Surgeons remove football-size tumor from 11-year-old’s upper body

(Reuters) – Surgeons in New Mexico have removed a rare, football-sized tumor from the neck and upper body of a Mexican boy, capping a two-year charitable effort to get the disfigured child U.S. medical attention, a church official said on Tuesday.

The 11-year-old patient, Jose Antonio Ramirez Serrano from Ciudad Juarez, just across the U.S.-Mexico border from El Paso, Texas, was expected to remain at the University of New MexicoChildren’s Hospital for at least a month recovering from Monday’s surgery.

The massive growth, nearly a foot (30 cm) in length and measuring about 4 inches (10 cm) wide and deep, was removed by a 25-member surgical team during a 12-hour operation that ended late on Monday, said Kristean Alcocer, Spanish ministry coordinator for the First Baptist Church of Rio Rancho near Albuquerque.

The boy remained under sedation and in intensive care following the operation, Alcocer told Reuters, adding the boy’s medical bills and related expenses had been paid for through donations.

“We are so thrilled. This has been two years in the making,” said Alcocer, who was part of the effort to bring Jose to the United States for treatment.

The boy had been coping for most of his life with the tumor, which grew on the left side of his neck, shoulder and torso, Alcocer said. Such growths, called lymphangiomas, are malformations of the body’s lymphatic system that create large, unsightly tumors on the skin’s surface.

Church members first noticed the child walking across a street in the impoverished Anapra neighborhood of Juarez two years ago and learned the child’s family had exhausted all medical efforts in Mexico.

“Many promises were made to them over the years, but no one ever came through with meaningful solution,” Alcocer said, adding the family was skeptical about trying to have the growth surgically removed when first approached.

The child was brought to New Mexico in July 2012 under humanitarian visas secured for the purposes of obtaining medical treatment in the United States, Alcocer said.

The boy and his family are permitted to visit the country for up to 10 years under the visas, but his parents travel back and forth from their residence in Mexico, Alcocer said. The boy was staying at the homes of Alcocer and the church pastor as he prepared for the surgery.

(Editing by Steve Gorman and Peter Cooney)Surgeons remove football-size tumor from 11-year-old’s upper body

Brazil surpasses U.S. in number of plastic surgeries

Janet Timal, 47 (right), stands with her niece Thairine, 21. Janet has had a tummy tuck and breast augmentation and helped her niece pay for liposuction. "The ideal is to be able to put something on, to sit down and not have your belly jumping out. Here in Brazil it gets hot, and the less clothes, the better," says Janet.

Jimmy Chalk for NPR

October 07, 201412:11 PM ET
Lourdes Garcia-Navarro Janet Timal, 47 (right), stands with her niece Thairine, 21. Janet has had a tummy tuck and breast augmentation and helped her niece pay for liposuction. “The ideal is to be able to put something on, to sit down and not have your belly jumping out. Here in Brazil it gets hot, and the less clothes, the better,” says Janet.

Janet and Jaqueline Timal are 40-something-year-old sisters, and they have what they call a plastic surgery fund. “I’m always saving money. When I see I’ve gathered up enough money for another surgery I do it,” Jaqueline says. She has had breast implants put in and also a tummy tuck. She’s visiting the plastic surgeon’s office again to do a famed Brazilian butt lift, which is the same as a breast lift, but on your backside. Janet has had a tummy tuck; she’s now doing her breasts, too. Between them, they will have had five surgeries.

Janet and Jaqueline aren’t rich — far from it. One works at a retirement home; the other owns a small shop. They both say this isn’t about bankrupting themselves for beauty but rather the opposite — Jaqueline says she sees the procedures as an investment. “I think we invest in beauty because this is very important for women here. You can get a better job because here they want a good appearance, a better marriage because men care about the way you look,” she says.

Brazil has just surpassed the U.S. as the place with the most cosmetic surgeries performed in the world, even though it has fewer people and collectively less disposable income than the U.S. Last year, according to the International Society of Aesthetic Plastic Surgery, 1.5 million cosmetic surgeries were carried out in Brazil — 13 percent of all the elective plastic surgeries done all over the world.

One reason is that Brazil simply has more plastic surgeons per capita than the U.S. There’s a health care crisis in Brazil that has led the country to import doctors from Cuba to work in rural and poor areas. Yet there’s a surfeit of plastic surgeons.

The other reason is women’s increasing financial power. In the past 10 years, Brazil has grown economically, and salaries and disposable income have gone up. Women like the Timal sisters have overwhelmingly chosen to use that money on their appearance.

While in the U.S., people may hide that they have had plastic surgery like it’s something shameful, in Brazil they flaunt it. The attitude is that having work done shows you care about yourself — and it’s a status symbol.

But even though people have more money and greater access to credit, many of the poor wouldn’t be able to afford to pay for all of their cosmetic procedures unless they got a helping hand.

The Ivo Pitanguy Institute in Rio de Janeiro is named after the famous Brazilian plastic surgeon who is renowned for saying, “The poor have the right to be beautiful too.”

Here the ethos is beauty shouldn’t just be a privilege of those who can afford it.

The institute’s lobby is packed as attendants call out the names of women — and a few men — who are waiting to be evaluated for cosmetic surgeries. This is a charity and teaching hospital, and the surgeries given are either free of charge or heavily subsidized.

The hospital offers all the usual fare: breast implants, breast lifts, Botox, nose jobs, face lifts and, of course, the ever-popular butt implant.
This is where the Timal sisters are having their surgeries. The price for Jaqueline’s butt lift? It’s 3,800 reals, about $1,600. At a private hospital it could run over three times that.

Francesco Mazzarone, who now heads the institute, explains why it’s important to provide cosmetic surgeries to the disadvantaged. “This is about equality, which is the philosophy Pitanguy created. Equal rights to everyone. The patients come here to get back something they lost in time. We give to them the right to dream,” he says. “What we do here is altruism.”

And the women NPR spoke with are grateful, but they also acknowledge that there is a lot of pressure in Brazil to conform to a physical ideal.

Jaqueline Timal says her 21-year-old daughter has already had liposuction. “I told her she should wait, but to be very beautiful, we push ourselves — and also society pushes us. I think she is too young for that, but as it was her great desire, I supported [her] so she can be happy,” she says.

Some in Brazil, though, balk at the idea that happiness can be achieved at the end of a scalpel.

Being a feminist is a lonely business in Brazil, says Karen Polaz, a blogger and women’s rights activist. She says despite the fact that Brazil has a female president, it’s still a very sexist country. She says beauty as a right sounds good in principle; what that means in practice is that a very narrow view of what is beautiful is being pushed onto people here. “Before accepting the idea that everyone has the right to be beautiful, we have to understand the image of beauty that is being sold, because this is an industry, an extremely lucrative industry. They transform women into consumers,” she says.

And in Brazil, that transformation has a racial component.

Brazil imported more slaves, some 4 million, than any other country. Today, it is a primarily a mixed-race country, but you wouldn’t know that by looking on TV and in magazines here, which rarely feature people of color. “ If you look at the traditional body type of a Brazilian, you would see a woman with dark skin, curly hair, small breasts and a larger bottom, a body that is very different from the body marketed as desirable. – says Marcelo Silva Ramos, an anthropologist and social scientist.

He says what is sold as beautiful here is someone like Brazilian model Gisele Bundchen: a woman who is tall, thin, blond with straight hair, bigger breasts and fewer curves. That has meant people who don’t look the right way — and by this he means “the white way” — are often excluded, he says.

“In our culture, the view is women who look acceptable get money, social mobility, power,” he says.

Take for example the popular Miss Bumbum contest, which annually crowns Brazil’s best backside. All of the contestants this year are lighter skinned.

Claudia Alende, the 22-year-old front-runner of this year’s competition, looks like American actress Megan Fox, right down to the blue contact lenses she wears over her natural brown eyes. She says she is competing for a simple reason.”The contest is famous around the world, and I want to be recognized around the world and become famous, too,” she says, laughing. She says the contest is a way for her to become a TV presenter or an actress. The rules of the contest allow for plastic surgery anywhere but on the backside. She openly admits she’s had work done. “It was [because] everyone was doing [it] so I did [it],” she says.

Previous Miss Bumbum contestants have indeed gone on to arguably bigger and better things. One became a TV presenter; others have become actors and professional dancers on TV. But they are among the few.

Maria da Gloria de Sousa is 46 but looks 30. Maria da Gloria de Sousa, 46, has had six surgeries at the Pitanguy Institute. She’s unemployed but has had six surgeries at the Pitanguy Institute and speaks about her procedures with characteristic Brazilian humor and openness.”First off, I do this for me. These kind of things you need to do for yourself. And second, there’s nothing better than getting a compliment, right? That you’re good, that you’re sexy, it’s really good. I like it.”

"Plastic surgery starts to become an addiction. You're born perfect, but then you have children and you know what having children does. Then suddenly comes the rebirth: plastic surgery. You can be beautiful, even more beautiful than you were before." — Maria da Gloria de Sousa, 46.

Jimmy Chalk for NPR

“Plastic surgery starts to become an addiction. You’re born perfect, but then you have children and you know what having children does. Then suddenly comes the rebirth: plastic surgery. You can be beautiful, even more beautiful than you were before.” — Maria da Gloria de Sousa, 46.

 “I’m almost an android! I had done my breasts three times. I didn’t stop there. I did a tummy tuck and then a lipo, and, lastly, I did my bottom,” she says. She says she has spent the equivalent of the cost of three cars on her operations. “I’m much happier, there is no doubt about it. My bottom will never sag, my breasts will never sag. They will always be there, hard. It is very good to look at the mirror and feel fine,” she says.
When I ask her if it was all worth it, she tells me she has a 21-year-old lover. “Things have gotten a lot better,” she quips. She waves goodbye and, smiling, sashays down the beach — and nothing jiggles.

Plastic surgery helps patients complete transformation after weight loss

Sue Thoms | sthoms1@mlive.com By Sue Thoms | sthoms1@mlive.comThe Grand Rapids Press on September 29, 2014 at 7:00 AM, updated September 29, 2014 at 11:07

GRAND RAPIDS, MI – When Dr. Ryan Mitchell was in his plastic surgery residency, he developed an interest in a growing area of practice – body contouring for patients who have sustained a major weight loss.

The surgery to remove the excess skin left behind is becoming more in demand, as obesity rates rise and bariatric surgery becomes more common, he said.

Mitchell, who recently joined the Bengtson Center in Grand Rapids, pursued a fellowship to specialize in the treatment.

“It became my passion,” he said.

His draw to the specialty is the chance to address quality-of-life and physical needs of the patient. Many of the patients he has met, although they have lost in the range of 100 pounds and are much healthier, experience a bit of “buyer’s remorse,” he said.

Bengtson before and after.jpgBefore after photos show a patient of Dr. Bradley Bengtson after body contouring surgery. Dr. Ryan Mitchell, a surgery specializing in body contouring after major weight loss, recently joined Bengtson’s practice.

Even with diet and exercise, they can’t lose the excess, sagging skin.

“People have said I look worse now than I did before. One patient said when she was larger, she was just the largest person on the beach. Now when she goes to the beach, she feels she gets looks and attention because she doesn’t fit into either mold,” he said.

Body contouring procedures often target the belly, arms, legs and buttocks area.

The problems caused by excess skin are not all cosmetic. There also are functional problems, particularly with the skin around the belly. That area is prone to rashes and infection. And for some patients, the excess skin on the thigh prevents them from wearing slacks.

While health insurance sometimes covers removal of the overhanging skin on the abdomen, patients usually must pay out of pocket for contouring procedures on other parts of the body.

Mitchell said the cost of surgery varies depending on a number of factors. But as a general range, the cost to patients can run from $14,000-$16,000 for abdominal surgery and $6,000-8,000 for arms, including surgical and hospital fees.

A dual U.S-Canadian citizen, Mitchell received his medical degree in plastic surgery from the University of Manitoba. He did his fellowship in body contouring and reconstructive surgery at the University of Pittsburgh Medical Center.

To undergo body contouring surgery, patients must meet certain criteria, Mitchell said.

“They have to be weight stable for about 12 months,” he said. “In some of them, their weight tends to fluctuate. Once they have reached their plateau, that’s when they are optimized for surgery.”

Because some post-bariatric patients are at risk of malnourishment, patients must be on a high-protein diet to improve wound healing, he added.

He cautions patients that there will be scars. He can often hide abdominal scars in the area that would be covered by undergarments or bathing suits, but scars can’t be hidden on upper and lower extremities.

“Almost every surgeon has the ability to do what I do,” Mitchell said. “The question is whether they are passionate in order to do it or comfortable to do so. What I specialize in are the larger cases.”

He cites research showing that plastic surgery can help a patient maintain weight loss. A study in the October 2013 journal Plastic and Reconstructive Surgery found those who underwent body contouring regained an average of 11 pounds, compared with 50 pounds for those who did not undergo surgery.

The plastic surgery may be “the final hurdle to get somebody to the place they’ve always wanted to be,” Mitchel said. “To me, that’s the rewarding part – to be able to be involved in someone’s life and to be able to make that final difference.”

Belly button makeovers: Doctors help shape the ‘perfect’ navel

By Joan Raymond-TODAY contributor

 

Considering that the human belly button is really nothing more than a scar from a cut umbilical cord, it seems a little strange to waste time gazing at your navel. That’s easy to say if you like the looks of that little “innie,” which is hopefully centered between your hips.

But for many people, a misshapen, misaligned, protruding or even missing belly button is a source of embarrassment. Fortunately, there’s a fix, and a new study published in ASJ, the journal of the American Society for Aesthetic Plastic Surgery, is providing doctors a road map to create what may be the “perfect” belly button.

Before and after belly button surgery

American Society for Aesthetic P
Before and after umbilicoplasty, or belly button surgery.

Using a computerized tool called the “Aesthetic Analyzer,” surgeons from Singapore tried to determine the optimal position of the belly button both vertically and horizontally, as well as its length and its shape. Pictures of Playboy playmates (37 to be exact) served as the source of “beauty.”

What they found was the beautiful belly button has a vertical ratio of 46:54, a midline horizontal position, a length that is 5 percent of the length from the xiphoid process (the lower part of the breastbone) to the lower limit of the vulvar cleft, and an oval shape with no hooding (29.8 percent) or superior hooding (21.6 percent).

In English, that means essentially the beautiful belly button is small, vertically oriented, and has a tiny flap or “hood,” explains Miami plastic surgeon Dr. Adam Rubinstein. “Using Playboy playmates is kind of an arbitrary sample. Just because these women are considered beautiful doesn’t mean they have beautiful belly buttons,” he says.

What people really want is to be in the “range of normal,” says Rubinstein. That means that most people want an “innie” even though an “outie” isn’t abnormal, and they want it proportional to their overall abdominal region. And there are some people who simply want a belly button.

“Adults can lose their belly buttons after a tummy tuck, for example, if the surgeon doesn’t create one, and sometimes they lose it just through another type of stomach surgery,” Rubinstein says. “Sometimes the belly buttons that are created are just really bad looking.” Weight gain, pregnancy and umbilical hernias can also make the belly button less than appealing. The procedure used to create a belly button is called an umbilicoplasty and it only takes about 30 minutes to about an hour to perform.

Séminaire CoolSculpting- le 1er Octobre – Cosmedica 514-695-7450

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Research underway to develop artificial tissues for transplant

by:Lindsay Kalter

The concept of constructing organs out of nonhuman material may sound like science fiction, but according to bioengineer Ali Khademhosseinir, these technologies are well on their way to being deployed.

“We can take cells from a person and combine them with other things to create tissue outside of the body, then transplant it back into the person,” said Khademhosseinir, of Brigham and Women’s Hospital.

Tissue engineering research uses a combination of living cells and degradable foams. The cells are initially placed on these degradable materials. As the cells start to populate the area — putting down “pillows” to cushion the area for the creation of new tissues — the foam begins to degrade.

Over time as the foam fully degrades, the cells reorganize themselves to form tissue-like structures.

“Cells are pretty smart. They have evolved to be able to make new tissues,” he said.

The technologies have been used to make simpler tissues like skin and cartilage in patients, but more complex tissues, like those in organs, have yet to be achieved.

Khademhosseinir’s team has, however, been able to create artificial heart tissue that closely resembles natural tissue — and which can actually beat.

Researchers at BWH also recently began researching the use of 3-D printing to create blood vessel-like structures, which are then covered with cells to create new tissues.

“The idea is to be able to one day take an image of a tissue that you want to make, put it in a computer, and the computer would literally print the cells and materials in the structure of the cells you want,” Khademhosseinir said. “Then we’d hopefully use them to make things like a piece of heart or liver or bone.”

Grant money from the National Institutes of Health was used for this research, and tissue engineering funding at BWH also comes from the Department of Defense. Philanthropic funding is growing as well, Khademhosseinir said.

Variety, personalization attract surgeon to plastic and reconstructive field

Staff reports 6:48 a.m. CDT August 18, 2014

This week’s Monday Q&A features Dr. Jill Murphy, a Nebraska native who graduated from the University of Nebraska — Lincoln and from medical school at the University of Nebraska Medical Center. She recently started practicing at Plastic Surgery Associates

Dr. Jill Murphy recently started working at Plastic Surgery Associates in Sioux Falls.(Photo: Elisha Page / Argus Leader)

 

This week’s Monday Q&A features Dr. Jill Murphy, a Nebraska native who graduated from the University of Nebraska — Lincoln and from medical school at the University of Nebraska Medical Center. She recently started practicing at Plastic Surgery Associates.

Question: What’s the best part about working in your field?

Answer: The best part about plastic surgery is the amazing variety of procedures that plastic surgeons can do. We are not confined to one area of the body, but can address surgical problems essentially from head to toe. There is also a lot of creativity involved in plastic surgery. It is definitely not “cookie-cutter” surgery. Many of the more complex procedures I have seen and done do not have a list of steps or instructions that can be found in a book. Instead, you have to draw from the fundamental principles and techniques that you have learned and put them together in a way that can solve each unique surgical situation that you are faced with. This does not just apply to the reconstructive side of plastic surgery. On the aesthetic side, every patient will have unique goals and anatomy which requires a personalized approach to help achieve the results desired. It’s this creativity that I really love about plastic surgery.

Q: What attracted you to Sioux Falls and Plastic Surgery Associates?

A: My husband and I were born and raised in the Midwest and did all of our medical training in the Midwest. We love the people, the atmosphere, the pace of life, pretty much everything about the Midwest. As we were looking for job opportunities after residency, we agreed that this is where we wanted to stay — we’re just not “coastal” people.

When I learned about the opportunity to join Plastic Surgery Associates of South Dakota, I was very excited. I had found an established and well-respected plastic surgery practice in the perfect location. Everyone I have met here so far has been incredibly kind and helpful, and the physicians offer a complete range of reconstructive and cosmetic procedures. With respect to their aesthetic practice, the focus is on natural-appearing results, rather than a Hollywood “plastic” appearance. Finding a group that emphasized these results was very important to me because that is the look I want to help people achieve.

As for the city, Sioux Falls is the perfect size for us. It has all the amenities of a big city but with a small town feel. There are plenty of opportunities for outdoor activities such as hunting and fishing. This was a very important factor for my husband, who loves outdoor activities and wants to share those types of experiences with our twin boys.

Q: What advice would you give to a young person thinking about entering your field?

A: A career in medicine is a huge commitment. It starts early with a lot of studying and test taking in order to be accepted into medical school. Once you are in medical school, you essentially lose control of your life for the duration of your medical and residency training. You will work long hours (up to 80 a week on paper, but a lot of times it is more than that). In the free time you do get, you will be studying because there is a tremendous amount of information that you have to learn in an impossibly short amount of time. You will accrue a huge amount of debt while all of this is happening, as well. Your family will need to be very understanding. It will not be your decision when you get to come home, when you have to leave for work, and whether or not you will get to be there for important moments such as family reunions, ballet recitals, football games, opening presents on Christmas Day, etc. When it’s all over, you might feel like you’ve given up your 20s and early 30s, and in some ways you really have.

That said, this is an amazing profession and you will get to play a unique and important role in many peoples’ lives. Surgery, specifically, allows you to work with your hands and your head, which is great for people who like a lot of variety in their work and love to constantly be doing something. This is a great profession for people who enjoy seeing and learning something new every day. It teaches you how to make the most of your free time, since you might have less free time than others. Despite the rigors of training and the intensity of this career in general, I would still do it again if I had the chance to go back.

Q: What motivates you to be active in your community or profession?

A: I’m very excited to become a part of the Sioux Falls community. My husband and I want to make this our home, and the more you learn about a place and get involved in the community, the easier that is. Finding activities for my boys to participate in is also very important to me. I want them to be able to experience a variety of activities while they are young so they can figure out what they like to do and hopefully focus on that as they grow up and turn it into a career they will love. With respect to plastic surgery, the desire to help people achieve their surgical goals and to continuously be improving the results I can deliver is what motivates me.

Q: Do you have a certain service organization or charity you like to support?

A: Not at the moment. I have volunteered for CASA (court appointed special advocates) in the past, and am currently applying to be a foster parent. My research in graduate school focused on breast cancer, so I’ve also got a special interest in that, as well.

— From staff reports

More Evidence Botox Works for Depression

Caroline Cassels   June 12, 2014

NEW YORK ― A single injection of cosmetic botulinum toxin (BTX), which is typically used to improve the appearance of facial wrinkles, may be an effective treatment for depression.

In one of the first studies to suggest this, investigators at the Hannover Medical School in Germany found that treating the facial muscles involved in emotion with botulinum alleviates depressive symptoms.

“Our emotions are expressed by facial muscles, which in turn send feedback signals to the brain to reinforce those emotions. Treating facial muscles with botulinum toxin interrupts this cycle,” study investigator Prof. Tillmann Kruger said at a press conference here at the American Psychiatric Association’s 2014 Annual Meeting.

Novel Approach

According to the investigators, positive effects on mood have been observed in patients who have undergone BTX treatment for glabellar frown lines. A previous open case series showed that depression remitted or improved after such treatment.

To confirm these results, Dr. Kruger and colleague M. Axel Wollmer, MD, from the Asklepios Clinic North Ochsenzoll in Hamburg, Germany, conducted a randomized, double-blind, placebo-controlled trial of BTX injection as an adjunctive treatment for major depression.

A total of 30 patients with high levels of chronic and treatment-resistant depression were enrolled in the study. Patients were randomly assigned to receive a single injection of BTX or a single injection of saline placebo.

The study’s primary end point was a change from baseline in depressive symptoms, as measured by the 17-item Hamilton Depression Rating Scale (HAMD17), during the 16-week study.

Six weeks after a single treatment, the BTX group experienced an average 47.1% reduction in HAMD17 scores vs 9.2% in the placebo group.

The investigators found that the effect size was even larger at the end of the study and that treatment-dependent clinical improvement was also reflected in the Beck Depression Inventory and the Clinical Global Impressions Scale.

“This study shows that a single treatment of the glabellar region with botulinum toxin may shortly accomplish a strong and sustained alleviation of depression in patients who did not improve sufficiently on previous medication. It supports the concept that the facial musculature not only expresses but also regulates mood states,” the investigators write.

Dr. Kruger said BTX may offer a “novel, effective, well-accepted, and economic therapeutic tool for the treatment of major depression.”

These findings have since been replicated in 2 subsequent studies, one by Michelle Magid, MD, and colleagues, which was presented in March at the American Academy of Dermatology 72nd Annual Meeting and reported by Medscape Medical News at that time, and the other by Eric Finzi, MD, PhD, and colleagues, which was published in the May issue of Journal of Psychiatric Research and was also reported by Medscape Medical News.

Dr. Kruger reported that he and his colleagues are currently conducting a meta-analysis of the 3 randomized trials in an effort to “further corroborate this novel treatment approach.” The researchers are also testing BTX’s therapeutic potential in other psychiatric disorders.

Commenting on the study, press conference moderator Jeffrey Borenstein, MD, president and CEO of the Brain and Behavior Research Foundation in New York City and chair of the American Psychiatric Association’s Council on Communications, said that pursuing new treatments for depression is “crucial.”

Dr. Borenstein added that he would like to see this line of research pursued in studies that include larger numbers of patients.

Seniors postponing retirement consider cosmetic surgery for a competitive edge

By Alix Pianin, The Fiscal Times August 17, 2014

After the recession hit, business at Dr. Mary Lee Peters’ plastic surgery practice grew steadily.

The downturn brought new types of patients to her Seattle office—people with severance packages who were still smarting from layoffs and too much time on their hands. Several put the money towards cosmetic surgeries, and Peters went to work helping them look “fresher” for their job interviews, she said.

That meant Botox and fillers for the more conservative patients, but “most of the time it would be somebody who would have their eyes done or their face done,” she said.

“People would use their money from being laid off, their severance pay … to get cosmetic surgery so they could look better for their next job interview,” Peters recalled in an interview with The Fiscal Times last week. “You’d be amazed at how often I’d see that. You would think that people would be scampering away from something like this.”

With a growing number of baby boomers postponing retirement, venturing back into the job market, or striving to retain their standing at work, more and more seniors are turning to cosmetic enhancements to gain a competitive edge.

The number of cosmetic procedures including surgery and minimally invasive procedures topped 15.1 million in 2013; people aged 55 and over made up an increasing number of the patient share, according to a February study by the American Society of Plastic Surgeons.

While the majority of cosmetic procedures were performed on 40- to 54-year-old patients, the 55+ set underwent 3.8 million procedures, or 26 percent. That’s up four percent from 2012, according to the report.

“Many people in their 50s and 60s who are looking for work find their age can be a real barrier to landing a new job, even though age discrimination in employment is illegal,” John Rother, former executive vice president of Policy, Strategy and International Affairs at AARP said in an interview, “Employers have many subtle ways of favoring younger, more attractive applicants.”

The result, said Rother, is that “many older women in particular, especially those in competitive job markets, are taking steps to improve their appearance in order to better compete against younger job applicants.”

In fact, $12.6 billion was spent on cosmetic procedures in the U.S. in 2013, an increase of 15 percent from the previous year. That was the fourth straight year of growth for the industry, according to the American Society of Plastic Surgeons.

Experts say the growth has been in minimally invasive treatments. Skin treatments such as Botox injections and soft tissue fillers are cheaper than traditional surgical procedures like facelifts and eyelid surgery, and they require less recovery time.

These approaches are especially appealing to older people in the workforce who think they are being outmatched when compared to peers who may appear younger and more energetic, said David Sarwer, professor of Psychology in Psychiatry and Surgery at the University of Pennsylvania.

“The more common scenario is when we have people who are talking more about, ‘I’m concerned that I’m falling behind, or I’m concerned that I haven’t gotten the promotion that I have wanted to get several years ago, and that’s why I’m having it done,’” said Sarwer.

Professionals or high ranking executives seek out Peters with similar concerns—they want to appear energetic and vital to their workplace in order to extend their careers for as long as possible. And some are in a difficult corner. A Federal Reserve survey released last week suggests that fallout from the recession will force many to work well past their planned retirement date—all the more incentive to keep a tight grip on a good job.

A new analysis of Census data found that the percentage of people 65 and older in the labor force increased from 12.1 percent in 1990 to 16.1 percent in 2010, according to Forbes. The Urban Institute forecasts that employees 50 years and older will account for 35 percent of the labor force by 2019.

“We live in a society with pretty serious ageism,” Peters said. “And it’s starting to make them angry that people are looking at them and saying, ‘Hey, when are you going to retire, why are you doing all this?’”

Whether plastic surgery and scores of other cosmetic treatments actually give a leg up to older Americans either entering or currently in the workforce is unclear.

“We really want patients to realize that … these procedures do not lead to Cinderella-like transformations in their lives,” Sarwer said. Researchers are still unsure how cosmetic procedures affect quality of life and self-esteem in patients.

“While some people may see you as more attractive, and they may have a positive impact on things like your body image and how you feel about your appearance, they in fact may not help you get a new job, or do things like save a failing marriage,” Sarwer said.

Dorothy Tannahill-Moran, a career coach who leads job searching classes for people 50 and older, advises her students to focus more on keeping their wardrobes current and matching the higher energy levels of younger would-be co-workers than zeroing in too much on plastic surgery.

“It’s a fairly easy leap to go from feeling like you’re at a disadvantage and having perhaps had a couple of blows dealt to you and then going, well, maybe if I clean up my act, if I go get plastic surgery, maybe that’s it,” she said in an interview. “I think there’s more going on than just how wrinkle-free your face might be.”

– See more at: http://www.thefiscaltimes.com/Articles/2014/08/17/Why-Plastic-Surgery-No-Quick-Fix-Getting-Job#sthash.zJvSWzfT.dpuf

Five things plastic surgeons should avoid – American Society of Plastic Surgeons

1) Avoid performing routine mammograms before breast surgery.

Mammograms should be ordered based on existing clinical practice guideline recommendations, for patients undergoing breast surgery, including non-complicated breast augmentation, mastopexy, and breast reduction. Existing clinical practice guidelines recommend annual screening mammograms for patients of specific age groups. There are no recommendations for patients undergoing elective breast surgery to undergo additional screening unless there are concerning aspects of the patient’s history or findings during a physical exam which would suggest the need for further investigation.

Avoid using drains in breast reduction mammaplasty.

Although wound drains can minimize the amount of fluid at the surgical site, there is no evidence to support the use of drains. Evidence also indicates that the use of drains neither increases nor decreases postoperative complications, causes greater patient discomfort and possibly increases the length of the hospital stay. In patients that have liposuction as an adjunctive technique to the breast reduction, the decision to use drains is left to the surgeon’s discretion.

Avoid performing routine and follow-up mammograms of reconstructed breasts after mastectomies.

Evidence indicates that clinical examination is sufficient to det ect local cancer recurrence in patients undergoing breast recon struction after complete mastectomy. Current clinical practice guidelines recommend regular clinical exams for detection of breast cancer and imaging studies are not recommended as a part of routine surveillance . However, diagnostic imaging is indicated if there are clinical findings and/or clinical concern for recurrence. In cases of breast reconstruction after partial mastectomy or lumpectomy, mammography is still recommended. It is also important to continue mammography of the opposite breast i n women who had a unilateral mastectomy.

Avoid performing plain X-rays in instances of facial trauma.

Evidence currently indicates that maxillofacial computed tomogr aphy (CT) is available in most trauma centers and is the most s ensitive method for detecting fractures, in instances of facial trauma. Evidenc e also indicates that the use of plain X-rays does not improve quality of care, causes unnecessary radiation exposure and leads to substantial increase in costs.

Use of plain X-rays for diagnosis and treatment is helpful in instances of de ntal and/or isolated mandibular injury or trauma.

Avoid continuing prophylactic antibiotics for greater than 24 hours after a surgical procedure.

Current evidence suggests that discontinuing antibiotic prophyl axis within 24 hours or less after surgery is sufficient in preventing surgical site infection compared to continuing antibiotic prophylaxis beyond 24 hours after surgery. Prolonged use of antibiotics may increase the occurrence of antibiotic resistant bacteria and increase the risk of other infections. This recommendation is also supported by the Surgical Care Improvement Project, which is a national quality partnership of organizatio ns interested in improving surgical care by significantly improv ing surgical complications. In cases where a surgical drain is placed next to a prosthetic device (breast implant or tissue expander), there is not enough evidence to recommend discontinuing antibiotics and therefore t he decision is left to the surgeon ’s discretion.