 2013
This is an interesting segment from local CBS News about a website called MyFreeImplants.com. They interview a patient of mine who used this website to have her breast implants paid for. No, the site isn’t a hoax, although the idea behind it is pretty… out there.
Wednesday, November 20th, 2013
This is an interesting article from the new Smart Beauty Guide: Two recent studies have shown that Botox injections can possibly alleviate symptoms of depression. One study showed a 47% decrease in their subjects’ depressive symptoms. The other study showed that 27% of subjects treated with Botox had significant improvement in their depression.
So how might this work?
Are the subjects less depressed since they look better after the Botox? Probably not.
Could they feel better because the Botox prevents them from frowning? Maybe.
At this point, we really don’t know!
Tuesday, November 12th, 2013
Horns. Forked tongues. Elf ears. Whiskers.
No, these aren’t features from the latest fantasy film. Today, thousands of people are getting their bodies modified in all sorts of bizarre and unusual ways. Tattoos are just the tip of the iceberg for people interested in body modification, referred to as “body mutilation” by detractors.
People called “body modification artists” perform these unconventional surgical procedures, typically on young clients. These treatments range from the simple, such as implanting metal bolts on a person’s neck, to the extreme, such as creating ridges under a person’s skin in order to make him look like a human lizard.
Hard to believe? The website Body Modification Ezine has more than 3 million photos of people who’ve undergone these various types of body modification.
And it’s not just in the United States. Other industrialized countries are seeing the body modification trend expand with new, and increasingly bizarre, treatments. In Japan, young people are plumping up their forehead by injecting large amounts of saline, then pressing their thumb into the middle to create an indentation. This leaves a temporary doughnut-like appearance, dubbed the “Bagel Head.”
To read the rest of the article, visit CNN.com HERE.
Thursday, October 31st, 2013
A study published in this month’s Plastic and Reconstructive Surgery proves that smoking really does make you look older. The study participants were part of a big national gathering of identical twins, and the study authors examined photos of each twin to determine whether one looked older than the other. They found that the twin that smoked less looked considerably younger than the twin that smoked more. There are some revealing photos from the study on NBC News.com HERE.
So why does smoking age a person? Many reasons. Smoking dries the skin, causing wrinkles. It also decreases circulation to the skin, resulting in less color and a wan appearance. It also creates free radical damage, which results in premature cellular aging.
So if you’re a smoker, what can you do? QUIT. Studies show that a lot of the damage that smoking causes is reversible. Once you quit, your body begins to repair itself. Now is as good a time as any.
Monday, October 28th, 2013
Yes, you can! There are several techniques to reconstruct a nose from existing skin and tissue from other parts of the face. Chinese doctors recently released some photos and video of a patient with a nose growing on his forehead. I discuss the video and nasal reconstruction in this recent video from HLN.
Wednesday, October 16th, 2013
So what is BRA Day? It’s short for “Breast Reconstruction Awareness” Day. As a plastic surgeon, I find it surprising that there are a lot of women who undergo mastectomy and lumpectomy for breast cancer and are never given their various options for breast reconstruction. So today there are events being held in 25 countries throughout the world as an attempt to bring awareness to the fact that women have options in breast cancer reconstruction. In fact, the Federal government even passed legislation years ago that requires health insurance companies to pay for breast reconstruction not only on the affected breast, but on the unaffected breast for purposes of symmetry.
To learn more about BRA Day, click HERE for the official website.
Sunday, October 6th, 2013
But it’s punishable by forced labor. An interesting article in the Washington Post describes how teenage girls in North Korea dream about having the double eyelid surgery that is so prominent in South Korea. They desire it so much that they go under the knife in a black-market procedure, paying $2-$3 for a doctor to perform the surgery, often right in the patient’s home. Just as sad, North Korea is so poor that $2 is a large amount of money for most North Koreans.
To read the Washington Post article, click HERE.
Monday, September 23rd, 2013
There is an interesting and fun article in the Detroit Free Press today. Writer Georgea Kovanis explores the current obsession our culture has with the butt. Kim Kardashian? Beyoncé? Twerking?
Click HERE if you are interested in reading it!
Tuesday, August 20th, 2013
So it appears that the newest trend in plastic surgery is hand rejuvenation. We’ve heard about chin implants, the Facebook facelift, the Pippa butt lift, and now it’s treating the Madonna Mitts. From the Daily Mail:
Cosmetic surgery clinics have reported an 18 per cent increase in enquiries in the past month of people having anti-ageing procedures on their hands.
The new cosmetic surgery trend, which sees women having dermal fillers and laser resurfacing to reduce the signs of ageing, has been dubbed the banishing of ‘Madonna Mitts’ after popstar Madonna, 55, who has ‘anti-aged’ almost every part of her body but often resorts to fingerless gloves to cover her hands.
As the years pass, skin on the hands thins, causing veins to become more prominent and liver spots to appear.
While make-up can disguise tell-tale signs of ageing on the face, it’s more difficult with hands – which is why it’s often said that hands are the best indicator of age.
Speaking about the latest cosmetic trend, a spokesman for the Transform clinic, which has seen an 18 per cent increase in the number of anti-ageing hand procedures perforemed, said: ‘Our hands are exposed to the sun more frequently than other parts of the body and a failure to apply sun cream to hands as regularly as we do the face makes them susceptible to sunspots and accelerated aging.
There are many ways to rejuvenate the hands. The first approach to take are creams. Hydroquinone can be used along with an exfoliating cream to lighten age spots. IPL treatments can also be used in conjunction with creams to further enhance the results. Some doctors are injecting fillers into the hands, such as Sculptra and Juvederm. Other doctors are injecting fat into the hands to soft them up and reduce the appearance of veins.
The hands are definitely a body part that shows its age, and I agree that treatments for them are definitely becoming more and more popular.
Wednesday, August 7th, 2013
From the Washington Post:
Women across the U.S. are risking their lives for black market procedures to make their buttocks bigger, often involving home-improvement materials such as silicone injected by people with no medical training.
Some want to fill out a bikini or a pair of jeans. Others believe a bigger bottom will bring them work as music video models or adult entertainers. Whatever the reason, they are seeking cheaper alternatives to plastic surgery — sometimes with deadly or disfiguring results.
Deaths from black market buttocks injections have been reported in Alabama, Georgia, Florida, Pennsylvania, Nevada and New York. An interior decorator in Mississippi faces trial in the deaths of two women who were injected at her house.
Though there is little data on the procedures or injuries they cause, doctors and authorities say they are seeing them more often. Online forums used to set up the illegal procedures have attracted thousands of responses. Some men also seek out buttocks enhancements, but the procedures are much more popular among women.
Very big buttocks have been popular in hip-hop videos for years, celebrated by songs like the 1990s hit “Baby Got Back” by Sir Mix-a-Lot, with lyrics declaring, “I like big butts and I cannot lie.”
The article goes on to tell the story of Apryl Brown, a woman who underwent illegal silicone injections to the her buttocks with horrifying results. After suffering multiple complications, Brown ended up with her hands and feet amputated.
I met Brown while filming an episode of Katie. Her story is frightening, but serves a reminder for anyone considering black market plastic surgery to exercise extreme caution. This type of thing happens in your own backyard, too. I recently filmed a segment of TLC’s My Strange Addiction with a woman who was addicted to these same kind of silicone buttock injections. She is one of the lucky ones, though, who hasn’t suffered any major complications. I’m glad she has stopped these dangerous procedures.
To read more of the Washington Post article, click HERE.
Saturday, August 3rd, 2013
There is an interesting study soon to be published that looks at just how many years plastic surgery can take off your face. And, can plastic surgery make you look more attractive?
Zimm and four colleagues tracked 204 facial plastic surgery patients, all of whom had opted for primary facial surgical procedures such as facelifts, neck lifts, upper or lower blepharoplasty (eye lifts) and brow lifts at the same Toronto, Canada, plastic surgery clinic.
Out of the 204, 12 men and 37 women met the criteria for the study. These 49 subjects, who ranged in age from 42 to 73, had a series of photos taken before and after their surgery. Makeup and jewelry, which the study refers to as “confounding variables,” were not allowed in either the before or after shots.
Photos were all taken by lead author Dr. Peter Adamson, who also performed the plastic surgery, using the same standardized background, the same camera and the same type of photography techniques.
A group of 50 “raters,” primarily made up of hospital workers and lay people recruited from the community, were then asked to estimate and record the age of the patients in the before and after photographs. They were also asked to rate the patient’s attractiveness on a scale of 1 to 10, with 10 being the top ranking (as always).
On average, raters estimated the patients’ age to be about 2.1 years younger than their chronological age before surgery and 5.2 years younger than their real age after surgery. There also was a small, “insignificant” increase in attractiveness scores in the after photos.
So do you really only lose 3 years off your looks with plastic surgery?
I don’t think so.
If my patients lost only 3 years after having actual surgery, I’d be out of business. “How much younger will I look after my facelift?” is a common question plastic surgeons like me get asked nearly every day. My answer depends on the patient, but typically ranges from 7-15 years. Losing three years off your appearance is more in line with spa-grade treatments, not plastic surgery in my opinion. There was another study a couple years ago that revealed facelifts take off 7 years on average, which is more along the lines of what I’d expect. You can read about that study HERE.
To read more about this subject, visit the Today Show article HERE.
Tuesday, July 16th, 2013
Interesting story from silive.com:
STATEN ISLAND, N.Y. — “Mob Wives” reality-TV star Renee Graziano allegedly told the world a “full-body lift” performed by a plastic surgeon nearly dropped her six feet in a grave.
The Oakwood resident wanted to nip and tuck some fat and sagging skin, but instead claimed to have “flat-lined” and “almost died” after her plastic surgeon put her under the knife.
She called the procedure, broadcast on the show, a “plastic surgery nightmare.”
Ms. Graziano, 43, the daughter of reputed Bonanno crime family consigliere Anthony (TG) Graziano of Huguenot, allegedly told media outlets she lost six pints of blood and underwent emergency treatment at Staten Island University Hospital.
The doctor, who denies any medical error, struck back with a $77 million defamation lawsuit against Ms. Graziano, VH1 and the show’s producers. The action was filed in Brooklyn state Supreme Court.
Wow. As a plastic surgeon who has performed surgery for television programs, I always fear that the patient will develop a complication. It’s inevitable that some patients have postoperative issues, and the vast majority of the time these issues can be cleared up without jeopardizing the patient/doctor relationship. The stakes are exponentially increased, however, when television cameras are involved. Performing a successful surgery on TV can get a lot of traffic into your practice, but a major complication or an unhappy celebrity can be potentially devastating. Probably the most extreme example of this is Dr. Jan Adams, the plastic surgeon who operated on Kanye West’s mom before she died.
To read the rest of the silive.com article, click HERE.
photo credit: prphotos.com