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.
Are any of you watching the Real Housewives of Miami? It looks to me that these housewives may have had more work done than any of the other Housewives casts! Popdust.com recently asked me to comment on what I think each RHOM cast member has had done to her face.
You can read my in-depth analysis on their website HERE!
Do you agree or disagree with my opinions? Feel free to let me know!
This is a clip from my recent segment on Hallmark’s “Home and Family” program. Quite honestly, it was one of the most fun shows I’ve ever taped. The hosts, Mark and Cristina, were so very welcoming and the vibe there is really fun and positive. And yes, that is Charo sitting next to me!
I commented in this week’s Star Magazine about Tom Cruise’s new look. His face looks quite puffy, and can be the result of swelling from plastic surgery. Or maybe he’s on medication that has caused his face to balloon? Check out the photos on Radar Online.com HERE, including some of my comments.
I suspect that within a couple weeks he’ll look like the old Tom that we know and like.
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.
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.
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.
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:
Sorry for the lack of updates recently. I’ve been hard at work updating my YouTube page. It’s been sadly ignored for the most part these past few years. Well, no longer! It’s now chock full of plastic surgery-related videos and TV appearances, dating all the way back to my debut on “Dr. 90210.” I’ve included nearly all of my clips from “Rachael Ray” and other programs. Check it out when you get a chance. It’s hours and hours of entertainment, with a little bit of education thrown in there, too.
According to the American Society for Aesthetic Plastic Surgery, there was a 58% increase in buttock enhancement surgery in 2013 compared to the year before. This operation had the largest gains of all cosmetic procedures for the year.
So why are so many Americans undergoing surgery to enhance their derrieres?
I believe the answer lies with the media, both broadcast and social. Plastic surgeons are seeing more and more women who want the backsides of various stars. While I don’t hear Jennifer Lopez’s name much anymore, other stars with ample behinds have taken her place.
Ratings for her reality show may be declining, but Kim Kardashian is still the poster child for a large and shapely backside. In fact, a recent butt selfie (also known as a “belfie”) on Instagram went viral with over 1 million admirers “liking” it. Beyonce’s skimpy outfit at the Grammy Awards this year displayed her well-rounded tush for all to see and admire. And Internet sensation Jen Selter’s nearly impossibly round and smooth bottom is quickly becoming the most requested rear end of all. In fact, one of my patients even dubbed it the “Eighth Wonder Of The World.”
It’s not easy to get curves like theirs. The most common type of buttock enhancement, called the “Brazilian Butt Lift,” involves liposuctioning fat from the thighs or hips, purifying it, and then re-injecting it into the buttocks.
For the rest of the article, click HERE to visit CNN.com
Who has the most famous butt in the United States? Is it Jennifer Lopez? Beyoncé? Kim Kardashian?
Fitness sensation Jen Selter must be in the running. Recently interviewed on The Doctors, Jen Selter currently has over 2.3 million followers on Instagram and almost as many on Twitter. Her washboard stomach and nearly impossibly shaped behind is becoming the envy of women everywhere.
So does Jen Selter have buttock implants? Plastic or cosmetic surgery? She denies it, and I tend to believe her. Jen Selter’s body (and specifically her booty) have undergone major changes as she has become more and more tone over the past several years. I see no obvious sign of plastic surgery. She’s just a young woman (20!) with a really, really nice figure. If I was her manager, I would be working my butt off to get an exercise video of her out there. I bet even a lot of men would buy it!
To follow Jen Selter on Instagram, click HERE.
To follow Jen Selter on Twitter, click HERE.
Set your DVR’s! I will be on The Doctor Oz Show this Wednesday, February 12th, to discuss extreme plastic surgery. I’m accompanied by Dr. Drew Pinsky, whom I met for the first time during the taping. I found Dr. Drew to be a very nice, genuine guy. Very likeable and down-to-earth.
I’ll post a link to the segment on Dr. Oz’s website once it becomes available!
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!
The Bethenny Show had a very interesting series of segments this past Wednesday on Extreme Plastic Surgery. They interviewed a plastic surgery enthusiast, who was previously seen on the TLC special Plastic Wives, and a woman who regretted her previous plastic surgery. They also brought up the question of how young is too young for breast implants?
Below is the first clip from the show. You can catch the other ones on her site HERE.
What do you think about this subject? Do you think Frances is overdone? Although I think Frances looks overdone, her counterpart Shae comes across as a spiteful, judgemental person. Live and let live, Shae!
Thank you to the Rachael Ray Show for having me return!
We’ve had lots of inquiries about how to buy Adonia Legtone Serum and try it for themselves. Below is a link to purchase this cellulite cream on Amazon.com:
Tune in this Tuesday when I return to the Rachael Ray Show to show how you can use simple ingredients from your refrigerator to make you look younger! These tips can take off the years for just pennies. Here is the preview from the Rachael Ray Show website:
Smart shopping and a clever fridge strategy could help you fatten your pockets while slimming your middle! Organizational whiz Peter Walsh gives Rachael his tips for keeping your refrigerator in tip top shape and Rach gives us the scoop on making the most of the food in your fridge. Then, no need to go under the knife, plastic surgeon Dr. Anthony Youn is in the kitchen to show us the foods that combat the signs of aging. And, Rachael whips up a batch of Spaghetti that tastes good and is good for you!
To watch a streaming video preview of the episode, click HERE to open up her site.
This is a truly bizarre story. Former New York City mayoral candidate Anthony Weiner’s ex-sexting partner, Sydney Leathers, has just placed her actual labia for auction on eBay, with bids starting at $1000. Leathers recently underwent labiaplasty surgery by a Los Angeles plastic surgeon, and by the sounds of it, requested that she keep her labia to sell. Gross!
If you are interested in getting a “piece of history,” you can check out her auction at eBay HERE. Warning: the auction photo shows the snipped off skin in a specimen cup.
I occasionally have patients ask to keep their breast implants that I’ve taken out of them. One patient even sold her old implants at auction for over $20,000. That said, I’ve never had a patient request to take actual tissue home with her or him. That would just be too strange for me. Reminds me of the Governor in the Walking Dead.