Archive for the ‘Injection Hell’ category

Beware Snake Oil Salesmen? – Daniel Serrano

August 13th, 2010

Beware snake oil salesmen like Daniel Serrano. Maybe the list of celebrities treated by this man like Priscilla Presley should have. Serrano was reportedly smooth with sweet talk and promises:

Serrano, who was a doctor in Argentina but unlicensed in the U.S., told patients the serum, which he claimed would remove wrinkles, was much better than Botox — an all-natural drug he said was used by all the top models in Paris
Source: www.tmz.com/2008/03/25/pricillas-doc-b-s-d-star-after-star/

Silicone gel injections are not natural. They do not do well. Qualified plastic surgeons will not offer them.

Best Regards,

John Di Saia MD

Originally posted 2008-04-02 16:57:00.

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Silicone Injections Lead To More Death

July 30th, 2010

Patients who get massive silicone injections to enlarge their breasts or buttocks should expect trouble, local cosmetic doctors say. Especially if the silicone isn’t a medical-grade product, the procedure can lead to disfigurement or death. That’s what apparently happened to the patients of Guadalupe Viveros, who allegedly ran an unlicensed cosmetic-injection clinic out of her home in Sylmar, Calif. Police are seeking Viveros and her business partner, sister Alejandra Viveros, in connection with the death of a patient.

The buttocks are “one of the worst places for injections,” said plastic surgeon Dr. John Di Saia of San Clemente and Anaheim. Large quantities of material must be injected there to make a difference in their appearance, but that is risky, because the buttocks contain so many blood vessels, he said. That is reportedly what caused the death last year of former Miss Argentina Solange Magnano, who had died after getting buttock injections of microspheres of PMMA plastic, which apparently blocked an artery in her lungs.

OC Register Blog

I chimed in on this one as you can read. Silicone injections are bad news. You should steer clear of them.

Best Regards,

John Di Saia MD

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Butt Injection Nightmare x 6

May 31st, 2010

NEWARK, N.J. — A black-market butt-enhancement “practitioner” is injecting New Jersey backsides with household caulk and other hazardous materials, according to New Jersey health officials who have alerted New York authorities to the rear and present danger.

Six Newark-area women in the last two months have been hospitalized with infections caused by injections of “a variety of unknown materials,” said New Jersey Health Department epidemiologist Dr. Tina Tan.

Officials said they believe the injected mixture includes silicone, petroleum jelly and hardware-grade caulk.

Fox News

It frequently amazes me how trusting some people are of the wrong people. Would you go to a local hotel to have injection therapy performed? Six women were hospitalized here. Butt injections are not all that safe or effective in any environment, but a hotel?

Just steer clear of this OK?

Best Regards,
John Di Saia MD

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Solange Magnano former Miss Argentina Dies After Cosmetic Injection Procedure

December 1st, 2009

The OC Register Blog posts on the tragic death of Solange Magnano, a former beauty queen in Argentina. The details are scant at present, but reports indicate that she had a procedure that she felt was low risk as a friend said, ‘She only underwent the procedure because she thought it was no big deal.’” A day later she had a pulmonary embolus and passed away.

Reports indicate that the woman was injected with polymethylmethacrylate microspheres (PMMA) with the purpose of enhancing her rear end. PMMA is a particulate substance (like small glass beads) that can embolize (travel to other areas of the body) if inadvertently injected into blood vessels. The US supplier of PMMA is based in San Diego. Artes Medical interestingly enough filed for bankruptcy last year. PMMA was originally approved for use in making facial wrinkles less apparent. Like most soft tissue fillers, it was designed to be used in small amounts. This patient had injections for buttock enhancement presumably in much larger amounts which is probably where the potential for embolism became realized.

We have discussed other injection stories like this before; one quite recently. Bigger surgery can also lead to pulmonary emboli however. The facts are just coming out for this case. I am not sure I would even call this a plastic surgery death as we are unsure as to whether the practitioner was a plastic surgeon and we know that this was injection therapy as opposed to “real” surgery. Suffice it to say we have discussed the danger of some injection therapies before and those who frequent this blog know to ask questions before an injection procedure.

You need to educate yourself before having any cosmetic procedure performed and have it done by the most qualified practitioner you can have.

Best Regards,

John Di Saia MD

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Reader Laura on Butt Augmentation News Story

November 4th, 2009

Reader Laura’s Comment:

Google News

Mexican rock star Alejandra Guzman had to be operated on in Mexico after a botched plastic surgery operation on her buttocks. The doctors are trying to remove material that had been injected by someone who may not even be a real doctor. It sounds a bit like she had silicon or some other material injected into her buttocks. There seems to be some worry that she will be paralyzed as well. What would be the safer/more appropriate surgery for someone wanting to enhance that part of their body? Is it ever safe to inject something into the muscle?

The buttocks does not do well predictably with augmentation. This is one of the reasons many docs choose not to do it. Fillers of all kinds have been tried there. Silicone can really make a mess. It can become infected and basically ruin the rear. I saw such a case as a resident. There are no great reconstructive options in that case. It is all damage control. Be careful when considering butt augmentation. The risk is higher. Fortunately buttock lifts seem to do OK.

BTW – This may not count as “botched plastic surgery” as it appears to be an injection in the hands of a novice. This is a buyer beware story! Be careful with your butt or you may not have one at the end….pun maybe intended. ;)

Best Regards,

John Di Saia MD

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Reader Laura on a UK Plastic Surgery Complications Story

September 2nd, 2009

Reader Question:

Times Online UK

“A survey this year by the British Association of Aesthetic Plastic Surgeons showed that two in five of their members had had to correct complications caused by the injection of permanent fillers by high street clinics in the past year, and one in five had had to correct complications with body contouring.”

Another patient beware story. I find it a bit worrisome that the number of Doctors in England that have had to fix problems with previously performed cosmetic surgery is so high. Are these numbers high to you? Do you think the numbers are higher or lower here in the US?

The use of fillers is also on the rise here and many are injected by non plastic surgeons. I do not see this many poor outcomes for revisions, but see some on occasion. Maybe my local region has fewer permanent filler problems. I hear of them mostly in Florida by the way of occasional news stories.

There are many non plastic surgeons doing liposuction these days. The economy of traditional medicine is partly to blame. “Turkey Tummy” is a good nickname for the result when patients who would have been better served by a tummy tuck have liposuction.

Best Regards,

John Di Saia MD

Related:

Dr D’s “A Surgeon’s Credentials”

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DIY Silicone Injection Plastic Surgery Nightmare

August 13th, 2009

Abc News / video link

In search of an inexpensive, do-it yourself version of a silicone injection she had gotten from a doctor to smooth a scar, the Midwestern mother injected her lips and face with silicone she purchased over the Internet.

Hmmm. We have chatted about silicone injections before. They can kill you. Silicone injections are not good or safe plastic surgery. I’d bet the previous injections that were done by a plastic surgeon to which she refers were collagen or Restylane. No good plastic surgeons of which I know work with silicone injections.

“By the following day it was just completely inflamed my whole face and the area that you can see in the cheek was very raised and very infected,” she said. “It expands, it’s like rubber and your own collagen is forming scar tissue around it…it just looked like horrible blisters.”

When you “do it yourself,” you actually can make bad into worse as the areas likely became infected.

Unfortunately, instead of saving thousands, Mary has ended up with massive medical bills and had to turn to a California plastic surgeon when no doctor in her area could help remove the infected silicone.

Another example in which what was done cheaply became really expensive. Just be careful.

Best Regards,

John Di Saia MD

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Silicone Injections Deadly for Bronx Woman

April 4th, 2009

WCBS TV

NEW YORK (CBS) ― A seemingly harmless cosmetic procedure turned deadly for a Bronx woman. She died one day after receiving silicone injections in her thighs, allegedly administered by someone without a medical license.

Silicone injections are scary. No reputable plastic surgeon offers them to my knowledge. Do not submit to them.

Pichardo was rushed to the hospital but died the next morning of what the medical examiner’s officer said was a silicone pulmonary embolism, caused by so much silicone injected that it was clotting in her lungs.

This is unheard of with FDA-approved fillers. Silicone injections are not FDA-approved.

Best Regards,

John Di Saia MD

Related:

Dr D’s “Can Just Anyone Do My Cosmetic Surgery?”

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Silicone Injections Are Not A Good Idea – 2 Injured

February 11th, 2009

FoxNews

Andrea Lee, 30, suffered total kidney failure after receiving the injections at a private home in the community of Town ‘N Country. Her friend Zakiya Teagle, 33, is also in a critical condition.

Sharhonda Lindsay of Tampa is wanted for practicing medicine without a license. A warrant for her arrest was issued Monday, according to the Web site.

Silicone injections are not good medicine and in fact are illegal. You won’t find them in your board certified plastic surgeon’s office. If someone offers you injections in your home, check out those credentials first.

Best Regards,

John Di Saia MD

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Nikki Cox has a Trout Pout

January 23rd, 2009

Vanity Spy

Nikki Cox’s Lips Have Officially Crossed The Line

Too much soft tissue filler can look pretty awful. This is one of the reasons I do so little of it anymore. I have reduced the use of soft tissue fillers in my practice. I do not want to create deformity.  It is a matter of opinion as to where “nice” ends and “deformed” begins however.

Suffice it to say that my office is not a Trout Pout factory. Early on they can look a bit on the large side though.

Best Regards,

John Di Saia MD

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