Monthly Archives: July 2010

UK Gives OK to Botox® for Migraines

According to the O.C. Register’s In Your Face blog, British drug regulators have recently approved Botox® injections for the treatment of migraine headaches. This is good news for the Botox® manufacturer Allergan, who has just undergone an overhaul in their corporate lineup amidst increasing challenges from competitors.

The British approval of Botox® is a step in the right direction for widespread acceptance of the Irvine-based company to market the drug’s off-label uses.  For years, Allergan has sought out FDA approval for Botox® as a migraine treatment without any luck. The company has been running clinical trials since 2004 for migraine treatment. Allergan is also seeking similar approvals in countries such as Canada, France, and Switzerland.

The British decision came in response to clinical trials performed on more than 1,300 patients.  According to the O. C. Register, the study found that Botox® reduced the frequency of migraines in patients who suffered from headaches an average of 15 days or more a month.  Patients who were treated with Botox® averaged 8.2 few days with migraines a month, while the placebo group experienced 6.2 few migraine days in the six months following the start of the trials.

The British study is very similar to earlier trials performed by Allergan in the U.S. Perhaps more extensive research in the United States, in conjunction with influence from the British decision, will sway the FDA to change it’s mind about the use of Botox® for migraine treatment.  Just think: migraine patients may one day have Botox® covered by their health insurance while having the added benefit of wrinkle-reduction.  Not too shabby, right?

To Your Health & Beauty,

Vip Dev, M.D.


Breast Augmentation Safe in Moderation, Not in Excess

Sheyla Hershey (pictured left) is infamous for having the “World’s Largest Breasts” with some help from breast implants. The Texas woman, who is no stranger to plastic surgery, is now facing serious medical complications from her super-sized bosom.

Hershey, who claims to have had more than 30 cosmetic procedures, is currently suffering from a dangerous staph infection in both of her augmented breasts. The infection, which can easily spread to the Brazilian model’s bloodstream, could cost Hershey not only her 38KKK breasts, but also her life.

According to physicians, Hershey’s implants each hold approximately one gallon of silicone, or about 3785cc. The largest silicone implant manufactured in the U.S. is 800cc, less than one quarter of the size of Hershey’s implants. Ethically and legally, implants of such an excessive amount should never have been used, especially not on someone with such a small frame. Hershey was able to have her procedure performed in Brazil, however. Complications are imminent with such a drastic surgery.

Hershey has undergone nine separate breast augmentations that have stretched out her breast pockets each time. Even so, the exorbitant implants are too heavy and too large for the surrounding breast tissue to support. The staph infection is most likely a result of a dehiscence; an opening that occurs when the pressure from the implants causes the incision to open up. Through this opening, bacteria are capable of entering into the breast pocket and even the blood stream.

In addition to dehiscence, women with implants that are too large are more prone to upper back and neck problems, as well as sagging implants. For Bakersfield residents who are considering breast augmentation, you should always choose your health before your beauty. Breast augmentation is a common procedure performed on millions of American every year, however, augmentation is safest when done in moderation.

If a cosmetic surgeon warns against a procedure due to health precautions, this warning should not be taken lightly. In the plastic surgery industry, we are medical doctors first and value your health as our number one priority.

To Your Health, Safety & Beauty,

Dr. Vip Dev

Workers Compensation Covers Burst Implant in North Carolina

If someone is injured on the job, workers compensation usually covers his or her medical expenses. What happens if those injuries affect your plastic surgery? For one North Carolina woman, her ruptured breast implant was compensated by workers compensation following an on-the-job injury.

In 2001, Penny Richardson was in an automobile accident that resulted in a ruptured right implant and rippling in her left implant. Richardson was originally awarded compensation for the replacement of both implants by workers compensation; however, her employer and insurance company appealed the decision.

For the North Carolina state Court of Appeals, Richardson’s case was the first of it’s kind. During the appeal, the court had to decide whether or not the rippled implant should be replaced in conjunction with the ruptured implant. The plastic surgeon who performed Richardson’s second breast augmentation testified that the rippling was most likely contributed to an under-filled implant, however, both implants needed to be replaced to ensure symmetry. All three judges agreed that the ruptured implant should be compensated, however, their decision partially reversed the original ruling by not compensating for the rippled implant.

Workers compensation laws vary by jurisdiction, and the court ruling could have been quite different depending on the court. If a similar case were to arise elsewhere in the country, compensation may be granted for either the pair of implants or none at all.

While Richardson may have been granted compensation for her ruptured implant, she still had to undergo a lengthy court process that lasted seven years following her initial injury. Richardson was forced to either front the cost of the reconstructive augmentation or walk around with a deflated implant and risk possible complications.  Whether or not Richardson had the implants replaced or removed, she still would have been faced with extensive medical bills.

Picking a Perfect Pout

While a plump pout is a highly desired trait, patients may be weary of undergoing lip augmentation due to the growing number of overly injected celebrities. We’ve all seen the ‘trout pout’ around Hollywood, where someone has had too much filler in the lips, leaving them with a fish-like face.

While some doctors may have gotten a bit syringe-happy while injecting, there is now a new training method available to help patients and doctors ascertain the perfect shape and size for a lip augmentation.  Dr. Robert Gordon, a Miami Beach cosmetic dentist, created system to help patients achieve their desired pout without over-plumping.

Ideally, the upper lip should be 70% of the size of the bottom lip. At times, physicians may inject and equal amount of dermal filler to both the bottom and top lip, creating the infamous ‘trout pout’. The Vermillion Dollars Lips (VDL) is a classification and training system that was created to ensure that patients are paired with their ideal lip shape and size.

The VDL chart is based on six basic lip styles: the Classic, Rubina, Cupid, Pearlique, Hollywood and Angelic.

The Classic is the most natural looking, while the Rubina is a fuller pout and is meant only for patients whose face matches the specific guidelines. The Cupid is a youthful pout, while the Pearlique, Hollywood and Angelic are all fuller pouts that aren’t overkill.

Cosmetic surgeons may choose a number of different fillers during lip augmentation, including Juvederm ® and Restylane ®. When considering lip augmentation in Bakersfield, make sure that you choose a cosmetic surgeon who has experience using dermal fillers.

Body: Beautiful

Have you ever looked in the mirror and felt short and fat? You’re not the only one. In fact, many people tend to perceive their own bodies to be shorter and wider than they actually are.

In a recent study, British researchers determined that most people are very bad at assessing their own dimensions. In the mind’s eye, we almost always judge ourselves to be shorter and wider than we really are—even right down to our hands.

Dr. Matthew Longo and his colleagues at University College London asked a group of volunteers to put their left hand, palm down, under a board and then specify on the surface of the board the location of the covered hand’s knuckle’s and fingertips. The volunteers consistently imagined their hands to be two-thirds wider and one-third short than its actual size. Longo’s study on size perception was published in the Proceedings of the National Academy of Science.

While this study is great for anyone’s self image, it could be even more beneficial when addressing eating disorders. Says Longo of the study: “These findings may well be relevant to psychiatric conditions involving body image such as anorexia nervosa, as there may be a general bias towards perceiving the body to be wider than it is.”

Considering the volunteers studied were mentally healthy and still judged their own body size quite disproportionately, it is interesting to see how someone with anorexia or bulimia may view themselves.

Mia Holland, chair person of the counseling studies department at Capella University, explained that some counselors will ask anorexia patients to draw a life-size picture of themselves. The counselor will then have the patient lie down on the drawing while someone else traces their actual body size. The real v. perceived size can be astounding in patients with severe anorexia. “A size 4 might draw herself as a size 14,” Holland says.

When it comes to our body, we are always our worst critic. Whenever you’re having an off day, keep in mind that you probably look way better than you think.