Wednesday, December 18, 2013

Have A Cosmetic Surgery Question For Dr. Robert Young?

We've got a new interactive feature on our blog where you can ask Dr. Young a question. We'll select one question a week and answer it here. Subscribe to our RSS feed and you'll be able to see what others like you are asking about!

Webmaster
You may have seen some of Dr. Robert N. Young's answers on RealSelf.com, as he is very active on that site in helping those with questions about plastic surgery, and in particular those with questions about his specialty - breast augmentation surgery in San Antonio. Send your questions to me, Dr. Young's webmaster, and we'll select one question each week for our blog.

We want to respond to questions for Dr. Young right here from our blog because we realize that more and more patients turn to the Internet to get information about procedures. We want to make sure that he information you get is accurate, timely and most important, beneficial to you.

Perhaps you've heard of a new cosmetic surgery procedure that you have questions about, or are curious about the recovery for a particular surgery, or you might even want to send in a review of your experience having surgery with Dr. Young. Drop me a line at webrequest@dr-youngforever.com.

* Please do not send questions needing an immediate response or reply. This is NOT monitored "live", and it may take several days for questions to be reviewed. If you are in need of medical attention, call our offices at 210-496-2639 or dial 911 for emergencies or after-hour problems.

Saturday, December 7, 2013

Who Is Giving Your Facial Injections?

Did you know that a physician is supposed to always be on-site whenever an RN, PA or Medical Assistant is performing procedures such as Botox and injectables? 

Whether you get your procedures done at a plastic surgeon's office, a MediSpa, a Day Spa, or even at a GYN or podiatrist's office, an MD must be available to supervise.

A recent industry newsletter advised that the California Medical Board "has increased their efforts to restrict medical aesthetic practices and their 'medispa businesses'." The alert went on to say, "The Medical Board has also significantly increased its enforcement of aesthetic practices that are inadequately supervised by physicians."

We've also read of some horror stories that occur when unlicensed, untrained people perform injections of products that are not approved for use by the FDA. These injections can cause serious complications and even lasting disfigurement.

Texas has had strict rules on "spas" and spa services for many years. That's why Dr. Robert Young or another doctor is always on-site when you're having procedures performed by a Registered Nurse (R.N.) at Aesthetic Enhancement. The bottom line:iIt is good practice to make sure that the place you go for your injectables has a physician on on-site and that your provider has the appropriate training and experience.

#Botox     #Facial fillers

Monday, November 25, 2013

Asian Beauty Methods Get Dangerous

"Travel Surgeries" or "Surgi-Vacations" are generally considered pretty dangerous. They are something that should certainly be carefully considered when deciding cosmetic plastic surgery options. Safety and optimal treatment outcomes can vary tremendously by location, doctors, and the travel experience itself can pose real health risks.

Another thing rarely talked about is how different global geographic areas differ in their perception of beauty and what the acceptable ways to obtain "beauty" is. Recently, several articles have surfaced on Asian beauty procedures that leave many surprised. Surgeries and cosmetic procedures are being performed in a societies where cosmetic surgery is not fully accepted. Here an excerpt from a cbsnews.com article that shows how many pursue dangerous procedures in pursuit of beauty:

BANGKOK — Her dream was to look less Thai and more like Jennifer Lopez, so the 25-year-old street food vendor went to the Internet and typed in “cheap Botox.”
That was the start of a five-year makeover for Ratphila Chairungkit that included two nose jobs, two eye-widening surgeries, chin augmentation, lip trimming, skin whitening and dozens of Botox-type injections.
The goal had been to redesign her entire face, but things went horribly wrong. “I started to look like a witch,” she recalled. Her upper eyelids sagged; her lower lids erupted in tapioca-like bumps. Her chin drooped and her nose swelled.
Her quest for beauty at bargain prices was a painful mistake. A pseudo-beautician injected commercial-grade silicone into her cheeks, chin and under her eyes; it all needed to be surgically scraped out. She spent 500,000 baht ($16,000) over five years, a huge sum by her humble standards, mostly to fix his handiwork.
“I’m lucky I didn’t die,” she said, trying to smile through her cosmetically corrected face.
The article went on to describe the problem in more detail.
Not all of Thailand’s beauty victims live to tell. The death this month of a 33-year-old aspiring model from a botched collagen injection has focused nationwide attention on the illegal beauty industry and intensified a government crackdown.
Nearly 40 illegal beauticians have been arrested in Bangkok, the capital, in the past two months, but authorities believe nearly 200 are still operating. Advertising in plain sight on the Internet, they’re commonly known as “bag doctors” because many make house calls or meet customers in vans to administer cheap injections straight from their bags.
Last week, the Health Ministry and police declared a small victory after arresting someone they called “the most dangerous” operator to date: a 37-year-old former beautician’s assistant with no medical training who had set up an all-purpose clinic in her home.
“This is terrifying,” said Phasit Sakdanarong, chief adviser to the Public Health Minister, who joined the raid and has since advised the government to expand the crackdown nationwide. “This woman was not a doctor. This clinic has no license, and the products she was using are not FDA-approved.”
“We are facing a very, very serious problem,” said Phasit. “When people go to illegal clinics like this, it is very easy to get an infection — and sometimes it is easy to die.”
Dangerous beauty treatments have become a worldwide problem as people seek cheaper alternatives to plastic surgeons. In Hong Kong, a woman died last week of septic shock after getting a blood transfusion that a clinic claimed would whiten her skin. An American woman died in March from an illegal buttocks implant in Georgia, caused by suspected counterfeit silicone.
In other areas of the world, such as South America and Europe, cosmetic plastic surgery is more commonplace and is well accepted. In recent articles, we've looked at some of these. In the United States, we have a wide range of cosmetic procedures that are performed on both men and women each year, and the numbers continue to grow as there is more acceptance. We have some of the best doctors in the world performing these procedures. Most recommend seeking services from Board Certified Plastic Surgeons, and most professionals advise you to cautiously consider the world of "medical tourism" and carefully weigh whether the risks are worth saving a bit of money.

RESOURCE/CREDITS:
http://www.cbsnews.com/8301-505245_162-57540013/biases-on-beauty-draw-thais-to-illegal-surgery/
Associated Press writer Thanyarat Doksone and AP video journalist Papitchaya Boonngok contributed to the CBS News report.

ABOUT THE AUTHOR:
Andrea Algar is an author who writes on topics that interest her. Over the last 30 years she has written articles on a variety of topics including psychology, health, dentistry, fashion and beauty, music, cosmetic surgery, restoration, as well as performance racing and classic cars. Prior to the Internet, she published a national subscription newsletter, edited two books, and produced works in photography and video. She currently contributes to several blogs on a regular basis.

Monday, November 18, 2013

New Mannequin Design Reflects Changes In Beauty

by Andrea Algar
Contributing Author

A recent story about South American mannequins that have been redesigned to reflect the new beauty standards as seen by Venezuelan women caused me to wonder if this is a trend that is occurring here in the United States.

Venezuelan Mannequin Manufacturer
According to the retailers blog, "A local mannequin manufacturer has taken advantage of the trend for Venezuelan women to resort to plastic surgery as a way to boost his sales significantly. Eliezer Álvarez noticed that even though women were happy to go under the knife to change how they looked, the mannequins in clothing stores did not reflect this new body type. He has since created the kind of woman he thought the public wanted — one with a huge and a firm behind, a tiny waist and long legs." (And I might add large breasts.)

This has apparently been extremely successful, as the new mannequins are now seen all over Venezuela in tiny shops and elaborate boutiques. It seems to emphasize the fact that cosmetic plastic surgery is becoming more common and more accepted not only in Venezuela, but all around the world.

Here in the United States, plastic surgery was once only for the rich and famous. In the 1950's and 60's, Hollywood actors and actresses who relied on good looks (and what society saw as beauty) were justified in getting cosmetic procedures, even though they fueled the gossip-mills in the process. Jump forward to the 1990's and plastic surgery was on the rise in middle America. Now in 2013, cosmetic surgery is no longer offensive or taboo, and people are pretty open about their surgeries. All ages of men and women are having cosmetic procedures at increasing rates.

In my opinion, vanity may have little to do with its acceptance as more and more people see the benefits. So far, I haven't noticed the drastic changes in mannequins here in the U.S. Maybe it's just a matter of time.

REFERENCE:
psfk.com - Mannequins Reflect Plastic Surgery's Impact on Beauty Standards

ABOUT THE AUTHOR:

Andrea Algar is an author who writes on topics that interest her. Over the last 30 years she has written articles on a variety of topics including psychology, health, dentistry, fashion and beauty, music, cosmetic surgery, antiques and restoration, as well as performance racing and classic cars. Prior to the Internet, she published a national subscription newsletter, edited two books, and produced works in photography and video. She currently contributes to several blogs on a regular basis.

Monday, November 11, 2013

Would You Reveal Your Cosmetic Surgery To A Future Spouse?

by Andrea Algar
Contributing Author

An extraordinary news article has gone viral about a Chinese man who won a court battle claiming that his wife had given him an "ugly" baby.

Feng's wife in alleged
before and after photos
But, there was more to the story than just that. Feng's alleged that his wife had never disclosed to him that she had received cosmetic plastic surgery before he married her. According to court papers, the husband found out only after his wife gave birth to their baby daughter, who he claims was "ugly beyond description."

Feng apparently thought that his wife had been having an affair and ordered DNA tests to see whether the daughter was his or not. DNA tests revealed that he was in fact the father, and she then revealed that she had $100,000 worth of cosmetic surgeries performed before they had met. The wife, who surprisingly lost the case, was ordered to pay him $120,000!

There is a lot of controversy over cosmetic surgery in many Asian countries so it is conceivable that the story is true. However, an ABC affiliate has reportedly debunked the story claiming, "the story is likely an urgan legend given legs by numerous outlets online since 2004."

Photo from en.rocketnews24.com
Another photo (at left) showing the Feng family, was allegedly used in an advertising campaign by a Taiwan plastic surgeon. In this photo there are actually three children.

Whether or not the story is factual or purely a figment of gossip and rumor, it does make one stop and consider what you would do if you were single, met someone and later were considering marriage. Would you reveal your prior cosmetic surgeries? Would it matter what the surgery was? Would you reveal liposuction but withhold the fact that you had a nose job?

Cosmetic surgery opponents may warn that you better disclose prior surgeries before your marriage! 
What do you think?

RESOURCE:
New York Post - Man sues wife after she gives him "ugly" baby

ABOUT THE AUTHOR:
Andrea Algar is an author who writes on topics that interest her. Over the last 30 years she has written articles on a variety of topics including psychology, health, dentistry, fashion and beauty, music, cosmetic surgery, antiques and restoration, as well as performance racing and classic cars. Prior to the Internet, she published a national subscription newsletter, edited two books, and produced works in photography and video. She currently contributes to several blogs on a regular basis.

Friday, September 13, 2013

Take The Time To Heal Following Cosmetic Surgery

Andrea L. Algar
Contributing Author

Most patients would be surprised to know that many post-surgical complications can be avoided!

According to San Antonio plastic surgeon Dr. Robert N. Young, "In my thirty year career, I've seen enough hematoma, seroma, pain in the incision area, and other post-surgery complaints to know that many may have been avoided if the patient had taken reasonable steps to follow their physician's instructions about activities following surgery.  Even though my patients are instructed to refrain from physicial activities including exercise, lifting and household chores for periods of time following their surgeries, we find that some do not follow these instructions closely enough. "

Photo Credit: loveyourlook.com
Examples of these types of complications frequently show up on social media sites such as realself.com, where readers write in with questions which physicians can respond to. You might read about a woman three days post-op from a Breast Augmentation who has developed sudden breast pain. She then volunteers that she was looking after her toddler and felt a sharp pain when she picked him up.  Or, the week-out face lift patient who developed pain following some active sex with her husband.

Dr. Young elaborates, "Athletes often have difficulty refraining from their routine physicial workouts. One of the more common questions I am asked is 'When can I return to my workouts?'. Athletes, in particular, feel because their bodies are accustomed to these activities, they won't have any problems. But, surgery is something that everyone should take seriously, even though it may be an elective, cosmetic procedure."

Not everyone has a complication when they step outside the instructions given to them by their doctors. However, cosmetic plastic surgery is a big investment, and it is probably best to err on the side of caution when it comes to returning to "normal" activities. Be prudent and check with your surgeon if in doubt. If he/she advises you to wait, it's probably advice worth listening to.

ABOUT DR. YOUNG

Robert N. Young, founder of Aesthetic Enhancement Cosmetic Surgery & Laser Center, is a Board Certified Plastic Surgeon with over 30 years experience. A native of San Antonio, Dr. Young graduated from the esteemed U.S. Military Academy at West Point and his medical training from Tulane University School of Medicine. Dr. Young retired from the military in 1990 after having served as Chief of Plastic Surgery at Brooke Army Medical Center. He has extensive experience both as a reconstructive plastic surgeon and a cosmetic plastic surgeon, and over the past twenty years has become known as the breast doctor of San Antonio. His practice includes a fully accredited outpatient Surgery Center staffed with qualified Registered Nurses, Anesthesiologists and surgical technicians. As a leading plastic surgeon in San Antonio, Texas, Dr. Young is a member of the following professional organizations:

- ABPS Diplomate - Board Certified by The American Board of Plastic Surgery (ABPS)
- Member, American Society for Aesthetic Plastic Surgery (ASAPS)
- Member, American Society of Plastic Surgeons (ASPS)
- Fellow, American College of Surgeons
- Member, Texas Medical Society (TMS)
- Member, San Antonio International Society of Plastic & Reconstructive Surgery (SAISPRS)
- Bexar County Medical Society (BCMS)
- Accreditation by the American Association for Ambulatory Surgical Facilities (AAAASF)

ABOUT THE AUTHOR:
Andrea Algar is an author who writes on a topics that interest her. Over the last 30 years she has written articles on a variety of topics including psychology, health, dentisty, fashion and beauty, music, cosmetic surgery, antiques and restoration, as well as performance and classic cars. Prior to the Internet, she published a national subscription newsletter, edited two books, and produced works in photography and video. She currently contributes to several blogs on a regular basis.

Friday, August 16, 2013

Today's Choices In Skin Care Products Can Be Overwhelming...And Potentially Harmful

by Andrea Algar
Contributing Author

It’s hard to resist the lure of beauty product and their promises. We are all in search of the product that will give us youthful, healthy looking skin. So you purchase a product you've heard about, thinking that this will be the solution. Then the next hot product comes along, and it looks even more promising so you purchase that. In fact, you probably shelf the other product before it's had much of a chance to start showing much benefit. Then you end up repeating the cycle again and again. This can be frustrating and expensive!

Psychology experts call this pattern a hedonic treadmill. According to clinical psychologist Richard Raynard, Ph.D., author of books on emotions, “You basically believe the better is just around the corner, despite advances you may have already made.” You derive pleasure from purchases you make, hoping that each new one will bring you more happiness. These goals may or may not be obtainable, but the impulse to satisfy the desire is very strong.This pattern leaves you on a constant and sometimes unsatisfying quest for the perfect product.

Having a makeup counter bursting with beauty products may also encourage you to slather on more than one skin care product at once. Many think that if applying one product is good, then using three or four must be better! This can be a big mistake. Most professional grade products you obtain from a plastic surgeon's office are armed with ingredients more powerful than those you would find over-the-counter in a drug store or even at the counters at expensive retailers. It is best to use these products as instructed by a professional such as your plastic surgeon, aesthetic nurse or esthetician.

“It's harmful to go overboard with skin care products daily because it can cause skin sensitivity,” explains dermatologist Debra Jaliman, MD, the author of Skin Rules: Trade Secrets From a Top New York Dermatologist.

Sometimes when you begin a new skin care regimen, your outer layer of skin can become irritated with redness and peeling. It's usually best to slowly introduce new products into your daily routine, following the instructions for use closely. Also use the products in the morning or at night as directed for best results, and speak to your skin care professional if you have any problems or concerns.


Friday, July 19, 2013

How Adjustable Saline Implants Work

by Robert N. Young, M.D.
Board Certified Plastic Surgeon

The adjustable saline implant was initially used in breast reconstruction to slowly expand the tissue after a mastectomy. It is now sometimes used for breast augmentation. The saline implant that is used has an external valve, the "fill valve", that is positioned under the skin near the incision. We usually put the incision in the armpit, but it can be made around the nipple or in the inframammary fold as well. The implant is filled up to the agreed size at surgery.


Adjustable Breast Implants
shown with fill valves

After the surgery, the patient can decide to adjust the size within about 50cc either up or down. At the office, your physician places a needle through the skin into the "fill valve" and the saline is either injected to increase the size, or withdrawn to reduce the size of the implants. After the patient is happy with the size, the valve is removed in the office under local anesthesia. At that point, no further "adjustments" can be made.

If you've heard about adjustable breast implants and want to know more about them, consider a visit to a Board Certified Plastic Surgeon who can help determine whether they are a good option for you.

Friday, May 24, 2013

Top 10 Reasons To Get Liposuction


Most everyone has heard of liposuction. We know it can take off fat and help slim you down. But what are the top reasons that we see in our San Antonio, Texas surgery center? Here's Dr. Robert Young's top 10:

“Jump-start weight loss”  Many men and women set to reduce their weight need a boost or incentive that will kick them into a regimine of diet and exercise that will eventually get them to their goals. Liposuction can be a very effective method to jump-start a long term plan for a more healthy lifestyle for some.

“Get flatter stomach or abs”  Not everyone is blessed with genes that provide for a flat stomach or the ability to develop washboard abs. As a matter of fact, it seems many are cursed with genes that make a flat stomach almost impossible. Sometimes no amount of exercise and proper diet can reduce stubborn stomach fat that can occur in both men and women.

“Get back pre-pregnancy body” Having kids takes a huge toll on your body, resulting in weight gain in many different body areas. Liposuction can help get back the body you once had before the kids.

“Fat transfer”  Using the fat harvested during liposuction is becoming more popular and more effective. The Brazilian Butt Lift is just one way our body fat can be used to give us a desired shape. Fat taken by liposuction from an area such as the hips, thighs or abs can be injected into other areas such as the buttocks in order to create more volume and fullness.

“A more proportional body”  Body sculpting artfully utilizes liposuction to create a more desired shape. In some cases this is done without removing large amounts of body fat you might require in a  liposuction to flatten a bulging stomach or heavy thighs because the goal is shaping and not so much reducing.

“Get rid of my handles”  This is one of the most popular reasons given by men opting for liposuction. The fat that accumulates in the love handles tends to be very stubborn and one of the areas last reduced through traditional weight loss. For some, it cannot be effectively controlled even with good diet and heavy exercise.

“Look better in clothes” Both men and women share this goal. Liposuction is often thought of as a solution to having clothes fit better and look better.

“Wear a bathing suit” While we often worry most about this at vacation time, summer itself can be stressful for those who worry about needing to wear bathing suits that just emphasize the extra weight or fatty areas.

“Take care of problem area” Sometimes we feel generally fine about our body, but have one special area that is problematic or that we wish would just go away. It may be a heavy chin or neck, fat arms, big knees, or a bulge that pops out under our bra line. These small areas are often ideal for liposuction.

“Feel better about myself” Liposuction has been reported to increase ones confidence. Many believe that liposuction can help you feel confident about yourself whether it be at work, home, or play.

Wednesday, May 22, 2013

Elective Breast Surgery Found To Be Safe

by Andrea L. Algar
Contributing Author

In last October's presentation at the American College of Surgeon's 98th Annual Clinical Congress, an award winning study showed that "breast surgery is safe, with little risk for life threatening complications and mortality."

In addition to the study results demonstrating breast surgery safety, it also was able to look at complication rates for a variety of breast surgeries, which in the past has been difficult to accurately examine. Philip J. Hanwright, a medical student at Northwestern University's Feinberg School of Medicine, won an award for best scientific poster at the meeting. His research analyzed data from ACS's National Surgical Quality Improvement Program (NSQIP).

Unlike previous studies that relied primarily on single-surgeon experiences, this program has compiled a very large database that includes both inpatient and outpatient surgeries from institutions nationwide. The database was created specifically to improve the quality of surgical care in the private sector.

With over 550,000 breast augmentation procedures performed each year in the United States, the study found complication rates to be low, at only 1.43%. Breast reduction and breast lift procedures had slightly higher complication rates of 2.75% and 4.64% respectively, with more surgical-site infections and wound disruptions.

What was also good news was that re-operation rates were also low, with breast augmentation at 1.19%, breast reduction at 1.94% and breast lift at 2.60% at thirty days. There was only one death in the entire group, and life threatening complications were extremely low at 0.0% for breast augmentation, 0.18% for breast reduction, and 0.15% for breast lift.

Martin U. Egenti, MD, from the University of Michigan in Ann Arbor, was quoted as saying. 'What we are doing is working." With most breast surgeries being elective, this is an important finding, and one that many women will feel great comfort in.

As in any type of surgery, discuss the risks and benefits with your surgeon. Your surgeon wants a successful outcome as much as you do, and he/she wants to keep you safe. You can do your part by being honest about your medical history, as well as any over-the-counter or unprescribed medications you take.

ARTICLE REFERENCE/RESOURCES:

American College of Surgeons (ACS) 98th Annual Clinical Congress: Abstract 232. Presented October 3, 2012
Medscape Medical News, WebMD, Elective Breast Surgery Safe According to National Database, Lara C. Pullen, PhD, 10-04-12, Chicago, IL

Friday, April 19, 2013

You Feel Young, But Your Skin Says Old

by Andrea Algar
Contributing Author

I saw a great little quiz on the Internet today and it prompted me to write on the subject of our aging skin - something all women worry about at some time in their life. If everyone was totally honest, it's something that does concern us when we get older, but don't usually give a moments thought to when we're young and in our prime.

Australian Beach-Goers
PhotoCredit: Malaysianmeanders.blogspot.com
For example, we all know now just how damaging the sun is, and how it can prematurely age our skin no matter how good our genes are. Somehow this doesn't prevent us from rushing to the beach to bask in the sun, or to the tanning salon to freshen up our sun-kissed look! But it's not a very good feeling when you look in the mirror and what is staring back at you doesn't at all resemble the person you feel like inside. If only we knew then...

San Antonio plastic surgeon Dr. Robert N. Young says, "The good news is that there are things you can do to help." With advances in laser treatments for brown spots, and excellent wrinkle relaxers and facial fillers for fine lines and wrinkles, you can take steps to turn back the hands of time (and those sun baked days at the beach)! And, with the use of professional skin care products which include a quality sunscreen you can keep the renewed look fresh.

Take the quiz and see how your skin is holding up...

TAKE THE QUIZ:
Daily Glow - Is Your Skin Aging Faster Than You Are? - Skin Care Quizzes

Thursday, April 18, 2013

A Refreshing Story About Female Beauty And The Way We're Perceived By Others

by Andrea L. Algar
Contributing Author

A headline emerged today on AOL that caught my eye:

Sketches Prove an Upsetting Truth



The drawings above are of the same woman done by the same artist in the same time-frame -- there's just one (crucial) difference.   - Story/Photo Credit: HuffingtonPost.com
Intrigued by the headline and photos, I opened the story and read on. What was found was refreshing. The article began by asking the question, "Do women see themselves less accurately than strangers do? A new Dove campaign says yes - - and offers proof, in the form of forensic sketches."

What is revealed is that Dove was working on a new ad campaign. They recruited seven diversely different women and asked them to describe themselves in neutral terms that relayed just the facts of how they look. (I had to laugh at this, wondering how on earth they thought they'd get factual answers when how we usually describe ourselves involve comments like ..."my eyes are small and too close together," "my nose is big and my lips are too thin," or "my face is lop-sided and my left eye droops.") Gil Zamora, a forensic artist who was FBI-trained, created sketches based on their descriptions. The same artist then created sketches of the women based on descriptions from total strangers who had earlier spent a bit of time with the women in a rigged meeting.

The series of sketches revealed harsh differences when displayed side by side. What was consistent in the findings were that the women themselves portrayed themselves in far less flattering ways, while the more objective strangers saw the women as far more beautiful. It would seem to prove that women do tend to be overly critical of themselves, and that is the premise of Dove's new campaign, whose tagline is: "You are more beautiful than you think," which I like.

Those who've had friends seeking cosmetic plastic surgery are sometimes surprised when the friend reveals that he/she wants a nose job, eyelid surgery, or perhaps a flatter stomach. Sometimes we cannot "see" what they find faulty or undesired in themselves, or don't think it's quite as bad as they're making it out to be. Other times, the desire to correct a feature or enhance one's body is more easily understood by friends and family. The ultimate answer usually is in what will make that person happy with themselves. But, there are extremes that plastic surgeons look for, such as Body Dysmorphic Disorder (BDD), where people suffer from severely inaccurate perceptions of their own body.

Perhaps this is one small step in helping women deal with their self-perception and debilitating issues that can arise such as shyness and low self-esteem, depression, anorexia, Body Dysmorphic Disorder (BDD) and other problems. Another helpful thing we can do for ourselves is to surround ourselves with people who see our true beauty and delight in the good this can do for us!


Take a close look at all of the sketches yourself and let me know what you think. Please comment below.


REFERENCE:
Huff Post Women - Dove's 'Real Beauty Sketches' Ad Campaign Tells Women 'You're More Beautiful Than You Think' (VIDEO)

ABOUT THE AUTHOR:
Andrea Algar is an author who writes on a topics that interest her. Over the last 30 years she has written articles on a variety of topics including psychology, health, dentisty, fashion and beauty, music, cosmetic surgery, antiques and restoration, as well as performance and classic cars. Prior to the Internet, she published a national subscription newsletter, edited two books, and produced works in photography and video. She currently contributes to several blogs on a regular basis.

Monday, April 15, 2013

How Tiny Is Too Tiny?

by Andrea L. Algar

You've probably seen photos of women who have body features that are just too large or too small for their body frame.

Guinness World Record for 15" Tiny Waist
Photo Credit: HuffPost.com
This one seems extreme and makes one wonder how in the world she can breathe! It's been a lot of years since women routinely wore corsets, which is how the then 61 year old Cathie Jung won the distinction of having the world's smallest waist at a mere 15"! Without the corset, her waist expands a whopping six inches, to a still very small size of 21". She claims that achieving the incredibly small waist "was the result of years of patience, dedication and the constant use of a corset," according to the Huffington Post.

Many women seek cosmetic plastic surgery to reduce the waist and abdomen. Liposuction to remove excess fat and even Abdominoplasty to reduce and flatten the stomach (hence the more common term "Tummy Tuck") are popular cosmetic surgeries performed by plastic surgeons around the world. The term "body contouring" has grown in popularity as it describes the desire by many men and women to perfect their body shape. And, the Brazilian Butt Lift is yet another procedure designed to effectively sculpt the body into a desired shape with small waist and ample buttocks.

The bottom line: The age of the corset may have come and gone, but the desire for a tiny tummy is still very much alive!

Friday, April 12, 2013

Woman Received IRS Deduction For Her Breast Implants

by Andrea L. Algar
Contributing Author

With the big tax deadline of April 15 looming ever bigger, strange stories are surfacing about odd tax deductions. This story is a cautionary tale of making sure you want what you ask for. A woman allegedly got approval from the Internal Revenue Service to allow the cost of her breast implants to be depreciated.


Woman Received Tax Deduction
for 56FF Breasts
Photo Credit: YouTube
The Jerry Springer Show

First off, let's be clear that this was a very unique case. Chesty Love is an exotic dancer. In an effort to further her career, she was allegedly urged by her agent to have multiple procedures to enlarge her breasts to enormous proportions. Her efforts paid off, with Love doubling her income. It also earned her an appearance on the Jerry Springer Show, being billed as the woman "with the largest breasts in the world," a size 56FF!

In a federal tax court hearing (Hess v. Commissioner, 1994), Love was determined to prove her claims that the procedures were "incurred solely in the furtherance of the business" that she was engaged in - an exotic dancer.

Love also successfully demonstrated that she suffered medical problems, public ridicule and even being shunned by her family as a result of her enormous breasts. She claimed that she planned to have the implants removed permanently once her career as a professional exotic dancer was over. As a result, the court ruled in her favor and she was allowed to claim deduction for her breast implants.

Before you try to take a deduction for breast implants, please check with your trusted tax attorney or tax preparer. Breast implants are usually NOT a deductible expense, either by health insurance or the IRS.

On a more serious note, certainly not all women who desire breast implants want such oversize breasts. Opting for extremely large implants can be more risky medically. Back and shoulder pain and complications such as rupture, bottoming out, symmastia or "uni-boob", capsular contracture, stretch marks and/or extreme thinning of the skin are more likely. Like Love experienced, the emotional risks are greater as well, as you may be subject to humiliation, ridicule and crude jokes. Not everyone is likely to share your enthusiasm for big breasts. If you desire very large breasts, be sure to discuss all of the risks with your surgeon.

Most women who go to plastic surgeons are looking for breast implants that make them larger, but in proportion to their body. Many prefer a more natural look as opposed to the "fake" look of oversize breasts. Some prefer a smaller implant that gives just a small increase in size. Some actually like the "fake" look. Others want to go as large as possible, like this exotic dancer did. The bottom line is that selecting the size of your breast implants is a very individual decision. A consultation with an experienced, qualified surgeon can help determine what size implants are recommended. A Board Certified Plastic Surgeon has demonstrated that he/she has the proper training and the professional experience necessary to help guide you through your decisions about cosmetic plastic surgery.

REFERENCE:

Thursday, April 11, 2013

Correcting A Weak Chin Or Jaw Can Make Dramatic Difference In Face

by Andrea L. Algar

The face is one of the most difficult areas for patients to judge what is needed to look younger. Many automatically revert to the term "face lift", thinking that this age-old procedure is the only thing available to help turn back the hands of time.

Angelina Jolie
Photo Credit: femalefirst.co.uk

But, an experienced board certified plastic surgeon knows that there are many options to consider. Among them are the jaw. A weak jawline can affect the entire presentation of the face. It can make an otherwise normal nose appear too large, a chin too pointed, or the face too long.

Take a look at some of the "most-beautiful" celebrities and you'll note that they all have strong chins and jawlines. There is no doubt that correcting a weak chin or jaw can dramatically improve the entire face. Studies have shown that facial symmetry is an important indicator in determining beauty. A balanced, symmetrical face is chosen as "beautiful" more consistently than those which are not. Angelina Jolie has a notably strong jawline and is an example of good facial symmetry, a major reason she is thought of as one of the world's most beautiful women.

Injectable fillers may be used for small facial areas requiring subtle change, but do not work as well for the large amounts needed for areas like the jawline. Using facial fillers on the jaw can sometimes produce unpredictable results and require repeating the procedure as the product is reabsorbed by your body. The length of time the fillers last depends upon the type of product used, and results will vary with the skill of the injector.

Chin implants can increase projection and create more evenly balanced facial features and they can last a lifetime. Chin and jaw implants look and feel like natural bone structure, and provide a good foundation for face lift if needed on an aging face, or in conjunction with a rhinoplasty to correct the nose. It is a procedure that both men and women can benefit from and the procedure has a relatively short recovery time.


If you've been confused over what procedure would help to balance your facial features, consider consulting with a board certified plastic surgeon in your area. Not all plastic surgeons work on faces, so ask if they do. A surgeon who performs a variety of facial surgeries can help guide you to the procedures that will help you achieve the look you want.

REFERENCE / RESOURCES FOR MORE INFORMATION:
eHOW.com - Face Exercises to Sharpen The Jawline
cbc.ca - Strong jaw lines versus rounded chins
style-makeover-hq.com - Find Your Face Shape
YouTube - It's All About The Jaw! VIDEO

Friday, April 5, 2013

Cosmetic Surgeries Increased in 2012 Despite Poor Economy

by Andrea L. Algar

The American Society of Plastic Surgeons reports that 14.6 million plastic surgery procedures were performed in the US in 2012 which is a 5% increase from the previous year. All this despite a weak national economy and people watching their purse strings a bit more than usual.

The most popular surgical procedures were breast augmentation and rhinoplasty (nose job). In addition, over 6 million wrinkle relaxer treatments such as Botox and Dysport were performed. Other treatments that are gaining in popularity include facial fillers such as Perlane, Restylane and Juvederm.

Dr. Robert Young has been performing cosmetic surgeries since he began his San Antonio private practice in 1990. To him, these trends are not new. "I've performed more breast augmentation surgeries than any other procedure, and they have been growing in popularity even more than ever over the past five to ten years," he states.

A pioneer in minimally invasive techniques in San Antonio, Dr. Young has helped thousands of women wanting to enhance their natural bustline by offering a wide range of choices in saline and silicone breast implants. He explains, "We offer choices in incision site, over or under the muscle, and in the shape and size of breast implants as well. These choices allow women to select the look they prefer, whether it is natural or intentionally enhanced, big or small or anything in-between."


REFERENCES:
dryoungforever.com - Dr. Robert N. Young, MD, FACS, Board Certified Plastic Surgeon

ABOUT DR. YOUNG
Robert N. Young, founder of Aesthetic Enhancement Cosmetic Surgery & Laser Center, is a Board Certified Plastic Surgeon with over 30 years experience. A native of San Antonio, Dr. Young graduated from the esteemed U.S. Military Academy at West Point and his medical training from Tulane University School of Medicine. Dr. Young retired from the military in 1990 after having served as Chief of Plastic Surgery at Brooke Army Medical Center. He has extensive experience both as a reconstructive plastic surgeon and a cosmetic plastic surgeon, and over the past twenty years has become known as the breast doctor of San Antonio. His practice includes a fully accredited outpatient Surgery Center staffed with qualified Registered Nurses, Anesthesiologists and surgical technicians. As a leading plastic surgeon in San Antonio, Texas, Dr. Young is a member of the following professional organizations:

- ABPS Diplomate - Board Certified by The American Board of Plastic Surgery (ABPS)
- Member, American Society for Aesthetic Plastic Surgery (ASAPS)
- Member, American Society of Plastic Surgeons (ASPS)
- Fellow, American College of Surgeons
- Member, Texas Medical Society (TMS)
- Member, San Antonio International Society of Plastic & Reconstructive Surgery (SAISPRS)
- Bexar County Medical Society (BCMS)
- Accreditation by the American Association for Ambulatory Surgical Facilities (AAAASF)

Friday, March 15, 2013

Update: State-of-the-Art 3D Imaging Still Has A Way To Go

by Andrea L. Algar

Dr. Robert Young has always been in the forefront of technologies available to women who want to improve their self-image, their confidence, or their looks with breast enhancement surgery. Dr. Young has performed so many breast augmentation surgeries over the years that he is widely known as the "breast doctor" in San Antonio, Texas, where his office and Outpatient Surgery Center is located. 

Dr. Young recently added a service he thought his patients would like using brand new, state-of-the-art 3D imaging technology. After uploading a few photos, answering a few questions and selecting implant sizes you're interested in, 3D images would be made showing what the implants would look like on your own body. After using the system for several months, however, Dr. Young found that it doesn't quite deliver. The results were disappointing and he decided to discontinue use until the makers could work out the host of problems.

And this isn't the first attempt at utilizing this type of technology. Dr. Young has owned and used imaging software for well over 10 years which "morphs" patient photographs, projecting potential surgery outcomes by manipulating the photo in the office. As Dr. Young describes, "We prefer not to use the morphing techniques because actual outcomes can be quite different than those projected by computer." The computer cannot take into account unique body characteristics that a skilled surgeon knows how to handle and to what extent can or cannot be changed. "Computers cannot deal well with asymmetry or uneven breasts, tubular breasts, wide-spread breasts and other problems we as plastic surgeons are trying to correct for our patients," explains Dr. Young. "I like to rely on what my thirty years of experience have taught me."

The good news is that the methods that Dr. Young been using in his consultations with patients continues to work very well. Since Dr. Young has performed an estimated 8,000 breast augmentations, he has a large collection of before-after photographs which contain a wide variety of body types and breast implant sizes used. This is an excellent way for you to see the quality of his work and how saline or silicone breast implants may look on you.

Dr. Young uses a variety of breast implants including saline and silicone gel implants, in many different sizes, styles and projection heights in order to create the look you desire. There are many different surgical methods available to you as well. Dr. Young is happy to discuss endoscopic, minimal incision methods that leave the smallest scars possible and help you return to your everyday life as quickly as possible. He can address questions about awake surgery, TUBA incisions, adjustable implants, fat injections and many of the more recent trends in breast augmentation surgery.

REFERENCES:
dryoungforever.com - Dr. Robert N. Young, MD, FACS, Board Certified Plastic Surgeon
                                
ABOUT DR. YOUNG

Robert N. Young, founder of Aesthetic Enhancement Cosmetic Surgery & Laser Center, is a Board Certified Plastic Surgeon with over 30 years experience. He has been trained and has extensive experience both as a reconstructive plastic surgeon and a cosmetic plastic surgeon. He has become known as the breast doctor of San Antonio. His San Antonio practice includes a fully accredited outpatient Surgery Center staffed with qualified Registered Nurses, Anesthesiologists and surgical technicians. As a leading plastic surgeon in San Antonio, Texas, Dr. Young is a member of the following professional organizations:

- ABPS Diplomate - Board Certified by The American Board of Plastic Surgery (ABPS)
- Member, American Society for Aesthetic Plastic Surgery (ASAPS)
- Member, American Society of Plastic Surgeons (ASPS)
- Fellow, American College of Surgeons
- Member, Texas Medical Society (TMS)
- Member, San Antonio International Society of Plastic & Reconstructive Surgery (SAISPRS)
- Bexar County Medical Society (BCMS)
- Accreditation by the American Association for Ambulatory Surgical Facilities (AAAASF)

Tuesday, March 12, 2013

Ultra High Profile Implants Growing in Popularity in San Antonio

by Andrea L. Algar

San Antonio's Dr. Robert N. Young receives a lot of requests from women looking for the newer Ultra High Profile implants. He has been using them since they were introduced last summer, and women have been happy with the results they give.

Mentor, makers of the new
Ultra High Profile Silicone Gel Breast Implants

Because they offer more projection than moderate or even high profile implants, you don't have to go as large with the new ultra high profile implants. In fact, according to the manufacturer Mentor, the new silicone gel Ultra High Profile implants offer the "highest projection with the smallest base". Dr. Young explains, "These new silicone implants are particularly good for small framed women who don't have the chest width to accommodate large implants. I've seen that women who want much larger breasts are really liking the new Ultra High Profile implants. These new implants provide more projection and less width so you don't have to get as large an implant in order to achieve good projection. And, the implants are more full of silicone so they wrinkle less."

There are many new options available for women desiring breast enhancement. Breast Augmentation has evolved to include many options in quality breast implants designed for a wide range of body types, including many different shapes, sizes, projections, materials, methods of insertion and more.

REFERENCE / RESOURCES FOR MORE INFORMATION:
Mentor Corp - Breast Implant Options
LoveYourLook.com - Breast Implant Sizes, Profiles & Textures from Mentor
 
ABOUT DR. YOUNG
Robert N. Young, founder of Aesthetic Enhancement Cosmetic Surgery & Laser Center, is a Board Certified Plastic Surgeon with over 30 years experience. He has been trained and has extensive experience both as a reconstructive plastic surgeon and a cosmetic plastic surgeon. He has become known as the breast doctor of San Antonio. His San Antonio practice includes a fully accredited outpatient Surgery Center staffed with qualified Registered Nurses, Anesthesiologists and surgical technicians. As a leading plastic surgeon in San Antonio, Texas, Dr. Young is a member of the following professional organizations:
 
- ABPS Diplomate - Board Certified by The American Board of Plastic Surgery (ABPS)
- Member, American Society for Aesthetic Plastic Surgery (ASAPS)
- Member, American Society of Plastic Surgeons (ASPS)
- Fellow, American College of Surgeons
- Member, Texas Medical Society (TMS)
- Member, San Antonio International Society of Plastic & Reconstructive Surgery (SAISPRS)
- Bexar County Medical Society (BCMS)
- Accreditation by the American Association for Ambulatory Surgical Facilities (AAAASF)

Monday, March 11, 2013

Can Use Of Aspirin Help Prevent Deadly Melanoma?

by Andrea L. Algar

One of the largest studies of its kind has shown promising findings that regular use of aspirin may lower the risk of developing melanoma. An agressive form of cancer that invades skin cells, many melanomas can turn deadly. Melanoma has been increasing dramatically in prevalence and has become one of the most worrisome cancers because of this. One in 50 will develop melanoma in their lifetime, and the average lifespan for those with advanced melanoma is only one year. It is the fastest growing cancer all around the world.

Melanoma Skin Cancer
Photo Courtesy: Skin Cancer Foundation
Previous studies have not been as large, or as focused. Almost 60,000 caucasian women were studied, primarily because the cancer seems to effect more fair skinned people. According to today's Everyday Health article, "They found that women who took aspirin had a 21 percent lower risk of melanoma compared to those who did not take the drug. And the longer the women used aspirin, the lower their melanoma risk. Those who took aspirin for five or more years had a 30 percent lower chance of developing melanoma than the ones who didn't take it at all. The researchers were able to control for skin cancer risk factors among the women, including variations in skin pigmentation, tanning habits and use of sunscreen."

While this news is promising, daily use of aspirin does carry it's own risks. For many years "baby" doses of aspirin has been recommended for men and women who have cardiovascular disease or are at risk for it. While it cannot be said with certainty that the risk of taking aspirin would outweight the potential benefit, it is an option worth discussing with your physician.

How to Spot Melanoma:


Symptoms of melanoma can vary, and they can develop quickly so it's important to identify them. Not all skin cancers are melanomas. Melanomas are more dangerous because they spread. Melanoma of the skin is called Cutaneous Melanoma and is the most common type. Other types of melanoma can occur in mucous membranes including nose, throat, mouth and are called Mucosal Melanoma. The third type is melanoma of the eye and is called Ocular Melanoma. The Melanoma Research Foundation recommends that you look for the following signs:
 
  • A change on the skin. This could be a new spot, or a change in color, shape or size of a current spot.
  • A sore that doesn't heal.
  • A spot or sore that becomes painful, itchy, tender or bleeds.
  • A spot or lump that looks shiny, waxy, smooth or pale.
  • A firm red lump that bleeds or appears ulcerated or crusty.
  • A flat, red spot that is rough, dry or scaly.
 
As a Board Certified Plastic Surgeon, Dr. Young has identified melanomas on patients with increasing frequency. He states, "If you suspect that you may have a melanoma, you should consult with a dermatologist who is trained to identify and treat skin conditions such as melanoma. It is recommended that men and women have yearly whole body exams which include scalp and the bottoms of the feet since melanomas can occur on just about every part of the human body. As in most types of cancer, treatments are more successful when the cancer is caught early."
 
REFERENCE:
Everyday Health: Melanoma Risk Drops 21 Percent In Women Who Take Aspirin

RESOURCES FOR MORE INFORMATION:
American Cancer Society -  Melanoma Skin Cancer
Mayo Clinic - Melanoma Pictures To Help Identify Skin Cancer (Slide Show)
Melanoma Research Foundation:  What Is Melanoma
Skin Cancer Foundation - Melanoma Information

ABOUT DR. YOUNG:
Dr. Robert N. Young is a Board Certified Plastic Surgeon with over 30 years of experience. His San Antonio practice includes a AAAASF accredited outpatient Surgery Center staffed with qualified Registered Nurses, Anesthesiologists and surgical technicians.

ABOUT THE AUTHOR:
Andrea L. Algar is a contributing author to Dr. Young's blog dealing with issues on cosmetic plastic surgery. She has been working in the medical community for over 30 years, and authors articles on a variety of health, beauty and leisure topics.

Friday, March 8, 2013

Vampire Facelifts Have Many Curious And Others Scared

by Andrea L. Algar
Contributing Author

Just the term "vampire" used with facelift is a scary thought. News of this new technique is getting quite a lot of attention due to the unique marketing name associated with it. But just what is "vampire facelift"?

"Vampire" to most people
Photo Credit: tumblr.com
To best answer that we need to take a look at the reasons that men and women seek out facelifts in the first place. Most commonly, the reasons are aging, sagging skin that we begin to notice as early as our 40's. The problematic wrinkles, bags and sags seem to multiply at alarming rates from there, causing many to start seeking remedies for what they see as false representations of how many men and women feel when they're in their 40's, 50's and even 60's. Recent polls have, in fact, shown that 70 is now seen as the new "middle age"!

But, wrinkles and sagging skin is often accompanied with a loss of fat under the skin, as well as bone and muscle, causing the face to look more aged. With advent of research into stem cells, it has been discovered that plasma from your own body can be enhanced and reintroduced, providing platelets that are rich and rejuvenating, with human growth factors that can repair and rebuild tissue. They've labeled this PRP (platelet rich plasma), which essentially is blood plasma that has been enriched by platelets.

A "vampire facelift" is a fat transfer procedure that combines your own fat, usually obtained by liposuction, and PRP obtained from your own blood.

We already know from years of successful fat transfers, that fat is rich in stem cells. When fat is transferred, these cells take on the characteristics of the cells around them. Fat transfer has been successful when used in the face for many years, however, with the new ability to introduce the PRP along with the fat, it is said that this process stimulates the stem cells to do what they do best, which is to multiply. Multiplying cells means volume to our face. Some research has shown improvement in blood supply and circulation as well.

Fat transfer alone is helpful for many areas of the face including cheeks, temples, forehead, around the eyes, lips, jowls and almost anywhere that there is significant loss of fat. Replacing the volume with fat injection is often a part of a planned facelift, where the facelift can tighten the skin, the fat replacement provides a more youthful, fresh look. The one-two-three punch of the "vampire facelift" could provide much needed volume from the fat, as well as growth factors from PRP and new cells from the stem cells.

Dr. Robert N. Young of San Antonio cautions, "While more hands-on experience with PRP and fat transfer is needed in order to assess longevity and patient satisfaction, it is a procedure worth watching. As we learn more about stem cells and how they can best be utilized, we will undoubtedly improve on these techniques and the outcomes that can be achieved. As with any new procedure, it is often wise to wait until some of the quirks are worked out." While the volume is instant, not all volume is kept with fat transfers, and it can take several months to a year to see the final effects. This could result in patient disappointment if their expectations are not met. Many callers to Dr. Young's practice have expressed disappointment in thread lifts and other "quick fixes" that don't necessarily give the long-term results desired, which is one reason that traditional facelifts and fat injections have remained very popular.

Wednesday, March 6, 2013

China's Fire Facial Treatments Claim To Fight Wrinkles (VIDEO)

A treatment has emerged from within China that would seem to be a bit too scary for most here in the United States. "Fire Facials" are gaining in popularity there, and are said to stimulate the skin and improve dullness, sagging and wrinkles. But would you be willing to try it?
Setting one's face on fire is not how most people would envision trying to remedy wrinkles. Torture springs to mind quicker than a smooth face. But, in China, the procedure is gaining momentum as a spa treatment called Huǒ liáo is being used on the face, legs and/or other parts of the body.  The procedure involves placing an alcohol-soaked towel and a special "elixir" on the area, then lighting it on fire for a few seconds.

VIDEO WARNING:
This video may be disturbing to watch.




Theoretically, this procedure can work. By "damaging" the surface of the skin, your body fights to heal the wound. When healed the process leaves you with refreshed new skin. Here in the United States, we accomplish the same thing when we perform laser resurfacing, but it is done with much more precision because we can control the depth the laser affects and the amount of exposure, or laser energy, the skin receives. Chemical peels, such as the ViPeel, work in the same manner, yet are gentler and do not have as much down-time as with a full laser resurfacing.

Dr. Robert Young spent seven years as plastic surgeon at the Burn Unit at Brooke Army Medical Center, and later as Chief of Plastic Surgery there. His experience with burn victims is extensive. He explains, "The risk of igniting your face or your body with flammable liquid seems immense. " Leaving the fire too long could permanently damage the skin, leaving horrible scars that may not ever heal. It would seem a huge risk. What do you think?

REFERENCE / RESOURCES FOR MORE INFORMATION:
HuffPost Style - 'Fire Facial' Treatment, AKA Huǒ liáo, Claims to Fight Wrinkles By Setting Face on Fire 

ABOUT DR. YOUNG
Robert N. Young, founder of Aesthetic Enhancement Cosmetic Surgery & Laser Center, is a Board Certified Plastic Surgeon with over 30 years experience. He has been trained and has extensive experience both as a reconstructive plastic surgeon and a cosmetic plastic surgeon. He has been performing successful Brazilian Butt Lift procedures for several years. His San Antonio practice includes a fully accredited outpatient Surgery Center staffed with qualified Registered Nurses, Anesthesiologists and surgical technicians. As a leading plastic surgeon in San Antonio, Texas, Dr. Young is a member of the following professional organizations:

• ABPS Diplomate - Board Certified by The American Board of Plastic Surgery (ABPS)
• Member, American Society for Aesthetic Plastic Surgery (ASAPS)
• Member, American Society of Plastic Surgeons (ASPS)
• Fellow, American College of Surgeons
• Member, Texas Medical Society (TMS)
• Member, San Antonio International Society of Plastic & Reconstructive Surgery (SAISPRS)
• Bexar County Medical Society (BCMS)
• Accreditation by the American Association for Ambulatory Surgical Facilities (AAAASF)

Thursday, February 28, 2013

FDA Warns That Most Online Pharmacies Are Fake

Medscape News came out with a disturbing report this past October with medical news that "fake online pharmacies are an emerging health threat, the FDA warns," reads the article intro by Daniel J. DeNoon.

Beware of Fake Online Pharmacies
warns FDA

The FDA cites a recent study by the National Association of Boards of Pharmacy which found that an astounding 97% of the U.S. online pharmacies "violated state or federal laws and/or NABP safety and practice standards." The FDA has immediately acted to warn consumers.

"Buying medicines from rogue online pharmacies can be risky because they make sell fake, expired, contaminated, not approved by FDA, or otherwise unsafe products that are dangerous to patients," FDA Commissioner Margaret Hamburg, MD, said.

The findings showed that many of the on-line pharmacies claiming to be U.S. companies are not. NABP has investigated many of their websites and have shut down many, but others are quickly put in place to replace them.

And, it's said that the sites look legitimate. At about this same time, our Day Spa technician came to me with another story from a patient who claimed to have been able to buy the ViPeel on-line. This peel, along with other prescription skin care products, are sold only to physicians for resale through their offices. It is illegal for people to sell them on the internet. Dr. Robert N. Young states, "Over the years, we've received more and more reports from my patients who have seen these illegal sites selling medical grade and/or prescription items illegally over the internet."

It is scary to think that people would risk their health obtaining items online that may or may not be the real thing. We urge caution in obtaining items you know usually require a prescription or that are sold exclusively through physician offices.

Friday, February 22, 2013

Many Choices Are Available For Women Who Want Bigger Breasts

There's no doubt that breast augmentation is certainly one of the most popular cosmetic surgeries. More and more women are electing to have this surgery in order to enhance their breasts, making them larger and fuller, correcting asymmetry (one breast larger than the other, or not lined up evenly on the chest), or even correcting congenital defects such as tubular breasts.


Breast Augmentation Can Make Breasts Bigger, Improve Shape and Correct Uneven Breasts
What is such good news is the number of options available for women of all ages. In our San Antonio surgical center, Dr. Robert Young has performed thousands of breast augmentation procedures with both saline and silicone breast implants. So many, in fact, that he is widely referred to as the "breast doctor" of San Antonio! Over the years, he has seen many changes in the implants themselves, as well as the methods used for insertion and placement of the implants. He was an early pioneer of minimal incision techniques which included armpit incisions that were much smaller than earlier methods.
With the introduction of silicone implants and the subsequent ten year ban, Dr. Young became one of a small group selected by Mentor to perform closely monitored clinical trials of the silicone implants in order to study their safety. Once the FDA found that silicone implants passed the rigorous standards for safety, silicone implants evolved into those that contained cohesive gel silicone which tended to stay together, decreasing the chances for migration into the body if there were rupture. The next generation of even more cohesive implants, referred to as "gummy bear" implants make the selection even greater.

Each type of breast implant, whether saline or silicone, usually has many choices of shape (round or anatomical), as well as width and projection. These options afford a women choices that will address almost any body type or size desired.

And, in addition to the implants themselves, there have been several different methods of insertion used over the years. From large incisions made under the breast, to areola (around the nipple) incisions and endoscopic transaxillary (under arm) entry points. Some physicians have explored other areas such as through the belly button (TUBA or transumbilical breast augmentation) and even performing breast augmentations where the patient is under twilight anesthesia (awake sedation).

The incision methods most preferred by Dr. Young is the underarm or areola because he feels it gives his patients the best result. Scars are minimal and located so that after appropriate healing time, they are usually not very noticeable. Although the TUBA technique can be more problematic (harder to place the implants in order to achieve good symmetry and placement), and more prone to revisional surgery, Dr. Young will review all of your options and help you make an informed decision on what is best for you.


Breast Augmentation surgery has evolved into one of the most popular procedures with an excellent record for safety and patient satisfaction. Dr. Young is a Board Certified Plastic Surgeon with over 30 years experience helping the women of San Antonio achieve the breast enhancement they desire. Visit Dr. Robert Young at his San Antonio office and AAAASF accredited outpatient surgery center for a private consultation regarding your breast augmentation surgery.