February, 2012

Who gets the most cosmetic surgery training & experience in residency?

Myth #1 : Many people mistakenly believe that plastic surgery residency teaches only reconstructive surgical techniques, and not the cosmetic ones. Myth #2 : Many people think that the more anatomically limited fields of dermatology, ophthalmology, or facial plastic surgery must get more cosmetic surgery experience during residency than the over-worked plastic surgery resident, who has to master techniques covering the entire body, including craniofacial, burns, pediatric plastics and hand surge...

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Thomas Fiala, MD 2/29/2012 Comments(0)

Qnexa: A new weight loss pill on the way?

This week, an FDA advisory panel voted 20-2 to recommend approval of a new weight loss pill, called Qnexa. Qnexa is a combination of two previously available medications that seem to work together well: phentermine and topiramate. Phentermine is a stimulant, while topiramate is often used for migraine headaches. What's interesting is that in 2010, this same drug was rejected by a similar FDA committee. While the drug seems effective, with most patients losing about 10% of their overall weight af...

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Thomas Fiala, MD 2/23/2012 Comments(0)

More consolidation in the laser industry

Big laser companies just keep getting bigger.... This week, Cutera , the California based laser company, announced that it had acquired laser competitor Iridex for $5+ million, adding Iridex and Laserscope-branded devices to their stable of lasers. Just a few months ago, Solta Medical , the makers of Thermage radiofrequency units and Fraxel lasers, purchased Liposonix, the new FDA-approved fat melting technology, for $35 million. No wonder those darn lasers are so expensive! photo credit: laserf...

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Thomas Fiala, MD 2/15/2012 Comments(0)

Ulthera is under-whelming

Ulthera is a new non-invasive skin tightening device. The idea seems promising: use intense focused ultrasonic energy to target tissue deep to the skin, heat and coagulate the tissue, thereby getting some tissue shrinkage and tightening. It's had great press on the various TV talk shows. It is FDA approved - so we know it's safe. The question is: does it work? This week, at the famous Baker-Gordon plastic surgery symposium in Miami, Dr. Jeff Kenkel from Dallas reviewed his experience wi...

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Thomas Fiala, MD 2/13/2012 Comments(0)

Updated guidelines on DVT prevention

This month, an expert group of physicians and surgeons has published their latest guidelines on preventing, diagnosing and treating blood clots - DVT's and pulmonary emboli. It's a massive report, known as AT9 - even the executive summary runs 39 pages. It can be found here . Why do we, as plastic surgeons, need to know this stuff? Because DVT's and PE's are serious, even lethal, problems that can happen after any long surgery. So we take this stuff very seriously. Patient safety, to steal a lin...

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Thomas Fiala, MD 2/7/2012 Comments(0)

US adult obesity figures released, 1999-2010

The latest numbers in the American obesity epidemic were released in this month's issue of JAMA . Here's the one bit of good news: - American women, overall, aren't getting any bigger than they were during the last study, which looked at the 1999-2008 data, but 35.8% of US women still fit the BMI-derived definitions for obesity. The average age-adjusted BMI was 27.3 The bad news: - More American men are obese than before, with 35.5% nationwide more than one-third being obese. Average age-adjuste...

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Thomas Fiala, MD 2/2/2012 Comments(0)

Cellulaze - a new laser treatment for cellulite?

Just this week, the FDA has given their approval to the marketing of a new laser from Cynosure called Cellulaze . Like the name suggests, it's a surgical laser treatment for cellulite. Here's how it works: With the help of local anesthesia, several small incisions are made near the area of cellulite. A laser fibre is inserted under the skin, and a 1440 nm wavelength side-firing laser is used to treat the area of cellulite. The laser helps by both melting the excess fat, and releasing the tetheri...

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Thomas Fiala, MD 2/1/2012 Comments(1)

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