Repost of a wonderful article by a Mommy Makeover patient!

This is a WONDERFUL article written by a woman who has had a "Mommy Makeover" surgery.  

Although I wish I could boast about this being MY patient, it is not.  She is an excellent writer and I feel she sums up her experience in a lighthearted and sincere manner. 

However, I truly believe that anyone considering this type of surgery could benefit from reading this in order to help prepare for their experience!

Karen M. Horton, M.D., M.Sc., F.R.C.S.C.

10 Things I wish I'd known before a Mommy Makeover

By JenBob

After getting a mommy makeover, I came up with a top 10 list of things I wish I knew ahead of time!

1. Guilty as charged.

As most moms do, I tend to put everyone else first. A lot of times that is why women tend to feel like they have lost their identities. It’s hard to spend that much money on yourself, especially for aesthetic reasons. It seems okay to spend it on a car or a trip, but for some reason the thought of spending that money on your body is frowned upon. To some that may seem vain or boastful. For me it was about a self confidence that I had yet to achieve, a love of self that I have longed for my entire life. When I look in the mirror I like what I see now. When I feel good about myself…inside and out…I am a better woman, a better wife, and a better mom. It is absolutely normal to feel guilty about spending money on a mommy makeover and it is okay to finally put yourself first. It is the best money I have ever spent…just ask my family.

2. What to tell the kids.

This was a big one for me. I am a mom of two young girls (5 and 2). I grew up with a horrible body image and the last thing I wanted was to implement that to my daughters. I was concerned about what to tell the oldest, the two-year-old really didn’t understand. I thought about saying, “Well, you and your sister ruined my body while I was pregnant with you both.” But then I thought maybe that was too harsh. (Note the sarcasm). I have tried really hard not to down myself in front of them, calling myself too fat, or commenting on my huge belly. They see me exercise and make healthy choices, but I didn’t want them to know that I didn’t like my body. So I tried to keep it simple. The day before surgery I told my oldest daughter that I was going to have an operation to fix my tummy (I didn’t go into the whole booby thing). She of coursed asked why, I told her because the doctor said so. I was prepared for more questions but she seemed satisfied with that. I was informed by the ladies on this site that the best thing to do with boys, if they are older, is tell them you are having female surgery. They will shut right up and have no more questions. Nothing is more embarrassing than talking female issues with your mom.

3. I’m a big girl now.

Most mommy makeovers include lipo and a tummy tuck. Which probably means you will be lucky enough to wear a skin-tight crotchless compression garment. I, as most women, chose to wear panties over this outfit so I didn’t feel as it all my “stuff” was being squished out. (Think of baboons….ewww, or don’t.) Now, the tricky part here is the first couple of days after surgery. You will spend quite a bit of time on the toilet the first time you try to pee, similar to what it is like after giving birth. After a couple tries, it gets better. However, when you are taking pain medication and muscle relaxers on a regular basis, your mind may be fuzzy a bit. I had the great luck of forgetting I had those panties on and peeing straight through them…twice. Yes, not once, but twice. I was starting to think I might have to revert back to diapers but I graduated and learned how to use the potty like a big girl. Also, you will probably not poop for several days at first, so expect a good 3-5 days worth of poop on your first time. With that being said, consider pulling your garment down for that endeavor. The back to front wiping thing can be tricky in that thing. I’m just saying, not that it happened or anything…..I’m just saying…okay…next subject please.

4. Hello Dolly!

If you decide to get implants please remember that objects may appear larger than they actually are. When I first took a glance at my new girls, I thought “Holy Mary Mother of God, what have I done?!” I looked like Dolly Parton, or for younger ones, Beth from Dog the Bounty Hunter. This is NOT your final look. Please don’t freak out. The swelling takes a while to go down and for the implants to “drop” into place. After about a week your PS will probably give you the go ahead to start massaging them. Massaging the implants will help them soften up and find their final resting place. Your significant other with love this, and surprisingly, so will you. I was shocked to find how much I actually liked touching my own breasts. It sounds perverted, I know, but if you are used to your “ladies” hanging out down by your belly, then you will see how nice it is to hold them, let go, and be fascinated that they no longer fall down so low anymore. I can now understand why men are always holding onto their own “boys”. They are proud of them. I have caught myself with one hand on the remote and the other on one of my breasts. So relax, and let the boobs fall where they may.

5. Phantom of the itch.

I knew going into the tummy tuck part of the mommy makeover that my belly would be numb. It is a freaky and strange feeling. It is almost like you are rubbing on someone else’s tummy. I had heard before about people who have had an arm or leg amputated and still felt the feeling of it being there, the phantom limb syndrome. I was not prepared for that with my belly. Every now and then, I will get an itch, go to scratch it, and realize it is where my belly is numb. Scratching a numb belly doesn’t relieve the itch. Simple right? Well I have a masters degree and it took several times scratching before I got that one.

6. Sit. Stay. Good girl.

Once again, most mommy makeovers include a tummy tuck. This is a huge procedure and as most of you have surely read, it is a good idea to take off as much time as possible from your job. I was fortunate enough to take 2 weeks off from my PAID position. I capitalize paid, because as all moms know, the mom position is considered a “non for profit” position. Rarely do we moms put in a request for vacation from that position, so therefore we tend to work every day of the year, even if we are taking a vacation from our “paid jobs”. As most moms, I am an expert at multitasking. It was killing me to sit there and not do anything. The first 3 days or so you have no choice, your body will not allow it. I will admit that I probably did more than I should have. Looking back, I wish I would have taken more advantage of the quiet time and rested and relaxed. I was convinced that if I didn’t do it, it wouldn’t get done, and it wouldn’t get done right. I was wrong. Trust your loved ones. My husband was amazing. He became Mr. Mom and was pretty darn good at it. I have never given him enough credit in that department. Granted, it may have not been done the way I do it, but he stepped up and took charge. And if you don’t have someone doing those household chores….so what. Just take this time for yourself and give your body a chance to heal.

7. All aboard...the Bi-Polar Express.

This is a BIG one. Having your body cut upon, stitched up, and hung up to dry is traumatic. Throw a few pain meds into the mix and you will turn into an emotional tornado. I was known to go from ecstatic to tears in 6.9 seconds flat. Top that!! Be aware that this will be an issue, and emotions will be crazy. Explain this to your loved ones and the people caring for you so they don’t call the men in white coats with the strait jackets. When I felt teary, I would cry. It’s ok, you have a permit to go crazy, take advantage of it. When I was feeling really down and out, I typically would go to bed and nap it off. Use this site. Realself.com is full of women who are going through the same thing. Use them to lean on and talk to. The ladies I have met on here have been A HUGE support to me and I couldn’t have gotten through this without them. Well, I would have, but I would have probably been divorced and sitting in a mental institution. Thanks Ladies!!!

8. Let's get physical.

Most people who are looking into plastic surgery are doing so because exercise has not been effective on certain areas of the body. There are only so many chest flies one can do before you realize they won’t make your boobies stand up and say hello. However, there are some who think this is the alternative to diet and exercise. If that is you….you are wrong. I truly believe my fitness level aided in my recovery time. And I know that I will have to work twice as hard to keep my new body looking tip top. The more active and healthy you are before surgery, the better your recovery will be. You will heal faster, feel better sooner, and be back to the gym before you know it. As you heal, stay away from processed and salty foods, soda, and fried foods. You will swell like the Stay Puff Marshmallow Man and be so uncomfortable. When your doctor says its okay, get back into exercising and let your body lead the way. It will tell you what is too much and when to quit.

9. Don't be naive: do the research.

When I decide to do something I go full speed, head first. In this case, you need to know what you are getting into. When I began this journey, I had no idea that there was a difference between a Board Certified Plastic Surgeon and a Board Certified Cosmetic Surgeon. Now, I will not step into the argument of who is more qualified; just know who you are dealing with. Ask around; find people who have used him/her. The doctor will give you referrals, but let’s face it; they are not stupid enough to give you someone who is unhappy with their work. If you know anyone who has had plastic surgery get as much info from them as possible. There will always be someone who is unhappy with a certain PS or procedure they have had done. But there is a HUGE difference between a “well, I just didn’t like his/her bedside manner” or “I just didn’t see a huge difference in my lipo” and the “he completely disfigured me”. Be wary of the flashy salesman. Go with your gut and ask LOTS of questions. The good ones will sit with you and take as much time as needed.

10. Avoid the Debbie Downers.

We all know one….the Debbie Downers, the buzz kill. And most of us will have to deal with a few after surgery. It is really hard when you feel that you don’t have the support from your loved ones. The choice to have a mommy makeover is strictly yours and hopefully you are doing this for you and only you. I have had a few family members of mine that I surprisingly haven’t received support from. It is hurtful, especially since they saw me struggle with my weight and self esteem issues for years. A lot of people will see it as a “waste of money”. I started feeling the need to explain my reasoning for having the surgery. I wanted them to know that it was not out of vanity, or selfishness. But remember the old saying “Those convinced against their will, are of the same opinion still.” It really doesn’t matter. As much as I wanted them to hear me out and understand my reasoning, they won’t. If they love you, they will keep their negative comments to themselves and support you no matter what. But you may have those who love you yet still feel the need to give their opinion even when not asked. My response to those people would be a nod and a smile. (Believe me, I know it’s hard) If you want, throw in a “please keep your negative comments to yourself” or a “if you don’t have anything nice to say…”. But my advice is to steer clear of the “screw you” sort of comment. It is just not worth it. As long as you know why you are doing this that is all you need. For me, being able to look in the mirror, smile and for the first time in my life, love what I see…well that is priceless to me. And for those who can’t see past the money or their opinions, they are missing out on watching someone they love transforming into the person they have always dreamed of being.

For more information or to ask questions directly about Mommy Makeover surgery, visit my website!  

More about → Repost of a wonderful article by a Mommy Makeover patient!

Online Article with Dr. Karen Horton of Women's Plastic Surgery - Neko Cheri and NC Mag Online

I was recently interviewed by Neko Cheri about my experience being a woman Plastic Surgery and in starting my practice and business in San Francisco.  

  

  

Neko Cheri is the creator of NC Mag, "The intelligent woman's guide to sophisticated living", an online publication for women, by women.

She also hosts a live online talk radio show, Neko Cheri LIVE on Blog Talk Radio.  Check her out!

  

The full article including links to my website and additional information can be read here:

INTERVIEW QUESTIONS DR. KAREN HORTON:

Q:        WHAT PROMPTED YOU TO START YOUR OWN PRACTICE, AND HOW LONG HAVE YOU BEEN IN BUSINESS?

            I completed a long, but very rewarding 16 year road of University study to become a Plastic Surgeon, and started my private practice in Plastic Surgery in 2006.  I am one member of a unique, all-woman Plastic Surgery practice, "Women's Plastic Surgery".  See our website www.womensplasticsurgery.com for more information. 

            Starting your first job at the age of 35 was quite different from many of my friends from college and peers in the community; however I wouldn't have done it any other way!  I am exciting to get out of bed each day and to go to work, something that many others can't relate to! 

            When considering the options for employment, I considered different types of practice, including academic University life, an HMO setting (like Kaiser Permanente), a large group practice, or private practice. 

            For me, private practice was the best fit, in that it enabled me to develop a specialized practice, focusing on the areas of Plastic Surgery I am most passionate about, and to deliver the best patient care, in a personal setting. 

             

Q.        WHAT IS YOUR AREA OF EXPERTISE?

            I am a Board-Certified Plastic Surgeon and Reconstructive Microsurgeon, practicing in the Pacific Heights area of San Francisco.  I specialize in both reconstructive surgery and cosmetic surgery for women.  Visit my bio for additional info about my background and training. 

            At least half of my practice focuses on breast cancer reconstruction, using new techniques that are not yet widely performed in the United States.  One technique for reconstruction of the breast involves a single-stage procedure using an implant, giving women a natural result without the need for multiple surgeries.  Another novel technique involves Microsurgery to reconstruct the breast using the body's own tissue, usually from the lower abdomen or inner thigh area.  This option avoids the use of implants, and provides a permanent, soft and living tissue reconstruction, while adding the benefit of a tummy tuck or a thigh lift! 

            The other part of my practice focuses also on women, many of them Moms!  The "mommy makeover" spectrum of procedures rejuvenates a woman's body after she has completed childbearing.  This type of surgery usually focuses on the breasts and body.  There are permanent changes after pregnancy such as breast deflation or drooping, loss of abdominal muscle tone, and/or excess skin and fat in the middle section or thighs.  Many of my patients are personal trainers, who also need a little help once they are mothers!

            A mommy makeover can include a breast lift, breast augmentation or breast reduction, depending on the changes of pregnancy and your specific aesthetic goals.  Because the muscles of the abdominal wall are permanently separated after pregnancies (particular after multiple children or twin pregnancies), a million sit-ups will not help!  A tummy tuck ("abdominoplasty") and/or liposuction is often recommended to bring the abdominal muscles back together in the midline, and to recreate a flat belly.

            Lastly, I see patients for general Plastic Surgery concerns: moles, skin cancers, and other body concerns.  Labiaplasty is one procedure I particularly enjoy!  Redundant labia minora tissue (inner lips of the female external genitalia) that hangs lower than the labia majora (outer lips) is trimmed for both cosmetic concerns and sometimes for pain during intercourse. 

Q:        WHAT WOULD YOU SAY IS THE MOST SIGINIFICANT ADJUSTMENT THAT WOMEN HAVE AFTER SURGERY?

            Any body-modifying surgery can have a major impact on body image and self-esteem.  Hopefully, the change is a positive one!  However, just like a drastic haircut, there can be a "body image adjustment" period or temporary feeling of remorse after surgery.  I counsel my patients at their initial consultation that this adjustment period of potential feelings of uneasiness, anxiety or "what have I done?" is completely normal and common after surgery.  It can take some time to adjust to your body after any surgery, and the most healthy approach is to acknowledge how you are feeling and to communicate this to your loved ones who are assisting you after surgery. 

Q:        IT SEEMS THAT PLASTIC SURGERY IS A MALE DOMINATED INDUSTRY HOW HAVE YOU BECOME SO SUCCESSFUL?

            Many women come to see me after doing an internet search because I am a woman Surgeon.  I think many women feel most comfortable discussing their bodies, their body image and self-esteem, and their personal goals for surgery with another woman - with the same anatomy, and who can relate to them as a peer as well as their doctor. 

            I give every single patient who walks through the door or my practice my full attention and absolute care.  I get to know my patients intimately, and strive to understand them as a whole person.  I explore how their desire to modify a part of their body will affect their life, health, wellness and spirit, and I encourage realistic goals and objectives for surgery. 

            Each of my patients is given my personal cell phone number, and my patients are encouraged to contact me directly with any questions or concerns, no matter how big or small. 

Q.        WHAT HAS BEEN THE MOST CHALLENGING PART OF STARTING YOUR PLASTIC SUGERY BUSINESS?

            In Medical School and Residency, we are given NO business teaching or training!  Subsequently, it is a crash course in self-employment for most Physicians.  I am still learning about running a business, managing employees, hiring and firing, overseeing the books, etc!  Sometimes I wish I could just wake up with an MBA degree and naturally understand it all.  My business aptitude is a work in progress, but I'm enjoying the journey. 

Q:        WHAT ARE SOME OF THE MILESTONES YOU HAVE ACHIEVED IN THE PAST YEAR?

            In the past year, I have helped literally hundreds of women become whole again after breast cancer, feel sexy and youthful again after pregnancy or aging, and to be more comfortable and confident in their own skin.  This provides such gratification to me; it's almost a bonus that I get to make a living doing this!

            Within five months of starting my practice in July 2006, I was covering my overhead and starting to make a profit, which is a feat in itself!  Since then, I have maxed out my practice schedule, and am fully booked in the operating room and in the office.  I now officially need to focus on "working smarter, not harder". 

Q.        WHAT IS THE MOST COMMON MISCONCEPTION ABOUT PLASTIC SURGERY?

            Any Plastic Surgery operation is a major deal.  Each procedure involves cutting and sewing, bruising, downtime, discomfort, and healing time.  Reality shows and celebrity gossip magazines often portray Plastic Surgery in an unrealistic light, minimizing the downtime and sensationalizing the results.

            In addition, many Hollywood celebrities who have had more than their share of cosmetic procedures (no names needed!), look abnormal and have lost their natural beauty.  The best Plastic Surgery does not make you look different, does not distort your facial features, and is not overtly obvious to any passer-by.  Most women seeking surgery in my office want a natural result, without looking "fake" or "done". 

Q.        WHAT ADVICE WOULD YOU GIVE TO A YOUNG WOMAN LOOKING TO WORK IN YOUR FIELD?

            I had very few female Mentors during my training.  My father is a General Surgeon and was a breast cancer specialist, who undoubtedly influenced me, although he was a workaholic and hardly ever around!  My mother held a Ph.D. in Biochemistry, and instilled in my sisters and me the conviction that "you can be anything you want in life, except a Daddy!"

            I was raised to believe that I could achieve just about any career goals I wished, as long as I received good grades in school and worked hard.  My parents encouraged me to investigate other career fields, based on my interests of art and drawing, such as architecture and fine arts.  However, medicine and surgery was the best fit for me, based on my fascination with the human body, science and figuring out the way things work!

            A career in Plastic Surgery is difficult to enter and is fiercely competitive.  In Canada, my birthplace and location of training, only ten training spots are available each year, and the competition is intense.  Four years of undergraduate University, four years of Medical School, five to six years of Plastic Surgery Residency, and often a final year of Fellowship training are necessary before you can start your own practice. 

            I encourage students who are interested in learning more about Plastic Surgery to shadow me in the office and the operating room, and I regularly mentor young females who are considering a career in Medicine. 

Q.        WHAT IS THE REWARDING PART OF YOUR OCCUPATION?

            The most rewarding aspect of my career is helping people in an intimate and emotional way, every single day!  Plastic Surgery enables me to use my brain, my hands, my creativity and artistic talents, and my compassion and caring nature in the best possible way.  Helping others truly is my calling, and Plastic Surgery is the venue!

Q.        WHAT TRENDS TO SEE HAPPENING IN YOUR INDUSTRY?           

            Many non-surgical aesthetic treatments are increasingly being offered as an alternative to, or as an adjunct to surgery. 

            Examples are Botox, Dysport and other injectable agents that decrease muscle contraction and eliminate wrinkles, injectable fillers that help to fill lines in the face, that decrease the effects of aging around the eyes, and plump the lips or cheeks, and "laser"-type treatments that can help to tighten skin without surgery and to improve abnormal pigmentation of the skin.

            Nonsurgical treatments such as these can be a little less expensive than surgery, and can be a great option for women who are not ready for a facelift or eyelid lift surgery.  However, the effects are usually temporary, and over time, the expenses can add up!   Surgery sometimes is the correct answer; your Plastic Surgeon can help to determine which options will best achieve your goals!

Q.        HOW DO YOU SEE YOUR PRACTICE EXPANDING IN THE NEXT 5 YEARS?

            I will always be committed to breast cancer patients, and I intend to continue to perform breast reconstruction for women facing cancer throughout my career.  At this point in my practice, I am already extremely busy, I'm tired, but I'm thrilled about this! 

            I would like to expand my "mommy makeover" cosmetic practice and help many more Moms achieve their body image and self-esteem goals via surgery (once they have achieved their maximal results with a health diet and regular exercise).

            I am now ready to train a "Fellow" (fully trained Plastic Surgery graduate) and teach them all I know, and to eventually take on a Junior Associate in my practice!  I also plan to hire a Physician Assistant to enable me to be as efficient as possible and to share my responsibility with inpatient hospital rounds, office preoperative visits, phone calls, and weekend call. 

            I hope to start my own family soon, and having someone I have personally trained and trust to care for my patients in the same manner and degree as I do, will enable me to best juggle work and a family life.  I look forward to that challenge!

Q.        HOW HAS SOCIAL NETWORKING AFFECTED YOUR FIELD?

            There is a great deal of inaccurate information and gossip on the internet, particularly regarding Plastic Surgery.        

            I am active on Twitter and Facebook, and I use these resources as a way to reach out to other and to educate, inform and empower women (and men!) about what Plastic Surgery is and isn't, to discuss some of the latest controversies in Plastic Surgery, and to get the word out there about new surgical techniques that are the latest and greatest!

            I think social networking is great, as long as it is used with respect and professionalism.  Many of my patients "follow" me online, and it's important to remember that once an opinion or message is posted, it is out in cyberspace forever! 

More about → Online Article with Dr. Karen Horton of Women's Plastic Surgery - Neko Cheri and NC Mag Online

How are breast implants put in the body?

Breast implants can be inserted through a variety of incisions:

1.       In the fold under the breast (inframammary)

2.       Around the areola (periareolar)

3.       Through the areola and around the nipple (transareolar)

4.       Through the armpit (trans-axillary)

5.       Via the belly button (trans-umbilical)

Inframammary fold (IMF) incisions preserve the function of the function of the breast, namely breastfeeding and pleasure.  I use this incision most commonly for breast augmentation surgery.  

When an incision is made in the fold under the breast, the scar lies in a natural crease and does not tend to stretch or be raised, as can happen in other areas.  All structures leading to the nipple and areola (milk ducts, nerves, blood vessels) remain intact.  In addition, once an implant is inserted, it is probable during a woman's lifetime that another surgery may be required (to change the implant, remove it later in life, perform a breast lift with drooping, etc.).  Therefore, the scar is already present and this can be used again as an incision in the future.  

Many other incisions used for breast augmentation are only a one-time option, with the IMF incision required in the future.  The IMF scar is hidden in bras and even triangle-top string bikinis, and will only be visible up close when the breasts are lifted.

Peri-areolar incisions are usually around the bottom of the areola, the pigmented circle that surrounds the nipple.  There are bacteria that live in this area, and vital milk ducts and nerves in this region.  By definition, some of these structures will be divided (cut) during surgery, resulting in a higher risk of complications (infection, numbness, inability to breast feed, etc.).  In addition, if a woman makes raised scars, they may be visible beneath a tight shirt or through a bathing suit. 

Trans-areolar incisions also cut through breast tissue and/or ducts, blood vessels or nerves.  Nipple retraction can also result from scar tissue that normally forms after surgery.  For these reasons, I would not recommend this for most women. 

Trans-axillary breast augmentation makes an incision in the armpit, or axillary area.  This is often a one-time incision, that creates a scar in the area where most women shave, and is also a site of normal bacterial growth (hence deodorant use!).  The incidence of infection can potentially be higher, and this incision cannot be reused in the future for addition other surgery. 

Trans-umbilical breast augmentation (TUBA) is more of a gimmick than routine approach.  A long tube and scope with a camera must be tunneled beneath the skin of the belly button all the way to the area under the breast.  If there are any complications during surgery such as bleeding, or if the surgeon cannot adequately visualize what they are doing, a second incision must be made in the IMF.  Only a tightly rolled up saline-filled breast implant can be used (not silicone implants), it is also a one-time incision, and a long band of scar tissue beneath the skin is possibly visible after surgery - a permanent deformity.  I would never recommend this option to any of my patients. 

More about → How are breast implants put in the body?

The SAFETY and science of breast implants and SILICONE!

Most women who come to see me in consultation for breast augmentation have one major question:  "Is silicone safe???" 

I spend a great deal of time and effort in my practice educating women about their options for surgery, and when discussing breast augmentation, I emphasize that all implants, both saline- and silicone-filled, are SAFE.

In fact, silicone breast implants are the most extensively studied implantable medical device in the history of medical devices! 

All breast implants have a silicone shell; the fill material is what differs.  For most of my patients, I recommend silicone specifically, because it can have a more natural look and feel. 

The website breastimplantanswers.com is an excellent resource for women to learn all about breast implants.  I send each woman I see in consultation to this site to do some "homework" and to learn more about this medical device.

Here are some excerpts from the site (I encourage you to also visit the website for additional information):

Silicone is a highly versatile substance that has many medical uses. Different types of silicone have been used for decades in a variety of medical devices, such as pacemakers and artificial joints.

Learn more about the technology and innovation behind silicone and silicone gel-filled breast implants 

Silicone gel-filled breast implants are among the most extensively studied FDA-approved medical devices in existence. In the United States alone, Allergan has examined the safety of silicone gel-filled breast implants in more than 80,000 women.

For more detailed information, please read the complete safety information

The United States Food and Drug Administration (FDA) approved silicone gel-filled breast implants after reviewing a vast amount of scientific data. These data consisted of results from extensive preclinical testing, four years of data on 715 women from Allergan's Core Clinical Study, and a European study that evaluated implant rupture prevalence rates beyond 10 years1. In addition, countless published, peer-reviewed studies and research support the safety of silicone and silicone gel-filled breast implants. The FDA also considered in their decision the opinions of advisory panels made up of outside experts.

Read the Core Study results

Breast augmentation is a personal decision for a woman, and one that should not be taken lightly.  I encourage all women to educate themselves about the safety and science of breast implants before considering any surgical procedure.  

More about → The SAFETY and science of breast implants and SILICONE!

Power Women Magazine's Blogtalk Radio - Dr. Karen Horton as featured guest!

I was recently interviewed by Power Women Magazine for a full live hour, discussing the latest in Plastic Surgery for women, both cosmetic and reconstructive.

Click this link to listen to the interview!

Power Women Magazine Where Power Women can network Dr. Karen Horton Dr. Karen Horton has invited you to the event 'Dr Karen Horton' on Power Women Magazine! Log in to listen to my online radio interview tomorrow (Tuesday) - 9 a.m. PST, PowerWomenMagazine.com! I will be discussing the latest in Plastic Surgery for women. Karen Horton, MD, MSc, FRCSC Time: October 27, 2009 from 11am to 12pm Location: www.blogtalkradio.com/powerwomenmag Organized By: Dee Jones Event Description: Dr Karen Horton will be speaking on women and plastic surgery See more details and RSVP on Power Women Magazine: http://powerwomenmagazine.ning.com/events/event/show?id=2871844%3AEvent%3A6521&xgi=0kl7ziWtD2JBXK About Power Women Magazine Power Women Magazine is an online publication about women by women for women and issues important to women worldwide. 392 members 348 photos 9 songs 38 videos 37 discussions 201 Events 108 blog posts

More about → Power Women Magazine's Blogtalk Radio - Dr. Karen Horton as featured guest!

Template for a Letter Regarding Cosmetic Surgery Tax ("BoTax")

The Aesthetic Society and all of organized Plastic Surgery present a united front to fight the unfair Cosmetic Surgery Tax!

The Society leadership strongly disagrees with this discriminatory tax and is very concerned with the role of the surgeon as tax collector. Additionally, we see potentially devastating consequences to patient safety, as some may choose to have surgery abroad, seeing physicians who may not have comparable training certification or surgical site standards up to those of ABMS Board-certified Plastic Surgeons.

The following is the template for a letter that patients can use to express their opinion and dissent toward the proposed cosmetic surgery tax:

You can find your elected representative by clicking here: http://www.senate.gov/general/contact_information/senators_cfm.cfm

Dear Senator ______,

HEALTHCARE PLAN IN THE SENATE WILL UNFAIRLY DISCRIMATE AGAINST US!

I am writing you today about an issue that affects everyone who utilizes plastic surgery services for anything from Botox to Tummy Tucks.

The healthcare bill approved by the US Senate this weekend, Page 2045 Sec. 9017, Excise Tax on Elective Cosmetic Medical Procedures included in the “Patient Protection and Affordable Care Act.

This dense legalese translates to a tax on all cosmetic procedures as partial payment for the healthcare overhaul our current administration is attempting to implement.

The problem is that we would be paying this tax, the FIRST time this country has levied a tax on patients for medical procedures. This Bill is objectionable in many ways, including:

· This is a discriminatory tax. According to the Aesthetic Society Annual Statistics, 91% of all cosmetic procedures are requested by women

· This will not have considerable consequences on the wealthiest patients but, as usual, affects the middle class. We working women, soccer moms, and scores of others who carefully save and budget to improve our appearance and self esteem will be penalized for doing so.

· Procedures such as breast reduction that have been cited in the literature for improving self esteem and quality of life would be taxed as well.

· Our doctor as tax collector: This provision places physicians in the role of tax collector and holds physicians liable should an individual fail or refuse to pay the tax. That is not the relationship we want with our medical provider!

Please, do not allow this portion of the tax bill to pass!

Sincerely,

______________________

More about → Template for a Letter Regarding Cosmetic Surgery Tax ("BoTax")

The Jakarta Post Article - The Brave New World of Plastic Surgery

I was recently interviewed by San Francisco freelance writer, May-lee Chai, for an article in the Jakarta Post, Indonesia.

Click on the images for a full-size version of this article on Plastic Surgery.

More about → The Jakarta Post Article - The Brave New World of Plastic Surgery

Medical Spas - A Word of Caution to Doctors

The following is an excerpt from a recent Medical Board of California publication about the business of Medicine:

There has been an explosion of "cosmetic medicine" over the past few years, and many Physicians are being approached to "increase their bottom line" by entering into this lucrative field.

There is a tendency for the public, and some in the profession, to view laser treatments, Botox and cosmetic filler injections as cosmetic rather than medical treatments. The use of prescriptive drugs and devices, however, is the practice of medicine, and the same laws and regulations apply to these types of treatments as those driven by medical necessity.

Cosmetic procedures are the practice of medicine, and Physicians are responsible for their patients, regardless of who performs the treatments. There is no legal scheme that allows Physicians to collect a fee for signing their name to an agreement to lend their license to an entity to practice Medicine.

Legally, the "clients" of the spa or salon are patients - the Physician's patients, and that arrangement comes with all of the responsibility and liability that goes with any other Doctor-patient relationship.

See the entire Medical Board of California article here: http://www.mbc.ca.gov/licensee/medical_spas-business.pdf

More about → Medical Spas - A Word of Caution to Doctors

New Beauty Magazine - An excellent resource for beauty and cosmetic procedures

NewBeauty, The World's Most Unique Beauty Magazine, is revolutionizing the way people learn about beauty and cosmetic enhancement.

NewBeauty reveals the latest advances in plastic surgery, dermatology and cosmetic dentistry, while arming consumers with the educational information they need to make the best beauty decisions.

NewBeauty provides up-to-date information about surgical and non-surgical beauty solutions and must-have products, as well as the top spas and salons across the country.

Click here to see Dr. Horton's New Beauty profile.

More about → New Beauty Magazine - An excellent resource for beauty and cosmetic procedures

Safety is key when planning multiple cosmetic procedures

Planning cosmetic procedures on many parts of the body at the same time is often done:

• To reduce the number of anesthetics given for each procedure
• To lower the overall cost for O.R. time and Anesthesia fees
• To have a single recovery period and less overall down-time

However, SAFETY is key in planning ALL combined cosmetic procedures!

Some procedures are complimentary - i.e. breasts and body (tummy), breasts and liposuction on on front of the body, face and neck together, tummy and thigh contouring.

I advise my patients to choose two major body parts to address at one time and to limit it to that at any one time.

Time under anesthesia is another consideration. There is no 'magic number', but the longer the procedure, the greater the overall risk.

Also, selecting procedures on one side of the body only (all on the front or all on the backside) is another simple way to limit the amount of work done at any one time.

Lengthy procedures on more than two body areas at one time increases the time under anesthesia, increases the risk complications (blood clots in the legs or lungs), fluid overload or dehydration, postoperative pain and immobility, and many others.

Lastly, consider the recovery! Ouch!

It is advisable to have some body areas functional and pain-free so that you can get around and peform your activities of daily living safely.

More about → Safety is key when planning multiple cosmetic procedures

What is Plastic Surgery, anyway?

What is “Plastic Surgery”?

The word “plastic” derives from the Greek word “Plastikos”, which means "to mold or change form".

There is actually no connection with modern-day plastic, a synthetic polymer that is moldable when heated. And despite many misconceptions, Plastic Surgery does NOT involve using plastic in the body!

The first known Plastic Surgical procedure, reconstruction of the nose, was documented in 18^th Century B.C. A man's nose was literally cut off "to spite his face" for punishment, and it was reconstructed using a flap of skin from his arm.

See the image with the contraption used to keep the arm attached to the face for approximately three months!

Refer to http://www.plasticsurgery.org/Patients_and_Consumers/The_Story_of_Plastic_Surgery.html and http://www.aboardcertifiedplasticsurgeonresource.com/plastic_surgery/history.html for more information on the history of Plastic Surgery.

Plastic surgery involves both reconstructive and cosmetic procedures. Common reconstructive procedures include breast reconstruction after cancer, burn surgery, cleft lip and palate surgery, hand surgery, pressure sore reconstruction, facial fracture correction, skin cancer surgery, and the list goes on...

What is Cosmetic Surgery?

“Cosmetic surgery” is plastic surgery designed to improve the appearance of the body or counteract the effect of aging.

Cosmetic surgery can often improve body image, self-esteem and help to restore a more youthful appearance to the face, breasts and body.

Most of us are familiar with cosmetic surgery in the media - movie stars, celebrities, reality TV shows...

Cosmetic surgery is enticing in that it can dramatically change the appearance of the body, usually for the better, but sometimes for worse. We are all familiar with individuals in the press who have had TOO much cosmetic surgery!

Examples of common cosmetic procedures include facial rejuvenation (facelift, necklift, eyelid lift/blepharoplasty, rhinoplasty), breast surgery (reduction, lift or augmentation) and rejuvenation of the body (tummy tucks, liposuction).

There are also non-invasive cosmetic procedures such as Botox, fillers, lasers that are often an alternative to invasive surgeries.

Future blog posts will feature details on each of the major Plastic Surgery procedures - who are good candidates for surgery, details of procedures, what to expect during recovery, downtime, risks, and representative before and after photos.

Stay tuned!

More about → What is Plastic Surgery, anyway?