Monday, August 31, 2009

Less Common Cosmetic Treatments, Less Common Than Thought

CHICAGO, July 29 /PRNewswire-USNewswire/ -- The American Academy of Cosmetic Surgery announces the results of its 2009 Less Common Cosmetic Procedures consumer survey. While the media has coined these cosmetic procedures as 'fringe' and made it seem that they are in high demand, it is important to clarify the facts. The results reveal that less common cosmetic procedures are generally over-hyped and over-analyzed.

According to survey results, procedures such as bicep or tricep implants, calf implants, buttock implants, lip implants, penile enlargement and vaginal rejuvenation are performed significantly less than other cosmetic procedures. Only 1.6% of respondents reported ever having a less common cosmetic procedure. That number is significantly small and lacks the evidence of a growing trend. When respondents were asked to report what kind of less common cosmetic surgery procedure they had performed, the most common response was eyelash restoration (42.9%) and bicep or tricep implants (28.6%).

"This survey highlights that even though there has been increased attention on these procedures, the numbers prove that the trend is minimal at this point in time," said Dr. Patrick McMenamin, MD, President of the AACS. Although 'fringe' procedures are underperformed, safety still needs to be a priority.

When asked about concerns regarding less common cosmetic procedures, the majority of respondents indicated they were most concerned about safety (88.8%) and cost (81.8%).

Information on choosing a cosmetic surgeon and important questions to ask before having cosmetic surgery can be found on the AACS website, at www.cosmeticsurgery.org. The survey results and doctor interviews are available by contacting the Academy.

The American Academy of Cosmetic Surgery is a professional medical society whose members are dedicated to patient safety and physician education in cosmetic surgery. Most members of the AACS are dermatologic surgeons, facial plastic surgeons, head and neck surgeons, general surgeons, oral and maxillofacial surgeons, plastic surgeons, or ocular plastic surgeons -- all of whom specialize in cosmetic surgery. AACS is an organization that represents all cosmetic surgeons in the American Medical Association through its seat in the AMA House of Delegates.

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Ten Secrets for Getting Affordable Plastic Surgery

BEVERLY HILLS, Calif., July 28 /PRNewswire/ -- With modern advances in medical science technology, and with a vastly changed economy, plastic surgery is now commonly affordable for the middle class. As in any other business, a savvy customer can easily find bargain prices without compromising quality. Here are a few pointers to help turn you into a savvy plastic surgery customer. The complete version of this article an be found at http://drsimoni.com/wordpress/

1. Don't be afraid to ask for a discount. This is the first lesson in life. "If you do not ask you will not get." Most plastic surgeons assign the financial discussions with their patients to their office managers, but the surgeons are the main decision makers. Politely ask your surgeon if you can get a better fee.

2. Plastic Surgery is seasonal. September and December are considered quiet season for plastic surgery. Planning your procedure during these times may enhance your chances of getting a better deal.

3. Get a few bids. Go to more than one consult so you get a better feel for how much your desired procedure could cost. You might be able to use the competition as a bargaining chip. Make sure you compare apples with apples. Be sure to identify each procedure by its medical name so that an accurate comparison can be made.

4. Go with your friends. Go with a couple of your friends that might be interested in the same procedure. Your plastic surgeon may be more inclined to lower the fees when he or she foresees multiple patients.

5. Look for newly relocated doctors. Though it's rare, a good plastic surgeon relocates and has to look for new patients. That doctor is more inclined to lower his fees at his or her new location. Do background checks to make sure he or she is a Board Certified Plastic or Facial Plastic Surgeon. Cosmetic surgeons do not have the same training as plastic surgeons.

6. Check the operating room. The operating room cost is a significant portion of your procedure's fees. A doctor who has his or her own operating room is more able to reduce the fee to you. Make sure the operating room is accredited.

7. Go to a heavily populated plastic surgery area. Despite what you may expect, you can often get better deals in areas like Beverly Hills than you can in remote areas.

8. Go to a specialist. Specialists are best trained, equipped and experienced to perform right the first time, thus offering greater odds of avoiding very costly revisions. I have had to charge double for the revision rhinoplasties when other, inexperienced doctors had done some damage.

9. Try to book your surgery the same day you have your consult. Suggest a reduced fee for booking your surgery the same day you have your consultation. Every doctor knows that once you leave the office there's a chance you may not come back.

10. Avoid anesthesia if possible. Anesthesia carries a risk as well as a high expense. A good number of plastic surgeries can be done comfortably without the need for anesthesia. Make sure your doctor is comfortable performing your procedure without anesthesia. It's a skill of its own and not shared by all surgeons. I do over 90% of my surgeries comfortably without the need for anesthesia.

Dr. Payman Simoni is a board certified Facial Plastic Surgeon, and a Rhinoplasty and Facial Cosmetic Specialist, practicing in Beverly Hills, CA. His website is at: http://www.drsimoni.com/

SOURCE Dr. Payman Simoni

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Researchers Discover Gene Related to the Appearance of Aging

HALIFAX, July 15 /PRNewswire/ - Scientists in Atlantic Canada have found a gene that may play a role in skin aging. Researchers were investigating the genetic cause of a rare disorder known as cutis laxa type 2 (CL2), which causes skin on the hands, feet and face to be loose and older looking, as well as growth and developmental delays including effects on the brain. In the process, researchers found some interesting correlations with the synthesis of proline, a chemical associated with skin and joint health.

The findings are published in the current online issue of American Journal of Human Genetics (www.cell.com/AJHG), and are part of the Atlantic Medical Genetic and Genomics Initiative (AMGGI), an ambitious, multi-partner gene-discovery project, managed by Genome Atlantic, and funded by Genome Canada/Genome Atlantic, Capital Health, IWK Health Centre, Dalhousie University, Nova Scotia Research Innovation Trust, Dalhousie Medical Research Fund, Nova Scotia Health Research Foundation and others as listed at www.amggi.ca.

Several Maritime Canadian families with CL2 were identified by clinicians at the IWK Health Centre's Maritime Medical Genetics service. Through genomic research, scientists were able to identify the gene responsible for CL2 in these patients, citing an interruption of the metabolism of the amino acid, proline. The gene, pyrroline-5-carboxylate reductase 1, carries out the final step of proline synthesis.

Proline is a major component of connective tissue and skin proteins, collagen and elastin. It can be created by the body, and is also found in our diets. Some skin creams, cosmetics and vitamin supplements already include proline, touting its health benefits.

However, proline is not completely understood. Researchers know that it helps make 'kinks' in protein chains, critical for correct folding of these proteins. But it seems to play an independent role in protection from cellular stress. Proline made internally in our bodies may have a biological role distinct from that of dietary proline.

"This reinforces our understanding of proline as an integral part of skin health," says Dr. Mark Samuels, AMGGI co-lead. "It provides the impetus for further work that could help us understand the development of skin, the largest, and one of the most complex organs of the body. It shows that you can't mess with proline without causing a dramatic effect on many systems, including brain development."

The gene is one of six novel discoveries made to date through the AMGGI project. Among them, a gene related to sudden cardiac death in Newfoundland and Labrador and one linked to haemoglobin production.

SOURCE Genome Atlantic

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Making the Most of Your Cosmetic Treatment Beauty Budget

SCOTTSDALE, Ariz., July 21 /PRNewswire/ -- Tough economic times have women and men searching for value in their personal expenses. No longer are trendy fashion statements considered an essential buy. More and more, consumers are investing their dollars into aesthetic treatments aimed at improving or enhancing appearance, and those treatments that have long-lasting results.

Suggestions to make the most of your beauty budget with prescription and physician-recommended skin care products:

1.Choose skincare products by power, not by price. Retinoids (vitamin A) are demonstrated by clinical studies to help your skin look and act younger, stay clearer and simply glow, and are FDA approved for treating fine lines and wrinkles(4).

2.Medically-based peels and laser treatments when administered by a healthcare professional are designed to improve the look and condition of your skin. Invest in a doctor who will evaluate your skin, make the right recommendations and monitor your results.

3.Protect your investment. No matter your beauty buy, practice diligent use of sun protection regardless of your outdoor exposure or the cloud cover. Choose products with both UVA and UVB protection specifically designed for your skin type.

Aesthetic injections with dermal fillers are another option for improving appearance, and require a trained professional to inject. "You cannot cut corners, which simply invites risk," says New York dermatologist Jeannette Graf, M.D. Even at market prices, aesthetic dermal filler injections can provide excellent value for your beauty dollar with proper treatment and full correction of facial folds. Graf cites the obvious benefits: "Your skin is on display at all times. The result of aesthetic injections such as Restylane((R))(2) and Perlane((R))(3) is to fill moderate to severe facial wrinkles and folds for a face that looks younger. Perlane(3), is designed for deeper injection (deep dermis to superficial subcutis)."(1),(3) Clinical research demonstrated that Restylane provides beautiful results that last up to 18 months with only one follow-up treatment.* "This is an investment in your appearance that is visible every day, no matter what you are wearing," says Dr. Graf.(1)

*In a clinical study, at least 95% of patients treated with Restylane showed an overall duration of effectiveness for 18 months from initial treatment when they returned for a follow-up treatment at 4.5 or 9 months.(2)

For more information about Restylane and Perlane at Derma Health Institute, go to:
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Important Safety Considerations of Restylane(R) and Perlane(R)

Either Restylane or Perlane can be used to restore volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds), ask your physician which is right for you. After your treatment, you might have some swelling, redness, pain, bruising, and tenderness. This will normally last less than seven days. Although rare, red or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause another outbreak. In rare circumstances, the doctor may inject into a blood vessel, which can damage the skin. To avoid bruising and bleeding, you should not use either product if you have recently used drugs that thin your blood or prevent clotting. If you are pregnant, breastfeeding, or under 18 years, you should not use Restylane or Perlane.

Restylane or Perlane should not be used by people with previous bad allergies, particularly to certain microorganisms known as gram-positive bacteria; by people with previous bad allergies to drugs that have required in-hospital treatment; or by people with bleeding disorders. Injections should not be made anywhere except the skin or just under the skin.

Patients should be limited to 6.0 mL per treatment. The safety or effectiveness of Restylane( )and Perlane for the treatment of anatomic regions other than nasolabial folds have not been established in controlled clinical studies.

The use of Restylane or Perlane at the site of skin sores, pimples, rashes, hives, cysts, or infection should be postponed until healing is complete. Use of either product in these instances could delay healing or make your skin problems worse.

Restylane and Perlane are available only through a licensed practitioner. Complete product and safety information is available at www.RestylaneUSA.com.

For more information about Restylane and Perlane at Derma Health Institute, go to:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=176

References:

1.Jeannette Graf, MD. Conversation on March 31, 2009 with Marie Czenko Kuechel.
2.Restylane((R)) [Instructions for Use] Scottsdale, AZ: Medicis Pharmaceutical Corporation; December 2008.
3.Perlane((R)) [Instructions for Use] Scottsdale, AZ: Medicis Pharmaceutical Corporation; February 2009.
4.Kligman AM, Leyden JJ. Treatment of photoaged skin with topical tretinoin. Skin Pharmaceut 1993; 6(suppl 1):78-82.

Solutions and Tips for Millions Who Sweat Excessively

International Hyperhidrosis Society Offers Tips to Millions Who Sweat Excessively

PIPERSVILLE, Pa., July 23 /PRNewswire/ -- For the millions of Americans suffering from hyperhidrosis, excessive sweating, the body's mechanism for cooling itself is overactive and can cause sweat production that is up to four or five times more than normal. While some people may only think about sweating during the hot summer months, individuals with hyperhidrosis may find excessive sweating can disrupt their daily and recreational activities, regardless of the season.

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"While we all sweat, those suffering from hyperhidrosis may experience excessive sweating on their underarms and often need to change their clothing multiple times a day to hide their symptoms," says Lisa Pieretti, Executive director of the International Hyperhidrosis Society (IHHS), a non profit organization dedicated to help those with excessive sweating. "It's important to remember that hyperhidrosis is a treatable medical condition and it is possible to manage symptoms through medical treatment options."

The IHHS recommends following these simple steps to help control sweating this summer:

1.Stay hydrated: Drink early, drink often, and drink again. Sweat plays a critical role in keeping your body cool in hot temperatures. The key to keeping this internal air conditioning system working properly is drinking enough fluids.

2.Use a vaporizer or atomizer: Help the body's natural cooling system by using a vaporizer or atomizer to spray a light mist of water on the underarms. As the water evaporates the body will naturally cool down.

3.Wear loose, lightweight natural fabrics: Loose clothing enables perspiration to evaporate and natural, breathable fabrics "wick" moisture away from your underarms.

4.Apply antiperspirant twice daily: Application of a soft-solid antiperspirant formula to underarms twice daily (morning and before bedtime) has been shown to be more effective in controlling excessive sweat. Consider using a stronger, clinical-strength over-the-counter antiperspirant. Be sure the underarms are completely dry before applying product to reduce the chance of skin irritation.

5.Reach zen: Anxiety can increase sweat production. Control anxiety by breathing deeply and focusing internally.

6.Avoid sweat-inducing spicy foods and caffeinated beverages to help stay cool in the warmer weather.

7.Knock out body odor: Excessive underarm sweating can contribute to odors as the sweat dries and activates bacteria on your skin. Neutralize odors by sprinkling baking soda on affected clothing and on athletic gear after use.

8.Avoid mid-day workouts: When the sun is at its peek, the body is more inclined to sweat, so take advantage of the long summer days and plan an early morning or late evening workout.

9.Know your medications: There are a number of common medications that can exacerbate sweating. Make sure to check with your physician before you start any new medication, especially during the warmer summer months.

10.Talk to a dermatologist: When antiperspirants are not effective in controlling excessive underarm sweating, dermatologist may administer treatment with BOTOX((R)) (Botulinum Toxin Type A). Results last up to 6.7 months and treatment is often covered by insurance.

Important BOTOX((R)) (Botulinum Toxin Type A) Information

BOTOX((R)) is approved for the treatment of severe primary axillary hyperhidrosis that is inadequately managed with topical agents.

About the International Hyperhidrosis Society

The International Hyperhidrosis Society is a non-profit organization that strives to improve quality of life for those affected by excessive sweating. The Society promotes research and conducts education on the physiological effects of hyperhidrosis, raises awareness about its emotional and economic impact and advocates for patient access to effective treatments. The International Hyperhidrosis Society is composed of members from all over the world, making it a true international network for people who treat or suffer from hyperhidrosis.

Visit www.SweatHelp.org for further information and useful tools regarding excessive sweating, including: a Physician Finder, news updates, a self-assessment quiz, information about treatment options and how to make the best of your doctors appointment, insurance coverage tools, and free downloads. Also, you can sign-up to receive the free SweatSolutions e-newsletter.

About Hyperhidrosis?

Hyperhidrosis is the medical term for excessive sweating. Patients with hyperhidrosis produce an amount of sweat that far exceeds that needed to regulate body temperature.

Hyperhidrosis can cause dehydration and skin problems, including infections secondary to skin maceration, and can be accompanied by strong odors. Some people may sweat so profusely that they need to change clothing several times a day.

Hyperhidrosis most frequently develops in adolescence or young adulthood. The underlying cause of the disorder is uncertain but genetics may play a role -- one-third to one-half of patients has a family history of the disorder. Severe sweating may be exacerbated by stress, emotion or exercise, but often occurs spontaneously. The precise mechanism that triggers the condition is unclear but appears to be related to malfunction in the sympathetic nervous system -- the part of the autonomic nervous system that regulates "involuntary" bodily functions (those we don't exert conscious control over) such as breathing, the heart beat, and regulation of body temperature. In people with hyperhidrosis, this system may produce too much of the neurotransmitter that triggers the eccrine glands to produce sweat, or the eccrine glands may be overreactive.

For more information about how Derma Health Institute uses Botox to prevent excessive sweating, see:
http://www.dermahealthinstitute.com/catalog/product_info.php?products_id=175

BOTOX((R)) is a registered trademark of Allergan, Inc

International Hyperhidrosis Society((R)) is a registered trademark of the International Hypherhidrosis Society

SOURCE International Hyperhidrosis Society

Minimally Invasive Cosmetic Procedures Should Not Taken Lightly

Dermatologists urge patients to ask questions to ensure safety of procedure

BOSTON, July 29 /PRNewswire-USNewswire/ -- Today, there are more ways than ever before to "get a little work done." From skin fillers to fat-reduction procedures, the options are endless for those looking to improve their appearance and boost their self-esteem. But with so many physicians and options from which to choose, consumers can be confused about where to start and who to trust to perform a cosmetic procedure.

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At the American Academy of Dermatology's Summer Academy Meeting 2009 in Boston, dermatologist C. William Hanke, MD, MPH, FAAD, clinical professor at Indiana University School of Medicine in Indianapolis, offered advice to help patients determine if a cosmetic procedure is right for them, including questions to ask the physician to ensure a safe and effective result or outcome.

"The best advice I can offer consumers is not to be afraid to ask physicians direct questions about their credentials, training, and patient results with any cosmetic procedure," said Dr. Hanke. "If you are not satisfied with the answers to your questions or if a physician becomes defensive, then these are red flags and you should seek another opinion."

To help consumers in choosing a qualified physician for a safe and effective cosmetic procedure, Dr. Hanke recommends the following:

Look for a physician who specializes in the cosmetic procedure.

Dr. Hanke cautioned that no physician is an expert at every cosmetic procedure. For example, some physicians specialize in laser procedures or liposuction, so Dr. Hanke suggested that consumers look for physicians with particular expertise in the procedure they are considering. Ideally, patients should request to see "before and after" photos of a physician's actual patients, rather than of another physician's work.

"To help them learn about the expected outcomes and downtime involved with a procedure, patients should ask their physician if they can speak with a patient who has undergone the procedure," said Dr. Hanke. "This might help them feel more comfortable about asking questions and to determine if a procedure is right for them."

The American Academy of Dermatology (Academy) also recommends that consumers ask physicians how many procedures they have performed, what results can be expected, how long the recuperation period is and what are the risks.

Consider the highly trained skills of a dermatologist for minimally invasive cosmetic procedures.

Dr. Hanke explained that most of the minimally invasive cosmetic procedures available today were either developed or refined by dermatologists, such as tumescent liposuction (liposuction using tumescent local anesthesia on awake patients), soft tissue (skin) fillers, and cutaneous laser surgery which includes the removal of tattoos, unwanted hair, and vascular birthmarks, and the treatment of sun-damaged skin.

"Dermatologists specialize in minimally invasive procedures that do not require general anesthesia. This greatly reduces the potential for complications since the patient is awake during the procedure and recovery times are decreased," said Dr. Hanke. "These procedures offer patients an enhanced version of themselves, and most patients would rather have subtle results than a drastic change, which is indicative of a major procedure."

Ask who will be performing the procedure.

Dr. Hanke acknowledged that there is inconsistency among physicians as to which cosmetic procedures can be safely and effectively performed by non-physicians. In its official position statement on the use of non-physician clinical personnel that offers guidelines to its members on this practice, the Academy recommends that under appropriate circumstances, a physician may delegate certain procedures and services to appropriately trained non-physicians, such as physician assistants or nurse practitioners. Specifically, the physician must directly supervise the non-physician clinicians to protect the best interests and welfare of each patient.

"Each physician must determine what procedures can safely be performed by nurses or other staff members in his or her own individual practices. This distinction should be made to patients up front to ensure they are comfortable with the expertise and training of the person who will be performing the procedure," said Dr. Hanke. "However, it is imperative that a physician be on-site to evaluate patients prior to a procedure and to respond promptly to any questions or concerns during or after the procedure."

Evaluate a physician's credentials before considering a procedure.

Although it may be difficult for consumers to ask physicians about their credentials and professional background, Dr. Hanke believes this information is crucial for a safe result or outcome. According to Dr. Hanke, one of the most telling questions that consumers can ask physicians is whether they are board certified by one of the 24 boards of the American Board of Medical Specialties (ABMS), such as the American Board of Dermatology. He explained that board certification is important, as it could indicate a physician's knowledge and experience with certain procedures.

In addition, consumers can research physicians on the Internet. State medical board Web sites typically offer information on physicians at no charge. "If a person isn't comfortable broaching the subject of credentials with a physician, there are ways to research this information online," said Dr. Hanke. "What's important is that consumers do their homework before selecting a physician."

Dr. Hanke also pointed out that physicians who are members of professional associations must meet certain qualifying standards as part of their membership. Professional organizations such as the American Academy of Dermatology and the American Society for Dermatologic Surgery offer members high-quality, accredited educational courses to learn about the most recent advances in the field and to refine their skills.

Discuss where the procedure will be performed and if office-based surgery is an option.

"A fully equipped physician's office that follows accepted standards for safety is an excellent option for patients to undergo a minimally invasive cosmetic procedure," said Dr. Hanke. "Compared to hospitals and ambulatory surgery centers, office-based surgery provides many advantages - including decreased costs, greater privacy, efficiency and less risk of infection."

The Academy also cautions consumers to avoid cosmetic procedures performed by non-physicians in spas, shopping malls and private parties or functions. While these venues may appear convenient or more cost-effective than a traditional medical setting, they are not necessarily equipped to handle complications or medical emergencies.

"The success of any cosmetic procedure depends on patients doing their homework up front and selecting a qualified physician to ensure a safe and successful outcome," said Dr. Hanke. "A good doctor/patient relationship is extremely important, and it increases the likelihood that a patient will feel comfortable asking the physician critical questions and discussing their expectations and concerns."

For more information on cosmetic procedures, go to the "AgingSkinNet" section of www.skincarephysicians.com, an Academy Web site developed by dermatologists that provides patients with up-to-date information on the treatment and management of disorders of the skin, hair and nails.

Headquartered in Schaumburg, Ill., the American Academy of Dermatology (Academy), founded in 1938, is the largest, most influential, and most representative of all dermatologic associations. With a membership of more than 16,000 physicians worldwide, the Academy is committed to: advancing the diagnosis and medical, surgical and cosmetic treatment of the skin, hair and nails; advocating high standards in clinical practice, education, and research in dermatology; and supporting and enhancing patient care for a lifetime of healthier skin, hair and nails. For more information, contact the Academy at 1-888-462-DERM (3376) or www.aad.org.

SOURCE American Academy of Dermatology

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Men Around the World Seek Cosmetic Surgery

Men in increasing numbers around the world are using cosmetic surgery, driven by the credit crunch and 'man boobs.' The number of male breast reduction procedures carried out is growing rapidly.

MANCHESTER, England, Aug. 2 /PRNewswire/ -- Cosmetic Surgery Guru reveals that men around the world are turning to cosmetic surgery in increasing numbers, driven by the recent economic downturn and a growing concern over "moobs" ("man boobs".)

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Male cosmetic surgery rates are not only growing in America, the UK and other countries where the stigma attached to male cosmetic surgery has all but disappeared, but in the Middle East too. According to the Dubai Congress on Anti-Aging and Aesthetic Medicine (DCAAAM), men now account for one in every five of Dubai's cosmetic surgery patients.

Although non-invasive treatments like Botox and laser hair removal for the back are the most common amongst men, surgical procedures, particularly male breast reduction, are becoming increasingly popular.

Credit Crunch

Public interest in cosmetic surgery has remained strong, despite the credit crunch. Men worldwide are looking to cosmetic surgery to boost their performance in an increasingly competitive job market. Some men who have been made redundant are using cosmetic surgery for therapeutic reasons: to improve self-esteem.

In Dubai, low oil prices and other negative economic factors have caused many people financial problems. Such problems have inspired men to invest in hair and beauty treatments as well as surgery, to boost their employment status as well as their confidence. The DCAAM predict that by 2013, men in Dubai will be spending $100 billion on cosmetic surgery each year.

"Moobs"

Gynaecomastia, enlargement of the male breast tissue, is becoming a serious concern to a growing number of men worldwide. Bryan Mayou of London's Cadogan Clinic sees "an increasing number of men coming into (his) clinic with body-image problems and low self-esteem because of this particular condition."


Gynaecomastia currently affects 40-60% of men to varying degrees, although this figure is set to rise in line with obesity rates. Some scientists blame high levels of the female hormone oestrogen in food and drink for accentuating the problem. Men feel most inhibited by the condition in summer months, when they would normally remove clothing in hot weather or when swimming.

According to the British Association of Aesthetic Plastic Surgeons (BAAPS), 44% more male breast reduction surgeries have taken place this year compared with last. In Scotland, this figure is closer to 80%. The male breast reduction process, which takes place under general anaesthetic, involves making small incisions under the armpits of the patient so that liposuction can be used to remove excess fat from the breast area.

In the UK, where men account for 10% of all cosmetic surgery patients, breast reduction has replaced the facelift as the fifth most popular male cosmetic surgery procedure. 323 male breast reduction procedures were carried out last year, compared with just 22 five years ago.

Cosmetic Surgery Guru is a free and accessible website dedicated to informing the public of new and exciting developments in cosmetic surgery.

http://www.cosmeticsurgeryguru.com

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SOURCE Cosmetic Surgery Guru