Ageism and Plastic Surgery

Ageism and Plastic Surgery
I admit that over the years my idea of “how old is too old” has changed.  Part of that is my increasing age, but a bigger part has come from the patients themselves – the 72 year old woman with a deflated NS implant who wanted it replaced rather than removed, etc.   Never Too Old for Plastic Surgery  (photo credit) By Tara Parker-Pope If you think you’re too old for a few nips and tucks, consider the story of 83-year-old Marie Kolstad. ………. To learn more, read Abby Ellin’s article “The Golden Years, Polished With a Nip and a Tuck,” ……. Don’t forget to read the comments of Parker-Pope’s article.   Still I have mixed feelings about what I see as not “aging gracefully” and tend to agree more with bioethicist Carl Elliott who is mention...

Bariatric Surgery Should Come Before Breast Reduction
Many women with large breast and weight issues seek breast reduction.  I was taught to encourage them to lose weight first.  Now there is a very small study that backs this up  (full reference below). The American Society of Plastic Surgeons issued a press release entitled “Breast Reduction and Bariatric Surgery—Which Should Be Done First?” and provided the answer “ Final Results May Be Better When Weight Loss Comes First.”  I agree, but find it odd that such a small study was published.  There should have been more patients included. Jeffrey A. Gusenoff, MD, and colleagues reviewed two groups of patients who sought consultation for body contouring surgery August of 2008 and February of 2010 after massive weight loss (defined as a weight loss of greater t...

In office breast cancer surgery, just a matter of time?
This is kind of a post I've been sitting on for about 7-8 months that I though would be kind of interesting. Last Fall there was an article in a New York business magazine about a small trend in some breast cancer surgeries being performed in plastic surgeon's offices in Manhattan. The article, "Mastectomies check out of the hospital" describes this phenomena and I found this quote interesting,"Dr. Evan Garfein of Montefiore Medical Center was the driving force behind the new state law requiring that patients be informed of their surgical options. The breast surgeon says his effort was meant to correct a disparity: Poor minority women are less likely to get reconstructions because they often aren't told that federal law requires their insurers to cover the procedure.But Dr. Garfein says he...

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Salvage Ureteral Reimplantation After Failure of Dextranomer/Hyaluronic Acid Injection
Conclusions: Ureteral reimplantation after dextranomer/hyaluronic acid injection is no more difficult than primary ureteral reimplantation regarding operative time, blood loss and length of hospital stay. These results support dextranomer/hyaluronic acid as initial operative treatment of vesicoureteral reflux when deemed appropriate and may further shift the paradigm of treatment away from prolonged medical management. (Source: The Journal of Urology)

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