Dr. Gerald Edds, MD, FACS, was officially inducted as the 2012 president at the meeting in Las Vegas.

“To be elected president of the leading organization for cosmetic surgeons worldwide is an incredible honor,” said Dr. Edds. “The AACS remains the trusted source for the highest quality training and continuing medical educations for doctors practicing cosmetic surgery. We will continue to set the standard in these areas and expand our presence internationally.”

The AACS’s 28^th annual scientific meeting attracted record attendance, with more than 700 medical professionals.

Dr. Branman was one of the presenters at the meeting. During the Foundations of Cosmetic Breast Surgery session, he presented on the topic of “Preoperative Planning for the Breast Augmentation Patient.”

Dr. Edds said that this year’s meeting focused on the education mission of the AACS to advance cosmetic surgery and quality patient care by featuring sessions customized for each specialty within the field, focused on best practices, practice gaps, patient safety and quality improvement.

Cosmetic surgeons could attend sessions on a wide range of cosmetic surgery topics, including: Advanced Topics in Body Contouring and Post-Bariatric Surgery; Rhinoplasty and Otoplasty; Blepharoplasty and Browlift; Advanced Topics in Breast Surgery; and Advanced Topics in Face and Neck Surgery.

Keynote speakers came from around the world, including Dr. Jean Carruthers, of Vancouver, Canada, who is a pioneer of the cosmetic use of botulinum A exotoxin, and Dr. Luitgard Wiest, of Munich, Germany, a renowned dermatologist.

To learn more about the American Academy of Cosmetic Surgery, visit www.cosmeticsurgery.org.

Here is an overview of some of the facial rejuvenation procedures available today.

Facelifts

Targeting the signs of aging in the lower part of the face, a facelift can erase imperfections through lifting and removing excess skin.

Even the facelift itself has evolved. For instance, the SmartLift, a modification on a traditional facelift, is less extensive and therefore has a shorter recovery.

Injectables

It is hard to imagine a time when dermal fillers, such as Restylane and Juvederm, and botulinum toxins, such as Botox and Dysport, weren’t an option for filling lines and smoothing wrinkles on the face.

The options for injectables continue to grow. Fat grafting and stem cells are the latest innovations. With fat grafting, fat is removed from one area of the patient’s body and is then used as an injectable to add volume to areas such as the lips, nasolabial folds or hollows under the eyes.

Lasers & Ultrasound

For tightening up facial skin, lasers are now a popular option. The laser heats the collagen underneath the skin, making the skin tighten and stimulating the growth of new collagen.

Devices using ultrasound waves, such as Ulthera, are another new technology for tightening.

FDA approved for tightening the jowls of the face, Ulthera works by using two different beams of ultrasound waves, which shrink collagen, making the skin tighter.

The Future of Facial Rejuvenation

Dr. Leslie Baumann, chief executive of a cosmetic institute in Miami, says there are more new facial rejuvenation procedures on the horizon in the next few years, including new injectables, lights and lasers.

Your cosmetic surgeon can help determine which facial rejuvenation procedures will give you the results you desire. For more information on facial rejuvenation, contact Dr. Branman at the Cosmetic Surgery Center in Little Rock.

Actor Johnny Markoudakis told ABC that he got Botox injections in his forehead and around his eyes, and a week later people told him he looked more refreshed.

But Bro-tox patients include more than just actors, models and metrosexuals, according to ABC.

For instance, Marc from Detroit is 38 and works at a chemical company. “I do a lot of industrial type work, getting dirty. … And I restore old cars,” Marc told ABC.

When he started noticing that he had some wrinkles and that he was looking older, his wife decided to get him Botox for Christmas.

“The card was very nice,” Marc said. “But then there was a little note that said … ‘Botox’ on it, and I was a little shocked. … It’s just not anything I thought I would do for myself.”

Marc used the gift and now has less noticeable crow’s feet thanks to Botox.

Cosmetic Procedures Becoming More Popular for Men

ABC News reports that over 300,000 men got Botox last year, a 10% increase from the previous year. Men are getting more cosmetic procedures in general — one in eight cosmetic surgery procedures is now performed on men.

According to the report, from 2010 to 2011, eyelid surgeries increased by 15% for men, facelifts by 14% and liposuction by 7%.

The American Academy of Cosmetic Surgery (AACS) says the five most popular procedures among men are Botox, hair transplantation/restoration, laser hair removal, microdermabrasion and liposuction.

A consumer survey by the AACS found that 12% of men plan to have cosmetic surgery at some point in the future and that 83% of men believe that personal appearance plays a role in their professional success and advancement.

Dr. Samir Pancholi, a Las Vegas cosmetic surgeon, says that he often performs breast augmentation and breast lift surgery in the same session and liposuction with fat grafting techniques when performing the Brazilian butt lift.

Breast Surgeries

Patients who have lost the shape and fullness of their breasts, such as massive weight loss patients and postpartum women, are often good candidates for a combination of a breast lift and breast implants.

The breast lift, also known as mastopexy, results in a more ideal positioning of the nipple and breast, but it does not adequately address the lack of fullness of the breast in those patients, Dr. Pancholi says.

“In order to achieve a more voluptuous-looking breast…I often combine a mastopexy with breast implant surgery. The breasts are not only higher up but also have a fullness to them because of the implant,” he says.

Buttock Enhancements

By combining liposuction with fat grafting techniques when performing a Brazilian butt lift, the rounded shape of the buttocks can become more enhanced.

Dr. Pancholi says he typically performs liposuction to remove fat at the waist and upper and lower back, which causes a slight hollowing of the area and results in an accentuated curve of the buttocks. Then for a more enhanced curving effect, he takes the fat harvested during liposuction and injects it into the buttocks.

Benefits of Combination Procedures

In the past, patients might have had one breast surgery and then had the other six months later, but combining them can have benefits.

“Combining the two makes much more sense in terms of having one surgery, one recovery, reduced cost and achieving the final result without a second surgery,” according to Dr. Pancholi.

There are other areas of the body where surgeons are performing multiple procedures at one time. The New York Times recently reported that a California surgeon has combined eyelid surgery and a brow lift to create an “All-in-One Eye Lid and Brow.”

PIP used cheaper industrial silicone instead of medical silicone for the implants to save money, according to investigators. The PIP implants were removed from the market last year and have never been used in the United States.

Estimates say that around 30,000 women in France have the PIP implants. Tens of thousands more women in Britain, Italy, Spain and other countries in Europe and South America also have had PIP implants.

Allergan’s breast implant devices, including Natrelle, were not part of the investigation. Just last year, the FDA reaffirmed the safety of silicone breast implants in the U.S.

“All Allergan implants are manufactured at our state-of-the-art facility using silicone and saline that is approved for use in medical devices and are designed to meet all relevant national and international Quality Control Standards and Current Good Manufacturing Practice (CGMP),” according to Allergan’s press release.

Allergan also offered specifics on the manufacturing of its implants: from start to finish, it can take up to 12 days to manufacture an Allergan breast implant, which undergoes almost 100 quality control tests.

Allergan’s breast implants have been used for almost 50 years. Their gel-filled breast implants have been available in Europe since 1997 and received U.S. FDA approval in 2006.

According to Allergan, silicone gel-filled breast implants are among the most studied medical devices in existence, with more than 3,000 studies supporting their safe use.

In addition to Allergan, Johnson & Johnson’s Mentor also makes a silicone breast implant approved by the FDA.

Patients should recognize that while breast implants are safe, they are not lifetime devices. It’s possible that at some point a patient may need to have an implant removed or replaced.

Learn more about breast augmentation in Little Rock.

Seventy-five percent of females and 68 percent of males said they wanted body contouring procedures after weight loss, which are often a last and necessary step in a patient’s weight loss surgery journey.

Medically-assisted weight loss often results in loose and hanging skin on the upper arms, breasts, abdomen and thighs. Because of this, one or more body contouring procedures — such as a tummy tuck, breast lift, body lift, arm lift or liposuction — may be desired.

The Austrian study, published in Obesity Surgery journal, examined patients’ expectations of body contouring after massive weight loss. A questionnaire on body image, quality of life and expectations of body contouring surgery was answered by 252 patients who had gastric bypass surgery between 2003 and 2009.

While 90% of women and 88% of men surveyed said their appearance after weight loss was “satisfactory, good, or very good,” 96% reported having surplus skin that caused itching. Some also said they had problems playing sports and finding clothing that fit well.

A majority of men and women surveyed expressed a desire for body contouring, and the top three expectations of the surgery were:

• Improved appearance
• Improved self–confidence
• Improved quality of life

Both men and women ranked the abdominal area as most in need of contouring, followed by the breasts, thighs, upper arms and buttocks.

The researchers concluded that the success of using weight loss surgery to treat obese patients can’t be judged on weight loss alone. “Patients’ expectations for body contouring surgery are very precise and high,” so it is important that patients are given realistic expectations from their cosmetic surgeon before surgery, according to the authors.

For more information, view the full text of the study.

Image of Paul Brian via drivechicago.com

Bariatric surgery patients may need body contouring procedures to get rid of excess skin as a result of their weight loss. In addition, some patients may need facial surgery if they have an excessive amount of sagging skin on the face and neck.

Msnbc.com reported on one man’s struggle to get surgery for the removal of excess skin from his face and neck after his weight loss.

Before bariatric surgery six years ago, Paul Brian weighed 420 pounds. He lost 240 pounds and found that in addition to body contouring surgery, surgery for his face and neck seemed necessary because he had so much sagging skin as a result of the weight loss.

“You’re so overwhelmed with the joy of losing the weight, but there’s this point of realization,” said Brian, who is 60. “You look in the mirror and you say, oh, that’s not good.”

Substantial weight loss can leave some with under-eye bags, slack jaws and wrinkles.

Facial surgery, such as a facelift or neck lift, is less common after massive weight loss than body surgery because the face tends to adjust better, and often insurers won’t cover it.

Brian’s doctor says that his jowls and the flesh under his chin are so heavy that they interfere with his speech and hygiene. Because of the extra skin, the muscles pull things down and make it hard for Brian to talk without drooling, according to his doctor.

While Brian would like to have surgery to fix the problem, he can’t afford it. He has been rejected by his insurance because it considered the procedure cosmetic.

But Brian and his doctor say that it is an issue of function. Brian is a radio announcer, and therefore his job depends on him talking a lot. He plans to appeal the decision made by his health insurance.

A new study shows that treating gynecomastia improves patients’ quality of life. Researchers also found that patients reported a high degree of satisfaction with the procedure.

What is Gynecomastia?

Doctors believe the excess breast tissue is caused by hormonal problems. Men with gynecomastia can get a more masculine chest by having male breast reduction surgery.

During surgery, excess glandular tissue or fat is removed, either through liposuction or surgical tissue removal.

Results of Treating Gynecomastia

The study examined 126 patients who had undergone male breast reduction surgery in Siena or Pisa, Italy. The patients, whose average age was 28, were given questionnaires both before and one year after surgery. The survey asked patients about their motivations for treatment, degree of satisfaction with the procedure and quality of life.

All of the patients said their quality of life improved after the surgery, with an average satisfaction score of 8.2 out of 10.

The researchers found the results of surgery to be so positive that they suggested that patients with gynecomastia “undergo surgery always and as soon as possible.”

The surgery is relatively short — generally about one hour of operating time. The study reported a 17.72% complication rate. Potential complications include scarring, pigment changes, asymmetry, infection, bleeding and fluid loss or buildup.

Recovery from male breast reduction takes about one week, and exercise can usually be resumed about three weeks after surgery.

Contact the Cosmetic Surgery Center in Little Rock for more information on male breast reduction.

A dancer in Baltimore was admitted to the hospital in March with silicone in her lungs after the procedure, and the FDA is investigating this and other instances across the U.S.

The woman who injected the dancer, who is not a doctor or nurse, was arrested in October. Court records also showed the silicone may have come from a home improvement store.

The medical-grade liquid version of silicone is only approved for the treatment of detached retinas, according to the FDA. But in the past, doctors have used it for procedures, including breast augmentation and lip enhancement.

Doctors say injectable silicone is dangerous and is not used in procedures today, as it causes an inflammatory reaction in the tissue where it’s injected, and it can spread to other organs. The encased silicone used for breast and buttock implants is considered safe.

Safe Alternatives to Silicone Buttock Injections

There are cosmetic surgery procedures that are safe for augmenting the buttocks, such as fat transfer. The procedure, which is often used for the face, is referred to as a Brazilian butt lift when used for buttock augmentation.

During the procedure, fat is harvested from another area of the body, such as the abdomen, through liposuction. The fat is then purified and injected into the buttock tissue.

Buttock implants are another option. During the procedure, a silicone gel implant is inserted beneath the gluteus maxiumus muscle.

If you are interested in a cosmetic procedure, be sure to choose a qualified cosmetic surgeon. The American Academy of Cosmetic Surgery provides guidelines for choosing a surgeon on its website.

Our facial expressions have an impact on how old we look, according to the study. Pictures of people who were smiling were estimated to appear on average two years younger than they actually were.

The study had 154 adults guess the ages of men and women with various expressions in more than 2,000 photographs. The face in each photo had one of the following expressions: angry, fearful, disgusted, happy, sad and neutral.

Participants guessed the ages of the neutral faces most accurately, but faces with emotion tended to throw off age predictions.

“Although age estimates can often be based on multiple cues, there are many situations in which a picture of a person’s face is the only information that is immediately available,” researcher Manuel C. Voelkle of the Max Planck Institute for Human Development in Berlin, and colleagues wrote.

For instance, on social networks, like Facebook and LinkedIn, a picture of a person may be the only content shared, without additional background information, according to the authors.

One thing to note is that researchers said pictures of happy faces may be misleading because smiling or laughing creates temporary wrinkles around the eyes and mouth. Because it’s hard to tell temporary wrinkles from real ones in photos, people give a less accurate age estimate, Voelkle said.

In addition, people tend to find smiling faces more attractive, so they may be judged to be younger than they are.

Another interesting finding was that older female faces were estimated to be over three years younger than older male faces. Voelkle thought this might be because women tend to pay more attention to their appearance than men do.

Learn about other non-surgical options for your face.