Plastic and orthopedic surgeons assist in Haitian earthquake relief

Organized 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!

Tummy Tuck Honolulu, Hawaii by Dr Schlesinger

Tummy Tuck in Honolulu Hawaii

The key to a great tummy tuck is a great belly button. The belly button has two blood supplies – one from the skin around it and one from the liver. There are two veins and one artery that come from the liver and go to the bottom of your belly button. This is how your mother fed you when you were inside her. In a full tummy tuck, the belly button is circumscribed (a cut is made all the way around it), and it is dropped inside to be brought out through a new opening.

Another little known fact about the belly button is that it is not a midline structure. It is usually slightly off to the right or the left. This has to be taken into consideration when your plastic surgeon creates a new belly button. I attempt to center the belly button. Many plastic surgeons try to make a very natural belly button by giving it a slight hooding. It has been my experience that this hooding rarely looks natural and takes away from the potential beautiful looks of a new belly button (neo-umbilicus). The opening to the new belly button should be neither too big nor too small since both of these choices again detract from an attractive belly button.

Technically, I use a vertical ellipse measuring 15 mm in vertical height and 8 mm in width. It is important to take all the fat off the bottom of the skin around the belly button for a distance of 20 mm. This allows the skin to indent in a very natural fashion since the belly button should have a gentle slope down to it from the tissue around, and not an abrupt step off. The scar around the neo-umbilicus should be deep inside the belly button, therefore not visible to the outside world leading to a more natural appearance. The way to do this once the surgeon has repaired the muscles of the abdominal wall, he or she should anchor the belly button at 3, 6, 9 and 12 o’clock to the fascia covering the muscles. This allows the defatted skin around the neo-umbilicus to be pulled downward leading to a hidden scar. The sutures that connect the abdominal skin to the edge of your old belly button should be below the surface, and only super glue should be used at the scar edge to prevent railroad tracking which is a dead giveaway for a tummy tuck.

A great looking belly button should be centered as much as possible, having a gentle slope down to its edge, and the scar should be hidden as much as possible inside the belly button.

The abdominoplasty incision scar should be hidden under the upper edge of one’s panty or bikini line, therefore the belly button is truly the key to a well done abdominoplasty. What is taken away during an abdominoplasty is, of course, important, but what is left after an abdominoplasty is more important. A great belly button gives you a great midriff. Feel free to visit our websites,

www.breastimplantcenterofhawaii.com
www.liquidfacelifthawaii.com

What is the latest and greatest in eyelid surgery (Blepharoplasty) by Dr Schlesinger in Honolulu Hawaii

What is the latest and greatest in eyelid surgery? Well, let’s go back and review some of the problems that occurred in the past. The first one is too much skin taken out of the upper eyelid. This one truly is not a problem if you choose the right Board Certified plastic surgeon.

http://www.mauibody.com/photo-gallery/face-gallery/eyelid-blepharoplasty-photo-gallery/

Lower eyelids have been a problem for plastic surgeons for a long time. Patients want to get rid of the bags, extra skin and wrinkling. The bags are little pouches of brown fat. However, this fat is not brown in color, but the specific biochemical makeup of this fat is the same that brown bears live off when hibernating. You have all the fat you will ever have in this area when you reach puberty. It is normally held back by a piece of tissue known as the septum orbitale and it relaxes or fails at different ages depending on your genetics. Also, smoking and drinking do not help to preserve the integrity of the septum orbitale. Once this septum weakens, the fat pushes forward and looks like little bags under the eyes.

Historically, the treatment of choice to improve the appearance of the lower eyelids was to remove skin, muscle and fat, often leading to eyelids being pulled down, the white of the sclera showing above the rim of the lower eyelid, a very unattractive look. This problem of lower eyelids being pulled down is referred to as an “entroprian”. The reason this occurs is because the lower eyelid is held up by only two ligaments, one connecting to the medial or inner side of the orbit and one connecting to the outer side of the orbit. When you take skin and muscle out from below the lower eyelid, the resulting vectors of force are all downward, and unless one creates some upward vectors, the eyelid will pull down creating an entroprian.

Finally, any attempt to remove all the fat bulge under the eyes often leads to excessive fat removal and a hollowed look which can be even less attractive than the pre-existing bulging fat. A new technique has been developed which can push the fat backwards, therefore allowing the surgeon to take less fat and eliminating that hollowed look. It also eliminates most of the wrinkles because wrinkles at rest in the lower eyelid are not from excess skin, but rather from loose muscle. This new technique takes a portion of the oblicarius oculi muscle, passing it under the lateral ligament that supports the lower eyelid, and sews it up to the covering of the orbital bone superiorally and laterally. This muscle sling not only keeps the eye from having an entroprian, but it also pushes the fat backward.

A salutary effect of this lower eyelid surgery is that it pulls up cheeks. Because the orbicularis muscle is positioned under cheek bone fat, when you pull up part of it under the lower eyelid, in effect it also pulls up the cheek. The entire procedure takes about 2.5 hours. The sutures are out in 3 days and bruising is usually very minimal.

http://liquidfacelifthawaii.com/photo-gallery/

How can this lower eyelid muscle do so many things? The answer is that the face, unlike the body muscle and skin come from the same source, ectoderm. Since fat and skin are both closely related to ectodermal muscle of the eyelids, this muscle sling, as I call it, can do a whole lot more than we were ever able to do previously in a lower eyelid blepheroplasty.

To see more of our before and afters go to one of our websites

www.MauiBody.com
www.BreastImplantCenterofHawaii.com

Or call our office at 808-597-8835

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.

Male Breast Reduction – Gynecomastia in Hawaii

Due to the embarrassing nature of enlarged breasts in men there is a refusal of a lot of men to even talk about it. It is a very little known fact that one in every three men suffers from Gynecomastia or Man Boobs. Male breast reduction is therefore commonly sought after. Gynecomastia is a common condition for men in Hawaii. Many men are faced with the issue of enlarged chests from excess breast tissue. This condition can cause embarrassment and make even simple clothing choices painful. If you are afraid to wear t-shirts or remove your shirt at the beach because you feel like you have women’s breasts it is time to take action. Now more than ever, people are taking advantage of sophisticated techniques to treat this condition. This is an embarrassing genetic condition that will not go away with diet and exercise. Luckily there is a proven cure that helps with male breast reduction. Simply put, If you are seeking help in Hawaii for male breast reduction then Dr. Larry Schlesinger can help you.

To find out more about our Gynecomastia Honolulu or Gynecomastia Hawaii procedures contact one of our three locations Kahului, Maui at 808-871-7502, Kona at 808-329-6767, or Honolulu, Oahu at 808-597-8835.

BOTOX could become better regulated

BOTOX 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

A 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-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

The 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

Plastic 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!