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Nov. 22nd, 2009

  • 10:14 PM

Cosmetic procedures tax (Botax)

A recent proposal for the health care reform was to introduce a 5% tax on elective cosmetic procedures. Lawmakers that proposed this tax believe that it will allow to generate 5.8 billion dollars over the next ten years. However, the plastic surgery societies oppose this tax discriminatory, arbitrary and ineffective.
First, this tax is disciminatory against women as 86 percent of plastic surgery patients are female, of which 91 percent are between the working ages of 19-64 according to the current ASPS President. He further added that cosmetic surgery is no longer an exclusive luxury afforded by the very wealthy, but rather a mainstream and reasonable option most common amongst the working middle-class.
According to the plastic surgery societies, such a tax has been proven ineffective in the past. New Jersey is the only state that passed a similar 6% tax on elective medical procedures in 2004. However, the NJ Department of Taxation has experienced a 59% shortfall compared to the projected revenue estimates. Eight other states have considered similar tax legislation– and they all wisely rejected them.
Finally, though the bill claims that the only procedures that would be taxed are those that are “not necessary to ameliorate a deformity arising from, or directly related to, a congenital abnormality, a personal injury resulting from an accident or trauma, or a disfiguring disease,” The Plastic Surgery Societies contend that such distinctions aren’t always obvious. Because the line between ‘cosmetic’ and ‘reconstructive’ surgery is not always clear, such a tax would leave the determination of medical necessity up to state tax auditors – a completely inappropriate proposition.
Information source www.earthtimes.org

Key words: Plastic surgeon los angeles , rhinoplasty Los Angeles, breast augmentation Los Angeles, tummy tuck Los Angeles, liposuction Los Angeles.

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Plastic surgical procedures in LA

  • Nov. 15th, 2009 at 2:53 PM
Plastic surgical procedures are performed in large volumes on a daily basis in Los Angeles. There are many different procedures performed. Some of the most commonly performed procedures are:
Breast Augmentation Los Angeles - is probably the most commonly performed procedure by many Los Angeles plastic surgeons. Silicone breast implants have become very popular and provide a more natural feel than saline implants. The satisfaction rate of women with silicone implants appears to be higher than among those who underwent augmentation using saline implants.
Rhinoplasty - is a procedure which reshapes the nose. Closed and open nose reshaping techniques exist. Rhinoplasty Los Angeles and Rhinoplasty Beverly Hills experts will agree that this is one of the most challenging plastic surgical procedures as each person has a different nose.
Tummy tuck Los Angeles- is a very commonly performed procedure. Many mothers and patients who lost weight turn to plastic surgeon to remove excess skin, excess fat, and tighten loose abdominal muscles. This procedure is frequently combined with liposuction.

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Asian rhinoplasty

  • Oct. 25th, 2009 at 4:02 PM

Asian-Americans comprise an increasing percentage of US plastic surgery patients and the number of Asian-Americans undergoing rhinoplasty in Los Angeles and rhinoplasty in Beverly Hills .  This procedure has been one of the most commonly requested procedures among this ethnic group.

A Los Angeles plastic surgeon is typically asked to address a broad bridge, wide nostrils, and a flat nasal tip curve. The prevailing Asian rhinoplasty trends involve the changing and reshaping of these characteristic features of the nose.

A common option to  produce a higher nasal bridge, a  silicone implants is used.   Some plastic surgeons in Los Angeles prefer to  use cartilage grafts to build up the nasal bridge during Asian rhinoplasty.  Cartilage warping and visibility have been reported as commonly observed complications when cartilage grafts are used for this purpose.  In contrast, the use of cartilage grafts for tip augmentation has been used successfully with fewer problems.

Keeping the nose balanced with the rest of the face is the key to a successful Asian-American rhinoplasty.  At the same time,  many patients request to preserve ethnic features of the nose.  Asian rhinoplasty is not a long procedure and therefore can be combined with other procedures such as breast augmentation Los Angeles or tummy tuck Los Angeles.



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Lip Augmentation

  • Sep. 6th, 2009 at 6:15 PM
Introduction of silicone lip implant Los Angeles today allows plastic surgeon Los Angeles to offer patients a safe, natural, and permanent method of lip augmentation Los Angeles. Silicone lip implants are soft and shape specifically to produce a natural feel and look. These implants are similar in the feel to the gummy bear breast implants Los Angeles that are used for  breast augmentation Los Angeles.   Silicone lip implants cannot leak.  These implants are  be inserted in the office under local anesthesia through small incisions in the corner of the mouth. The procedure takes about 15-20 min to perform.  The implants can be easily removed in the office in the future if the patient decides to have them removed.  Lip augmentation can be performed alone or in combination with other procedures such as breast augmentation, rhinoplasty Los Angeles, tummy tuck Los Angeles, or liposuction Los Angeles.

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nose surgery

  • Aug. 28th, 2009 at 3:34 PM

Although there are aesthetic guidelines as to what constitutes an attractive nose, for each face it takes a different nose to create an appropriate harmony and balance. According to a plastic surgeon Los Angeles patients can take advantage of nose reshaping surgery (rhinoplasty) which can help enhance the appropriate balance between the nose and facial features.

Rhinoplasty Beverly Hills
With Regard To Nose Plastic Surgery Rhinoplasty in Los Angeles Can Achieve The Following Effects:
The hump on the bridge of the nose can be removed
The boxy or bulbous tip of the nose can be refined
Droopy nose can be rotated up
A long nose can be made shorter
A wide nose can be narrowed
Certain traumatic deformities of the nose can be improved or corrected
Certain causes of nasal airway obstruction can be treated

In some patients with a small chin, a chin augmentation may improve the balance between the face and the nose. A detailed analysis of your nose and facial features will be performed during your consultation. As with all plastic surgery operations like rhinoplasty or tummy tuck  Los Angeles patients can expect to discuss potential options with their surgeons regarding all their facial and body reshaping needs.

How is nasal reshaping (rhinoplasty) done?
Rhinoplasty in some patients can be performed using local analgesia and sedation. General anesthesia is used in other patients. The choice of anesthesia depends on the type of nasal reshaping to be performed, your preference, and your medical condition. For most rhinoplasty patients, we place incisions inside the nose. The sutures are absorbable and do not need to be removed. In some patients a small incision may need to be placed at the base of the nose.

What is recovery like following rhinoplasty Beverly Hills patients often ask. Intranasal dressings, if used, will be removed on day 2 or 3 after surgery. You will have a splint on your nose that will be removed on day 5 or 6 after surgery. Most swelling will resolve within several weeks. However, it may take up to a year for all swelling to resolve completely. Most patients are very pleased with the results. Some patients request a touch-up procedure to further refine the results.  Many patients combine rhinoplasty with other procedures such as breast augmentation Los Angeles or lip augmentation los angeles.

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info

  • Aug. 23rd, 2009 at 10:31 PM

The toll of living a hectic life starts to show its effect on our bodies slowly but steadily. Though these changes are gradual but we do start noticing when they pile up in the form of fine lines, excess weight, fatty body parts and loose skin. These few changes leave their permanent footprints on celebrities and commoners, men and women alike and can be eradicated by taking help of plastic surgery.

Though cosmetic surgery is useful to improve the overall contour of the body, many people have erroneous ideas about how dramatically their looks change from the plastic surgery process. A  Plastic Surgeon Los Angeles blames blinding advertising campaigns and excessive media coverage for this. Whether you are going for rhinoplasty Los Angeles,  tummy tuck Los Angeles, liposuction, facelift or Breast Implants Los Angeles, you should have an in-depth conversation with your doctor about what to expect from the procedure.
Many clinics show pre-surgery and post-surgery photographs to prospective clients to tell them about the effects that the surgery can have. This is very common for Breast Augmentation Los Angeles and Rhinoplasty Beverly Hills, but you should always have realistic expectations from the surgery and not let the pictures manipulate your decision.
Also, the effects of treatment take time to set in and show themselves. It is very rare to have a changes outlook immediately after the procedure, such as after breast augmentation Beverly Hills. Redness and swelling are common and temporary side effects for any such procedure including breast reduction Los Angeles  or . As a result, some people get a false illusion that the surgery has failed on them and get disheartened by it. While thinking about the amount of money they have spent, few also experience days of sadness and depression, although this is uncommon and transient.
It is therefore necessary to question all these doubts in the beginning and find out the estimated time after which results would begin to exhibit. Waiting for a fair amount of time after the operation before making your judgment regarding the effectiveness of the process is advisable.
 
Upcoming topics include Gynecomastia Los Angeles , Male breast reduction los angeles

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Jul. 28th, 2009

  • 1:11 PM
Rhinoplasty Los Angeles is procedure performed to reshape the nose and improve breathing in those patients where obstruction is present.  Closed and open rhinoplasty techniques are used.  Rhinoplasty Beverly Hills procedure existed many years and have been improved. Yet, it remains of the most  challenging plastic surgical procedures. 

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silicone injections

  • Jul. 26th, 2009 at 8:56 PM
Medical grade silicone is a  compound that has been widely used in cosmetic surgery.  Some physicians have even gone as far as injecting silicone in the nose for non surgical rhinoplasty Beverly Hills.   Additionally, it is also injected in the face or lips  for augmentation and treatment of wrinkles.  Silicone injections are not approved by FDA for cosmetic purposes as many permanent complication can occur.  Silicone breast implants are approved by FDA for breast augmentation beverly hills and are considered to be safe.  Because implants are placed deep behind the muscle or breast tissue and silicone is contained in an implant shell, complication related to silicone are much less common and less severe when implants are used for breast augmentation Los Angeles.   When injected,  liquid silicone used for lip augmentation or rhinoplasty los angeles can cause granulomas (painful bumps), irregularities, and even  ulcers. Typically a board certified plastic surgeon Los Angeles will advise patients from having silicone injections.

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Breast augmentation

  • Jul. 5th, 2009 at 5:42 PM
Breast augmentation Los Angeles   a commonly performed breast enhancement procedure.  Implant type and size selection is a very important process between the surgeon and the patient.  New generation silicone implants offer a superior feel and shape over the saline implants.
The leak rate of the new generation silicone implants is less than that of saline implants and wrippling of the implant is less common.

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Head elevation after rhinoplasty

  • Jul. 5th, 2009 at 5:36 PM
Rhinoplasty Los Angeles   a procedure performed to reshape the nose.  Swelling sets in following rhinoplasty.
It is important to keep the head elevated above the level of the heart to minimize swelling and bruising.
The swelling around the nose  worsens the first and second day and subside significantly by day 6-7.

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Body contouring

  • Jun. 21st, 2009 at 11:18 PM
What is body contouring? This technical term which confuses a lot of people includes a plastic surgery procedures that help improve and restore the shape of the body.  Commonly performed procedures for body contouring include a tummy tuck los angeles and liposuction los angeles.  These procedure can also be combined with breast reshaping procedures such as breast augmentation los angeles or breast implans los angeles.  Patients presenting for body contouring typically have lost a lot of weight of after pregnancy.  Tummy tuck beverly hills allows to remove skin excess which may occur following weight loss and tighten abdominal muscles.     Additionally, contouring of the extremities such as arm lift, thigh lift,  body lift and liposuction is performed.   The term body contouring typically does not include facial surgery such as rhinoplasty beverly hills or nose surgery beverly hills .   Although loose facial skin results in patients following significant weight loss.  These patient will undergo a facelift to improve the contour of the face. Rhinoplasty Los angeles or nose surgery los angeles mainly addresses the skeleton of the nose which does not change with weight loss.  To ensure safety, a  plastic surgeon los angeles will decide which combination of procedures can be performed at the same time

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Is breast surgery covered by medical insurances?

  • May. 25th, 2009 at 1:23 PM

There are a number of medical/ health insurance companies and a lot more different policies that a person can choose from. Each company and policy will have a specific set of procedures covered and requirements to qualify for coverage. Cosmetic  surgery Los Angeles for aesthetic reasons is not generally covered by medical insurances.  When plastic surgery Los Angeles is performed to improve function or for reconstructive reasons,  insurance coverage can typically be obtained.

Breast reduction Los Angeles is frequently covered by medical insurances.  Patients present for breast reduction will frequently complain of pain in shoulders, neck, and back and  limitations of their physical activity due to large and heavy breasts.  These patients will benefit from breast reduction to improve their  symptoms.  Breast reduction procedures also lifts the breasts.  Prior to surgery a plastic surgeon Los Angeles will request preauthorization from the patient’s insurance company.  Breast lift Los Angeles alone (without reduction) is considered a cosmetic procedure and generally not covered by medical insurances.  If breast reduction combined with other plastic surgery procedures such as liposuction Los Angeles or a tummy tuck los angeles,  insurance coverage only applies to breast reduction.

Breast Augmentation Los Angeles is frequently performed plastic surgery procedure.  Aesthetic breast enlargement los angeles is not covered by medical insurances.  However, when breast implants los angeles are used for breast reconstruction, insurance coverage can apply.


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Rhinoplasty and medical insurance.

  • May. 25th, 2009 at 12:43 PM
Rhinoplasty Los Angeles can be performed to improve the form of the nose and/ or  improve breathing.  Nose surgery Los Angeles to improve nasal airway obstruction is considered medically necessary and therefore will be covered by most medical insurances. These patients typically  suffer from a nasal airway obstruction and have evidence of obstruction such as a deviated septum Los Angeles and / or enlarged turbinates. Rhinoplasty performed for aesthetic purposes is not covered by medical insurances but correction of nasal deformities due to trauma may be covered.  A plastic surgeon Los Angeles will first discuss the patients sympotms and examine the nose to determine if the patients has evidence of nasal airway obstruction which can be surgically treated.   Nasal airway correction is frequently combined with cosmetic rhinoplasty beverly hills .

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What is a mommy makeover?

  • May. 10th, 2009 at 9:32 PM
A mommy makeover Los Angeles has been frequently mentioned in the media. Hence, many mothers present to Los Angeles plastic surgeons asking for this procedure. A mommy makeover is more of a marketing rather a technical term. Following pregnancies many women experience changes in the shape of their body and face. A mommy makeover includes a set of plastic surgery in Los Angeles procedures that would restore or improve the shape of the woman's face and body after childbearing.

There is not a specific set of procedures. More commonly women are bothered by stretched abdominal skin and weak abdominal muscles, sagging breasts with dimished volume, fat excess in various areas. Therefore, a common combination of a mommy makeover procedures are a tummy tuck Los Angeles, liposuction Los Angeles of abdomen and flanks, and breast augmentation Los Angeles. Women who developed breast sagging would benefit from a breast lift Los Angeles in addition to breast enlargment Los Angeles using breast implants Los Angeles. These procedures can also be combined with a tummy tuck Beverly Hills. In some women breasts may stay large and heavy and these women request a breast reduction Los Angeles.

Another common set of procedures is facial plastic surgery Los Angeles and body contouring. Commonly mothers in this group undergo such procedures as rhinoplasty Los Angeles combined with a breast augmentation or a tummy tuck. RhinoplastyBeverly Hills is nose surgery Los Angeles to reshape the nose, also referred to as a nose job Los Angeles . Many women who are bothered by protruding ears had requested to undergo ear surgery Los Angeles or otoplasty Los Angels . This procedure is also called ear pinning Los Angeles .

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Recovery after plastic surgery - Dr. Vladimir Grigoryants reviews common instructions

  • May. 1st, 2009 at 8:39 PM
Most procedures in plastic surgery in Los Angeles are elective and require careful preparation and planning. A great part of a successful outcome depends on proper postsurgical care. Recuperation following plastic surgery Los Angeles depends on the type of procedure performed and person's health status. Postosurgical instructions vary depending on the preference of the Los Angeles plastic surgeon and patient's health status. At our practice most patients are given instructions listed below. Breast Augmentation Los Angeles- is a relatively short procedure about (45min - 1hour). Most women are able to return to work about 4-7 days following breast enlargement Los Angeles. The larger the breast implants Los Angeles, the greater amount of pressure the patients experience early after the procedure. Most exercises can be resumed about 4 weeks after breast augmentation Beverly Hills.

Breast reduction Los Angeles or Breast lift Los Angeles - are 3-4 hours in duration. Patients are advised plan for a 7 -10 day recuperation period, which can be shorter for many patients. Exercises can be gradually resumed 1 month after surgery.

Rhinoplasty Los Angeles or nose job Los Angeles - takes about 1-2.5 hours to perform. In most patients a nasal splint will be placed following nose surgery Los Angeles, which will stay on for 5-7 days. Although some patients return to work or school, as early as 2-3 days after nose surgery, most patients take about 5-7 days off. Exercises can be resumed 3-4 weeks after rhinoplasty Beverly Hills

Tummy tuck Los Angeles- the surgery lasts 2-4 hours. Some patients may spend a night in the hospital or a recovery center but most patients go home the same day. It is recommended for most patients to take about 2 weeks off. Many people feel better faster and return to work as early as 6-7 days after tummy tuck Los Angeles surgery. Cardiovascular exercises can be resumed 4 weeks after tummy tuck Beverly Hills surgery and heavy lifting 2 months after surgery.

Liposuction Los Angeles - the duration of this procedure varies on the size of the patient and number of areas treated. For isolated areas of liposuction (eg lower back, abdomen, outer thighs, neck, or arms), 4-5 days of recovery is sufficient for most patients. When liposuction Beverly Hills is combined with other procedures, recovery can be several days longer. As a rule after all these procedures patient will be walking the same day after surgery.

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How is breast implant size selected?

  • Apr. 24th, 2009 at 2:06 PM

Women presenting for breast enlargement Los Angeles have different goals as to how much bigger they would like to have their breast to be. Although most women presenting for breast augmentation Los Angeles request full C or small D cup size, some women prefer B cup or a large D cup. It is important to keep in mind that bras are made differently depending on the manufacturer. Therefore, a C cup bra purchased from one store may not be the same as a C cup bra purchased elsewhere. Using breast implant Los Angeles volume in cc’s is more reliable. During a consultation, the woman will put on a bra and insert breast implants of different volumes to estimate which size looks better on her. The plastic surgeon Los Angeles should also advise which volume would be appropriate depending on the person’s height, chest width, and breast anatomy and measurements. Breast implants come in different sizes and shapes.  The surgeon will show the implants and explain what type of breast enlargement Beverly hills result is achieved with various shapes of the breast implants Bevelry hills.

Specializing in breast augmentation beverly hills ,  rhinoplasty beverly hills, rhinoplasty los angeles, nose job los angeles, tummy tuck los angeles, and tummy tuck beverly hills.

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What do plastic surgery words mean?

  • Apr. 12th, 2009 at 6:36 PM
More people know about plastic surgery Los Angeles than ever before. Many of the technical plastic surgical terms have become part of a common conversational vocabulary.

If before people referred to nose reshaping as a nose job Los Angeles, today more people name the procedure by its proper technical term, a rhinoplasty Los Angeles. The term rhinoplasty stems from greek words rhinos which means a nose and plastikos which means to shape or mold. Hence the word plastic surgery refers to shaping or molding. Los Angeles plastic surgeons will alter the cartilage and bony structures of the nose to modify the shape of the nose.



Abdominoplasty means reshaping of the abdomen, also called a tummy tuck Los Angeles. A tummy tuck involves removing excess skin and fat as well as tightening abdominal muscles.

Augmentation mammaplasty is breast augmentation Los Angeles. The word mammaplasty means breast reshaping. This procedure is also referred to as breast enlargement Los Angeles, breast enhancement, or breast implants Los Angeles. Reduction mammaplasty is breast reduction Los Angeles. Mastopexy means a breast lift Los Angeles.


Liposuction Los Angeles is a commonly used term to describe removal of fat. Other technical terms for this procedure are suction lipectomy (removal of fat) or lipoplasty (reshaping of fat).

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What is capsular contracture?

  • Apr. 3rd, 2009 at 12:08 AM
Capsular contracture is one of the uncommon complications following Los angeles breast augmentation.  The body will form a fibrous capsule (or a scar) around the implant. This is a normal healing process. In some women, however, a thicker scar can be formed. The thicker scar around the breast implant can squeez the implant causing it to feel hard and look deformed. Milder forms of capsular contracture following breast enlargement los angeles do not require treatment, whereas more severe forms require a revisional surgery. Early capsular stretching exercises may help reduce the incidence of capsular  constracture.  Many plastic surgeons will teach the patient how to massage the breast implants los angeles starting on day 4-6 after surgery.

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Rhinoplasty among men

  • Apr. 2nd, 2009 at 11:28 PM

The article discusses rhinoplasty among men, nose job los angeles, rhinoplasty los angeles

Do men get nose jobs or rhinoplasty ? The answer is yes.  Rhinoplasty Los Angeles has been a popular procedure among men of various ages.  Many men are bothered with the features of the nose that make the nose stand out including a hump (bump on the nose), wide tip, long nose, wide nostrils, or nasal deviation. Many men complain of breathing problems and request surgical treatment (with our without nasal reshaping ).

The goals of Los Angeles rhinoplasty in men are slightly different than those in women. Most men prefer to have a straight dorsum (bridge) rather than a bridge with a slope (which is what many women prefer).   The angle between the nose and the upper lip in men is kept at about 90-95 degrees whereas in women a better angle would be 95-100 degrees.  Most men do not want to have a small nose as it is believed that bigger noses project confidence. Typically, male patients do not want to have an obvious operated-on shape of the nose.  The plastic surgeon will have a detail discussion with the  patient  in order to understand what changes the patient seeking to achieve.

 

 


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Do Breast Implants Need to be Changed Every Ten Years?

  • Mar. 25th, 2009 at 9:42 PM

A  Los Angeles plastic surgeon is frequently asked by his or her patients whether breast implants need to be changed every 10 years.  A simple answer is no.  Breast implants do not need to be changed if there are no problems with them.  For most patients, Los Angeles breast implants will last a lifetime.  However, some women will need to undergo a second surgery.  There are several reasons for which this may be necessary.  

-          Capsular contracture occurs in about 8-9% (3 year study)  of women undergoing breast augmentation using silicone or saline implants.  Capsular contracture is a thicker than usual capsule that  is formed   around the implant  causing the implant  to feel harder and  deforming its shape. For severe forms of capsular contracture, revision surgery may be necessary to remove or release the capsule.

-          Implant infection requires  implant removal but  fortunately happens very rarely.

-          Implant asymmetry is another reason for which women may seek revision surgery.

-          Implant rupture has an incidence of about 0.5%  for silicone implants and about 3 % for saline implants (3 year study).  Ruptured implants need to be removed.

Today breast Los Angeles breast augmentation is performed primarily using silicone implants. The new generation silicone implants have a lower leak rate than older silicone implants.  Los Angeles breast enlargement has become and more socially acceptable procedure.  Breast augmentation is frequently performed with other procedures such as rhinoplasty Los Angeles, Liposuction Los Angeles, or tummy tuck Los Angeles.


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Vladimir Grigoryants, MD

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