, , , , , , ,

How Young Is Too Young for Plastic Surgery?

Photo by Kylie Jenner/Instagram

8f3100edb4473b3f3b1ef47bbf41041c

Keeping Up With The Kardashians’ Kylie Jenner can’t keep up with all the uproar over her newly plump pout – and she doesn’t want to. The 17-year-old took to Twitter Monday evening urging her critics to get over it. “How long are we gonna talk about this lip thing lmao,” she wrote.

Yet controversy over the reality starlet – who may or may not have had work done – highlights a trend that is anything but boring: Teens having cosmetic procedures.

Nearly 18,000 teens aged 13 to 19 got wrinkle-removing Botox last year, according to The American Society of Plastic Surgeons. And NPR reports that the ASPS reveals nonsurgical procedures are on the rise for teens, noting: The most popular cosmetic surgical procedures for teens include rhinoplasty (nose job) for 30,672, breast augmentation for 8,234 and otoplasty (ear pinning surgery) for 6,871.

But just how young is too young to undergo cosmetic surgery? The answer depends on a few different factors. You have to consider a child’s anatomical development, maturity and motivation.
Certain features mature at different times. Ears become stable the earliest, typically by age 4, which is why he says you’ll see kids getting protruding ears tucked back before Kindergarten. The nose is done growing by age 13 in 99 percent of girls – whereas boys’ don’t mature until 17 or later. But lips are likely still changing at 17 and breasts may not be mature until 20.

As for a child’s maturity, that’s a tougher one to call. Parents have to talk with kids about why they want the procedure. Parental consent is actually required, or all plastic surgery procedures performed on teens younger than 18. Basically mom and dad need to know how the child is currently dealing with whatever issues they have with the part of the body they want to change and try to be fair and objective about coming to a decision.

Kids also have to understand what having work done entails. An ASPS fact sheet spells it out. Teenagers must be able to tolerate the discomfort and temporary disfigurement of a surgical procedure,” it reads. “Plastic surgery is not recommended for teens who are prone to mood swings or erratic behavior, who are abusing drugs and/or alcohol, or who are being treated for clinical depression or other mental illness.”

The American Academy of Facial Plastic and Reconstructive Surgery reports that surgeons found 69 percent of children and teens are actually undergoing plastic surgery as a result of being bullied.
Social platforms like Instagram, Snapchat and the iPhone app Selfie.im, which are solely image based, force patients to hold a microscope up to their own image and often look at it with a more self-critical eye than ever before. These images are often the first impressions young people put out there to prospective friends, romantic interests and employers and our patients want to put their best face forward.
Which brings us back to Kylie Jenner, who swears, for the record, that she is confident regardless of what anyone may think about her, or her appearance. “Since I was 9 years old, I’ve been in the entertainment business, and everyone is always telling me what – and what not – to do,” she confessed to Seventeen. “You just get a tough skin and have to not care about what people think or you will not end up in a good place.”

en Español

 
El continuar con el Kardashians ‘Kylie Jenner no puede mantenerse al día con todo el alboroto sobre su puchero recién regordeta – y ella no quiere. El joven de 17 años de edad, tomó a Twitter la noche del lunes instando sus críticos que superarlo. “¿Hasta cuándo vamos a hablar de este labio cosa lmao”, escribió.
Sin embargo, la controversia sobre la realidad estrella – que puede o no haber hecho el trabajo tenía – pone de relieve una tendencia que es cualquier cosa menos aburrida: Los adolescentes que tienen los procedimientos cosméticos.
Cerca de 18.000 adolescentes de 13 a 19 años llegaron para eliminar las arrugas Botox año pasado, según la Sociedad Americana de Cirujanos Plásticos. Y NPR informa que la ASPS revela procedimientos no quirúrgicos están en aumento para los adolescentes, teniendo en cuenta: Los procedimientos quirúrgicos cosméticos más populares para los adolescentes incluyen la rinoplastia (cirugía de nariz) por 30.672, aumento de senos para 8234 y la otoplastia (cirugía de orejas en asa) para 6871.
¿Pero qué tan joven es demasiado joven para someterse a la cirugía estética? La respuesta depende de algunos factores diferentes. Usted tiene que considerar el desarrollo anatómico, la madurez y la motivación del niño.
Ciertas características maduran en diferentes momentos. Las orejas se estabilizan los primeros, por lo general a los 4 años, por lo que él dice verás niños conseguir orejas prominentes metidos atrás antes de Kindergarten. La nariz se hace cada vez mayor a los 13 años en el 99 por ciento de las niñas – mientras que los niños “no maduran hasta 17 o posterior. Pero labios están probablemente todavía cambiando a los 17 y los pechos pueden no ser maduro hasta el 20.
En cuanto a la madurez de un niño, que es una pregunta difícil de llamar. Los padres tienen que hablar con los niños acerca de por qué quieren el procedimiento. Consentimiento de los padres es realmente necesario, o todos los procedimientos de cirugía plástica realizadas en adolescentes menores de 18 años Básicamente mamá y papá necesitan saber cómo el niño está tratando con lo problemas que tienen con la parte del cuerpo que quieren cambiar y tratar de ser justa y objetiva acerca de llegar a una decisión.
Los niños también tienen que entender lo que tiene de trabajos realizados. Hoja informativa ASPS lo explica. Los adolescentes deben ser capaces de tolerar la incomodidad y desfiguración temporal de un procedimiento quirúrgico “, se lee. “No se recomienda la cirugía plástica para los adolescentes que son propensas a los cambios de humor o comportamiento errático, que abusan de drogas y / o alcohol, o que están siendo tratados por depresión clínica u otra enfermedad mental.”
La Academia Americana de Cirugía Plástica y Reconstructiva informa que los cirujanos encontraron 69 por ciento de los niños y adolescentes están ya sufriendo la cirugía plástica como resultado de ser intimidado.
Plataformas sociales como Instagram, Snapchat y la aplicación para el iPhone Selfie.im, que son exclusivamente de imágenes basado, pacientes de fuerza para sostener un microscopio hasta su propia imagen y, a menudo miran con un ojo más autocrítico que nunca. Estas imágenes son a menudo las primeras impresiones de los jóvenes ponen por ahí a amigos potenciales, intereses románticos y de los empleadores y de nuestros pacientes quieren poner su mejor cara.
Lo que nos lleva de nuevo a Kylie Jenner, que jura, para que conste, que ella confía con independencia de lo que cualquiera puede pensar en ella, o su apariencia. “Desde que tenía 9 años, he estado en el negocio del entretenimiento, y todo el mundo siempre me lo decía – y lo que no – a hacer”, confesó a Seventeen. “Usted acaba de conseguir una piel dura y que no se preocupan por lo que la gente piensa o que no va a terminar en un buen lugar.”

/by
, , , , ,

Bra Day USA, October 15, 2014

What is BRA Day USA?

About BRA Day USA
Breast Reconstruction Awareness Day, or BRA Day, occurs annually in October and is an initiative designed to promote education, awareness and access regarding post-mastectomy breast reconstruction.
The third annual BRA Day will take place on October 15, 2014.
BRA Day USA is a collaborative effort between the American Society of Plastic Surgeons, The Plastic Surgery Foundation, plastic surgeons, breast centers, nurse navigators, corporate sponsors and breast cancer support groups.
These and other organizations, breast cancer patients, their families and friends coordinate events on BRA Day USA that include gala fundraisers, question and answer sessions, lectures, flash mobs, advertising campaigns and community events.

Many women eligible for breast reconstruction following cancer surgery are not being informed of their options. All women should know their options. It’s time to close the loop on breast cancer.
Studies have revealed:

Visit https://www.bradayusa.org for more information on how you can be a part of this day.

This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

/by
, , , ,

Breast Reconstruction

You may have had or are about to have a mastectomy — by choice or for medical necessity. If so, your doctor has likely told you about options to rebuild your breast or breasts — a surgery called breast reconstruction. Breast reconstruction takes place during or after mastectomy, and in some cases, lumpectomy. During reconstruction, a plastic surgeon creates a breast shape using an implant, tissue from another place on your body, or both.
Whatever your age, marital status, sexual activity or orientation, you can’t predict how you will react to losing a breast. It’s very normal to feel anxious, uncertain, sad, and mournful about giving up a part of your body. Moving forward, you now have the opportunity to shape and determine what you want to have happen next. But first you must do some careful thinking and delving into your feelings in order to figure out what is best for you. In this section, we’ll talk you through each of the reconstruction techniques, including no reconstruction, what’s involved, and any risks.
Asking yourself some questions can help you start to think about what type of reconstruction you want — if you want reconstruction at all:

  • How important is rebuilding your breast to you?
  • How important is it to you that your breasts be symmetrical?
  • Can you live with a breast form that you take off and put on?
  • Do you need breast reconstruction to feel whole again?
  • Are you OK with having more surgery for breast reconstruction after mastectomy or lumpectomy?

It’s also important to know that while breast reconstruction rebuilds the shape of the breast, it doesn’t restore sensation to the breast or the nipple. Over time, the skin over the reconstructed breast can become more sensitive to touch, but it won’t be exactly the same as it was before surgery.
This Information is Brought to You Courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa
En Espanol
Usted puede haber tenido o están a punto de tener una mastectomía – por elección o por necesidad médica. Si es así, probablemente su médico le ha dicho sobre las opciones para reconstruir su seno o senos – una cirugía llamada reconstrucción mamaria. La reconstrucción del pecho se lleva a cabo durante o después de la mastectomía, y en algunos casos, la tumorectomía. Durante la reconstrucción, un cirujano plástico crea una forma de seno usando un implante, el tejido de otra parte de su cuerpo, o en ambos.
Sea cual sea su edad, estado civil, la actividad o la orientación sexual, no se puede predecir cómo va a reaccionar a la pérdida de un seno. Es muy normal sentirse ansioso, inseguro, triste y lúgubre acerca de renunciar a una parte de su cuerpo. En el futuro, ahora tiene la oportunidad de dar forma y determinar lo que desea que sucederá después. Pero primero hay que pensar un poco cuidadoso y profundizar en sus sentimientos con el fin de averiguar qué es lo mejor para usted. En esta sección, vamos a hablar a través de cada una de las técnicas de reconstrucción, incluyendo la no reconstrucción, lo que está involucrado, y cualquier riesgo.
Haciéndose algunas preguntas puede ayudarle a empezar a pensar en qué tipo de reconstrucción que desea – si quieres reconstrucción en absoluto:
¿Qué tan importante es la reconstrucción de la mama con usted?
¿Qué tan importante es para usted que sus senos serán simétricos?
¿Se puede vivir con una forma del seno que te quitas y pones?
¿Necesita reconstrucción mamaria a sentir de nuevo todo?
¿Estás bien con tener más cirugía para la reconstrucción mamaria después de una mastectomía o lumpectomía?
También es importante saber que mientras que la reconstrucción mamaria reconstruye la forma de la mama, no restablecerá la sensibilidad a la mama o el pezón. Con el tiempo, la piel sobre el seno reconstruido puede ser más sensible al tacto, pero no va a ser exactamente el mismo que era antes de la cirugía.
Esta información se ponga a usted por cortesía del Dr. Bishara y La Cirugía Plástica y Paragon Med Spa

/by
, , , , , ,

Breast Augmentation Facts

Breast augmentation, also called augmentation mammaplasty, involves surgical placement of an implant behind each breast to increase its volume and enhance its shape. Often, after weight loss, childbirth, or as a result of aging, the breasts lose volume and their shape changes. Also, many women choose to have their breasts enlarged in order to satisfy their desire for a fuller bustline. Breast augmentation can be performed at any age after the breasts are developed.

Benefits:

  • Positive aesthetic results, and data has shown patients often receive a substantial psychological boost.
  • It is often possible to return to work within a week, depending on the nature of your work.
  • No scientific evidence that breast augmentation increases the risk of breast cancer, autoimmune disease, or any systemic illness.
  • No evidence that breast implants affect pregnancy or ability to breast-feed.

Other Considerations:

  • Every surgical procedure carries some risk. Potential complications may include reactions to anesthesia, blood accumulation that may need to be drained surgically, and infection.
  • Changes in nipple or breast sensation may result from breast augmentation surgery, although they are usually temporary.
  • When a breast implant is inserted, a scar capsule forms around it as part of the natural healing process. The capsule may sometimes tighten and compress the implant, causing the breast to feel firmer than normal. If the capsular contracture is severe, it may cause discomfort or changes in the breast’s appearance. Additional surgery may be needed to modify or remove scar tissue, or perhaps remove or replace the implant.
  • Breast implants can make performing and reading mammograms technically difficult. Placement of the implant underneath the pectoral muscle may interfere less with mammographic examination.
  • As with other surgical implants, breast implants cannot be expected to last forever. If a saline-filled implant breaks, its contents are harmlessly absorbed by the body, usually within hours.
  • Pregnancy can alter breast size in an unpredictable way and could affect the long-term results of breast augmentation.
  • As of May 2000, Federal regulation prohibits breast augmentation for purely aesthetic surgery in women less than 18 years of age

This Information is brought to you courtesy of Dr. Mark Bishara and The Paragon Plastic Surgery & Med Spa

en Español

 
El aumento de senos, también llamada mamoplastia de aumento, implica la colocación quirúrgica de un implante detrás de cada seno para aumentar su volumen y mejorar su forma. A menudo, después de la pérdida de peso, el parto, o como resultado del envejecimiento, los senos pierden volumen y su forma cambia. Además, muchas mujeres prefieren que sus pechos agrandados con el fin de satisfacer su deseo de tener un busto más lleno. El aumento de senos se puede realizar a cualquier edad después se desarrollan los senos.
BENEFICIOS:
Resultados estéticos positivos, y los datos han demostrado que los pacientes a menudo reciben un impulso psicológico sustancial.A menudo es posible volver al trabajo dentro de una semana, dependiendo de la naturaleza de su trabajo.No hay evidencia científica de que el aumento del pecho aumenta el riesgo de cáncer de mama, enfermedad autoinmune, o cualquier enfermedad sistémica.No hay evidencia de que los implantes de mama afectan el embarazo o la capacidad de amamantar.
OTRAS CONSIDERACIONES:
Cada procedimiento quirúrgico conlleva cierto riesgo. Las complicaciones potenciales pueden incluir reacciones a la anestesia, la acumulación de sangre que pueden necesitar ser drenado quirúrgicamente, y la infección.Cambios en el pezón o la sensación del pecho pueden resultar de la cirugía de aumento de pecho, a pesar de que suelen ser temporales.Cuando un implante mamario se inserta, se forma una cápsula cicatricial alrededor de él como parte del proceso de curación natural. La cápsula puede a veces apriete y comprimir el implante, causando la mama a sentirse más firme que la normal. Si la contractura capsular es grave, puede causar molestias o cambios en la apariencia de la mama. Cirugía adicional puede ser necesaria para modificar o eliminar el tejido cicatricial, o tal vez eliminar o reemplazar el implante.Los implantes mamarios pueden hacer escénicas y mamografías lectura técnicamente difícil. La colocación del implante debajo del músculo pectoral puede interferir menos con el examen mamográfico.Al igual que con otros implantes quirúrgicos, los implantes mamarios no se puede esperar que dure para siempre. Si una solución salina implante se rompe, su contenido se inofensivamente absorbidas por el cuerpo, por lo general en cuestión de horas.El embarazo puede alterar el tamaño del pecho de un modo impredecible y podría afectar a los resultados a largo plazo de aumento de senos.Hasta mayo de 2000, la regulación federal prohíbe el aumento de senos para la cirugía puramente estética en mujeres menores de 18 años de edadEsta información es traído a usted por cortesía de Dr. Mark Bishara y La Cirugía Plástica y Paragon Med Spa

/by
, , , , , , , , ,

WILL YOUR HEALTH INSURER PAY FOR PLASTIC SURGERY?

The BotTom line when it comes to an insurer’s decision to pay for plastic surgery is typically whether a procedure is considered medical necessary.

Americans love to look good, but insurers are often reluctant to pay the bills to help us look better.
Last year we spent nearly $11 billion on cosmetic procedures, according to the American Society for Aesthetic Plastic Surgery. Of the more than 10 million procedures performed, the most requested was breast augmentation.
But Cameo Wichinsky, a 42-year-old investment fund manager living in Santa Monica, wants to take her figure in the opposite direction.
Having long lived with the discomfort of breasts large enough to cause shoulder and neck pain and to limit her level of physical activity, she’s ready to go under the knife to reduce her breast size and, she hopes, improve her quality of life.

“I’m at the stage of my life when I’m ready to be active and be at my highest level. These things get in the way,” Wichinsky said.
Despite the fact that she has health insurance, she says she’ll have to shell out the nearly $9,000 for breast reduction surgery, which she has scheduled for November. Her insurer won’t cover the procedure.
“Insurance is a huge hassle,” Wichinsky said.
There was a time when health insurers more readily paid for breast reductions. We tend to think of breast reduction as reconstructive surgery and not cosmetic, even though it has that cosmetic aspect to it.
Plastic surgery is expensive. It’s important to know ahead of time what insurers will pay for.
The line between the desire for improved physical appearance and medical need can be fuzzy in the world of health insurance. Although few people expect to have their health plan pay for their tummy tucks or face lifts, there are procedures that legitimately warrant coverage.
The bottom line when it comes to an insurer’s decision to pay for a procedure is typically whether it’s considered medically necessary, experts say.
“Generally, if a procedure is necessary to repair or preserve the healthy functioning of the body, it’s likely to be medically necessary,” said Carrie McLean, senior manager of customer care with online insurance broker eHealthInsurance.com.
“If the procedure is typically considered standard practice for any given diagnosis, that may also meet the criterion for medically necessary,” she said.
Exactly where that line is drawn depends on the individual and his or her circumstances, not the procedure itself, said Patrick Johnston, president of the California Assn. of Health Plans, which represents 40 health plans insuring more than 21 million Californians.
For example, a middle-aged man interested in a tummy tuck to restore the six-pack of his youth isn’t likely to get much sympathy from his insurer, he said, but it’s a different story for someone who lost 150 pounds after bariatric surgery and is left with excess skin.

“This is a recognized standard of treatment for morbidly obese individuals,” Johnston said.
In the same way, he said, a nose job to correct a deviated septum or surgery to lift drooping eyelids that impair vision are other common surgeries likely to be covered by a health plan.
Consumers have a variety of legal protections that guarantee access to certain cosmetic procedures.
Women who have undergone a mastectomy after a diagnosis of cancer, for example, are guaranteed coverage for reconstructive surgery.
“Both federal and state laws guarantee a woman who has had a mastectomy as a result of breast cancer coverage for breast reconstruction,” Johnston said.
California law also requires insurers to cover the repair of a child’s cleft palate, which includes any medically necessary dental or orthodontic services that are an integral part of reconstructive surgery.
If you’re in the market for a cosmetic procedure, here are some important reminders.
• Check with your insurer in advance. In most cases you’re likely to need your insurer’s pre-authorization to obtain coverage.
It’s a good idea to work with your doctor. Submitting medical records, letters from specialists who have treated you for long-term symptoms and in some cases photos can all lend support for the medical necessity of the procedure and increase your chances of gaining approval.
• Pre-approval may not be enough. Breast reduction surgery such as what Wichinsky plans is a good example of the devil being in the details.
Most insurers dictate how many grams of tissue must be removed from each breast for the procedure to be covered. Asking in advance what those requirements are can help avoid surprise bills.
• You can appeal insurer decisions. Don’t be deterred if your insurer initially denies coverage. You frequently have to appeal the claim … to obtain insurance coverage.
This Information is brought to you courtesy of Dr. Bishara and The Paragon Plastic Surgery & Med Spa

/by