Friday, 30 April 2010

New Anti-Cellulite And Laser Lipolysis Adjunct Delivers Results

Breaking new ground in the battle against cellulite, Eleme Medical Inc. launched new SmoothShapes® XV, at the American Society for Lasers Medicine and Surgery in Phoenix, Arizona last week and will debut the system to plastic surgeons April 23, at the American Society for Aesthetic Plastic Surgery. "The original SmoothShapes has proven itself as the first medical approach to treating cellulite that delivers long lasting visible changes in creating smoother and tighter looking skin. This new system increases heat deposition in the fat cell three times faster while maintaining higher temperatures at the treatment site so I'm looking forward to the potential for even better results with fewer treatments," explains, Kenneth Beer MD, PA, a Board Certified Dermatologist and Dermatopathologist with practices in West Palm Beach and Jupiter, Florida.

Based on the company's proprietary Photomology® technology, which treats cellulite by combining dynamic laser and light energy with mechanical manipulation of vacuum and massage, this second generation device is portable and has 50% more power for a quicker, more reproducible procedure. The new system has also been enhanced to assure clinical consistency among treatment providers, offering a single treatment setting, audible treatment guidance and an interactive training screen to answer questions and provide basic clinical training.

"Consumer demand for non-invasive body shaping continues to grow," says Nancy Briefs, President and CEO of Eleme Medical which manufactures SmoothShapes XV. The device is co-marketed and sold by both Eleme Medical and Osyris Medical USA, a subsidiary of Osyris Medical, Lille, France. Ms. Briefs explains, "In a recent survey of physicians this consumer demand was validated by the physicians who said that the two largest categories in which they planned to purchase new equipment and grow their business were cellulite and laser lipolysis."

Many physicians have incorporated SmoothShapes into their laser lipolysis protocols and the popularity of these new combination therapies is growing. Miles Graivier, MD, Board Certified Plastic Surgeon from Atlanta developed some of the early protocols for combination body shaping. He says, "We can now improve our overall body shaping results while decreasing the patient's post treatment bruising, swelling and pain management. We believe the combined therapies are allowing us to deliver a new level of body shaping results to our patients."

About Eleme Medical:

Eleme Medical Inc., headquartered in Merrimack, N.H., is dedicated to providing market-leading technology in all areas of body shaping. SmoothShapes® system with pioneering Photomology® technology is a medical device with FDA clearance to market. The Company's name, when spoken phonetically, suggests "lasers, medicine and aesthetics."

Source: Eleme Medical

Thursday, 29 April 2010

Innovative Digital Technologies Assist Specialists In Anatomical Reconstruction

Techniques for using digital technology in separating conjoined twins, developing facial prostheses and acquiring data from anthropologic specimens will be among the topics presented at a symposium sponsored by the American Association of Anatomists (AAA; http://www.Anatomy.org) on April 28. The symposium is part of the Experimental Biology 2010 conference being held April 24-28, 2010 at the Anaheim Convention Center.

"The common thread of digital technology in fields from prosthetics to surgery to anthropology is its ability to enhance outcomes," said Suzanne N. Verma, MAMS, Assistant Professor and Anaplastologist, Oral and Maxillofacial Surgery at the Texas A & M Health Science Center Baylor College of Dentistry in Dallas, who will co-chair the symposium. "Technology is the palette and the specialist's creativity is the brush."

Kenneth E. Salyer, MD, FACS, FAAP, of the World Craniofacial Foundation in Dallas will discuss how he used technology in planning the surgery performed to separate Egyptian conjoined twins Mohamed and Ahmed Ibrahim in 2003. The twins were joined at the top of their heads. Lessons learned from the successful separation and reconstruction of the twins are opening up new opportunities for future work in tissue engineering and regenerative medicine.

Douglas Owsley, PhD, Curator and Head of the Division of Physical Anthropology at the Smithsonian's National Museum of Natural History in Washington, D.C., will discuss scientists' perspective of Kennewick Man, one of the earliest skeletons ever found in the Americas. Kennewick Man is more than 9,000 years old, and Dr. Owsley used digital technology to scan the specimen's skull and help to physically determine what it would look like with facial muscles and skin.

Ms. Verma will speak about how digital technology assists her in planning surgery and designing facial prostheses. "For example, we can use radiographic data to virtually create a 3D model of our patients, allowing us to preoperatively plan where to place an implant, plan the surgical approach for removing a tumor, or use the data to create a physical model of the missing anatomy" she said.

Andy Christensen, President of Medical Modeling Inc. in Golden, Colo. and co-chair of the symposium will discuss tactile medical modeling and the digital reconstruction process. In tactile medical modeling, specialists use data from digital imaging processes such as computed tomography and magnetic resonance imaging to create accurate plastic models.

Other topics to be presented at the symposium include the assessment of hard tissue structure and mechanics using digital models, and synchronizing sound, spatial positioning and anatomic visualizations in real time.

The symposium, "Digital Technologies in Anatomical Reconstruction: Rebuilding the Past and Engineering the Future," will be held Wednesday, April 28, at 8:00 a.m. in Room 212AB of the Anaheim Convention Center.

Note

The symposium is part of the Experimental Biology 2010 conference being held April 24-28, 2010 at the Anaheim Convention Center.

Source
Federation of American Societies for Experimental Biology (FASEB)

Laser Lipoplasty: Cutting Through The Hype

The pros and cons of laser-assisted lipoplasty will be discussed by leading experts at the Annual Meeting of the American Society for Aesthetic Plastic Surgery (ASAPS), being held at the Gaylord National Hotel and Convention Center April 23-27, 2010. "Point/Counterpoint - Laser Lipoplasty - Hype or Useful Tool?" will be moderated by Franklin DiSpaltro, MD, and will include Barry DiBernardo, MD and Jeffrey M. Kenkel, MD.

According to the Society's statistics, lipoplasty is the second most popular surgical procedure in the United States, with 283,735 performed in 2009. Laser-assisted lipoplasty, in which a laser is used to disrupt fat cells prior to suctioning, has been hotly debated by plastic surgeons since the first laser-assisted device received FDA clearance in late 2006. "The past two decades have been highly technology-driven, with the introduction of many advanced liposuction-assisting devices," said Dr. DiSpaltro, a past president of ASAPS from West Orange, NJ. "Each new technology has spurred great interest and enthusiasm. It is our role to determine if it is hype or a useful tool."

With laser-assisted lipoplasty, a laser probe is inserted into the target area through a small incision, which the surgeon aims at fatty tissue to rupture the fat cells. The laser is then directed toward the skin layer to initiate a stimulation of these cells to achieve a reported tightening of the skin. Fat and disrupted tissue is then suctioned out. The technique received significant media attention as a popular "fat-melting" treatment with a celebrity following.

However, initial data showed that this procedure was no better than traditional liposuction. Additionally, it could present some risks to the liver and kidneys by releasing fatty acids from the fat cells if the recommended concurrent liposuction step approved by the FDA and included in current teaching is not performed. In the wake of the media storm around the fat-melting "phenomenon", a task force was assembled and charged with investigating the technology, analyzing any safety issues and efficacy as compared to other devices, developing a teaching protocol, and educating 2,500 surgeons in how to effectively perform the procedure.

"Over the last two-and-a-half years there has been extensive research and development into laser-assisted lipoplasty, including multiple rounds of research and comparative studies published in peer-reviewed journals," said Dr. DiBernardo, a plastic surgeon in Montclair, NJ. "Ultimately, laser-assisted lipolysis has come to be an important tool in the fat loss armamentarium."

While laser-assisted lipolysis has since been found to be a safe, effective, and teachable technique for body contouring, the bottom line is that no tool on its own is a replacement for the skill and experience of a board-certified plastic surgeon.

"It is important to note that no device is a magic wand," added Dr. Kenkel, a plastic surgeon in Dallas, TX. "Despite any hype generated by manufacturers, physicians, patients, or the media, results are ultimately practitioner-driven."

Source
American Society for Aesthetic Plastic Surgery

Less Frequent Doses Of Botox Still Result In Reduced Wrinkles

Patients can decrease the frequency of Botox© Cosmetic injections after approximately two years and still receive most of the same wrinkle-smoothing cosmetic benefits, according to new research at Oregon Health & Science University.

"After two years of treatment at recommended intervals, patients can potentially cut the frequency, and thus the cost, of their Botox© treatments by half," said Roger A. Dailey, M.D., F.A.C.S., professor and Lester Jones Endowed Chair of oculofacial plastic surgery in the OHSU School of Medicine. The results of Dailey's work were presented at a meeting of American Society of Aesthetic Plastic Surgeon on April 24 in Washington, D.C. The research was sponsored by an unrestricted educational grant from Allergen, Inc., the maker of Botox© Cosmetic.

The Botox© research effort also demonstrated that the injections have a wrinkle preventing - or prophylactic - effect. Patients who begin receiving injections between their 30s and 50s are able to prevent wrinkles from forming and eliminate existing wrinkles, said Dailey, head of the Casey Aesthetic Facial Surgery Center, which opened in 1991 as part of Casey Eye Institute.

Based on previous studies, doctors advised patients who wished to reduce wrinkles in the glabellar region - the area between the eyebrows - that they needed to have Botox© Cosmetic injections every three months to maintain the cosmetic wrinkle-smoothing benefits. Such frequent treatment, however, deterred some patients, Dailey said.

Dailey studied 50 women ages 30 to 50, who received regular Botox© injections for two years. "We found that after the patient receives Botox© Cosmetic injections every four months for two years, the frequency of the injections can be changed to every six months and still achieve good results," Dailey said. "This demonstrates patients have the ability to achieve good results with broader treatment schedules and ultimately at a lower overall treatment cost.

Botox© has been approved for cosmetic use for eight years. In 2008, more than 5 million patients in the United States received cosmetic Botox© treatments, according to Allergen, the manufacturer. About 313,000 of those patients were men.

Source:
Ken Olsen
Oregon Health & Science University

Facial Rejuvenation And The Jowl: How Far Should We Go?

One facial change that really bothers people is the appearance of jowls - those fleshy, droopy folds at the jaw line that typically come with age. Many surgeons consider jowl correction as the single most important part of a facelifting procedure. The issue will be debated by leading experts at the Annual Meeting of the American Society for Aesthetic Plastic Surgery (ASAPS), being held at the Gaylord National Hotel and Convention Center April 23-27, 2010. "The Jowls - Their Importance in Achieving Successful Facial Rejuvenations" will be moderated by Charles H. Thorne, MD, and will include Fritz E. Barton, MD, Alain Fogli, MD, James C. Grotting, MD, and Nigel Mercer, MD.

Jowls eventually appear in a large percentage of people. The appearance of jowls is a "double whammy" because it also brings with it a distinct change in facial shape (wider and more rectangular in the lower face) characteristic of "older" people. At first glance it appears that the jowls simply drop from the face and are a result of gravity; research, however, suggests that atrophy of surrounding fat may be as important as gravity in the etiology of jowls.

"A theme in recent years has been the maintenance and enhancement of facial volume. Patients, however, do not want volume in their jowls. Should fat be excised or suctioned? Should the fat be pulled up into the face by tension on the SMAS (musculature of the face)? Should the pre-jowl area be filled with fat to make the transition from chin to jaw line smoother? Or are jowls so difficult that they require all of the above maneuvers?" said Dr. Thorne, a plastic surgeon in Manhattan and moderator of the panel. "The panel will address all of these questions, and it promises to be a fascinating and potentially controversial discussion."

The formation of jowls is one of the earlier signs of aging along with laxity in the neck. Generally part of an overall facelift procedure, correction may be accomplished by trimming fat, repositioning the jowl fat at a higher level, disguising the jowl by injecting more fat along the jaw line, or by a combination of these procedures. There were 94,927 surgical facelift procedures performed in the U.S. in 2009, according to ASAPS statistics.

"There is no 'one size fits all' approach to jowl correction," said Dr. Grotting, a plastic surgeon in Birmingham, AL. "We will examine various techniques for improving the jowls in different types of patients."

Panelists have been assembled from the U.S. and Europe in order to get diverse opinions on the subject of jowl correction.

"Europeans are reacting against a 'look different' facelift that delivers dramatic results - the trend in Europe is toward less invasive surgery when it comes to facelift procedures," added Dr. Mercer, a plastic surgeon from the United Kingdom. "Toward this end, a 'short scar lift' with minimal incision and more subtle result has developed, and has broadened the scope of facelifting."

When it comes to facial rejuvenation, many considerations must be made when determining the most appropriate approach for correcting the jowl, not the least of which being patient expectations, physical characteristics of the face and a patient's medical history, and an ever-increasing number of potential procedures. Thus, selecting a qualified, board-certified plastic surgeon is the first and most important step toward safely achieving the ideal result.

Source
American Society for Aesthetic Plastic Surgery