Wednesday, August 6th, 2014
Although this news isn’t as exciting to the general public as, say, Bruce Jenner’s latest bizarre change in appearance, it’s huge news in the plastic surgery and dermatology market. Allergan, pioneers of some of the most game-changing and innovative products in cosmetic medicine, are the target of a possible hostile takeover bid by rival Valeant. Allergan are the makers of Botox, Juvederm, Latisse, Natrelle breast implants, and their latest, Voluma. Their products are the best in the biz. So why are they in trouble?
Valeant is a company that has very quickly acquired a massive portfolio of plastic surgery products, some of which they have recently sold. At one time or another, they’ve acquired Obagi, Restylane, Perlane, Dysport, and Sculptra. Allergan is now in their sights.
So why are some plastic surgeons (like myself) worried? The concern is research and development (R&D). Allergan has been at the forefront of R&D for cosmetic products, as evidenced by their game-changers like Voluma and Latisse. They spend a lot of money researching new plastic surgery technology. This is good for both doctors and patients.
So the big question is: If Valeant takes over Allergan, will they continue Allergan’s tradition of aggressive R&D? Valeant says they will, but some physicians aren’t so sure.
One thing is for sure: the Allergan stockholders (and former stockholders) have benefitted. The stock has gone through the roof since Valeant announced its takeover bid. This is an interesting back-and-forth story. I hope it has a happy ending.
Wednesday, July 30th, 2014
Have you heard of ZO Skin Health and ZO Medical skin care products? This is the new line of skin care products developed by Beverly Hills dermatologist Dr. Zein Obagi. I’ve recently had the privilege of being named as a ZO Skin Health faculty member.
ZO Skin Health and ZO Medical represent the latest and greatest in medical grade and cosmetic grade skin care on the planet. He combines some of his tried and true principles of skin rejuvenation (such as bleaching and blending) with some of the latest thinking in skin care (such as growth factors, peptides, and antioxidants). This has resulted in a line of products that, in my opinion, is unsurpassed by all other skin care lines, medical or cosmetic. You WILL see results if you used ZO products as directed. This can’t be said for most of the other skin care products out there today. ZO skin care products can only be purchased in a physician’s office and can not be purchased online.
Sunday, July 13th, 2014
Have you ever considered getting a nose job but didn’t want surgery? Have you had a botched nose job? More and more doctors are now injecting filler into the nose to correct defects and even to make it look straighter. A friend of mine, and prominent Beverly Hills facial plastic surgeon, Dr. Robert Kotler, has devised a very simple way to preview how your nose would look if you had filler injected into it. He calls it the 5 Minute Kotler Saline Demo. Basically, he injects saline into your nose to change the shape of it for a couple hours. Then the saline disappears. It’s a simple but effective way to find out how your nose will look without going through with it.
You can find out more information on his website HERE.
In plastic surgery, sometimes the simple solutions are the ones that work the best!
Thursday, July 3rd, 2014
There is an interesting article in the International Business Times that explores the current culture of plastic surgery. It’s worth a read. Here are some highlights:
- Selfies and their popularity in social media are causing more and more people to undergo procedures to improve their appearance. Even the appearance of their hands, as hand selfies for engagement rings are popular.
- The ideal appearance varies depending on the location. I’m quoted that the cosmetic ideal in Detroit (a natural, non-augmented look) is likely different from that in L.A. or Miami.
- South Korea just may have the highest per capita plastic surgery procedures in the world. This is not necessarily a good thing!
- One plastic surgeon is quoted as saying that fat is the future of plastic surgery. I would have to agree.
To read the article, click HERE.
Saturday, June 14th, 2014
From the network that brought you Dr. 90210 comes the new series Botched. It stars two plastic surgeons, Dr. Paul Nassif and Dr. Terry Dubrow, previously seen as husbands on the Real Housewives series. They are both well-regarded surgeons in our field, and in the show they try to fix various ‘botched’ plastic surgeries. Their patients include the self-proclaimed first supermodel Janice Dickinson and a man known as the human Ken doll, due to his plethora of plastic surgeries. Good luck to the good doctors! Sounds like a challenge, to say the least.
Thursday, June 5th, 2014
It seems more and more people are heading overseas to get their plastic surgery performed. In the past, I heard mainly about Asians heading to Japan or South Korea to get work done. Now, there are companies that advertise surgical tourism as a way to save money and see a different country. This can be a very dangerous proposition. I was recently interviewed by Epoch Magazine about this subject. Here is what I said:
What Needs Fixing. There are all sorts of problems. Recently, I removed a pair of implants that were placed in Argentina. The implants were part of a major recall after it was determined that the silicone inside them was industrial-grade, not medical-grade. I’ve seen many botched liposuction surgeries, botched tummy tucks, and poor facelifts. I probably see the most problems with liposuction patients.
Risk Assessment. Unfortunately, plastic surgery is performed poorly in all countries, but the United States has some of the strictest standards for plastic surgery training in the world.
Misconceptions. These patients think that they are getting a good value. Just because the cost of the actual surgery is lower, they don’t necessarily appreciate the added costs of fixing a bad result. Also, if they get a complication, do they want to be treated in another country? Do they trust the health care system in the other country?
Keep in mind that your U.S. health insurance will likely not pay for a hospital stay or complication in another country. There is nothing worse than being horribly sick and hospitalized in another country and finding out that you will need to pay out-of-pocket for all your health care there.
They also interviewed several other plastic surgeons who gave their opinions on this important topic. You can read the article online HERE.
Monday, April 28th, 2014
I’m writing this post as I’m stuck in the middle seat on an airplane flying from San Francisco back home to Detroit. I’ve spent the past couple days at the annual Aesthetic Meeting, a massive conference organized by the American Society for Aesthetic Plastic Surgery (ASAPS) and attended by thousands of the top cosmetic plastic surgeons in the world. My trip this year was brief, flying in on Saturday and flying out on Monday, but chock full of great stuff. Some of my highlights from the meeting included:
1. The emergence of Voluma – for years I’ve been a big fan of Sculptra and fat grafting to add volume and rejuvenate the cheeks (midface). Voluma is a new FDA-approved injectable that’s taken the place of Sculptra in many of my patients. The more I use it the more I like it. There were several talks on Voluma at this meeting, and I’m even more impressed now.
2. Filming for a documentary on plastic surgery – I was privileged to bring around a camera crew who are filming a documentary about plastic surgery. I can’t reveal any more than that, but it was a lot of fun hooking the producer and director up with some of the biggest names in my field.
3. Alphaeon – This is a new player in plastic surgery, aesthetics, and the self-pay health care industry. As an investor, it was great to see and feel some of their new acquisitions and offerings. I think we’ll be hearing a lot about Alphaeon in the coming years as they (we) emerge as a major player alongside other aesthetics companies like Valeant and Allergan. It was a pleasure meeting the CEO Robert Grant for the first time. I am Alphaeon!
4. Re-Connecting with some old friends – It was great to see some of my old friends again, and make some new ones, too. I really enjoyed spending time with one of my best friends, Dr. Steven Svehlak, a top Beverly Hills plastic surgeon, and his beautiful wife Wendy. Some other top aesthetic surgeons I enjoyed talking with were Dr. Michael Schenden (Troy, MI), Dr. Bob Basu (Houston, TX), Dr. Chad Tattini (Bloomington, IL), Dr. John Diaz (Beverly Hills, CA), Dr. Tim Sayed (Boca Raton, FL), Dr. Sanjay Grover (Newport Beach, CA), Dr. Brent Moelleken (Beverly Hills, CA), and Dr. George Bitar (Washington, DC).
5. Dinner with Dr. Zein Obagi – I’ve been really impressed with ZO Medical’s new skin care lines and have been selling more and more of their products in my office. I was privileged to have dinner with Dr. Obagi and several of his inner circle of doctors and advisors (like the great author / media extraordinaire Wendy Lewis and Dr. Frank Barone from Toledo, OH) last night at a nice steakhouse in town. A definite highlight.
But the best part of my trip?
Heading back home to see my wife and kids. Can’t wait.
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.