The University of Pittsburgh Medical Center's Magee-Womens Hospital is offering two types of outpatient surgery for patients with lymphedema: lymphaticovenular bypass and lymph node transfer. The first is microsurgery to drain lymph fluid; the second involves transferring lymph nodes from one part of the body to another. Plastic surgeon Carolyn De La Cruz traveled to other medical centers to learn microsurgery techniques and was motivated by her cancer patients' experiences.
Almost 219,000 plastic surgery procedures were performed on teenagers in 2010, according to the American Society of Plastic Surgeons. The work included rhinoplasty, liposuction and otoplasty, as well as breast augmentation and reduction. The statistics don't include all minimally invasive procedures, such as Botox injections, laser skin resurfacing, chemical peels and dermabrasion. Some procedures correct physical problems, such as breathing obstructions, and teens may be too immature -- whether physically or emotionally -- to make decisions about some cosmetic procedures, experts say.
Patients who received lip reconstruction using the musculocutaneous nasolabial flap experienced no subsequent flap failures and had good cosmetic outcomes, researchers report in the Journal of Plastic, Reconstructive & Aesthetic Surgery. Musculocutaneous tissue was preferred over subcutaneous tissue because of its mass and vascular properties.
Last year, silicone implants were used in 72% of 330,631 breast enhancements in the U.S., compared with 19% in 2006, after the FDA lifted its 1992 ban on silicone implants, the American Society for Aesthetic Plastic Surgery reports. In the latest advance for implants, newly approved form-stable devices are firmer and resistant to leaks, said plastic surgeon Robert X. Murphy Jr., the incoming president of the American Society of Plastic Surgeons. Although saline implants are more prone to texture changes, some surgeons prefer them for young patients who may be more likely to change their minds about augmentation, says plastic surgeon Gregory Evans, current president of the ASPS.
Cellulaze anti-cellulite treatments cut subcutaneous bands and tighten skin, reducing the appearance of cellulite, plastic surgeon Michael Cohen says. Recovery is similar to that of liposuction, with some bruising and swelling. Two days may be needed before the resumption of normal activity.