News & Features



Plastic Surgery News: World Roundup June 2005


Who Gets the Most Botox? Working Moms!
Spain: Facelifts on the Stock Market?
Israel: A better Smile....with a Facial Filler.
Mental Woe Drives Sufferers to Plastic Surgery.
Features of Brad Pitt, Angelina Jolie Most Requested.
Australia: Common Plastic Straightens a Crooked Nose


Who Gets the Most Botox? Working Moms!



Plastic Surgery News: World Roundup June With over three million Botox injections given in 2004, somebody, somewhere had to ask the hard questions: Who, exactly, is receiving the substance, and why? The Aesthetic Surgery Education & Research Foundation tackled the task and asked surveyers Industry Highlights, Inc. to find out everything under the sun -- when, why, how often and how much -- about the most popular injectable in the U.S.

The survey revealed it’s not movie stars nor top models nor even the very well-to-do among us who are soaking up the wrinkle-reducing injectable.

The poll revealed the most common users are actually working moms between the ages of 40 and 55 and want to look more relaxed and less stressed. The study revealed that Botox users with household incomes of less than $50,000 were more likely to receive the substance than those couples bringing in more than $150,000 yearly. Accordingly, 97 percent of Botox users are female.

Other notable findings: 87 percent receive their injections between the eye brows while 52 percent reported getting the shots in forehead lines. Another 51 percent said they used Botox to erase their crow’s feet. Most respondents reported they had been receiving the substance one to four years and had two to three sessions per year. In a typical session, one to five places on the face are injected. About a third said they combined injectable fillers – usually collagen -- along with Botox.

Spain: Facelifts on the Stock Market?



Plastic Surgery News: World Roundup June Another sign, albeit on the medical horizon, that plastic surgery is here to stay. The day is rapidy approaching when facelifts will be publically traded on the Spanish stock market. The international market of cosmetic and plastic surgery is reckoned by some experts to be worth over $25 billion.

The U.S. financial firm Morgan Stanly is advising Corporacion Dermoestetica, a large cosmetic surgery group with 14 operating theaters and 79 clinics in Italy, Portugal, Spain and the United Kingdom, on how to structure a stock offering so the company can drum up cash to expand its network of clinics in Europe.

Spainards are apparently firmly sold on rejuvenation surgery; the International Society of Aesthetic Plastic Surgery ranks Spain as sixth in the world. Only people in the United States, Canada, Mexico, Brazil and Argentina consume more plastic surgery.



The 25-year-old company recent ponied up $54.8 million to buy Ultralase, a U.K. laser eye surgery company. Corporacion Dermoestetica reported revenues of 75 million Euos.

Israel: Collagen for Better Teeth and Fewer Wrinkler



Plastic Surgery News: World Roundup June ColBar, a biotechnolgy company in Herzliya, Israel, is harnessing collagen – used in many cosmetic surgery procedures for wrinkle removal – to make dental implants that stick to the jaw bone much better. Collagen (taken from the Greek word for “glue) is the building block for all connective tissues in the body and provides structure, strength and support for tissues and organs. Many plastic and cosmetic surgeons use the substance in quick, one-hour appointments to fill in hollow places in the face and to plump up lips and remove wrinkles. But because the body recognizes collagen as part of itself, it absorbs the substance. So plastic surgery patients must revist their surgeons every three months or so to keep new appearances fresh and up to date.

Several years ago, tissue engineers at ColBar found a way to turn collagen into a longer lasting, tougher substance into which dental tooth implants could be placed for better anchoring. Commercially known as Ossix, the substance was cleared for guided bone regeneration in the U.S. in 2000. In the process, the company learned how to chemically modify collagen so that it lasts at least a year. Known in Europe as Evolence and in use there since October, 2004, the injectable is thin enough to be easily injected under patients’ skin but substantial enough to fill deep facial contours instantly. Company spokesman Dorit Sokolov says Evolence will soon go into clinical trials in the U.S.

Mental Woe Drives Sufferers to Plastic Surgeons



Plastic Surgery News: World Roundup June With ever more people going to see plastic surgeons about having a longed-for procedure, some physicians have noticed that as many as 15 percent of eager patients are, well, overeager and actually suffer from a mental condition known as body dysmorphic disorder (BBD,) an obsession with minor flaws in appearance. One study found one in ten seekers of plastic surgery would be better served by skipping the cosmetic surgeon’s knife and beginning therapy with a psychologist.

“The disorder is charcterized by a preoccupation with imaginary defects in appearance and excessive concern with slight physical defects,” says co-author Christopher Arpey, M.D., of the University of Iowa.

Because the condition frequently shows up as early as age fifteen, Dr. Aprey says parents, teachers and others should watch for red warning flags when a young person frequently checks in the mirror, gets involved in excessive grooming and tanning, picks at his or her skin and makes repeated requests for plastic surgery.

But surgery will never do any good. If the person is truly a BBD sufferer, he or she will almost always be dissatisfied with the results, no mater how perfect.

Other warnings signs include the sufferer making the rounds of plastic surgeons, even if other physicians have repeatedly said a particular operation is not needed. He or she might also skip work or school frequently because he feels ugly and will often compare his appearance with other people while scrutinizing how others look.

Features of Brad Pitt, Angelina Jolie Most Requested



Plastic Surgery News: World Roundup June While we’re on the topic of red warning flags: one of the signs of an unstable patient is wanting to look like a celebrity, instead of looking like the best possible version of himself. So when the American Association of Facial Plastic and Reconstructive Surgeons (AAFPRS) took their annual survey, they asked surgeons what celebrity features patients most often asked about. The good news: 88 percent of patients were not interested in having any features except their own. But, among those who were star struck, the following features were popular.

Most women hanker for the lips of Angelina Jolie and Julia Roberts while three percent mentioned the cheeks and nose attached to the face of Nicole Kidman. The noses of Liz Hurley, Michelle Pfeifer, Halle Berry, Kelly Ripa, Ashley Judd and Jennifer Lopez were frequently brought up along with Diane’s Sawyer’s face.

Most men selected Brad Pitt’s looks, with his nose, chin and cheeks being seen as highly desirable. George Clooney was also popular, with some guys wanting his eyes, eye lids and face. A few respondents marked the noses of Tom Cruise and Jude Law as something they would like to carry on their own faces.

Australia: Common Plastic Straightens Crooked Noses



Plastic Surgery News: World Roundup June An operation that hasn’t quite reached American or British shores is giving some Australians with crooked noses a much straighter schnoz.

After an accident, injury, disease, fracture or botched rhinoplasty, a nose can wind up leaning to one side. That usually means breathing problems for the patient and a large headache for the surgeon who must repair the deformity. Operating on the human nose is one of the most demanding of all plastic surgery procedures because the nose is a three-dimensional structure with a delicate, triangle-shaped internal structure of springy cartilege surrounded by very thin tissues. Moreover, surgeons say the nose can only take so many re-dos before it collapses completely. Usually, the repair on a crooked or bent nose involves “cross-hatching” or partially incising the internal cartilage and using stitches to bend the probiscus more in the other direction. But that procedure may also make the nose weaker.

Now, plastic surgeon Martyn Mendelsohn, M.D. in Chatswood, New South Wales, Australia, found a better way. Dr. Mendelsohn found inserting a plastic graft into the middle one third of the nose makes the protruding organ stronger and provides more stability, regardless how much underlying cartilage is available inside the nose. Dr. Mendelsohn who reported doing 38 rhinoplasties a month for a two-year stretch, calls the operation the “Extended spreader graft” technique. The actual plastic used is a high-density porous polyethylene graft.

Dr. Mendelsohn, of the Sydney ENT and Facial Day Surgery Clinic, reported 41 difficult cases of patients with markedly crooked noses who underwent the procedure. The patients were followed from six months to two years and all wound up with straight, smooth and strong noses with no complications. The study was printed in the March-April, 2005, issue of the Archives of Facial Plastic Surgery.



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