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Almost 10 million cosmetic surgical and nonsurgical procedures were performed in the United States in 2009, according to statistics released today by the American Society for Aesthetic Plastic Surgery.
The most frequently performed nonsurgical procedure was injections of Botulinum Toxin Type A (including Botox and Dysport) and the most popular surgical procedure was breast augmentation.

Top cosmetic procedures for WOMEN:
Last year there were 311,957 Breast Augmentations performed, 2.3 Million nonsurgical procedures, Liposuction coming in second at 243,217.

Women had 91 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on women was more than 9 million.

Top cosmetic procedures for MEN:
The leading procedure performed on men was Liposuction at 40,519 and 257,786 non surgical procedures. Coming in second is Rhinoplasty at 32,661 and non surgical Laser Hair Removal with 166,035.

Men had 9 percent of cosmetic procedures. The number of procedures (surgical and nonsurgical) performed on men was more than 900,000 an increase of 9 percent from the previous year.
The American Society for Aesthetic Plastic Surgery’s cosmetic surgery statistics reports the top five surgical and non surgical procedures for 2009 are:

1. Breast Augmentations
2. Liposuction
3. Eyelid Surgery
4. Rhinoplasty
5. Abdominoplasty

Top five non surgical for 2009 are:

1. Botox Injections
2. Hyaluronic acid
3. Laser Hair Removal
4. Microderabrasion
5. Chemical Peels

Credits: THE AMERICAN SOCIETY FOR AESTHETIC PLASTIC SURGERY (ASAPS)

Last week I attended the Baker & Gordon Plastic Surgery Symposium in Miami Beach. It is one of the largest cosmetic surgery conferences in the world where hundreds of plastic surgeons from around the world come.

The real study�??s and conclusions on �??SMARTLIPO�?� is that same as it was last year at this same conference.

The found no evidence and no added results in using laser assisted liposuction. They showed that it did not created skin contractions as they said it would and no better results using laser assisted liposuction know n commonly as �??SMARTLIPO�?�. If fact, there is potentially an increase in complications using a laser in fat under the skin. It has been carefully demonstrated that the claims of being less invasive and having quicker recovery are not true. What was stated at this impressive cosmetic surgery symposium is what I have been saying all along“SMARTLIPO�?� = �??SMART�?� advertising�?�
nothing more.

Smart advertising has fooled people into thinking that it is the technology producing wonderful results, as if the laser or ultrasound �??magically�?? melts away unwanted fat to produce eloquent contours and silhouettes. Nothing could be farther from the truth. I would even venture to say that anyone who is using/advertising �??SMARTLIPO�?� is either more interested in marketing and advertising to get your attention, your dollar or they are not really skilled in liposuction.

The bottom line �?� your results in liposuction/liposculpture do not depend on the technology of a laser, ultrasound or water assisted cannula, but rather the aesthetic eye, hands and skill of the sculpting surgeon.

Dr.G

Overall, there were nearly 1.7 million cosmetic surgical procedures performed in 2008. For the second straight year, breast augmentation topped the list with 307,000 performed, though that number represents a 12 percent decline from 2007.

Rhinoplasty eclipsed liposuction as the send-most popular cosmetic surgical procedure last year (279,000) despite a 2 percent decline from 2007, while lipousuction remained the third most popular cosmetic procedure in 2008 (245,000) despite a 19 percent drop from 2007.

Though still not considered a popular procedure, pectoral implants saw a three-fold gain from 2007 to 2008, jumping from 440 to 1,335!!

*Dr. G is one of very few surgeons across the WORLD performing this procedure (we are very proud to say).

Plastic Surgery News 2009
Beatrice Zuluaga

Surgeons and patients are now citing increased interest in surgery among people wanting to look younger and “fresher” for the ever-competitive job market.

Having to foresee going out on interviews, people are trying to look younger believing that appearance and youthful looks play a part in getting hired, a promotion, or getting new clients, particularly in these challenging economic times.

Beatrice Zuluaga

Catch your attention? We have all heard of the “G Spot”

But, what really is it? Well, it is really not a spot but an entire erotogenic area which involves the entire female urethra, the surrounding erectile tissues, and the adjacent anterior vaginal wall. During normal sex arousal, this area is not only usually reached and therefore not stimulated. THIS AREA IS THE SEAT OF A DISTINCT EROTOGENIC ZONE WAITING TO BE AWAKENED!

Enhancing, amplifying and augmenting the entire per-urethral area will result in heightened levels of sexual excitement and arousal INSTANTLY!!!

YOU HAVE TO TRY THIS exam-room, lunch time minimally invasive, non-surgical procedure.

Greetings friends,
As this is Breast Cancer Awareness Month, I would like to share an FAQ concerning Breast Augmentation Surgery. If you have questions about this or any other procedure, please feel free to ask anytime via this blog.

For more information, including before and after photos, please visit my gallery page.

Best,

Dr. Sam G.
Are connective tissue diseases caused by silicone gel-filled breast implants?

The Institute of Medicine recently concluded that “evidence suggests diseases or conditions such as connective tissue diseases, cancer, neurological diseases or other systemic complaints or conditions are no more common in women with breast implants than in women without implants.”

Do silicone gel-filled breast implants cause cancer?

Published studies indicate that breast cancer is no more common in women with breast implants than in women without breast implants. In its authoritative 1999 report, the Institute of Medicine (IOM) concluded that, “There is no increase in primary or recurrent breast cancer in implanted women.”

What are the effects of silicone gel-filled breast implants on pregnancy and breastfeeding?

Women with breast implants do not risk exposing their breastfed children to excessive amounts of silicone. The Institute of Medicine concluded that “no evidence of elevated silicone in breast milk or any other substance that would be deleterious to infants was found in women with silicone gel-filled breast implants.”
Although we have had numerous patients able to breast-feed after breast augmentation, breastfeeding difficulties have been reported following breast surgery including breast augmentation.

How will silicone gel-filled breast implants effect having mammograms?

Current recommendations for mammogram screening are no different for women with breast implants than for those without. Radiologists experienced in the evaluation of women with breast implants should interpret mammography exams. It is essential to tell the mammography technologist about the breast implant before the procedure.
Those with implants should request a diagnostic mammogram, rather than a screening mammogram, because more pictures are taken with diagnostic mammography. The technologist can use special techniques to reduce the possibility of rupture, as well as getting the best views of the breast tissue.
Are breast implants permanent?

Breast implants are not considered lifetime devices. Patients will likely undergo implant removal with or without replacement at some point in their lives. Whether undergoing augmentation or reconstruction, be aware that breast implantation is often not a one-time surgery. Often, additional surgery and doctor visits during the course of one’s life are required.

Is it possible to develop a silicone allergy?

It is possible for anyone to develop an allergy to almost any substance on earth. However, silicone allergies are rare. We are all exposed to silicone in our environment every day. It is found in many household items such as polishes, suntan and hand lotion, antiperspirants, soaps, processed foods, waterproof coatings and chewing gum.

If you have any questions, feel free to ask. If you would like to see before-and-after photos, go to my gallery page.

Greetings friends,

As part of our ongoing blog series in honor of Breast Cancer Awareness Month, we continue to focus on Breast Augmentation Surgery.

If you have questions about this or any other procedure, please feel free to ask or visit my Web site.

Best,

Dr. Sam G

Breast augmentation is one of the most frequently performed cosmetic surgery procedures in the United States today. Breast implants enhance the size and shape of the breasts adding firmness and fullness, while improving body image and self esteem.

Breast augmentation can be performed to make smaller breasts appear larger, balance breasts that are asymmetrical, or restore fullness that has diminished with age or as a result of pregnancy. Breast implants can also be used for reconstructive purposes.

Types of Breast Implants

I perform breast augmentation using either saline filled breast implants or the new, FDA-approved cohesive gel silicone implants. Saline breast implants contain an outer shell of silicone within which the saline solution is placed.

The new and improved silicone gel implants have the same outer silicone shell within which is a new cohesive silicone gel. Unlike the old silicone implants, which were more like a liquid, the new cohesive gel implants act more like a solid, holding together uniformly while retaining the natural give and feel of natural breast tissue.

This gelatin-like cohesive silicone gel is much less likely to leak, rupture or tear as compared to the older, traditional silicone implants. This type of implant does not leak even when cut in half.

Most surgeons and patients agree that the new cohesive silicone gel implants have a more natural feel and are less likely to ripple than saline implants. The cohesive gel implant, however requires a slightly larger incision to allow placement.

Breast Implants also come in different shapes and profiles. Anatomic or “teardrop” shaped implants were created with a more natural shape in mind and were designed to be fuller at the lower half similar to a natural breast.

However, this distinct vertical orientation can result in distortion or breast asymmetry if the implant should rotate. A textured surface allowing tissue in-growth helps reduce the chance of rotation, but it may result in more visible or palpable rippling. For these reasons, anatomic implants are not commonly used.

I use the most common, round implant. Since the breast implant is round, it is free to rotate without any adverse consequences. With gravity alone the saline or cohesive silicone gel will gravitate or fill the bottom portion of the implant when sitting or standing erect or fill the breast more uniformly when lying down, more closely imitating a natural breast.

Next time, we will cover breast augmentation implant profiles, as well as implant location.

Again, if you have any questions, feel free to ask. If you would like to see before and after photos of my work, please visit my gallery page.

About Dr. Sam Gershenbaum

Dr. Sam Gershenbaum is Founder and Director of the Aventura Center for Cosmetic Surgery. Cosmetic and reconstructive plastic surgery blends �??art�?� and �??science,�?� combining intuition, creativity and artistic sense with extensive surgical training, discipline, and medical knowledge. Dr. Gershenbaum is Board Certified in Plastic Surgery and Hair Transplant Surgery. A renowned specialist in aesthetic plastic surgery, he also has specialized training in reconstructive surgery for birth defects, traumatic injuries, and deformities from cancer including microsurgery and breast reconstruction. With this extensive background and experience, Dr. Gershenbaum has become the �??go-to�?� specialist for corrective and revisional surgery for cosmetic surgery problems.

Greetings friends,

Today, as part of our Breast Cancer Awareness Month focus on breast procedures, we will discuss what happens at a breast augmentation consultation.

If you have questions about this or any other procedure, please feel free to ask questions anytime or visit my Web site.

Best,

Dr. Sam G

During the initial consultation, it is important to review your medical history, goals and expectations as well as build mutual trust and rapport. Numerous before and after photos are reviewed; the procedure is explained; and the alternatives discussed.

The breasts are examined to ensure that expectations can be met, as well as to review the surgical plan, implant size and incision/scar placement.

An ideal candidate for routine breast augmentation will have all the breast tissue above the inframammary crease (the crease under the breast) and the nipple in the middle of the breast. If the breast tissue and/or nipple is at the level of the inframammary crease (or lower), additional procedures may be needed.

Appropriate implant size will be determined by your request for cup size and a physical examination, including the width of the breast, distance from the crease under the breast to the areola and the thickness of soft tissue coverage.

I will offer a range of implant sizes appropriate for your cup size in relation to the physical examination. For patients who desire the most natural result, the size of the implant will be determined by a physical examination and their available soft tissue coverage.

When a placed implant is is larger than the breast and surrounding tissues can adequately cover, the more rippling that can be felt and seen.

For example, a woman with a medium frame and a “B” cup breast can accommodate a larger implant than a petite woman with an “A” cup breast. Breast implants are easier to feel (or palpable) if there is inadequate soft tissue coverage (skin, breast tissue, muscle) in relation to the size of the implant.

Other causes for a palpable implant may include subglandular placement (over the muscle) and textured implants.

It is also important to understand that breasts are not symmetrical. Often different size implants are used to improve symmetry. Every effort is made to make the breasts symmetrical and as close as possible to the desired size, however no surgeon can guarantee the exact size, shape or symmetry.

Prospective patients are encouraged to try on various size implants to help determine size, as well as speak with previous patients about their surgery and results. My staff and I are always available for questions.

Following the initial consultation and after appropriate time for reflection, an appointment is scheduled for routine preparation and informed consent. Additional questions and concerns are also addressed. Routine blood analysis and medical clearance is required prior to surgery.

If you have any questions about this or any other procedure, please feel free to ask. To see examples of my work, please visit my gallery page.

About Dr. Sam Gershenbaum

Based in Miami, Dr. Sam Gershenbaum is Founder and Director of the Aventura Center for Cosmetic Surgery. Cosmetic and reconstructive plastic surgery blends “art” and “science,” combining intuition, creativity and artistic sense with extensive surgical training, discipline, and medical knowledge. Dr. Gershenbaum is Board Certified in Plastic Surgery and Hair Transplant Surgery. A renowned specialist in aesthetic plastic surgery, he also has specialized training in reconstructive surgery for birth defects, traumatic injuries, and deformities from cancer including microsurgery and breast reconstruction. With this extensive background and experience, Dr. Gershenbaum has become the “go-to” specialist for corrective and revisional surgery for cosmetic surgery problems.

Greetings all.

Today, we are going to discuss what happens during a breast augmentation operation.

If you have questions about this or any other cosmetic procedure, please feel free to ask anytime or visit my Web site.

Before moving forward, I wanted to say that cosmetic/plastic surgery is not just for women. Many men are also having procedures done, such as calf implants and male pectoral implants. In the not-too-distant future I will be discussing some of those procedures.

For now, we are going to continue discussing breast augmentation, as this is the procedure about which we get the most questions and inquires. If there is a subject related to plastic/cosmetic surgery that you like to see covered, please let me know.

Thanks,

Dr. Sam G

Breast augmentation surgery is performed in our state-of-the-art outpatient facility under general anesthesia and will take approximately one-and-a-half hours to perform. In the holding area prior to surgery, your “before” pictures are taken and then the breasts are marked.

After speaking with the anesthetist/anesthesiologist, you are brought to the operating room. After asleep, local nerve blocks are combined with medication, which is administered to shrink blood vessels and capillaries to reduce bleeding.

Next, the incisions are made and the “pockets” created �?? generally under the pectoralis muscle �?? and the implants are placed. Saline implants are inserted into the “pocket” while empty and then filled after they are in position.

An antibiotic solution is added to the saline, which some studies suggest reduces the incidence of capsular contracture (firmness and hardening of the healing tissue around the implant).

Cohesive silicone gel implants are filled prior to surgery and require a slightly larger incision. The operating room table-back is elevated, placing you in a sitting position to check implant position and symmetry.

Minor adjustments are made to the implant “pocket,” as necessary, to obtain the best results and symmetry. After the table back is lowered, a long acting anesthetic is placed into the “pockets,” which greatly reduces postoperative discomfort.

The incisions are closed with sutures predominantly below the surface of the skin, to avoid cross-hatching suture marks and optimize the chances for the finest scars. Steri-strips are applied, as well as being placed in a post surgical bra.

If you have any questions about this or any other procedure, please feel to ask. If you would like to see before and after photos of my work, please visit my gallery page.

About Dr. Sam Gershenbaum

Based in Aventura, Florida north of Miami, Dr. Sam Gershenbaum is Founder and Director of the Aventura Center for Cosmetic Surgery. Cosmetic and reconstructive plastic surgery blends �??art�?� and �??science,�?� combining intuition, creativity and artistic sense with extensive surgical training, discipline, and medical knowledge. Dr. Gershenbaum is Board Certified in Plastic Surgery and Hair Transplant Surgery. A renowned specialist in aesthetic plastic surgery, he also has specialized training in reconstructive surgery for birth defects, traumatic injuries, and deformities from cancer including microsurgery and breast reconstruction. With this extensive background and experience, Dr. Gershenbaum has become the �??go-to�?� specialist for corrective and revisional surgery for cosmetic surgery problems.

Greetings friends.Last time, we looked at what happens during the breast augmentation operation. Today, we’ll discuss breast augmentation surgery recovery.

If you have any questions about this or any other cosmetic/plastic surgery procedure, feel free to ask or visit my Web site.
In the coming weeks, we’ll look at many procedures, including rhinoplasty, male pectoral implants and many others.

Best,

Dr. Sam G.

Following breast augmentation surgery, patients report mild to moderate discomfort, which is easily controlled with medication. Varying degrees of swelling, bruising and firmness subside in several weeks to months.

Sutures (stitches) are removed after seven days. Patients can usually return to work after several days to one week. Light exercise may begin after four to six weeks.

A support bra is worn for two to three months following surgery and is encouraged as much as possible thereafter to maintain the contour. Recovery and healing will vary and will depend on the extent of the surgery.

During the weeks and months after surgery, the breasts will soften and relax, looking and feeling more natural as swelling subsides and the effects of gravity and tissue relaxation act on the newly implanted breasts.

Complete healing takes time and patience, taking up to one year before realizing the ultimate result of the surgery.

Next time, we’ll discuss possible breast augmentation surgery complications.
If you have any questions, please feel free to ask. To see before and after photos of my work, please visit my gallery page.

About Dr. Sam Gershenbaum

Based in Aventura, Florida north of Miami, Dr. Sam Gershenbaum is Founder and Director of the Aventura Center for Cosmetic Surgery. Cosmetic and reconstructive plastic surgery blends art and science, combining intuition, creativity and artistic sense with extensive surgical training, discipline, and medical knowledge. Dr. Gershenbaum is Board Certified in Plastic Surgery and Hair Transplant Surgery. A renowned specialist in aesthetic plastic surgery, he also has specialized training in reconstructive surgery for birth defects, traumatic injuries, and deformities from cancer including microsurgery and breast reconstruction. With this extensive background and experience, Dr. Gershenbaum has become the go-to specialist for corrective and revisional surgery for cosmetic surgery problems.