Durham Plastic Surgery Blog
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The Women’s Health and Cancer Rights Act of 1998 conditions that insurance companies that offer mastectomy coverage must also provide coverage for all stages of breast reconstruction. Since 1998, there has been a dearth of scholarship regarding the percentage of women getting breast reconstruction procedures and factors influencing the increase, until now that is.
Led by Dr. Reshma Jagsi, associate chairwoman of the Department of Radiation Oncology at the University of Michigan, a recent study found that while more women are receiving breast reconstruction procedures, there is a huge variation on where breast reconstruction procedures are performed. For example, about 80% of women in Washington, D.C. receive breast reconstruction procedures in comparison to 18% of women in North Dakota.
The spotlight placed on the increase of women receiving breast reconstruction procedures is one that should be and is celebrated. However, one cannot help but feel sympathy or empathy for the women who: 1. do not have accessibility to plastic and reconstructive surgeons who perform breast reconstruction procedures due to their geography and 2. are not being referred to reconstructive surgeons due to their geography. The intellect, creativity, teamwork, and resourcefulness exhibited by medical professionals to advance breast reconstruction methods and techniques, are the same traits needed to provide greater accessibility and resources for women in areas with less accessibility to breast reconstruction surgeons.
In this study, Jagsi reviewed data for over 20,000 women who had received a mastectomy during the nine year period from 1998 to 2007. The rate of women receiving breast reconstruction procedures in the U.S. has increased greatly from 46% in 1998 to 63% in 2007. The increase in the amount of mastectomies and double mastectomies is due to such factors as advances in reconstructive techniques and greater knowledge about information and surgeons. Furthermore, The trend of women having more implant-based surgeries as opposed to autologous surgeries (using one’s tissue from other body areas), is due to reduced fear and stigmas associated with implants, and celebrity narratives about their personal health experiences.
Dr. Brian S. Coan is a plastic and reconstructive surgeon that offers breast reconstruction procedures across North Carolina, primarily The Triangle, and Alamance County. For the past five years, he has served at Alamance Regional Hospital as the first and only plastic surgeon that performs breast reconstruction procedures either with or without implant(s). If you are considering breast reconstruction, we encourage you to schedule a breast reconstruction consultation with Dr. Coan, or discuss your options with the CARE insurance coordinator, Jamie Anderson, by calling the CARE office at 919-484-4884. It’s a call you won’t regret.
Skin cancer and melanoma, the most fatal form of skin cancer that can spread to other bodily organs, are the most common malignancies in the U.S. They are also the most prevalent among middle-aged Americans.
Every year, more than two million Americans are diagnosed with non-melanoma skin cancer. Yearly, Melanoma affects about 77,000 people and kills about 9,500. More than 50 percent of invasive melanoma cases are diagnosed for individuals between the ages of 45 and 64. Over the past 40 years, cases of melanoma have increased drastically among individuals between the ages of 40 through 60, with women in their 40s being the most impacted.
This data was collected by dermatologist Dr. Jerry Brewer at the Mayo Clinic in Rochester, Minnesota from the Rochester Epidemiology Project. He analyzed data for individuals between the ages of 40 and 60 from 1970 to 2009. Across the 39 years of data, women ages 40 through 50 showed the highest rates of skin cancer and melanoma rates.
In addition to biological factors, some of the environmental and cultural practices that have influenced the increase of middle aged Americans being impacted by melanoma is the association of “being tan with being fit and even successful.” The cases of individuals being impacted by skin cancer and melanoma are also increasing among young adults. Last year, Dr. Brewer led a study that found young adults between the ages of 18 through 39 were increasingly being impacted by melanoma.
On the bright side, as the number of individuals impacted by skin cancer and melanoma increases, the number of skin cancer-related deaths also decreases. According to Dr. Brewer, some of the factors that have influenced increased survival rates are more regular screenings, additional public awareness, and the detection of skin cancer at earlier stages.
CARE Plastic Surgery is committed to providing its patients and surrounding community with educational resources to combat and prevent the effects of melanoma and skin cancer. One of the best ways to combat melanoma is to wear SPF daily and limit one’s time in the sun. CARE is a proud provider of an array of sunscreens/SPFs to keep your skin protected against harmful sunrays. Please call the CARE office at 919-484-4884 to schedule a complimentary skincare analysis with our Medical Aesthetician, Rose Thornton.
***Reference Article: http://newsnetwork.mayoclinic.org/discussion/study-finds-dramatic-rise-in-skin-cancer-among-middle-aged-adults
Whether you spent your Valentine’s Day with your significant other over dinner, or you spent it solo over strawberry ice cream while watching Netflix, CARE Plastic Surgery hopes you had a fantastic Valentine’s Day. Speaking of Netflix, we’re sure a few of you spent Valentine’s Day watching the Season 2 premiere of Netflix’s first original drama, House of Cards. You can’t miss lead actress Robin Wright in her authentic and raw portrayal as the wife to actor Kevin Spacey. 47-year old Wright is most famous for her film roles in Forrest Gump (1994) and The Princess Bride (1987). While Wright’s actions and words on the screen are hauntingly pure and authentic, her comments about the use of Botox in Hollywood in a recent interview with The Telegraph are anything but.
Whether taken out of context by a journalist or truly what she believes, Wright made the following commentary about Botox usage in Hollywood and its use by famous actors and actresses, saying:
“It’s just the tiniest sprinkle of Botox twice a year. I think most women do 10 units, but that freezes the face and you can’t move it. This is just one unit, and it’s just sprinkled here and there to take the edge off . . .Perhaps it’s not wise to put that in a magazine? But I ain’t hiding anything.”
CARE Plastic Surgery, P.A. is committed to providing its patients with outcomes-based and scientifically grounded information that realistically aids you in your aesthetic choices. We are choosing to take the stance that Wright’s comments regarding Botox were taken out of context because “10 units” has very little effect on most, if not all, women. In fact, the amount of Botox that an individual needs varies based on muscle activity and age. For instance, the amount of Botox that an individual who has been receiving Botox treatments since s/he was 20, in comparison to an individual who starts receiving Botox units in their latter 40s varies based on many biological and environmental factors.
Unlike such fillers as Juvéderm, Sculptra, or Juvéderm Voluma that fill deep lines in the mid to lower sections of the face, Botox is an injectable that softens the lines that make wrinkles. About 40 million Botox injections are performed worldwide and it is the number one procedure performed by board certified surgeons across the country. While many celebrities deny getting Botox injections, such actresses as Jenny McCarthy and Courtney Cox admittedly use and endorse the positive results of Botox.
Botox is primarily used to treat lines adjacent to the outer areas of the eyes (crow’s feet), lines on the forehead (glabellar lines), and lines between the eye brows (typically referred to as the 11’s). Botox can also provide a minimal eyebrow lift. Most individuals get Botox about every 3 months which totals to four times a year. For you twenty somethings, getting Botox treatments is a great preventative measure for the rate at which you start getting and seeing fine lines and wrinkles. On average, Most women 20 somethings need about 20-50 units, BUT remember that the number of units needed varies based on muscle activity and age. Most women in their 40s and 50s (Wright’s age group) need about 45-55 units.
The only way to truly determine how many Botox units you’ll need is to schedule a Botox consultation at CARE Plastic Surgery, P.A. At your consultation with double-board certified plastic and reconstructive surgeon, Dr. Brian S. Coan, you and him will discuss what areas you wish to treat and jointly discuss which injectable and/or fillers will aid you in achieving the aesthetic look you desire. CARE is motivated by providing its patients with outcomes that aim to leave you looking and feeling empowered. Call CARE today at 919-484-4884 to schedule your injectable consultation TODAY! We look forward to hearing from you soon.
Men. Plastic Surgery. These two words may seem distant, but they definitely make a productive couple. According to the American Society of Plastic Surgeons, about 10% of cosmetic surgeries are done on men in the United States. In the article “Why Do Men Get Plastic Surgery? Ask Women,” scholar, Madeline Vann, identifies some of the most popular procedures done by men as liposuctions and gynecomastia (male breast reduction). While there are a plethora of reasons as to why a man would desire plastic surgery, according to Dr. Bob Murphy, the President of the American Society of Plastic Surgeons, some of the main reasons why men get plastic surgery are:
1. Emphasis on appearing young in our society
2. Stress to be physically attractive to romantic partners
3. Competition in the job market
Vann remarks that it is more difficult to get a man to have a cosmetic procedure than a woman, because men are not used to such drastic physical changes as women. She also identifies how men prefer procedures that provide more subtle changes. For example, Fabb explains that men would prefer Botox injections to get rid of fine lines and wrinkles as opposed to a total facelift. She reasons that a cosmetic procedure such as a facelift is more aesthetically obvious and requires greater recovery time as opposed to Botox.
As the title of this article says, this is the subjective opinion of a reporter as to factors that influence men to have cosmetic surgery procedures. Furthermore the journalist is a woman offering insight on the reasoning of men. The opinions of this reporter are not representative of CARE as a whole. However, this article does break the stereotype that cosmetic surgery is primarily done by women, and social stigmas associated with men having cosmetic procedures for personal or professional reasons. This article further represents how many of the factors that influence men to have cosmetic surgery are also shared by women.
Article Referenced: http://www.everydayhealth.com/news/why-men-get-plastic-surgery-ask-women/
January has come and gone and February is here people! Did you know that each year, the number of cosmetic procedures performed in the U.S. increases by about 7 percent? Some of the factors contributing to increased rates, are:
Less invasive treatments
More effective procedures
In this blog post, we are excited to inform you about two trends that are taking off in the cosmetic surgery arena for 2014 and beyond.
CARE is beyond thrilled to be one of the first plastic surgery practices in North Carolina to offer Juvéderm Voluma. Recently approved by the FDA, Voluma is a long-time filler that adds volume to mid-face areas, primarily the cheeks and the temples in front of the ears. For those of you looking for procedures that have long-lasting results with minimal upkeep, Voluma may be the treatment for you. With Voluma you won’t need multiple injections over a period of time to witness an aesthetic change. In addition to Voluma having an immediate effect, it can last up to two years. Juvéderm Voluma is a New Year gift to the cosmetic industry that you don’t wanna miss.
In addition to new fillers hitting the market, there is a growing trend for more natural looking breasts with breast enhancement surgeries. Over the past few years, there has been a push towards silicone implants that are teardrop-shaped because they give a more natural appearance. This trend is one that CARE Plastic Surgery supports. Dr. Coan believes in providing his patients with a conservative, natural look that takes into account the aesthetic goals of the patient.
We encourage you to book a consultation for a filler or injectable treatment, such as Juvéderm Voluma, or a cosmetic procedure today at (919)484-4884. We look forward to hearing from you soon!
I know I may be a little late but HAPPY NEW YEAR!!!! I am thrilled to be bringing in the New Year by letting you all know about two additions to the CARE medical aesthetic services. I’m happy to say you can schedule an appointment TODAY for eyebrow tinting AND eyelash tinting. For those of you who have never had either treatment done, this is a must-read blog post for you. If you’ve had it before, you can do one of the following actions: continue to read, stop and schedule an appointment right now, OR click one of the icons at the bottom of the page and share this article with your social network.
Alright, so why would someone want or need their eyebrows or eyelashes tinted. The following are some reasons why:
-If you’re sensitive to such products as mascara or eye liner but like how these products look. To be quite frank, eyelash tinting is a great alternative to mascara because it shows the full length of your natural lashes.
-If you’re an athlete, especially a swimmer, and are not prone to water-proof mascara.
-If you’re just too darn busy to put on eye make-up (myself included sometimes), but love how it makes your eyes look.
-If your eyebrow hairs or eyelashes are fine, thinning, and/or faint in color, eyelash and eyebrow tinting may be for you.
-And LAST but certainly not least, if you just want an enhanced countenance that exudes how fabulous you feel on the inside.
Now that you know some of the benefits of eyelash and eyebrow tinting, I’m sure you’re wondering about details for the actual treatments. Both treatments take about 15 to 20 minutes and can be done individually or in combination.
Eyelash tinting makes it appear as though you are wearing mascara. The entire lash tinting process takes about 15 to 20 minutes. Because lash tinting is done with vegetable-oil based dyes, it is not permanent and lasts about 3 to 5 weeks. Eyelash tinting is a great option for individuals with blond lashes who want a bolder eye appearance. Unlike mascara or eyeliner that can smudge or run and has to be applied daily, tinted eyelashes give you the appearance of wearing mascara without the daily maintenance.
Moreover, eyebrow tinting provides your eyes with an enhanced frame that makes them appear larger and more penetrating. Eyebrow tinting is perfect for those of us that love habitually dying our hair. Repeat after me, “I cannot forget to dye my eyebrows when I dye my hair.” When dying your eyebrows, it is best to choose a color that compliments not only your new hair color, but also your skin tone and personality.
So now that I’ve given you a rundown of the essentials of eyelash and eyebrow tinting, please call the CARE office at 919-484-4884 to schedule you appointment today. We look forward to hearing from you soon.
*Photos Courtesy of Gbengabills Soyinka
I am beyond excited to feature the next SkinMedica product but before I do, I’ve got to tell you about a social media campaign CARE is holding to promote optimal winter skincare practices and overall, vitalized skincare throughout the year. Post questions or concerns you have about Winter skincare on our Facebook wall (https://www.facebook.com/CAREPlasticSurgery) or Twitter page (@CAREPlasticSurg) with the hashtag, #AskRose. At CARE, we aim to promote a community of learning and promoting the best in medical aesthetic services. I’m really excited to answer your questions!
Now, let’s get to talking about another fantastic SkinMedica skincare product, TNS Essential Serum. Within my 10 years of study and service in the medical aesthetic field, never have I come across such a nutrient-rich and all-encompassing product as this one. Recognized as one of Oprah’s Favorite Things, the TNS Essential Serum contains 14 products in one!
The product is divided into two chambers. TNS Recovery complex in the first chamber is made up of a physiologically balanced mixture of growth factors, cytokines, antioxidants, and matrix proteins. TNS- Tissue Nutrient Solution is vital for maintaining healthy skin & reversing the signs of aging. It ACTIVATES the body’s own natural response to produce collagen, giving you plump, healthy, glowing skin!
The second chamber contains APS- antioxidant,peptide serum, an unparalleled combination of 7 antioxidants, 3 peptides, lightener, tightener, and a filler. Antioxidants protect skin cells from free radicals such as environmental pollutants. These free radicals accelerate the aging process. Peptides are amino acids that build, tone, and thicken skin to make it more resilient. The lightener alpha arbutin suppresses uneven pigment. The tightener GABA, inhibits muscle communication to make expressions less severe. A great way to think about a tightener is that it does topically what Botox does via a needle. However, I HIGHLY recommend Botox as a great means to reduce the appearance of fine lines and wrinkles. Last but not least, there are hyaluronic filling spheres that create a smoothing effect that you will see immediately.
In short, the TNS Essential Serum is an AWESOME product filled with rich ingredients. It will reverse the signs of stress, sun damage & aging, putting back what time has taken away. For the holidays, CARE is offering a 30% discount when you purchase three SkinMedica products. That’s a holiday treat you don’t want to miss. Please call the CARE office at 919-484-4884 if you’re interested in learning more about the TNS Essential Serum and any other SkinMedica products. We’re more than happy to be of assistance to you.
Hi all! My name is Rose Thornton and I am proud to serve as the CARE Medical Aesthetician. CARE is a proud provider of SkinMedica products. SkinMedica is an award winning, top selling innovator in the medical aesthetic industry. For the next few weeks, I’ll be guest blogging on the CARE website to educate you about some of the SkinMedica products we carry.
I would like to tell you about a ground breaking product I use to treat patients with sun damage or hyperpigmentation. Let me introduce you to….Lytera Skin Brightening Complex. This product evens out skin tone, reduces dark spots, and brightens your skin through a propriety blend of ingredients. Results can be seen after about four weeks. Lytera is a hydroquinone-free product. As many of you may or may not know, Hydroquinone has not been FDA approved for use longer than 3 months at a time. Lytera Skin Brightening Complex can be used for as long as you wish and is available without a prescription. That is ground breaking!
For those of you who are looking for more of a skin care punch, I suggest using the Lytera Skin Brightening System. The System is comprised of: a facial cleanser, the Lytera Skin Brightening Complex, a Retinol complex containing 3 forms of Vitamin A, and a sunscreen (SPF 30+). The Lytera Skin Brightening System is a must have for those of us who were or still are sun worshipers. This product is also great for treating melasma.
***In fact, if you purchase three (3) SkinMedica products right now, you’ll get 30% off your TOTAL purchase! Now that’s a deal you definitely don’t want to miss!
If you’re interested in learning more about SkinMedica’s Lytera Brightening Complex or any other SkinMedica products, please call the CARE office at 919-484-4884 to schedule a complimentary skincare consultation with me. During your appointment, we can discuss which products are most suitable for your needs and budget. I look forward to consulting with you soon!
In this edition of the CARE Skincare Diaries we feature our Front Office Coordinator, Amarachi! Amarachi strives to make your visit to the CARE office joyous with conversations ranging from international travel to the latest fashion trends and a whole lot more. Amarachi’s primary belief about beauty and skin care is that one’s internal aesthetic resonates externally.
Amarachi is a devoted user of the EltaMD skincare products. She cleanses her face morning and night with the EltaMD Facial Cleanser. After cleansing her face, she moisturizes her skin with either the EltaMD Lotion or EltaMD Moisturizer. During the fall and winter, Amarachi prefers to use the moisturizer to keep her skin looking and feeling radiant and supple. She also uses the EltaMD lip balm to keep her lips moisturized.
As a woman of color and a lover of the sun, Amarachi makes sure she wears the EltaMD SPF 46 UV Clear daily. Whether its sunny or rainy, it is critical for her to protect her skin against harmful UVA and UVB rays.
In addition to using the EltaMD products, Amarachi believes that the health of one’s skin is based on a well-rounded diet and spiritual care. She enjoys cooking, meditation, and Zumba in order to keep a healthy balance between her mind, body, and spirit.
The EltaMD products are excellent stocking stuffers and CARE is a proud provider of these products. Please call our office at 919-484-4884 for any further questions you may have about EltaMD products and our overall CARE medical aesthetic services! In fact, be sure to book a complimentary consultation with our aesthetician, Rose Thornton, to get your skincare regime going in the right direction for the holiday season and in to the new year.
***Photos: Nana Atakora (www.atakoraphoto.com) and Gbengabills Soyinka