Archive for June, 2007

Sue Johanson on Labiaplasty

I just saw this video on labiaplasty from Sue Johanson cable show. Ms Johanson, like many in the media, seems to assume all surgeons do them the way gynecologists have done them for many years by the “trim method.” The “trim method” does reduce sensation. That is why I will not do them using that method. The various versions of modified wedge reductions do not reduce sensation. My patients are invariably pleased with their reductions. I follow them until they are back “in action.”

Ms Johanson also fails to address the major reason women consider this operation: discomfort in clothing. When Labia minorae get really large, they hurt in underwear and can give the appearance of a “package” in gym clothing. I agree with the inference made in the clip that women should only consider this operation for internal reasons. Then again no partner of any of my patients to date has been the reason for her considering this surgery.

I usually like the excerpts I have seen from Ms Johanson’s show. This one is just off the mark. Maybe it is from an old segment.

Best Regards,

John Di Saia MD

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Megan Fox Could Use Some Skin Care

Source: bricksandstonesgossip.com/?p=1246

Bricks and Stones blogs on Megan Fox’s facial acne today. She’s got some early pitting and scarring. Some skin care could help bring this under control.

Best Regards,

John Di Saia MD

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Celebrity Boob Jobs gone Wrong?

Source: cityrag.blogs.com/main/2007/06/celebrity_boob_.html

CityRag blogs on celebrity boob jobs. Even for a professional, it can be difficult to figure what has gone awry with a breast implant case.

Some “educated guesses” based upon the images in this article however are:

* Janet Jackson – Breasts and implants droop over time. She may need a lift.

* Victoria Beckham – Probably old silicone gel implants “Over the Muscle.” They contract quite a bit. Probably needs a redo with “Under the Muscle” implants. She doesn’t seem to have much tissue for coverage, so she is best advised to stay small.

* Tori Spelling – Went too large and now after childbirth she is larger and “droopier.” A lift and down-sizing might be in order.

The fourth woman in the article has images of an early result from which I can tell little.

Best Regards,

John Di Saia MD

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Hilary Duff has Nice Abs and Liposuction is NOT the Reason

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Derek Hail has a post on Hilary Duff’s Abs. She is in good shape and likely got there the old fashioned way – diet and exercise. Liposuction can thin someone but it does not tone a muscle or tighten skin. Lipo alone will not make a six pack abdomen.

Best Regards,

John Di Saia MD

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Be Careful Of Surgical Tourism – Surgical Terrorism?

Be careful of going cheaply in another country. The standards of care there may be very different from that which you expect.

Best Regards,

John Di Saia MD

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Liv Tyler Up Front On Plastic Surgery

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Liv Tyler recently revealed to Allure magazine that she thinks she will go under the knife at some point in her future.

Liv, 29, told Allure, “I’m definitely going to have some [plastic surgery], I’m sure. Especially when you see what happens to your body after you have a baby.” She connects her decision with work, stating, “I have to make a living. I guess I could sell my house and go live a really simple life in a trailer somewhere.”

Post-pregnancy plastic surgery probably means tummy tuck plus or minus liposuction.

Best Regards,

John Di Saia MD

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Liposuction is Not Weight Loss

Source: myfoxdfw.com/myfox/pages/News/Detail?contentId=3431786&
amp;version=1&locale=EN-US&layoutCode=TSTY&pageId=3.2.1

Dr Nahai describes a case of a young woman who had liposuction for weight loss. She probably should not have had it. The real answer (if we get follow-up) will be whether or not she maintains her weight. Most liposuction patients do not maintain weight losses unless they change their lifestyle. It doesn’t sound from this story like this girl did so.

“I almost died from (liposuction). I had it done all over and it didn’t work at all. I realized, ‘Oh, to change your body you have to eat less and go on a treadmill.’ So that liposuction landed me in the hospital.
Source: wcfcourier.com/articles/2007/06/07/pulse/television/b47c52230b180a2f862572f300483196.txt

Comic Kathy Griffin reports on her experience with liposuction. She must have had it for weight loss because in my patients I have no such stories. She did discover the reality of weight loss however. She just discovered it the hard way.

The Bottom Line:

I recommend liposuction for patients who report that their weight is stable and they are not seeking weight loss. It is a contouring procedure. When performed in such a way it is not dangerous and it works.

Best Regards,

John Di Saia MD

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Morgan Fairchild – Too Much Plastic Surgery?

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As many of you know, I follow some celebrity blogs to obtain information for mine. One of my favorites is Truth, Beauty, Love, and Elisa because Elisita sarcasm so thick it requires a knife to cut.

She dishes out some of that delicacy for Morgan Fairchild who has seen her share of plastic surgery, but looks pretty good for 60. The tendency on most celebrity blogs is to compare celebrity plastic surgery “After” images to images of the aforementioned in their prime many years earlier. This is not really fair (no pun intended.) The real question (really impossible to answer) is what might Morgan have looked like without the plastic surgery.

Ms Fairchild does look a a bit on the over done side, but we have seen much worse.

Best Regards,

John Di Saia MD

P.S. I really liked Morgan years ago. My brother had a poster of her up on his door for years when we were in our teens. This was quite a few years ago.

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Top Searched Cosmetic Procedures on AOL

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This week’s top searched cosmetic procedures on AOL Search:
1) Breast augmentation
2) Tummy tuck
3) Liposuction
4) Botox
5) Breast reduction
6) Breast lift
7) Microdermabrasion
8) Nose job
9) Eyelid surgery
10) Face lift

Best Regards,

John Di Saia MD

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Does Victoria Beckham have "Franken-boobs?"

Awful Plastic Surgery had a bit on Victoria Beckham’s boob job. Needless to say they were not very complimentary. I have seen far worse results. Mrs Beckham’s result is pretty typical when a relatively large implant is used over little soft tissue cover. They just look fake and maybe she wanted that. Women vary on what they want. I have come to accept that as I see it for a living.

Best Regards,

John Di Saia MD

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