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Are the best laser clincs making the most money?

best medical spasIs you're medical spa, cosmetic surgery center or laser clinic providing the best medical care or just making the most money? Are they mutually exclusive?

There's a New Yorker article detailing the commencement address Atul Gawande Atul Gawande delivered this commencement address, titled “Money,” to the graduates of the University of Chicago Pritzker School of Medicine. It expands on the themes he touched on in his recent article about health-care costs in McAllen, Texas, which figured in President Obama’s speech on health care.

The text of this speech is available in this article in the New Yorker:

No one talks to you about money in medical school, or how decisions are really made. That may be because we’ve not thought carefully about what we really believe about money and how decisions should be made. But as you look across the spectrum of health care in the United States—across the almost threefold difference in the costs of care—you come to realize that we are witnessing a battle for the soul of American medicine. And as you become doctors today, I want you to know that you are our hope for how this battle will play out.

Kevin MD has this on: Can doctors resist the lure of money?

That’s a tall order for many American physicians.

In his speech, which is an extension of his celebrated New Yorker piece, he looks at so-called “positive deviants,” or doctors who practice higher value, higher quality care, than everyone else.

What makes these doctors so special? In essence, they have to “resist the tendency built into every financial incentive in our system to see patients as a revenue stream.”

Indeed, “These are not the doctors who instruct their secretary to have patients calling with follow-up questions schedule an office visit because insurers don’t pay for phone calls. These are not the doctors who direct patients to their side-business doing Botox injections for cash or to the imaging center that they own. They do not focus, the way business people do, on maximizing their high-margin work and minimizing their low-margin work.”

Unfortunately, most American doctors fail to resist the allure of money. In some cases, it’s greed. But in many others, patients and business have to be intertwined simply to keep the doors open. Doctors cannot practice quality medicine while bankrupt.

Changing physician behavior needs to be accompanied by fundamentally modifying the incentives that influence doctors. Without radical physician payment reform, Dr. Gawande can implore future doctors to fight the financial incentives all he wants, but most will realize that resistance alone will be futile.

So where does that leave us? Are plastic surgeons and medical spas practicing medicine first, or business? How, if ever, does cosmetic medicine differ from 'real' medicine? Is there any ethical guideline that applies or is cosmetic medicine fundimentally different?

The political aspects of health care reform march on.

Filed under  //   laser center   laser clinc   Medical Spa   medical spa marketing   plastic surgeon   plastic surgery   plastic surgery marketing  

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Model's death highlights plastic surgery risks...

Click to play

More of this tragedy playing out today.

Argentine model dies after plastic surgery:
  • Model Solange Magnano died after complications following plastic surgery
  • Injecting fat or silicone into the buttocks can lead to a blockage of blood supply to the lungs
  • "No cosmetic surgery is totally risk free," says top cosmetic surgeon

London, England (CNN) -- Following the death of a former Miss Argentina after complications arising from plastic surgery, questions are being raised about the risks of cosmetic surgery.

Solange Magnano, 37, died in hospital, after being transferred from a clinic where she underwent an elective surgery on her buttocks last Wednesday.

Nigel Mercer, president of the British Association of Aesthetic Plastic Surgeons, last month described the cosmetic surgery industry an "unregulated mess" in the journal Clinical Risk.

Following revelations of Magnano's death, he told CNN, "Unfortunately, the things we're saying about this type of surgery keep being proven right by people having major disasters."

Magnano is reported to have died from a pulmonary embolism, a blockage of the blood supply to lungs.

It is currently not known if Magnano's death was a result of her surgery and there is no suggestion that it came about through surgical error, but there are risks associated with buttock-enhancement surgery.

Mercer said Magnano may have had a solid implant in her buttocks, a relatively low-risk procedure, but he said it's possible that she had liquid silicone injected into her buttocks -- a "highly unpleasant" procedure that is banned in most countries. An alternative would have been to extract fat from another part of her body using liposuction, and then inject the fat into the buttocks.

"With a pulmonary embolism something blocks blood supply to the lungs and circulation literally stops dead," Mercer told CNN.

"The lump in the lungs can be stuff you've injected into the patient -- their own fat or a lump of silicone -- or it can be clots from leg veins as a result of deep vein thrombosis (DVT)."

While DVT is not common with cosmetic surgery, Mercer said that operations on the pelvis, buttocks and legs carry a much higher risk of causing the condition.

"No cosmetic surgery is totally risk free," Mercer told CNN. "Even having botox and fillers is not risk free. There's a chance of infection, bruising or bleeding with any procedure."

Filed under  //   Brazillian Buttlift   Buttlift   cosmetic medicine   cosmetic surgeon   cosmetic surgery   plastic surgeon   plastic surgery   plastic surgery death  

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Miss Argentia dies after Brazilian Buttlift.

Plastic surgery marketing in Argentina is booming, with medical spa advertising a common experience for Argentine women. Plastic surgery advertising is seen as putting tremendous pressure on wome to have proceedures like liposuction, breast augmentation, and Brazilian Buttlifts.

The result is sometimes a tragedy, like the death of Solance Magnano, a former Miss Argentina.

From a news story.

38-year-old former Miss Argentina Solange Magnano died after complications arising from plastic surgery on her buttocks.

Solange Magnano, the 1994 winner and a mother of 8-year-old twins, died of pulmonary embolism Sunday three days after having a gluteoplasty, a procedure that involves placing implants to enhance firmness. News of her death shocked her fans. The cause of her death was under investigation, the authorities said. Officials said the injected liquid went into her lungs and brain.    

In the past half decade, the number of people seeking plastic surgery in Argentina has soared by 60 percent, to around 50,000. Estimates say that 1 in 30 Argentines has gone under the knife, making plastic surgeons in Argentina some of the most experienced on the globe, attracting large number of medical tourists.

Medical tourism in Argentina has seen a huge jump over the past decade, and is projected to be a 100 billion dollar global industry by 2010, according to the Deloitte Center for Health Solutions, a U.S. research center focused on trends in the health care system.

What a tremendous waste. Perhaps the worst quote of the story is that the 'injected liquid went into her lungs and brain'.

Filed under  //   Brazillian Buttlift   Buttlift   cosmetic surgeon   cosmetic surgery   plastic surgeon   plastic surgery   plastic surgery advertising  

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Breast Augmentation + Liposuction: Venezuelans commonly borrow for plastic surgery.

Venezuelans commonly borrow for plastic surgery.

In the subway you can see ads for clinics that offer credit for plastic surgery, Thermage, Fraxel, laser hair removal, breast augmentation, laser treatments and Botox treatments, and that women who work use their vacation bonuses and borrow from their work savings accounts. The cosmetic surgery and medical spa industry will make sure that cosmetic work remains within reach to ensure a steady flow of income.

plastic surgery marketing & advertising

THE NEED TO BE BEAUTIFUL

Despite the hefty price tag, the choice to get plastic surgery, Botox, or laser treaments is not considered a luxury for some Venezuelans.

"We need to be beautiful," said Patino.

Competition among women, by far the biggest consumers of plastic surgery in Venezuela, to look their best is fierce, and social pressure to get work done is high.

"Socially, there is a lot of demand, especially from men, to have a good body," said Prem Pratita, a 27-year-old who had a breast augmentation a few weeks ago.

In this image-conscious country, famous for beauty queens who win record numbers of international pageant titles, the idea of getting cosmetic surgery is instilled at a young age.

Patino recalls how, as a child, her mother and aunt dreamt of surgery to get rid of wrinkles. Now, with a child of her own, the subject is already on the table.

"I told my husband, 'Look honey, if she has your nose, she's going to get plastic surgery,'" said Patino.

Some young women even describe moving up a few cup sizes through plastic surgery as a rite of passage.

"It's a transformation from being a girl to being a woman," said Pratita, who said she was one of the last in her circle of friends to have the procedure.

"Everybody has a breast augmentation. Three or four of every seven women have one," said plastic surgeon Angel Pena, who likens his surgery to body decoration practiced for centuries.

"By nature, human beings have the desire to look better ... this desire is timeless and it's a desire that doesn't depend on your economic situation ... it's not that frivolous."

Filed under  //   Boob Job   Botox   Breast Augmentaion   Facelift   Fraxel   liposuction   plastic surgeon   plastic surgeon advertisng   plastic surgeon marketing   plastic surgery   Thermage   Tumescent Liposuction  

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Need a breast lift? Try an plastic surgeons internal bra?

Woman fastening bra behind her back
Breast lift plastic surgery coming to a medical spa near you.

Bras are an often uncomfortable but necessary evil for the majority of women.

But if you've got serious bra issues and can't be bothered with a different strap arrangement for every occasion, plastic surgery now has the answer.

Israeli plastic surgeon Eyal Gur has invented the Cup & Up bra and there's no straps to be worried with... on the outside at least.

In fact, the invention is an alternative to breast implants and promises perky breasts for years without any of the drawbacks of implants.

The first guinea pig has already had her internal bra fitted and surgeons say it was a huge success.

Avi Cohen, managing director of Orbix Medical, the company helping to develop the bra, told the Daily Mail: "The operation went really well and the woman, who is in her 30s, has made a good recovery.

"The bra has given her the lift she wanted. Her breasts look natural and she is happy with the result. The surgeons have done a fantastic job."

The Cup & Up involves a kind of internal silicon bra. The 'straps' are attached to the ribs with titanium screws, stitched to silicon 'cups' and then it's all tightened into place.

As gruesome and unpleasant as that sounds, those of you in need of a lift can be in and out of hospital in a morning as the keyhole operation takes just 40 minutes.

Mr Cohen believes the internal bra will become widely available throughout Europe within the next 18 months.

"We have enough women volunteers in the trial and we will be doing our second patient just before Christmas.

"In a year's time we will have enough evidence that it works. Then we will be able to get the green light from the European medical licensing authorities."

Call us cautious, but we think we might wait a little longer.

Filed under  //   boob job   breast augmentation   breast lift   cosmetic surgeon   cosmetic surgery   medical spa   plastic surgeon   plastic surgery  

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Reconstructive Plastic Surgery Not Likely Among Certain Races?

Less-acculturated Latinas with breast cancer are less likely to have reconstruction surgery after a mastectomy, say researchers at the University of Michigan Comprehensive Cancer Center.

Amy Alderman, MD, MPH, assistant professor of plastic surgery at the U-M Medical School and lead author conducted a study to examine trends in breast reconstruction among different races, including white women, African-American women, and Latina women. The group of Latina women was further divided into women who were either highly acculturated into American society or less acculturated.

After looking at 806 women who were treated for breast cancer, researchers found 41% of white women and 41% of highly acculturated Latinas underwent reconstruction, while only 34% of African-Americans and 14% of less acculturated Latina did.

The study authors found that the lagging reconstruction rates did not correlate to lack of interest. More than half of the less-acculturated Latinas said they would have like more information about breast reconstruction.

When patients' satisfaction with their surgery was measured, the highest satisfaction rates were among white women who were satisfied with their treatment (94%) compared with the lowest rate, 56%, among less-acculturated Latinas who did not receive reconstruction.

Furthermore, this group was also less likely to report that their surgeon explained breast reconstruction, and they were less likely to be referred to a plastic surgeon than the other racial groups. The study also showed similar trends for African-American women, although the most significant data was among the less acculturated Latinas.

“Reconstruction is important to these women, but significantly more of the less-acculturated Latinas did not know how to get it. It suggests significant unmet needs for this vulnerable group. They have a desire for reconstruction, but no one's telling them about it,” Dr Alderman suggested.

The study authors suggest that more efforts be made to present breast reconstruction options to all patients, including those who speak only Spanish. Further research is planned to understand how language and other cultural issues affect whether women receive breast reconstruction.

Filed under  //   breast cancer   breast surgery   mastectomy   plastic surgeon   plastic surgery   reconstructive plastic surgery  

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Cosmetic surgeons demand ban on advertising... cosmetic surgery!

An estimated 100,000 cosmetic surgical procedures are performed in Britain each year, many by doctors who have had no specialist training in cosmetic surgery. In addition, hundreds of thousands of non-surgical procedures are done, including Botox for wrinkles and laser treatments to rejuvenate skin, many by non-medical staff with little or no training.

The 200-member Baaps represents the top surgeons in the business who performed 34,187 surgical procedures in 2008, twice the number in 2004. More than 90 per cent of them were on women. The most popular procedure was breast augmentation, demand for which rose 30 per cent last year.

But Mr Mercer, who combines private practice as a cosmetic surgeon specialising in facelifts with his work as an NHS consultant in reconstructive surgery for cancer patients, said the market for cosmetic surgery, of which Baaps surgeons account for less than one third, was an "unregulated mess".

He added: "There has been a massive increase in marketing, including discount vouchers, two-for-one offers and holidays with surgery. In no other area of medicine is there such an unregulated mess. What is worse is that national governments would not allow it to happen in other areas of medicine. Imagine a two-for-one advert for general surgery. That way lies madness."

Mr Mercer, in the journal Clinical Risk, which publishes articles on cosmetic surgery today, he warns that "the doctor's first duty to protect the patient" has been forgotten in the headlong rush to cash in. "The motive for performing any procedure must never be financial gain ... if we cannot self-regulate then regulation will eventually be imposed."

Citing experience in France, where all advertising of cosmetic procedures is banned, he says: "Perhaps, like tobacco, there should be a Europe-wide ban on advertising all cosmetic surgical procedures, including on the internet search engines."

Among those who can testify to the dangers is Jill Saward, the former lead singer of 1980s group Shakatak, who last year agreed to a facelift in the hope of reviving her career after her divorce. But she suffered complications aggravated by her high blood pressure and bitterly regretted the decision. Three months after the operation she still did not have full feeling and was warned full recovery could take a year.

"Surgery is not a quick-fix solution," she said. "The simple truth is that I could have died. I was an idiot, I should have thought much more carefully about the operation and its dangers. It was pure vanity."

Foad Nahai, president of the International Society of Aesthetic Plastic Surgeons, backed Mr Mercer's warning, and called for tougher regulations to prevent doctors practising without specialist training. A code of practice backed by self-regulation of cosmetic clinics was announced by the Government in 2007. Clinics are also subject to inspection by the Care Quality Commission. But Baaps says the measures do not go far enough.

Filed under  //   cosmetic surgeon   cosmetic surgery   Medical Spa   plastic surgeon   plastic surgery  

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Medical Spa MD selects Sendside Networks as it's exclusive member communication platform.

Medical Spa MD selects Sendside Networks as it's exclusive communication platform.

Medical Spa MD today announced that it has selected Sendside Networks as it's exclusive member communication platform. A secure replacement to email, Sendside offers a 1:1 secure sales communication platform that offers high touch interactive messaging and real-time reporting and control  for mission-critical communications in a secure environment.

"Sendside is the only solution that addresses our need to communicate easily but still allows us to protect confidential information," said Jeff Barson, Editor of Medical Spa MD.

"Unlike any other technology, Sendside gives us the ability to send interactive tabbed messages that allow recipients to fill out forms and actually make purchases 'inside' the message, without being redirected to an external link from an email. This gives us the ability to actually send the entire Medical Spa MD site directly through a message while retaining control and accessing all of Sendside's analytics and real time reporting.

For the first time we can see exactly who has read a message, downloaded and attachment, or forwarded a message to a collegue, providing us with an inside look at what a recipient is doing and offering a perfect opportunity of knowing when to send follow-up information.

The cost to create and send this type of content would be cost prohibitive using any other solution.

Best of all, it's free for the recipient and as easy to use as web based email."

Medical Spa MD is currently using Sendside to communicate with thousands of plastic surgeons, dermatologist, and cosmetic physician members who are running laser centers, skin clinics and laser treatment centers around the world.

*  *  *


ABOUT SENDSIDE NETWORKS, INC.
Utah-based Sendside® Networks, Inc. has developed Sendside—the 1 to 1 Sales Communication Platform that provides organizations a secure, interactive communications channel directly to their customers, prospective customers, clients and investors. Sendside combines secure, interactive messaging with file delivery, interactive forms, e-signatures, payments, and secure storage into a comprehensive communication and interaction platform unlike anything on the market today. Sendside currently has fifteen U.S. Patents pending including Sendside Markup Language (SML), Behavior-based Messaging (BBM), Multi-dimensional Messaging (MDM), Sendside eSign, on demand messaging, embedded payments and acknowledgement. www.sendside.com

ABOUT MEDICAL SPA MD

Medical Spa MD is a community of Plastic Surgeons, Dermatologists, Aesthetic Physicians, and Medical Spa Professionals. Medspa MD has Blogs, Forums, and Classified advertising. Members include 2,000+ members worldwide and medicalspa.com recieves more than 100,000 page views each month from physicians and individulals looking for informaton about cosmetic medicine and the lates advances in non-surgical technology.

 

Filed under  //   dermatologist   doctor   laser center   laser clinic   laser treatment   medical spa   medspa   plastic surgeon   skin clinic  

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iPhone Plastic Surgery

Have you ever wondered what you would look like with bigger breasts or poutier lips? Now you can find out using a simple app made for the iPhone. There are now two plastic surgery applications for the Apple iPhone that offer users information, games and the chance to see what they would look like with a face lift, new nose, and many other procedures.

The firs plastic surgery app - The Shafer Plastic Surgery App - launched in October. It's the first app of its kind amongst Apple's 85,000 offerings in the iPhone App Store. It was created by Dr. David Shafer of New York, and taps into more than 1,000 questions and answers about specific cosmetic procedures.

The second iPhone plastic surgery app will soon hit the iPhone App Store, and it's called "iSurgeon". iSurgeon was developed by Miami cosmetic surgeon Dr. Michael Salzhauer, who is also well known for authoring the 2008 book "My Beautiful Mommy" - a book aimed at helping 4 to 7 year old children cope with their mother's plastic surgery.

iSurgeon will feature a fun game mode that allows users to try their hand at surgery, giving people the chance to instantly modify images of themselves or their friends through breast augmentations, lip enhancements and dozens of other procedures.

The Shafer Plastic Surgery App is available for $2.99. iSurgeon will be free during its first month of release later in November.

Nice to see that your iPhone can manage more than just phone calls from your plastic surgeon or medical spa.

Filed under  //   Medical Spa   plastic surgeon   plastic surgery  

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Plastic surgeon 'builds' himself his ideal wife

A PLASTIC surgeon has told how he chose a dowdy girl as his bride - so he could sculpt her into his ideal wife.

Reza Vossough hated 33-year-old Cany's body, but they tied the knot anyway after he spotted her "potential".

Pic taken Jan 05 A MAN has made himself the perfect woman by performing EIGHT plastic surgery ops on her. Image-obsessed surgeon Reza Vossough moulded himself his dream wife after spotting potential in 33-year-old Cany. He hated her flat chest, saddlebag thighs, puffy eyes and wrinkly face. So the German couple tied the knot and he decided to create his blonde doll-like lover.

Cany ... in 2005

This plastic surgeon performed EIGHT operations to change her chest, thighs, eyes and face.

Vossough spent five years pumping 1,600g of silicone into her body, boosting her size A chest to a giant F cup.

He also enhanced her lips, lifted her eyelids and de-creased her forehead.

The former waitress also had nip-and-tuck ops to her bum, tummy and thighs and countless Botox injections.

'Potential' ... Reza Vossough

 

Only AFTER £18,000 of cosmetic surgery did Reza, 48, fall in love with her.

But busty Cany, now a model, is thrilled with her new image. She said: "When your husband is a plastic surgeon, then the scalpel is your friend."

Reza, who operates on 1,200 patients a year at his Berlin clinic, said of his skills: "It's almost like being God - you have the ability to change nature.

"When I first met Cany, she had physical deficiencies, but I could see there was something there. She had big hips and big thighs, so we made corrections, then did a little bit more.

"On the operating table her face is covered, so she's anonymous like any patient. I was interested in working on her. It's better than nature could do."

Since her hubby's last op, Cany has had a secret fourth boob job. But Reza has not ruled out MORE work - saying: "There may be some more in the future, like a facelift, but not yet."

But Reza is wise enough to admit that he's not perfect himself.

He said: "I inherited a big nose from my dad, so my business partner made me a new one. And I have Botox too."

Not something that you'll find in your local Medical Spa or laser clinic since they're using laser treatments and Botox, but there's probably some overlap. Perhaps laser hair removal, IPL for skin treatments, or Restylane as a local skin clinic.

Filed under  //   Breast Augmentation   breast implants   cosmetic surgery   plastic surgeon   plastic surgery  

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