Archive for June, 2011

Plastic surgery blog:Breast Cancer drug effectiveness remains controversial

Thursday, June 30th, 2011

breast cancer1 Plastic surgery blog:Breast Cancer drug effectiveness remains controversialA popular breast cancer drug is getting a thumbs down from the FDA and many medical experts. As a cosmetic and reconstructive plastic surgeon Dr. Stuart Kincaid helps many breast cancer patients with the process of breast reconstruction. He is committed to educating all of his breast surgery patients about the importance of good breast health. At the very minimum this includes monthly breast self exam. This includes breast augmentation patients with breast implants, breast reduction, and breast lift patients. Some may also be advised to have an annual mammogram as well. It is the hope of Dr. Stuart Kincaid and his staff that breast cancer will no longer be a concern for women. It is very disappointing that a recent breast cancer drug that once showed promise is no longer considered effective. According to CBS 8 oncologists and even some breast cancer support groups are endorsing a U.S. health advisory panel’s recommendation that the blockbuster cancer drug Avastin be removed for use in metastatic breast cancer.

The reason: There’s still a lack of understanding of how the drug works or who it helps.

Avastin was given fast-track approval by the U.S. Food and Drug Administration in 2008 to be used, in combination with the chemotherapy drug Taxol, by women with metastatic HER2-negative breast cancer.

But a six-member FDA panel of cancer experts said Wednesday that the drug was not effective, caused dangerous side effects and its approval should be revoked.

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Plastic surgery blog:Who should get a lung cancer screening?

Wednesday, June 29th, 2011

doctor photo11 Plastic surgery blog:Who should get a lung cancer screening?As screening for different dieseases has become more accessible the medical community continues to have concerns over excessive testing and expense. Dr. Stuart Kincaid explains to his patients that they must be healthy in order to be a candidate for elective plastic surgery procedures. Patients who are over 50 and considering cosmetic procedures should have medical clearance from their primary care physician if recommended by Dr. Stuart Kincaid. This includes procedures such as: abdominoplasty, face lift, and even breast augmentation. While some primary care doctors may want to conduct further testing the usual recommendation is bloodwork, a urinalysis, an EKG, and in some cases a chest x-ray. A chest x-ray is not the same as CT lung cancer screening that had been in the news lately. Lung cancer screening according to CBS 8 ”screening for lung cancer can reduce the death rate from lung cancer, and that’s a very important, game-changing result,” Sox(Dr. Harold Sox, a professor emeritus of medicine at Dartmouth Medical School who wrote an accompanying editorial to the study published in the June 30 issue of the New England Journal of Medicine) said. “It’s an enormous advance. But the next questions are: What should we do about it? And how should we maximize the results for the societal investment it’s going to take?’” The death rate was 20 percent lower in those who got the CT scans than in those who had X-ray screening.

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Plastic surgery blog:Boot camps for fitness back in style

Tuesday, June 28th, 2011

woman working out2 Plastic surgery blog:Boot camps for fitness back in styleFitness boot camps are all the rage once again. Patients who are committed to exercise and maintaining their best health are disappointed when their efforts are unable to yield targeted results. Dr. Stuart Kincaid explains to his patients that when they are diligent about exercise and diet yet cannot  lose the small areas of fat , most likely it is due to hormonal shifts in weight. In many cases the patient has not gained a significant amount of weight yet their contour has changed. For these patients, liposuction is an effective option. Dr. Stuart Kincaid sculpts the areas of the body where they have been unsuccessful in achieving the shape that they want. Dr. Stuart Kincaid offers both traditional liposuction as well as Zerona laser. Patients will need to wait to resume heavy exercise for approximately 4 weeks after surgery. Often the results from liposuction far exceed those possible through extreme exercise including fitness boot camps. According to Sign on San Diego the rigorous boot camp workout, modeled after military-style training, was named one of the top fitness trends of 2011 by San Diego-based American Council on Exercise, or ACE. The group estimates there are more than 50 boot camp businesses in San Diego County today, about 10 times the number six years ago.

“Boot camp is a good way to make exercise more interesting. It can be fun, challenging and offer some variety, plus there’s a cool factor to it,” said Pete McCall, exercise physiologist and spokesman for ACE, which found that the average person burns about 500 to 600 calories during an hourlong interval-style boot camp workout. “Boot camp can be very intense and produce real results.”

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Plastic surgery blog:Older adults prime for cosmetic surgery

Monday, June 27th, 2011

gray hair Plastic surgery blog:Older adults prime for cosmetic surgeryAs Americans are living longer it is predictable that they want to look as young as they feel. There is no age limit for cosmetic surgery provided the patient is healthy. Older women and older men tell Dr. Stuart Kincaid that they are interested in cosmetic surgery because they are in good health and hopeful about a bright future ahead. Many patients consider procedures like facelift, brow lift, and blepharoplasty. For patients who may not be candidates for surgery with anesthesia, injectables including Botox and Sculptra  may be an excellent solution for moderate improvement. Patients will be required to obtain medical clearance from their primary care physician prior to surgery. Older adults are expected to continue to push the numbers for new plastic surgery patients. According to Sign on San Diego the surprise is that following the 40- to 54-year-olds — who account for nearly half of all plastic surgery procedures — the main clients are people 55 years and older! This older group had more surgeries, cosmetic procedures and minimally invasive procedures than 20- to 39-year-olds.While most popular procedures among young adults focus on their bodies, older adults are apparently more concerned about more visible features, such as their faces.

Americans 55 and older had 3.3 million cosmetic procedures. Most involved having no surgery at all, opting instead for injections. The most popular procedure — performed 1.2 million times last year — was Botox injection, followed by more than a half-million soft tissue fillers (injections of hyaluronic/polylactic acid, fat, collagen, or calcium hydroxyapatite).

In comparison, for surgeries, nearly a third of these 349,000 procedures involved eyelid surgery (100,000), followed by face-lifts (74,000), dermabrasions (27,000), nose reshaping (24,000) and hair transplantation (23,000). Two out of three face-lift surgeries in 2010 were performed on patients who were 55 or older.

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Plastic surgery blog:Study suggest lowering DUI limit

Friday, June 24th, 2011

images Wine Tasting1 Plastic surgery blog:Study suggest lowering DUI limitIt is not surprising that medical professionals would advocate lowering the DUI limit, it appears any amount of alcohol can have an effect when driving. Regardless of the legal DUI limit patients should understand that  avoiding alcohol prior to surgery is critical.  To some patients the night before breast augmentation or liposuction surgerycan be an anxious time and a few glasses of wine seem harmless. The pre-op instructions provided for Dr. Stuart Kincaid’s patients advise against this, as it can  increase the risk of bleeding and other rare complications. So even if patients are not driving the best advice before surgery is to avoid alcohol. According to in NBC San Diego  University of California San Diego sociologist David Phillips and coauthor Kimberly M. Brewer found that blood-alcohol levels below the legal limit of 0.08 percent are still associated with injury and death-related vehicle accidents. The study, published in the journal “Addiction,” displayed that as little as one drink can impair a driver enough to cause a fatal or severe accident.

Phillips and Brewer looked at data from the Fatality Analysis Reporting System, which includes information on all U.S. people involved in fatal car accidents. They examined the ratio of severe injuries to minor ones.

The data set had nearly 1.5 million people between 1994 and 2008. It covered all times of day accidents were reported and the blood-alcohol content of those involved by increments of 0.01 percent.

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Plastic surgery blog:Can saliva determine your age?

Thursday, June 23rd, 2011

beautiful young woman1 Plastic surgery blog:Can saliva determine your age?You can now truly say that age is nothing to spit at. A recent study claims that saliva can help determine your age. Dr. Stuart Kincaid discusses antiaging plans with patients helping them to understand how cosmetic surgery procedures should help to make patients look better, more rested, and youthful. Procedures should not alter the face in an unnatural or distorted way. Procedures like Sculptra (“liquid facelift”) can produce a very natural looking result. A facelift and brow lift combined can smooth wrinkles and remove loose skin without looking overly pulled and tight. Dr. Stuart Kincaid strives to provide patients with the most amounts of correction with the least amounts of procedures. Patients usually look about 10 years younger than their stated age. Maybe soon, only the saliva will know the truth. According to NBC San Diego when it comes to revealing someone’s age, spit may be an indicator.

UCLA geneticists have developed the saliva “age” test, according to the university’s online newsroom. The process was developed through research on how DNA changes as people age.

“With just a saliva sample, we can accurately predict a person’s age without knowing anything else about them,” said Dr. Eric Vilain, the principal investigator and UCLA geneticist.

Vilain and his team were able to pinpoint a person’s age within five years, “an unprecedented level of accuracy,” according to UCLA.

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Plastic surgery blog:Tanning industry still under fire

Wednesday, June 22nd, 2011

tanning bed1 Plastic surgery blog:Tanning industry still under fireThese days it is virtually impossible to find anyone who will defend the tanning industry. Unless you have been under a rock, then you would know the damaging effects of indoor tanning. Dr. Stuart Kincaid explains to all of his patients ,especiallyyounger patients, that the tanning bed is not only about damaging  to the skin on the face. Patients must consider the skin on the body also. Breast augmentation patients including those who have had a breast lift mistakenly believe that their breast will look better after tanning in a tanning bed. Some believe that the scars from a breast lift will be less noticeable. This is not true. Once exposed to the  tanning bed ultra violet lights the scars are likely to darken permanently. Unfortunately, it rarely matches the skin color. Therefore, the scars are now more noticeable. The moral of the story; avoid the tanning bed… Always. According to Sign on San Diego  a 2009 study by the International Agency for Research on Cancer, the cancer arm of the World Health Organization, shows that people who start using tanning beds before age 30 increase their lifetime risk of getting melanoma, the most serious form of skin cancer, by 75 percent. WHO has classified tanning beds as a carcinogen, putting them in the same risk category as mustard gas and arsenic.

“There’s no absence of data showing that tanning salons increase the risk of skin cancer,” said Dr. Darrell Gonzales, a dermatologist with Scripps Health. “I never like to see a small business go out of business, but if it’s promoting something that causes cancer, I don’t see any alternative.”

As much as Gonzales disapproves of indoor UV tanning, he does not support a ban on indoor tanning for teens.

“I think parental consent should be enough. By completely banning teenagers, the government would be interfering with freedom of personal choice,” he said.

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Plastic surgery blog:You can change everything but genetics

Tuesday, June 21st, 2011

Mother and Daughter look a like Plastic surgery blog:You can change everything but geneticsWe have all heard it before, no matter how hard you try ,you cannot change your genetics. But some choices can in fact alter your own visible signs of genetic predisposition. For instance, choosing plastic surgery can help to reshape a person appearance. Dr. Stuart Kincaid is careful to explain to patients that a rhinoplasty will reshape the nose and an otoplasty will reshape the ears but the genetic predisposition to a large nose and large ears will remain in the family history. When the family gathers it is common to see the family resemblance albeit the nose the hips or the ears. Genetic health issues with symptoms that can become a concern can often be managed by making better health decisions. According to Sign on San Diego most studies suggest 30 percent to 40 percent of our health is genetically determined, leaving a substantial 60 percent to 70 percent in our hands. Inherited health risks often can be modified by what we put in our mouths, how we move our bodies and how we handle stress.

“Lifestyle and things such as exercise, diet and smoking can influence conditions like diabetes, heart disease and some cancers. You can reduce the risk by controlling what you can control,” said Lauren Dennis, a certified genetics counselor at University of California San Diego Medical Center.

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Plastic surgery blog:Sun blocking fashions the new trend

Monday, June 20th, 2011

san diego beaches5 Plastic surgery blog:Sun blocking fashions the new trendWith the large amounts of attention paid to sunscreen , prevention of damaging sun rays, and skin cancer it is easy to forget about simple clothing that will shield you from the sun. Dr. Stuart Kincaid advises hisfacelift patients to invest in a wide brim hat to shield the face, not only right after surgery but also long term to protect their. Patients who have had surgeries like breast augmentation or liposuction need to be careful to cover up when in direct sunlight if bruising is present. With exposure to the sun, bruised skin, can become permanently dark. A cover-up like a cotton shirt is best for ensuring that patients have the best protection. According to San Diego 10  instead of slathering on baby oil and baking in the sun until turning red as a tomato, more beachgoers are donning wide-brimmed hats, flowing tunics and hiding from ultraviolet rays under large umbrellas. “Instead of tanning and trying to get as bronze as possible, people were being really smart about the sun and covering up in really cute, fashionable ways,” says Moore, who co-founded a sun-blocking clothing company called Mott 50 with Botica in New York City last year.

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Plastic surgery blog:HPV vaccine may cut “precursors” to cervical cancers

Friday, June 17th, 2011

women having a party Plastic surgery blog:HPV vaccine may cut “precursors” to cervical cancersWomen’s health is important to plastic surgery since so many of our patients are women. HPV is one of the screenings women should be aware of to maintain good health. Mammography screening is also very important for women over 40 and those in high-risk categories. Dr. Stuart Kincaid counsels breast augmentation patients and advises patients to maintain good breast health. This applies to breast reduction as well as breast lift patients. Patients should perform a  monthly breast self exam and a yearly mammogram according to their primary caregivers instructions. If patients have a family history of breast cancer their primary care physician may recommend more frequent screenings. While screening will most likely always be part of a woman’s life there is promise of an effective vaccine for HPV. According to CBS 8 ”This is the first report of a decrease in incidence of HGAs within three years after the implementation of a population-wide HPV vaccination program,” the study authors concluded.

But more work is needed to definitively link the HPV vaccine to lower incidence of precancerous cervical lesions, according to a journal editorial accompanying the study.

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