Plastic surgery

Newsmakers: Mark Constantian, MD

Dr. Mark Constantian's new book chronicles the link between childhood trauma, shame and plastic surgery addiction.
Childhood trauma and plastic surgery

"In the early 1990s I saw three rhinoplasty patients within a few months who all had exemplary results, and they all were distraught afterwards,” says plastic surgeon Mark B. Constantian, MD. “One man tried to cut his nose off with a razor and ended up in the emergency room. One woman became a recluse in her home. Another woman gave up her job as a university professor. After surgery they either hated themselves or me, yet they were all positive that if I would only operate again, they would be OK.”

Profile: Urmen Desai, MD

A desire to serve others led Urmen Desai, MD, to medicine; a passion for aesthetic surgery brought him to Beverly Hills.
MedEsthetics Cover Profile Nov/Dec 2018

Urmen Desai, MD, learned at an early age the rewards of caring for others. His parents ran several nursing homes in the Boston area. “When I was young, I would go to work with my mother and father. I would chat and play games with the patients,” he says. “As I got a older, my after-school job was working as an activities counselor in one of the nursing homes—playing bingo and organizing card games.”

Physician Interaction Best Predictor of Patient Satisfaction

Physician Greatest Indicator of Patient Satisfaction

Patient satisfaction following plastic surgery is most affected by surgeon-related factors, such as taking the time to answer questions and including patients in the decision-making process, according to the results of a patient survey published in the September issue of Plastic and Reconstructive Surgery. By comparison, practice-related issues, such as wait time and interactions with office staff, have a much weaker effect on patient satisfaction scores.

Evidence of Suture Lift Durability Still Scant

Durability of Thread Lifts for Facial Rejuvenation

A systematic review of suture lifts for facial rejuvenation revealed that there remains little evidence in the medical literature to support their efficacy and durability. Authors Berend Van der Lei, MD, PhD, of the University Medical Center Groningen, The Netherlands, et al, performed a follow-up to a review article published by Villa, et al, which appeared in Plastic and Reconstructive Surgery (March 2008).

Kirby Named Chief of Plastic Surgery at Harris Methodist Hospital

Kirby Appointed Chief of Plastic Surgery

Fort Worth, Texas-based plastic surgeon Dr. Emily J. Kirby has been appointed chief of plastic surgery at Harris Methodist Hospital, the main facility of the Texas Health Fort Worth medical care system. Dr. Kirby is owner of Kirby Plastic Surgery and a five-time Fort Worth Magazine Top Doctor. After graduating from Vanderbilt University, Dr. Kirby earned her medical degree at Texas A&M University College of Medicine and received her aesthetic and plastic surgery training at the University of Kentucky.

Plastic Surgeons At Increased Risk of Musculoskeletal Injuries

A survey sent to 3,314 plastic surgeons (865 responded) in the United States, Canada and Norway revealed that 78.3 percent of the surgeons had symptoms of musculoskeletal injury, most commonly in the neck, shoulders and lower back; 6.7 percent required surgical intervention. The most common causes of pain cited included long surgery duration, tissue retraction and prolonged neck flexion. The most common solutions cited were core-strengthening exercises, stretching exercises and frequent adjustment of table height during surgery.

Orthopedic Study Supports a Reduction in Post-Surgery Opioid Use

Prescribing physician

A new study that compared length of opioid use post-surgery found that longer term use did not improve disability during recovery or patient satisfaction with pain management, suggesting that physicians can reduce opioid intake without sacrificing patient care or comfort. Researchers at Massachusetts General Hospital, University Medical Center Utrecht in the The Netherlands, and University of Texas at Austin, enrolled 102 adults undergoing open reduction and internal fixation of ankle fractures.

Demand for Medical Cosmetic Procedures Increasing Worldwide

ISAPS Annual Statistics

The International Society of Aesthetic Plastic Surgery has released the results of its annual Global Aesthetic Survey for 2016. The United States ranks No. 1 for total number of cosmetic procedures performed followed by Brazil, Japan, Italy and Mexico. The top five countries account for 41.4% of cosmetic procedures performed worldwide.

Demand for surgical procedures increased 8% from 2015 to 2016 and demand for non-surgical cosmetic enhancement increased 10%. The top five non-surgical treatments in 2016 were: