Treating The Scars Of War

When a homemade bomb hit his Humvee in 2004, Schofield Barracks soldier Ryan Goede took the brunt of the blast.

“The vehicles we had then had little to no armor, no windows and no doors,” he recalled. “The thing went off and we weren’t prepared for it.”

Of five soldiers in the vehicle, he said, “I took the whole beating. … Everyone else was hunkered down.”

It was the third time Goede had been wounded in Iraq and, as before, the doctors were more concerned about saving his life and limbs than about the shrapnel in his face.

And so for three years the soldier tolerated facial scars — until Monday, when he took advantage of free surgery provided to the war wounded.

“I look a little ridiculous,” Staff Sgt. Goede said with a laugh yesterday after returning to Honolulu from Kahului, Maui, where Dr. Larry Schlesinger took 37 pieces of shrapnel from his face.

“It turned out to be a four-hour case,” the doctor said by telephone. “He had shrapnel all through his face, his eyelids, in his lips, in his ear and one big piece right over his vocal cords just under the skin.”

He also had traumatic “tattoos” — dirt and pebbles implanted in his face, said Schlesinger, who abraded the skin with Hawaiian salt and performed laser surgery.

The plastic surgery was the 17th surgery for Goede, 25, who has three Purple Hearts.

An unexpected source entered the picture to cover the costs: the Iraq Star Foundation, formed by Maggie Lockridge of Rancho Mirage, Calif. Lockridge, a former Kailua resident, nurse and Air Force veteran, started the nonprofit in February after seeing ABC-TV journalist Bob Woodruff’s report about his injuries from a roadside bomb in Iraq.

Operating on donations, her foundation covers costs for aesthetic surgeries for military people and veterans with disfiguring facial wounds. With help from prominent Beverly Hills plastic surgeon Dr. Norman Leaf, she has recruited 140 board-certified plastic and reconstructive surgeons in 38 states, “all just waiting to help.”

Goede, from Tucson, Ariz., is the 12th patient so far.

“It’s a great opportunity for plastic surgeons to give back to the community and a great opportunity for guys who’ve done something for their country to get made whole again,” Schlesinger said.

Goede heard about Schlesinger from a buddy whose wife works for the plastic surgeon.

Schlesinger said he told Goede, who planned to pay for the surgery, that “I couldn’t accept any money. I have strong feelings about the military. It’s an opportunity for me to give back and help someone who was over there protecting us.”

Maui-based anesthesiologist Dr. Lance Whitney also donated his services.

When he returned to Maui after seeing Goede in Honolulu, an e-mail was waiting for him about the Iraq Star program, Schlesinger said.

He called Lockridge, who said the organization would pay for Goede’s flight, medicines and other costs. “It was kind of serendipitous,” he said.

He also got Surgicare of Hawaii in touch with Lockridge and it has volunteered its facilities for military reconstructive surgery cases, said administrator Karl Klungreseter.

Goede could easily leave the Army on disability — he has four plates in his body and is blind in one eye — but wants to continue his career as a Special Forces medic.

“Basically, it’s my opportunity to give back the care I’ve received,” he said. “Our platoon medic, I owe him my life.”

Hawaii soldier’s face repaired by Iraq Star

KAHULUI, Maui — Military doctors patched up Army Staff Sgt. Ryan Goede’s shattered body after a bomb exploded near his vehicle in Iraq three years ago, but until yesterday he still carried bits of the war-torn country in his face.

Sixteen surgeries at nine medical facilities repaired his mangled leg and removed some of the shrapnel, rocks and other material from the 25-year-old’s neck and face, but pea-sized pebbles and dirt remained in his lips, cheeks and lower eyelids.

Goede, a member of the 25th Infantry Division at Schofield Barracks, said the debris didn’t hurt but was hard to ignore when he looked in the mirror.

“It’s knowing that it’s there,” he said before undergoing surgery yesterday at Dr. Larry Schlesinger’s Maui Plastic Surgery in Kahului.

Goede is one of only 12 servicemen and servicewomen nationwide, and the first in Hawai’i, to benefit from Iraq Star, a new nonprofit foundation dedicated to providing free reconstructive surgery to wounded and disfigured soldiers who served in Iraq and Afghanistan.

“Iraq Star picks up where the military and the Veterans Administration leave off,” said Maggie Lockridge, a California registered nurse and Air Force veteran who founded the organization in June.

“The aesthetics is something the military does not really have time for right now. They are underfunded and overwhelmed with the traumatic injuries they are addressing.”

CALL FOR VOLUNTEERS

Iraq Star so far has signed up 140 board-certified plastic and reconstructive surgeons in 38 states. Among those helped, in addition to Goede, were a female Marine injured by a car bomb, a soldier who had to have his teeth replaced and another serviceman who nearly lost his tongue from a war injury.

Another soldier will undergo cosmetic surgery today in Texas, Lockridge said.

Schlesinger, a 10-year Army veteran, is the first Hawai’i doctor to join Iraq Star.

Goede, from Tucson, Ariz., showed up at Schlesinger’s Honolulu office in July to see about having cosmetic surgery to remove the foreign matter from his face.

“He was perfectly willing to pay, but I was unwilling to accept his money,” the doctor said. “I was thrilled to be able to give back to the effort the troops are making. The military does a great job taking care of limbs, but for facial, we’re the experts.”

Around that same time, Schlesinger received an e-mail from Iraq Star seeking physicians to join the program. The doctor contacted the foundation to arrange for Goede’s medication, travel and other expenses to be covered.

Schlesinger and his staff donated their time for the procedure, which normally would cost $8,000 to $10,000.

SIX WEEKS TO HEAL

During yesterday’s three-hour procedure, Schlesinger carefully cut the pebbles from Goede’s face and used a laser to remove the top layer of skin containing smaller material. Hawaiian salt was used to abrade the skin and draw dirt to the surface, where it will be absorbed by gauze.

Within six weeks, the soldier should be fully healed, his face largely indistinguishable from his prewar appearance.

“It’s a once-in-a-lifetime opportunity. I never expected anything like this to happen,” said Goede, who enlisted in the Army in 2001.

The soldier said he was on routine patrol in an overcrowded, unarmored vehicle on June 25, 2004, when a buried bomb was detonated nearby. Goede was sitting on the edge of the vehicle and suffered the brunt of the blast. His leg was broken in several places and chunks of tissue had been ripped away from his body.

KEEPS ON GOING

Goede lost most of the vision in his left eye. Military doctors were hesitant to remove matter from areas close to his remaining good eye, so the pebbles, dirt and sand were left in place.

Four months after being wounded, Goede rejoined his buddies in Iraq. “I wasn’t in shape, but I went back for a morale thing. Everyone who was there thought I wasn’t going to make it and that was the last image they had of me. I figured I’d go back and cheer everyone up,” he said.

The explosion earned Goede his second Purple Heart. He had been wounded less than three months earlier in a firefight with insurgents in Huwijah on April 7, 2004.

He earned a third Purple Heart in a separate incident before returning to Schofield in February 2005. He married his high school sweetheart, Amy, at the end of that year.

Goede received a special medical waiver to apply for the Army’s Special Forces and in July passed a 30-day selection process that he described as “a month of hell.” In January he’ll leave for two years of training at Ft. Bragg, N.C., as a Special Forces paramedic.

Goede and Schlesinger said they wanted to share their story to encourage more soldiers and physicians to participate in Iraq Star. The foundation also accepts donations.

Plastic and orthopedic surgeons assist in Haitian earthquake relief

doctorsOrganized by the British Association of Plastic Reconstructive and Aesthetic Surgeons in concert with Medical Emergency Response International, a team of surgical experts were deployed to Haiti following the earthquake which took place on January 12, 2010. The team was landed in country just three days after the catastrophe, and were performing limb-saving surgeries by the 20th of January.

A new report summarizing the successes of the operation, published in an industry magazine owned by the American Society of Plastic Surgeons, has just been released.

The team of surgeons followed a combined orthopedic and plastic surgery approach to minimize the need for amputations and to help victims of the Haitian earthquake retain both form and function in severely injured limbs. With a primary focus on avoiding amputation, the team of five plastic surgeons, five orthopedic surgeons and five anesthetists performed three hundred and forty-eight surgeries in total. The surgeries were performed on just under one hundred and fifty patients who had sustained crush injuries or similar trauma from falling rubble and other accidents.

While the orthopedic surgeons repaired breaks, fractures and splinters of the bones, the plastic surgeons worked to reconstruct skin and underlying tissue while recovering vascular systems and effecting aesthetically correct bodily repairs. As the brunt of the Haitian catastrophe was weathered, the influx of patients with bone damage declined markedly. By the end of the relief operation, it was discerned that about three quarters of the surgeries had been primarily soft tissue reconstruction — work performed by plastic surgeons.

Many plastic surgeons expend their professional energies providing aesthetic embellishments like breast augmentations, face-lifts and tummy-tucks. The experience in Haiti, however, illustrates the critical role that those same surgeons can play in the recovery of normal bodily appearance and functionality. The ten week trip helped to avoid a huge quantity of amputations and massively improved the quality of life for nearly one hundred and fifty victims of the disaster.

“This experience shows that a favorable amputation rate can be achieved,” write the authors of the new report, “and the changes in work load over time demonstrate the benefit that an ortho-plastic limb salvage team can provide in the early stage of disaster relief.”

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

BOTOX could become better regulated

botoxBOTOX is among the top used anti-aging treatments in the world. Last year almost two and a half million people were injected with the fast acting substance in order to achieve a smoother, more youthful appearance.

It’s no surprise the treatment is so popular. Between its wide availability, its proven, near instant efficacy, and its incredibly affordable cost — around $400 per treatment — it makes sense that nearly one in every one hundred and thirty Americans has used BOTOX to put off the signs of aging for another year or two.

One concern about the wrinkle erasing substance, however, is that just about anyone can legally administer it even though doing so requires multiple injections delivered to sensitive, nerve-rich areas of the face. The potential for mistakes is such that botched BOTOX treatments have become a trendy mode of gossip around the country. For every couple of hundred treatments, someone ends up with less-than-desirable results.

While BOTOX itself is a controlled substance — meaning only a doctor can purchase it — anyone is permitted to administer it regardless of their qualifications. That may be about to change.

“There’s no set or approved curriculum or licensure or anything for that,” says Dr. Lori Stetler who practices out of Dallas. She went on to express concern about the potential mistakes that could result from untrained or poorly trained technicians delivering the treatments.

The Texas Medical Board is set to discuss the further regulation of BOTOX delivery this week. One possibility is that BOTOX delivery will be limited to doctors, nurses and doctor’s assistants — a big step towards safer administration of the youth restoring treatment. If new regulations are passed in Texas, a tighter control of the substance may catch on in larger spheres around the country.

“I like the idea,” says Dr. Stetler of the medical board’s considerations, “that they are looking into and hopefully will get rid of some of those people who are harming the public.”

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

New filler techniques may help postpone face-lift operations

facelift-image-150x150A shallowing or hollowing appearance of the areas around the cheeks, eyes and temples are some of the most prominent signs of aging. While a variety of procedures are available to counteract these developments, opinions differ substantially on the overall best method of achieving lasting, natural looking results. Doctors often use fillers, fat injections, implants and the like to fill out thinning areas around the face, but results vary as fillers and implants tend to shift and settle in ways that can look less than natural.

According to a recent PRWeb report, a Doctor Val Lambros, M.D., believes he may have come across a dependable solution for delivering natural looking, properly distributed fillers in traditionally difficult to treat areas of the face such as the temples. A study he authored earlier this year outlines a new approach in which highly diluted hyaluronic acid is used to fill facial zones affected by visible signs of aging.

The study discusses the treatment’s application to forty patients over a period of a year and a half, and claims the results in each case bore a smooth, natural look that left patients happily surprised. The smooth, regular results, according to Dr. Lambros, are due to an even distribution of the filler material effected by a steady absorption of the saline element in his injection.

Lambros said that his patients were highly satisfied with the treatment, and that not one of them requested a reversal of the filler treatment.

“This is a minimally-invasive procedure that can make a big difference in the patient’s efforts to minimize the appearance of aging,” said Lambros.

While conventional face-lifts still deliver the most radical, long lasting results, plastic surgeons like Lambros often suggest less invasive, simpler procedures like the use of fillers for the reduction of fine lines, wrinkles and hollow, thinning areas of the face.

Filler treatments are incredibly cost effective compared to face-lifts, they are often reversible, and they require virtually no recovery time. The effects of many fillers last anywhere from about one to three years, which makes them a great short-term to mid-term solution.

“In my practice,” says Lambros, “I emphasize giving my patients a natural-looking result that — in some cases — may call for fillers as opposed to surgery.”

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

Non-invasive cosmetic procedures on the rise

non-invasive-cosmeticNon-surgical cosmetic procedures are out-pacing their surgical counterparts at an increasingly surprising rate. In the year 2000, non-invasive procedures that offered less dramatic but more affordable results accounted for just over a quarter of all cosmetic procedures performed in the United States. That number has risen incredibly in the last ten years, settling at around 90% last year according to a recent study performed by the American Society of Plastic Surgeons (ASPS).

While it’s easy to assume that these changes have been brought about by a slow, steady economic downturn, industry experts agree that that’s not actually the case. The demand for cosmetic procedures throughout the country continues to rise, and the amount of money Americans are spending on aesthetic operations is continually climbing as well. The changes, according to plastic surgeons like Dr. Paul Feldman who recently spoke about the matter with PRNewswire, result from evolving attitudes towards plastic surgery as well as new technological developments.

Non-invasive aesthetic procedures such as the delivery of fillers and tighteners like BOTOX and Dysport have reduced the apprehension normally associated with visiting a plastic surgeon. Chemical peels, microdermabrasion, laser treatments and other in-and-out procedures have thrown the doors of cosmetic surgery open to a much larger customer base than ever before.

Full blown plastic surgeries, on the other hand, are by no means experiencing a drastic decline. To the contrary, non-invasive procedures are simply picking up at an extraordinary rate. According to the ASPS breast augmentation, liposuction, eyelid surgery, rhinoplasty and face-lifts are still in high demand, and still being performed at a fairly normal rate nationwide.

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

Asian patients undergo surgery to acquire “Western” appeal

surgeonThe motives to undergo plastic surgery may seem different from culture to culture at first glance, but they’re more similar than might be imagined.

According to a recent CNN report, affluent Asian patients are increasingly embracing plastic surgery to achieve a more “Western” appearance in the hopes of elevating their prospects. Many believe that a European look could help them to secure a more lucrative career and command more respect and notoriety from their professional peers.

While a variety of procedures can help Asian patients to achieve the look that they’re going for, the most commonly performed include nose reshaping, eyelid surgery, and facial contouring. Seoul, the capital of South Korea, is becoming an important destination for medical tourism — that is, the practice of visiting foreign countries for comparatively cost effective or high quality medical services. Dr. Kim Byung Gun, a surgeon working out of Seoul, says that nearly a third of his patients are foreigners. Of that third, nine out of ten are Chinese.

“They can find a much better job,” says Dr. Kim Byung Gun, “if they have a pretty face.”

While the sentiment that good looks bring prosperity may seem frank and vulgar at face value, the fact is that beauty does count for something in personal and professional realms alike. In the West as in the East, many people pursue plastic surgery with hopes of restoring their youth, the charisma of their beauty, and their confidence in themselves.

Jang Hyu Hye, a woman whose interview was included in CNN’s recent report, agrees that good looks can help to open doors. That’s one of the reasons why she’s paying for her daughter’s eyelid surgery.

“Yes, I think it’ll help her,” she says of her daughter’s upcoming procedure. “This is a society where you have to be pretty to get ahead. She’s my only daughter.”

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

Plastic surgery to prevent bullying on the rise

makeupPlastic surgery is enjoying an increasingly comfortable reception in much of the world, a fact that’s attested to by the growing number of patients who undergo cosmetic procedures with each passing year. Last year saw a sharp rise in the number of men committing to plastic surgery, and now a similar rise is being witnessed among an even less likely demographic: children.

Some parents have begun to consider plastic surgery as an option to manage teasing and bullying dished out on account of abnormal features like ears that stick out or an over-sized nose.

“I would hear all kinds of things, dumbo, whatever,” says London Woodward about her own early years. Woodward recently had work done on her right ear, and says she’s considering approving the procedure for her eleven and thirteen year old daughters.

“I didn’t like it,” continues London, referring to the bullying, “it made me feel insecure.”

Dr. Michael Olding, a George Washington University plastic surgeon, admits that correcting wayward ears is a fairly simple, routine procedure — even for children. But he’s not sure that abnormal features and being bullied at school have such a straightforward, cause and effect relationship.

“The knife is not the answer,” says Dr. Olding, who believes that the bullying itself needs to be addressed instead of whatever inane detail the bully has chosen to latch onto. For Mrs. Woodward and her daughters, however, the prospect of reducing the teasing and bullying in one fell swoop holds a certain allure.

“People judge you on a lot of other things,” says Aubrey, one of Mrs. Woodward’s daughters. “And then when you add an ear to it, it makes you feel bad.”

“They’ve been teased a little bit in elementary and in junior high,” continues Mrs. Woodward, sympathizing with her daughters. “So it’s something I think they want to do, so we’re behind them.”

While performing cosmetic procedures on children may have been unheard of just ten or twenty years ago, times are certainly changing. Even Dr. Olding, while he doesn’t believe surgery is the right course to prevent bullying, admits that he’s still willing to perform some procedures on children — assuming they display a certain level of emotional maturity.

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

Ultherapy continues to gain credibility as face lift alternative

UltherapyUltherapy, a new type of non-surgical treatment intended to tighten and lift the skin around the face, is gaining credibility and popularity in the realm of cosmetic medicine. The procedure utilizes a special frequency of ultrasound that agitates tissues beneath the outer layer of the skin. This causes those tissues to shrink and contract, tightening the overlying areas.

Brian Biesman, the executive director of the Nashville Center for Laser and Facial Surgery, admits that ultherapy doesn’t yet deliver the kind of drastic results that can be achieved with a conventional face lift. He’s still happy to offer the treatment to his patients, however, believing that it constitutes an excellent alternative for those who prefer a less invasive treatment. The cost of ultherapy is also far less preventative than its surgical counterpart, often amounting to no more than about three or four thousand dollars.

Michael Gold, a dermatologic surgeon who owns the Gold Skin Care Center in Nashville, allows that the treatment is uncomfortable and even painful for some. The recovery time, however, is virtually non-existent. That fact, along with the treatment’s incredible quickness and its complete lack of scarring effectively counter the drawbacks in many patients’ minds.

“This is not the kind of thing where you walk in,” says Dr. Gold, “get your Botox and leave.” He went on to say that ultherapy patients are offered pain medication to help reduce the treatment’s discomfort.

Even with the apparent limitations, though, ultherapy has proven to be a great success with many patients. Nina Kuzina, a Tennessee woman who recently underwent ultherapy treatment, was more than happy with the results.

“It’s unbelievable,” she said of the procedure’s results — results achieved in just over an hour — “I’m amazed.”

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!

Doctor pioneers stem-cell face lift

doctor-one-150x150Dr. Nathan Newman, MD, a renowned cosmetic surgeon in the Beverly Hills area, is continuing to develop his innovative new treatments for scar repair, abnormality correction and cosmetic rejuvenation. His proprietary treatments introduce stem cells carefully harvested from a patient’s own body into the locales of their specific treatment such as the face, neck, or the site of a scar or other unsightly damage. The stem cells are prepared in a fatty solution extracted from the patient’s body which acts as a naturally effective filler. The result is exciting: not only does the fatty filler help to smooth lines and plump hollowed skin, the stem cells also work to rejuvenate old, damaged tissues and restore youthful beauty.

Stem cells, according to Dr. Newman, naturally repair damaged tissues as well as muscles and cartilage. This makes them an ideal additive to a fatty filler whose primary role is to restore a youthful, healthy and energetic glow to a specific area of the body. While Dr. Newman is certainly making a name for himself in the world of stem cell fillers, doctors across the nation are beginning to provide variations of these exciting new treatments to their patients.

“The Stem Cell Lift,” says Dr. Newman of one of his proprietary treatments, “is a natural and safe method of harnessing the power of stem cells, which are genetically programmed to repair and rejuvenate damaged cells, tissue, muscle, cartilage and even bone.”

Stem cell fillers can be used in all sorts of cosmetic procedures, but their popularity as a sort of face lift alternative is perhaps the fastest growing. “Stem cell lifts” help to imbue a patient’s face with a healthy, beaming glow while tightening skin, plumping hollow areas and restoring naturally beautiful proportions to the face. Patients and doctors alike are impressed with the procedure’s relative simplicity, safety, longevity and quick recovery time compared to a traditional face lift.

Resource Box:

Larry Schlesinger, M.D. is one of the plastic surgeons in Hawaii performing breast augmentation and breast implants in Honolulu – BREAST IMPLANTS HAWAII and BREAST AUGMENTATION HONOLULU.

Hawaii Breast Augmentation is performed at three offices on Maui, in Hilo-Kona, and in Honolulu. Dr. Larry Schlesinger has over 30 years of Plastic Surgery Honolulu experience in Hawaii and has completed over 18,300 successful surgical procedures. Contact us to get a free consultation!