Podtriatic Surgery by Dr. Paul James

Why I try to use Minimal incisions:

Minimal incisions provide several potential benefits for patients, including smaller scars, faster tissue and bone healing, and fewer complications such as pain, bleeding and infections. These techniques can also reduce complications for high risk patients, such as those with circulatory problems caused by smoking, diabetes or other conditions.

What happens:

A small incision is made in the patients’ skin and a specially designed instrument is inserted into this opening. The entire procedure is performed through this tiny opening. At the conclusion of surgery, a few stitches may be used to close the opening and a small bandage protects the area. The patient generally leaves the office walking. The condition has been corrected, the patient remains ambulatory and discomfort and prolonged disability have been avoided.

Here is a Good Video i found on Youtube:

Is It Really An Effective Technique?

Today, ambulatory foot surgery is a developed art. Over 2,000 podiatric physicians and surgeons specializing in this technique are members of The Academy of Ambulatory Foot Surgery, and with each year the number increases. The triangular academy seal depicts its dedication to ambulation, rehabilitation, and education.

It is now over thirty years since the original pioneers began the development of this art. They sought the means of ending discomfort and suffering for a wider cross section of the population. They reasoned that if the necessity for hospitalization and prolonged disability was eliminated, more people could afford to avail themselves of podiatric services.  As their development progressed they found that it was rarely necessary to incapacitate their patients. Painful bunions, recurring corns, heel spurs, contracted toes and hammer toes were corrected by this new technique and the patients remained ambulatory. Through the years, other interested physicians and surgeons made worthwhile contributions until we have reached today’s state of the art. Cost effective, minimal incision foot surgery is a reality and is being practiced in this centre.

If you would like further information about foot and ankle surgery please visit the college website at: http://www.acps.edu.au.

This was a guest by Dr. Paul James

Breast Augmentation Benefits & Considerations

Hi girls. It’s Ella. Today i will write about Breast augmentation.

So What is Breast augmentation?

Breast augmentation is a cosmetic surgical procedure designed to enhance the size and shape of the breasts, giving a better symmetry and a more feminine look. Apart from providing a more attractive body contour, breast augmentation can help bring balance to breast irregularities and make you feel more confident.

qlbreast implants

Breast augmentation is requested by women for many reasons. Some may choose this option to correct a reduction in breast volume after pregnancy, breast feeding or weight loss, or to achieve a better proportioned figure. Some even choose it as a reconstructive technique following breast surgery. Breast augmentation with breast implants is a smart solution to best achieve your preferred results. Saline or silicone gel implants are popular choices used to augment the breasts.

The potential benefits that you gain by undergoing this surgery:

• A more beautiful body contour
• Regain confidence about yourself and your body
• Enhancement of self-esteem in social and intimate settings

Apart from these, breast augmentation offers women the opportunity to have a much wider spectrum of clothing styles and fashions.

Breast augmentation procedures ensure natural looking, enhanced results. The procedure itself takes up to three hours to complete and is performed under general anesthesia. As with all surgical procedures, breast augmentation also carries risks and complications to a certain extent. However, the potential outcomes of breast augmentation can be very satisfying, even exhilarating.

Choosing the right plastic surgeon is extremely vital to get the results you want. If you are interested in having a breast augmentation surgery, make sure that you choose a certified and trained surgeon – who can provide you the look that you want.

Saline and Silicone Breast Implants

There are two types of breast implants: saline and silicone.

Saline-filled implants are silicone shells filled with sterile salt water (saline). Silicone-filled implants are silicone shells filled with a plastic gel (silicone). Although many women say that silicone implants feel more like real breasts than saline, they pose more….Click here to read more

For reviews i always reccomend realself or also www.whatclinic.com/

I reccomend Realself.com because whatclinic is more commercial oriented.

Just want to give this as a side note.

In the next couple weeks i will maybe invite a Plastic surgeon to write on my blog.

Story about Facelift with Tara Davis

Ok Ladys and gentelman. Today i will write an awesome article about facelift :D.
“At a certain age you have to choose between your face and your ass.” If you are plump, your face may have some of the roundness associated with youth. If you are of normal weight or thin, your face will very likely be hollow. However, it doesn’t have to be like that, as this photo below will show.

If you look at her hands, they look her age of 41:

Tara's hand 40 years

If you look at her face, it has the fullness of youth.(Her name is Tara)

Tara with her cheerleader team

When you look at a photo of Taras Cheerleader Team , you’ll note that there is not much difference in the fullness of Tara’s face, and that of her teammates, ages 26, 21 and 23. Perhaps the fullness of Tara’s face at her weight and age is part of her natural endowment, but that is certainly not the case for most of us mortals.

after Facelift

This image of Jessica Lange in youth and in age, after surgery(right picture logically :P). You can see theunnatural appearing eyebrows, the flatness of the cheeks near the nose, the descent of the “apple” of the cheek, the wider smile and the gaunt appearing neck. This is a typical post face-lift and brow-lift appearance.
Today we can much more accurately recreate a youthful appearance using fillers instead of surgery.  Surgically tightening the skin flattens the face giving it an unnatural appearance. Face-lifts change the facial proportions.
The message is getting through. A while back photos of Madonna showed her with hollow cheeks and a gaunt appearance. More recent photos show her with plump apple cheeks.
There have been a number of actresses who have seemed to defy aging.

Demi Moore

Demi Moore appears to have aged very little in the last 20 years. We have seen the future and it is fillers.

You can find more stories on realself.com

By whom should you have a procedure done?

Hi, girls it’s Ella again.

When you enroll for a cosmetic procedure, you want to have a good result and you don’t want problems. These are related but separate issues. To get a good result requires a skillful operator. For technically demanding procedures, and seemingly simple procedures can be technically demanding, that means a physician. I’m not by any means saying that  all physicians do a good job or that no non-physicians do a good job, just that your odds are better with a physician. Most physicians have a reputation that you can inquire about. Non-physicians tend to be known by the institution with which they’re affiliated, and there tends to be more turnover.
There is general agreement that the core specialties dealing with cosmetic procedures are dermatology, facioplastic surgery (ear, nose and throat subspecialty), opthalmoplastic (opthalmology subspecialty) and plastic surgery. When you go to one of these specialists you’re more likely to find someone who is more attuned to cosmetic procedures, and their appropriate use, then if you go to see a physician who trained in an area totally unrelated to cosmetic procedures. It is my feeling, backed up by a limited number of direct observations, that these physicians were attracted to the area by possible financial opportunities rather than a true interest or aptitude for the field.
Another consideration is that in even the simplest procedures, things can go wrong. Not only do you want someone who will fully inform you of the risks, but you want someone who you feel can appropriately handle any problems that might occur.
Reputation and standing in the community is very important. Anyone reputable should be willing to provide former patients you can talk to.
In the final analysis there are no easy answers to this question, but the guidelines I’ve given can mprove your odds.

Go back and learn more about plastic surgery procedures

Labiaplasty – What it is and why it’s so popular

Hi girls. It’s Ella. Today i will Interview  a real plastic surgeon(ASAP Member) from Sydney Australia. He is a specialized in breast lift(if you want to learn more about this click on this link, not promotional but the article is very informative) and Labiaplasty.

So let’s start my 3 questions to Dr. Kohout about Vaginal Tightening or Labiaplasty

What is labiaplasty?

Cosmetic surgery of the genital area and more specifically of the labia is also called labiaplasty

Labiaplasty infographic

Is labiaplasty for me?

Women are often concerned about the appearance of their genital area. This may be a concern purely for aesthetic reasons or more functional reasons. The inner labia may actually protrude so far out of the outer labia that it produces functional problems. It may cause chaffing on underwear; it may cause folds which become irritated and painful. Large labia may also be visible through underwear or swimming costumes, causing embarrassment.

How long does the operation take?

The operation will take anywhere between 60 and 90 minutes, depending on the type and extent of the operation. The incisions will be places according to the preoperative plan formulated by your surgeon. The stitches used in the operation are dissolving, so that looking after the operation will be easier. Once the operation itself is finished, antibiotic ointment is applied to the sutures.

I will keep this interview with Genital Surgery Dr. Kohout very short and link back to his Website so you can read the entire article.

After the invertview i found a great article about “Why Labiaplasty is so popular” by Kali Holloway:

The Labiaplasty Boom: Why Are Women Desperate for the Perfect Vagina?

Throughout the Western world, for much of human history, women’s vaginas have been uber-reliable life partners: timeless companions that, as with all things in nature, wrinkled and drooped with age, but otherwise remained largely unchanged. While cosmetic solutions – from facelifts to liposuction – were used to tauten and tighten various other body parts, vaginas faithfully hung in there, often bravely weathering pubescence, childbirth and menopause. Labiaplasty, the surgery that cuts off “excess” parts of the labia minora, or inner vaginal lips, appeared in medical literature as early as 1971, but solely as a corrective measure for congential abnormalities. Otherwise, vaginas came in all shapes, colors and sizes, and there was no singular mainstream vulvar ide…. Read more


Watch this video to learn more about Labiaplasty from a 2nd surgeon:


Read more about other Procedures and Stories.



Fraxel laser seminar at Reliant Technologies

Hi, it’s Ella. This past weekend I went to a Fraxel repair seminar at Reliant Technologies. The repair is a CO2 laser that uses Reliant’s patented scanning technology to lay down a precise pattern of laser  pulses on the skin. There us no doubt, in my view, that Fraxel has the most sophisticated technology in the field. The scanner is fast and precise, and the relatively high power of the laser allows deeper penetration than competing lasers.

fraxel laser
Reliant Technologies has been unique in that they have performed a large number of clinical studies  before releasing the laser. The general rule is that most lasers are released with very little clinical data to back up their effectiveness. The purchasing physician and his patients become the beta testers to find out what the machine can and cannot accomplish.
The founders of Reliant Technologies are veterans of Coherent Inc., the manufacturer of the Ultrapulse laser which was the premier CO2 laser in its time. It was only after the Ultrapulse laser was released, that its benefits and drawbacks were fully understood. The founders of Relaint determined that they were going to do things differently this time. Prior to the release of this laser it was used to treat over 500 patients . Over 100 of them have been treated 18 or more months ago. This is important, because some of the side effects of the original CO2 laser, particularly the loss of skin pigmentation, did not appear until 12 months or later after treatment. Reliant technologies is to be commended for doing such a thorough job. To the best of my knowledge, they have done significantly more than any other laser company.

There is still more work to be done, however. All the published studies about this laser have related to wrinkle reduction and skin tightening. Dr. Christopher Zachary, Chief of Dermatology at UC Irvine, and one of the principal investigators using the machine, is very excited about this benefit and thinks that the use of  the Re:pair will reduce the need for facelifts (Video of Dr. Zachary being interviewed on the Today Show). This may be a somewhat exaggerated expectation, but the treatment results are quite impressive.
Acne scarring is another important use for this type of device. Reliant has not yet released information about the effectiveness of the Re:pair in acne scarring, although I have had verbal communication with one of the investigators who said it appears to be about 30% more effective than the Fraxel Re:store, which has been widely regarded as the treatment of choice for acne scarring. The original version of the CO2 laser was well established as an effective treatment for acne scarring. Nevertheless, when we  recently had a patient with acne scarring who was interested in the  Re:pair treatment, I felt obligated to tell her that the expected results for this problem have still not been fully   clarified.
Overall it appears that we may have in hand a new tool that will significantly expand our skin rejuvenation capabilities with a much better risk/benefit ratio than older modalities.

Read more about Posts on my Cosmetic and Plastic Surgery blog