Archive for March, 2011

Mentor Style 3000 Saline Breast Implants Dimensions

Posted by admin in breast implant pre-op tutorial on March 31, 2011

Smooth Round, High Profile, Style 3000
Sizing Chart

NOMINAL
MID-RANGE
MAXIMUM
Catalog Number Device Volume Diameter Projection Device Volume Diameter Projection Device Volume Diameter Projection
350-3170 170 cc 9.0 cm 4.0 cm 185 cc 8.8 cm 4.5 cm 200 cc 8.8 cm 4.9 cm
350-3190 190 cc 9.3 cm 4.1 cm 205 cc 9.2 cm 4.6 cm 225 cc 9.1 cm 5.1 cm
350-3210 210 cc 9.6 cm 4.2 cm 230 cc 9.5 cm 4.8 cm 250 cc 9.5 cm 5.3 cm
350-3230 230 cc 10.0 cm 4.3 cm 255 cc 9.8 cm 4.9 cm 275 cc 9.8 cm 5.5 cm
350-3250 250 cc 10.2 cm 4.5 cm 275 cc 10.1 cm 4.9 cm 300 cc 10.0 cm 5.6 cm
350-3270 270 cc 10.4 cm 4.6 cm 300 cc 10.5 cm 5.0 cm 325 cc 10.2 cm 5.8 cm
350-3290 290 cc 10.8 cm 4.7 cm 320 cc 10.7 cm 5.1 cm 350 cc 10.5 cm 5.9 cm
350-3310 310 cc 11.0 cm 4.8 cm 345 cc 10.9 cm 5.3 cm 375 cc 10.7 cm 6.0 cm
350-3330 330 cc 11.3 cm 4.8 cm 360 cc 11.2 cm 5.4 cm 400 cc 11.0 cm 6.2 cm
350-3380 380 cc 11.7 cm 5.2 cm 420 cc 11.6 cm 5.7 cm 450 cc 11.4 cm 6.4 cm
350-3420 420 cc 12.0 cm 5.4 cm 460 cc 12.0 cm 5.8 cm 500 cc 11.7 cm 6.7 cm
350-3460 460 cc 12.4 cm 5.5 cm 505 cc 12.6 cm 6.0 cm 550 cc 12.1 cm 6.9 cm
350-3500 500 cc 12.8 cm 5.6 cm 550 cc 12.9 cm 6.1 cm 600 cc 12.4 cm 7.1 cm
350-3560 560 cc 13.4 cm 5.7 cm 620 cc 13.3 cm 6.4 cm 675 cc 13.1 cm 7.3 cm
350-3630 630 cc 13.8 cm 5.9 cm 690 cc 13.7 cm 6.7 cm 750 cc 13.4 cm 7.4 cm

On occasion I refer to breast implant dimensions. For reference, these are the dimensions (at variable fill volumes) of Mentor style 3000 High Profile Breast Implants. The data was obtained from Mentor’s web site and is subject to change if and when they change it. When you compare these implants with other saline implants, you notice that these change shape as you inflate them toward their peak fills. In this case as you fill them they between mid range and peak fills, they get a little more narrow and project (or stick out) more.

Best Regards,

John Di Saia MD

Originally posted 2009-07-20 07:30:21.

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Britain’s Got Talent Judge Amanda Holden – Filler Queen?

Posted by admin in celebrity plastic surgery on March 31, 2011


It seems something rather strange has happened to her smile. Posing for photographers outside a London restaurant on Monday, the Britain’s Got Talent judge showed off much plumper lips. Miss Holden, 39, has always denied having anything other than Botox in her beauty regime and insisted she would never have her lips plumped.
Source: dailymail.co.uk/femail/article-1269121/Britains-Got-Talent-judge-Amanda-Holden-sports-unusual-pout-dines-London.html

Ms Holden has at the very least used fillers on her nasolabial folds (Laugh lines) and lips. She has likely also had her eyes done and is a Botulinium toxin user. The lips look funky as they were probably very recently treated as of the time of the image at dailymail.

Fillers tend to look funky early on unless small amounts are injected.

Best Regards,

John Di Saia MD

Originally posted 2010-05-12 07:30:10.

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Some Cigna PPO Plans Deny Breast Reduction

Posted by admin in Insurance Coverage on March 31, 2011

Some Cigna PPO insurance plans do not cover breast reduction specifically. We saw a patient in the office and tried to obtain pre-approval for a breast reduction. Medical necessity was clearly in play in this slender 5 foot tall woman with size EE breasts. The insurer’s representatives did state however a month into the process that her insurance plan specifically excluded the benefit of breast reduction.

Watch your plan specifics when you sign up for that health insurance. When you’d like to use it it might not be there for you.

Best Regards,

John Di Saia MD

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Dr Jan Adams Wound Healing Problem Case on TMZ

Posted by admin in plastic surgery complications on March 30, 2011

Source: tmz.com/2007/11/16/dr-adams-and-the-plastic-surgery-nightmare-the-pix

TMZ published images of another tummy tuck and breast lift/reduction patient of Dr Adams. She has the appearance of moderate to severe wound healing problems.

Although it is easy to just slam the good doctor here like everyone else, the fact is that these operations have risk. Although I would probably have done things differently I cannot know looking at a bunch of images if either technique or poor patient selection may have affected the outcome. Did the patient smoke? Cigarette smoking really puts a damper on healing from breast lift/reduction and tummy tuck surgery in particular. If the patient were a smoker, this kind of thing could have happened to any surgeon at least in the latest “images-included” case.

Best Regards,
John Di Saia MD

Originally posted 2007-11-16 21:34:00.

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Reader Question on Injected Silicone Options

Posted by admin in Injection Hell on March 30, 2011

Reader Question:

I had free silicone injected into my lips about 10 years ago. Needless to say they are now bumpy and unsightly. I am concerned that removing the silicone will only result in another deformity. What are my options?

Lisa Rinna’s revelation that she had had silicone lip injections and sought removal helped bring the subject to light.

Free silicone injections change once they contact tissue sometimes becoming encased in scar and inflammation (swelling.) They can grow larger and harder over time (years) and hurt. Removal is ideal if the loss of the volume wouldn’t produce a bigger problem than the lumps themselves represent. You can’t just cut out tissue that you need to look normal without a good way of replacing it. With silicone injections replacement of that removed scarred tissue in sensitive areas is often the main problem.

Aside from surgery sometimes steroid injections can help with the inflammation to get the injected areas to calm down. Managing the problems that can arise with injected silicone can be difficult, so I would encourage you to see a good plastic surgeon to have the area(s) examined and have your options presented to you.

Best Regards,

John Di Saia MD

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Patient Privacy Violated on Facebook?

Posted by admin in Medicine in the News on March 29, 2011

* Patients mocked on Facebook posts
* Doctors warned over flippant comments
* Patient confidentiality is “at risk”

DOCTORS have been disclosing sensitive medical information – and even mocking patients – on Facebook. The NSW Medical Board has cautioned one doctor for making “flippant and derogatory” comments, and warned others to “think twice” before disclosing patient details on social networking sites. Doctors are being warned the online conversations they think are private “may come back to haunt you”. “The usual rules about confidentiality apply. But even when patients are not identified, members of the public may be upset by the content of such postings,” the board said. “Facebook users are reminded that, despite their privacy settings, no security measures are perfect or impenetrable.” After a “disgruntled patient” read nasty comments made by a doctor on Facebook, the board issued the general warning that practitioners had no control over content once it was posted online.

Source: news.com.au/technology/doctors-caught-revealing-secret-information-on-facebook/story-e6frfrnr-1225929424789

The verbiage seems over the top in this article. It seems easy not to share personal information about patients on Facebook. You don’t talk about something unless a patient does. Patients will let you know what they are OK about revealing. Mocking a patient seems obviously off limits, but more in the way of being in poor taste.

Then again if patients are not identified privacy violation is more questionable. There seems to be some grand standing by those quoted in the article. Is someone looking for re-election?

Best Regards,

John Di Saia MD

Originally posted 2010-09-27 07:30:28.

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Cosmetic Practice Cited in Connecticut

Posted by admin in Plastic Surgery legal on March 26, 2011

Source: newstimes.com/news/article/New-York-health-officials-attempted-to-revoke-278803.php

People often ask what a doctor must do to be legally rendered “unable to work.” The answer is complicated as doctors are associated with different legal entities. In this case a doctor’s surgical facility was inspected and found to be unsanitary (by the looks of these reports.) It has been shut down for the time being.

Here the office operating facility of Maria T.G. Mascardo, a physician in Connecticut and New York, was cited for “unsafe and unsanitary” conditions. Apparently inspectors found “animal droppings on equipment and blood on the floor.”

This doctor runs a practice called “Woman to Woman Cosmetic Surgery Center” in Connecticut. Another business name is “Connecticut Plastic Surgery Center LLC.” She is also known as Dr. Teresita Mascardo.

It does make it harder to check surgeons out when they are known by different names. Before you have an operation, make it a habit to ask the name of the actual surgeon who will do your surgery. Some medical groups may shuffle patients between multiple doctors. Then check your operating surgeon out with your state medical board at the very least.

Best Regards,

John Di Saia MD

Related:

Basic Screening Process For Your Surgeon

Originally posted 2009-12-21 09:00:13.

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Rose McGowan SVU and Plastic Surgery Overload?

Posted by admin in celebrity plastic surgery on March 26, 2011

When Rose McGowan appeared on Law & Order: SVU, questions about her plastic surgery indulgences came back into the limelight with her. Back in 2007, Ms McGowan stated that an automobile accident spurred her interest in plastic surgery. She likely had a fair amount of surgery back then. There has been criticism about the magnitude of change it may have involved, but in a Hollywood starlet this is hardly surprising.

By the looks of the video clips from the show, she seems to be a continuing user of fillers and Botulinium toxins. Her facial movements appear relatively normal, but she might have been featuring a bit of the puffiness that fillers can cause. My general advice is that fillers be used conservatively to limit long term deformity.

Best Regards,

John Di Saia MD

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Reader Laura on Glee’s Charice and her “Thinning” Facial Treatments

Posted by admin in celebrity plastic surgery on March 25, 2011

Reader Laura’s Comment:
“Baby-faced teen singer Charice is reported to have had Botox and other anti aging procedures done to look fresh for her Glee debut. She supposedly underwent a 30-minute Thermage skin-tightening procedure and Botox injections to make her “naturally round face” more narrow. Will these procedures really make your face thinner?”


Baby-faced teen singer Charice says she prepared for her debut on the hit Fox TV show “Glee” by getting Botox and an anti-aging procedure “to look fresh on camera,” but her publicist said the Botox was for muscle pain, not for cosmetic reasons.

The 18-year-old Filipino singer with a booming voice, who recently released her self-titled debut album, saw her career skyrocket after appearing on Ellen DeGeneres’ and Oprah Winfrey’s talk shows. She underwent a 30-minute Thermage skin-tightening procedure and Botox injections to make her “naturally round face” more narrow, celebrity cosmetic surgeon Vicki Belo told ABS-CBN television.

Source: http://www.google.com/hostednews/ap/article/
ALeqM5ie0exAwEE_98FhLwe8qUX3ZKAKHAD9H29BOO0

I went on the record on this one in the OC Register a few weeks ago.

The reason this young lady’s (or any person’s) face is round has a good deal to do with her bone structure. Botox and skin treatments will really not affect this. If the treatments were offered on this basis, the money is wasted as far as I am concerned.

Best Regards,

John Di Saia MD

Originally posted 2010-08-03 07:30:54.

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Moammar Gadhafi Had Fat Injections and Hair Plugs

Posted by admin in plastic surgery news on March 25, 2011

SAO PAULO — It was well past midnight when the Brazilian surgeon says he was escorted deep inside a bunker in the Libyan capital. His assignment: to shave years off Moammar Gadhafi’s appearance by removing fat from his belly and injecting it into his wrinkled face. The Libyan leader also got hair plugs. “He told me that he had been in power for 25 years at that time, and that he did not want the young people of his nation to see him as an old man,” Dr. Liacyr Ribeiro recalled. “I recommended a facelift, but he refused.”
Source: msnbc.msn.com/id/42264948/ns/world_news-mideastn_africa

Health care privacy laws are not universal. A Brazilian plastic surgeon claims to have visited Moammar Gadhafi in a Libyan bunker in January 1995 performing minor surgery upon him. In the US, such a statement would violate health care privacy laws without a release from the patient.

Gadhafi’s surgery apparently included facial fat transfer and hair plugs. Criticism regarding the Libyan leader’s plastic surgery has been frequent over the years.

The surgeon states he recommended a facelift, but Gadhafi refused requiring that any surgery he have be performed under local anesthesia only. Fillers are limited in their scope and cannot provide the same results as a good facelift. Fillers can be performed under much lesser anesthesia however.

Best Regards,

John Di Saia MD

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