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Thursday, September 26, 2013
IV Vitamin Therapy in Orlando
Starting next month, IV vitamin therapy will begin at Park Avenue Plastic Surgery and Spa. It will be physician and nurse monitored for each patients safety and health.
This article below is from a professional football player describing how it has helped him in his professional career. Follow the link to the original article at the end.
The evolution of the athlete is in many ways directly related to the evolution of medicine.
Starting around 2009, once-devastating injuries that typically took 12-18 months to heal saw recovery time cut in half to around 6-12 months for some.
In the years since, we have marveled at the super-human recoveries of many athletes who had sustained serious injuries. Even on a week-to-week basis, the ability to bounce back and be ready to play has improved directly with advancements in medicine.
Follow along as I give you an inside look at what many professional athletes do in order to extend their careers, increase recovery plus healing time, and make them feel extraordinarily super-human. Legally.
I am by no means a doctor, and you should always consult one before starting any type of treatment. I am simply recalling my personal protocol to the best of my memory. Many athletes believe these methods help their recovery, though their effectiveness is not universally acknowledged in the medical community.
The key in the particular treatment demonstrated in the video above is phlebotomy, the process of inserting a needle into a vein. Sports performance doctors will write a prescription and request a blood sample.
In its simplest form, the blood panel gives you a view of all of your deficiencies and food allergies. Along with those key components, a full hormone panel is requested as well as testing the blocker in the human body that allows or doesn’t allow you to absorb supplements.
Every six months for the last few years, I would have a blood panel pulled for analysis. A supplement strategy would be developed based on the blood panel results. The goal is to eliminate all deficiencies and crank up positive hormonal output and counteract any negative hormonal output, such as estrogen. Keep in mind this is all done naturally and treated homeopathically.
If one just tore a ligament or even played in a football game, or had something as simple as a hangover, a supplement strategy is designed for healing and recovery. Of course, this is all done proactively.
This isn’t anything new, but phlebotomy comes back into play, which is a new spin on administering supplements. This particular supplement strategy isn’t merely taken orally, this strategy consists of daily injectable BCAA's (branched-chain amino acids, important for muscle proteins) and 2-3 intravenous bags per week designed specifically for your own body’s needs.
I remember the first time I took a recovery IV. I felt like I could run through a brick wall.
Prior to games, I started taking intravenous energy cocktails tailored specifically for my body. As soon as the IV hit my blood stream, I could taste the vitamins instantly.
Your blood circulates through your entire body in about one minute while you are at rest. In a matter of minutes, you can go from feeling OK to amazing.
Nothing has to pass through the gut, which dilutes potency. The supplements are instantly absorbed through the blood and go right into the body.
A typical IV used for hydration merely consists of a hydrating saline solution. These super IVs — known as enhanced IVs, or cocktails — are so much more. Due to proprietary information from MVP Medical Group in Delray Beach, Fl., I can’t give away everything that is in the drip in the video above, but I will divulge some of the basics:
NEED SOME? GET SOME
Three basic cocktails (Myers', recovery, energy) are enhanced with BCAA's, the B complex vitamins, high amounts of zinc, magnesium, and glutathione. The ingredients are all permitted under the NFL's banned substance list.
IV therapy is one of many treatments believed to have an incremental affect that ultimately synergizes to make a big difference in healing, recovery, strength and overall performance.
http://msn.foxsports.com/nfl/story/former-nfl-player-brendon-ayanbadejo-exclusive-IV-supplements-demonstration-explanation-personal-use-092413
Labels: IV Vitamins, IV Vitamins Orlando
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Dr. Joseph
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11:34 AM
Thursday, September 19, 2013
New FDA-approved teardrop-shaped silicone-gel filled breast implant
Mentor got approval for MemoryShape after collecting six years of data from 955 women that demonstrated "a reasonable assurance" of safety and effectiveness, FDA officials reported to NBC News Health. Mentor's MemoryShape breast implants are shaped like a teardrop with greater fullness in the lower half, mimicking the silhouette of a natural breast. They are filled with a silicone cohesive gel that Mentor claims enables shape retention.
The MemoryShape implants showed similar complication rates as those in other approved implants, including tightening of the area around the breast, need for reoperation or implant removal, uneven appearance and wrinkling. Cracks were seen in the gel of some MemoryShape implants, according to the FDA.
With the recent approval of Mentor's MemoryShape, there are now five FDA-approved silicone-gel filled breast implants available. This is big news because the reappearance of silicone-gel filled breast implants in 2006 may arguably be a cause of the general breast implant boom.
Before breast implants came back on the market only 19 percent of breast augmentation procedures used silicone. In 2012, according to statistics released by the American Society for Aesthetic Plastic Surgery (ASAPS), 72 percent of the 330,631 breast augmentation procedures in the U.S. used silicone implants, while only 28 percent used saline. Further, according to ASAPS… "one can speculate that the total increase in breast augmentation procedures in 2012 (330,631 compared with 316,848 in 2011), and the comeback of breast augmentation as the number one plastic surgery procedure in the U.S., is because women can choose silicone, which, according to patients and surgeons, feels and looks more natural."
MemoryShape breast implants have been approved to boost breast size in women over 22 and to rebuild breast tissue in women of any age. However, like the other companies offering these breast implants (Allergan and Sientra) Mentor is required to monitor the women who use them and research long-term effects. Here is a sampling of the FDA monitoring requirements that Mentor is required to fulfill:
• They must follow the 955 women in the core study for 10 years and follow 350 additional women implanted with a certain kind of MemoryShape device for five years.
• They must conduct a study of 2,500 women who get MemoryShape devices to track risks of long-term local complications for 10 years.
• They must conduct five case control studies of some 10,750 women to evaluate the potential association of any silicone breast implants and five rare diseases: rare connective tissue disease, neurological disease, brain cancer, cervical/vulvar cancer and lymphoma.
• Finally, Mentor must also evaluate the women's perceptions of package labeling and analyze returned MemoryShape products.
These stringent study requirements place an onus on breast implant manufacturers but are a blessing in that they safeguard American women. If you're thinking about breast augmentation, Dr. Brian Joseph is a board-certified plastic surgeon who can discuss these implants in detail.
Labels: Breast implants, Brian Joseph MD, orlando mommy makeover, Plastic Surgery
posted by
Dr. Joseph
at
12:13 PM
Thursday, August 22, 2013
Cosmetic Trends: Fads vs. Truth
Cosmetic Trends: Fads vs. Truth
August 2013
There are articles and advertisements online, in print and on television everyday talking about the latest device, product or technique that will get you fast results for cheap. This extends from the most extensive surgeries, like a facelift to smaller treatments like a facial or noninvasive laser. Most of the claims should be taken with at least a grain of salt, but some shortcuts and claims could lead to more serious complications like hospitalization and corrective surgery. If it sounds too good to be true, it probably is – exercise caution. If you have any questions please feel free to contact Dr. Joseph at Park Avenue Plastic Surgery and Spa in Winter Park, Florida.
Facials, creams and potions
Snails, bird poop and gold are just a few things that have made headlines on ingredients for anti-aging treatments that focus on good skincare recently. Here are a collection of articles discussing these strange fads and alternatives like microdermabrasion, laser skin resurfacing and chemical peels.
- Latest skincare fad: Live snails? http://www.surgery.org/consumers/plastic-surgery-news-briefs/latest-skincare-fad--live-snails-1051640
- Study: Gold in your skincare products accelerates aging http://www.surgery.org/consumers/plastic-surgery-news-briefs/study--gold-skincare-products-accelerates-aging-1050891
- Will bird poop facials take off as a new skincare fad? http://www.surgery.org/consumers/plastic-surgery-news-briefs/bird-poop-facials-skincare-fad-1051852
Lunchtime facelifts
There are many ways to lift a face and some patients do well with a mini-lift with minor incisions and a quick recovery, but most of this cannot be achieved over an hour lunch. Injectables and skin resurfacing treatments is more appropriate for that time frame. See some patient safety articles that can spurn some good conversations with patients.
posted by
Dr. Joseph
at
12:34 PM
Friday, June 8, 2012
Women's Changing Perceptions of Facial Features as They Age
New York, NY (May 30, 2012) – Facial aesthetic treatments are among the most popular cosmetic procedures around the world, but why do so many women want to change what they see in the mirror? And what features do they most like or dislike about their faces? A group of Turkish researchers seeking to understand women’s motivations for changing their facial appearance found that, among women in their 20s, the nose and skin were the primary features that women focused on most and most desired to change, whereas the skin and the area around the eyes (periorbital region) were the main areas of concern for women in their 30s and 40s. For women in their 50s, the periorbital region and jawline were the primary facial focal points. The full findings are published in “Mirror on the Wall: A Study of Women’s Perception of Facial Features as They Age,” appearing in the May issue of Aesthetic Surgery Journal.
“We wanted to better understand why patients desire to alter their facial features. What is it that leads them to seek so-called perfection?” said lead author Billur Sezgin, MD, of Gazi University in Ankara, Turkey. “We found that many women are not at peace with what they see in the mirror. When women look in the mirror, they primarily focus on the parts of their face they most dislike or desire to change. Not surprisingly, this dissatisfaction is the strongest motivator for seeking facial aesthetic treatments.”
Women presenting to a cosmetic surgery outpatient clinic for consultation (N=200) were asked which part of their face they focused on most when they look in the mirror, which part they noticed most in the faces of other women, what they liked/disliked most about their own face, and whether they wished to change any facial feature. The study revealed that women focused on the areas of their face that they disliked the most, leading to a desire to change those features. In addition, as women aged, the feature they focused on most changed. The participants also indicated that, regardless of their own age, they generally focused on the facial features of women in their 20s and 30s where they perceived their own flaws, but did not focus on those features when looking at older women.
“This study is very interesting because it clearly shows that most women tend to compare their appearance to that of younger women,” said Foad Nahai, MD, Editor-in-Chief of Aesthetic Surgery Journal. “This has strong implications for patient selection and satisfaction, reminding us that we need to both understand why patients are seeking treatment and ensure that they have a realistic understanding of aesthetic outcomes.”
According to the American Society for Aesthetic Plastic Surgery (ASAPS), women in the U.S. had nearly 8.4 million cosmetic procedures performed in 2011, a large percentage of which involved the face. Labels: Brian Joseph MD, Plastic Surgeon Orlando, skin care products, Skin Medica
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Dr. Joseph
at
6:52 AM
Thursday, May 3, 2012
Mommy Makeover
This is a video of a patient who underwent a mommy makeover. Sometimes it's helpful for a patient to speak to someone who has had a procedure they are considering. I have many patients who are always willing to discuss their experience with surgery to those considering it. Let us know if this is something you would like to do after your consultation. Mommy Makeover VideoLabels: Brian Joseph MD, mommy makeover, orlando mommy makeover, Tummy Tuck
posted by
Dr. Joseph
at
9:02 AM
Tuesday, April 10, 2012
Gummy Bear Breast Implants
The gummy bears have finally arrived, and I’m not talking about chewy candies. Gummy bear also happens to the the nom-de-boob of the next-generation silicone breast implant, so called because the gel inside is firmer than in current models.
Picture it like this. If you were to cut open implants now on the market, the clear gel inside would slowly form a puddle on the table. But not so with the gummy bears. “If you removed the shell covering, the silicone inside would retain its shape,” says Grant Stevens, a plastic surgeon in Marina del Rey, California, who participated in trials of two brands and claims he gave them the nickname. “I got tired of explaining to patients that they’re sort of like Jello—which, when you cut it in squares, holds its shape. One day I just said, ‘They’re like gummy bears.’” Soft, but not runny.
Gummy bears appeal to women mainly because they hold their shape in the event of a rupture, and the chance of gel leakage is minimal. Some women also like the marshmallow texture. “When you hug someone, it’s so natural feeling. Not hard like my girlfriends’ saline implants. Gummies squish; they’re bouncy," says a Los Angeles woman who took part in a clinical trial for one model.
In mid-March, the FDA gave the nod to Sientra to begin marketing gummy bear implants in round and tear-drop shapes, and insiders believe approval is coming soon for form-stable, highly cohesive gel implants from Allergan and Mentor, whose models are a bit firmer.
No matter how you describe the feel, the new implants still have all of the potential problems of the old: infection, asymmetry, nipple-sensation changes, hardening of the scar tissue around the implant, rupture, and implant fatique, requiring replacement after ten years. But fear of maintenance and side effects hasn’t stopped booming growth in breast implants. In 2011, there were 316,848 augmentation procedures, triple the number in 1997, according to the American Society for Aesthetic Plastic Surgery. Silicone gel implants are twice as popular as saline ones.
Labels: Breast implants, Brian Joseph MD, Plastic Surgery, Silicone Breast Implants
posted by
Dr. Joseph
at
9:20 AM
Wednesday, March 21, 2012
The Most Common Cosmetic Procedures of 2011
Almost 9.2 million cosmetic procedures were performed in the United States in 2011, and Americans spent nearly $10 billion on cosmetic procedures last year.
These are some of the key findings in the new statistics from the American Society for Aesthetic Plastic Surgery (ASAPS).
Cosmetic surgical procedures increased almost 1% since 2010, while minimally invasive procedures decreased almost 2% in the same time period.
This is the 15th year the ASAPS has tracked plastic surgery. Since 1997, cosmetic procedures have increased 197% for men and women combined — and there have been some changes over the years.
“Surgery seems to be slowly coming back,” says ASAPS President Jeffrey M. Kenkel, MD. He is a professor and vice chairman of the department of plastic surgery at the University of Texas Southwestern Medical Center in Dallas.
Noninvasive procedures such as injectables do have a role, but individuals are looking for more durable results, says Kenkel.
One of the reasons that the numbers are creeping up is that people need to stay in the work force longer, which means that they must compete with their younger counterparts for the same jobs, he says.
Liposuction topped the list of most popular plastic surgeries in 2011, and injections of botulinum toxin type A (including Botox and Dysport) ranked as the top nonsurgical procedures, the new statistics show.
Top Surgical Procedures
According to the new statistics, the top five surgical procedures in 2011 were:
•Liposuction
•Breast augmentation
•Abdominoplasty (tummy tuck)
•Eyelid surgery
•Breast lift
Fully two-thirds of women opting for breast augmentation with implants chose silicone-filled breast implants in 2011. Kenkel says this shows that women and plastic surgeons are becoming more comfortable with the safety of these implants.
Due to safety concerns, there was a 14-year ban on the use of silicone breast implants. This ban was lifted in 2006. In a further nod confirming the safety of these implants, the FDA recently approved a new silicone-gel breast implant from Sientra, making it the third company to market these implants in the U.S.
Top Nonsurgical Procedures
In 2011, the top five minimally invasive procedures were:
•Botulinum toxin type A
•Hyaluronic acid-based fillers (for treatment of wrinkles)
•Laser hair removal
•Microdermabrasion
•Intense pulsed light (IPL) treatments (for treatment of skin redness and uneven skin tone)
Women had almost 8.4 million cosmetic procedures in 2011, and men had almost 800,000. The number of cosmetic procedures for men increased over 121% from 1997, which was the year that ASAPS first started tracking these statistics.
Dr. Brian Joseph of Park Avenue Plastic Surgery in Winter Park, just outside of Orlando, FL. routinely performs all of these surgical and nonsurgical cosmetic procedures.
The new statistics were based on questionnaires sent to dermatologists, otolaryngologists, and plastic surgeons. More than 1,100 doctors returned the questionnaires. The final sample included responses from 420 plastic surgeons, 384 dermatologists, and 211 otolaryngologists. Labels: Breast implants, Brian Joseph MD, Plastic Surgery, Silicone Breast Implants, Tummy Tuck, Vaser liposuction
posted by
Dr. Joseph
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3:23 PM
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