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Plastic surgery in Peru

I recently returned from a medical mission in Qoya Peru.    The organization sponsoring the mission was Women for World Health.  Qoya is in the Sacred Valley about 40 kms from Macchu Picchu.    We saw a mixture of patients with clefts lips to burn scars.    It was exciting to have my sister-in-law Ginger along on the […]

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Numbers of Plastic Surgery procedures increases as Economy improves

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The American Society of Plastic Surgeons released their statistics for 2010 yesterday.  The overall number of cosmetic procedures increased 5 % in 2010.  This may represent some pent-up demand as patients return who had put off cosmetic work when the economy was so unstable.  Reconstructive procedures also increased 2% in 2010 with breast reconstruction up […]

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Rare Condition associated with Breast Implants

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A new national registry has been established by the American Society of Plastic Surgeons and the FDA to document reported cases of a rare condition  , Anaplastic Large Cell Lyphoma (ALCL) which is possibly associated with breast implants.  Thirty four cases of ALCL  in patients with breast implants have been reported in the world and […]

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My Christmas Present

Dr Jorge Palacios just gave me the most wonderful Christmas present.  I was with Dr Palacios in Ecuador on a visiting educator trip where we were training young surgeons to do cleft lip and palate surgery.  One of the patients was a 45 year old woman with an unrepaired cleft lip.  Dr Palacios assigned her […]

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Plastic surgery in Ecuador

I just got back from spending ten days in Ecuador.  I was a visiting Educator with Resurge( formerly known as Interplast).   This was my fifth trip to Ecuador and my third as a visiting educator.  Most medical missions that I have been on   we are just trying to get as much surgery done as well […]

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Breast Reconstruction immediately after Mastectomy Linked to Increased Survival

A very interesting study was presented recently at Plastic Surgery 2010 : Joint Annual Scientific Meeting of the  American Society of Plastic Surgery (ASPS)  and the Canadian Society of Aesthetic Plastic Surgery (CSAPS)meeting in Toronto Canada.  The  study looked at cases of breast cancer between 1998 and 2003 and analyzed  data in the US National Cancer […]

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Breast reconstruction in Los Angeles

A recent survey  of  women with breast cancer found that 43% of the patients who were eligible for reconstruction did not receive information about their reconstructive options when making decisions at diagnosis.    This is an alarmingly low number!  Many patients are not aware that  a federal law signed into effect by President Bill Clinton mandates […]

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Form Stable Breast Implants

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Recently I went to Sweden to observe the practice of Dr Charles Randquist.  Dr Randquist has extensive experience with form stable breast  implants –  Mentor’s CPG implants and Allergans 410 implants –  which are not currently available in the USA except under study conditions.  These implants are shaped –  with a sloping upper pole .  […]

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Breast reconstruction – Immediate or delayed?

When a woman is diagnosed with breast cancer she is faced with a multitude of decisions –  lumpectomy or mastectomy, decisions about chemotherapy and radiation therapy – it can sometimes seem like too much to have to decide about breast reconstruction (implant reconstruction, flap reconstruction, silicone vs saline implants) at the same time.  Our goal […]

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Cosmetic versus reconstructive surgery

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Plastic surgery as a specialty encompasses both cosmetic as well as reconstructive surgery.  The definition of cosmetic surgery is surgery  “to improve on the normal”  whereas reconstructive surgery is surgery  ” to restore to normal form and function”.  In some cases it is clear –   repair of a cleft lip is clearly reconstructive surgery and liposuction of small […]

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