Recently, there have been more reports of reality star (and mother of eight) Kate Gosselin undergoing several cosmetic plastic surgery procedures. She has publicly stated that she had a tummy tuck, but still holds to her story of not having work done on her face and breasts. The latest claims say that she underwent Botox ® injections and breast enhancement surgery. The main effect of Botox injections is temporary paralysis of the underlying facial muscle, which would explain the frozen look on Gosselin’s face. Yet, during her appearance on ABC’s “The View,” she shoots down the rumors.

In a world where it has become common for those in the limelight to undergo some, or many, rejuvenating procedures, there are few left who do not discuss their nips and tucks. Gosselin has been photographed with an extremely smooth facial contour, which is why there are so many accusations of facial enhancing treatments. In addition, photos of the mom of eight in a bikini have also caused speculation on whether she has had breast surgery – Gosselin has denied these rumors as well. Whether she verifies or continues to refute claims of plastic surgery, the reality star continues to draw attention to the matter by being so vocal about it.

If you are interested in cosmetic plastic surgery and live in the Miami area, you may wish to contact Ary Krau, M.D., F.A.C.S. An experienced and qualified plastic surgeon, Dr. Krau can help you achieve a more youthful facial appearance and/or return to your  pre-pregnancy shape with the help of specific body contouring procedures.

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Last year, actress Daryl Hannah was seen with an overly plumped face, with rumors surrounding the idea of plastic surgery, claiming that she had undergone several facial rejuvenating procedures. From injectables to facelift surgery, Hannah’s face showed evidence of cosmetic plastic surgery. However, as many before her have done, she denied having had any work done, instead blaming the ocean, no makeup, and bad photography for the way she looked in the images.

As more recent images have emerged, it appears that Hannah may indeed have had some cosmetic enhancements. Her cheeks, lips, and the area below her eyes look fuller – much like that of an injectable filler patient. At the age of 49, Hannah is at the average age of the typical facial rejuvenation patient, which is why it is not unlikely that she underwent some type of rejuvenation. Other Hollywood stars have openly discussed their facelift, Botox ® injections, facial fillers, and other plastic surgery procedures, while still some remain quiet and/or express negative thoughts on the subject.

In Baltimore, Janet P. Woodyard, M.D., F.A.C.S. offers surgical and non-surgical procedures at her practice. You may learn more regarding facelift surgery and facial injectable when browsing her website. Dr. Woodyard has the experience and training to provide patients with beautiful results.

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People with diabetes often suffer from chronic foot pain because of nerve damage, but relief may be at hand.

Taiwanese doctors have shown that the pain can be reduced significantly by injections of botulinum toxin type A — better known as Botox — into the skin on top of the foot.

Dr. Chaur-Jong Hu and his associates at Taipei Medical University tested the treatment in 18 patients with Type 2 diabetes who had nerve-related pain in both feet.

The participants were assigned randomly to get injections of Botox or saline, then 12 crossed over to receive the opposite treatment a few weeks later.

A local anesthetic gel was applied to the injection sites first, and then the injections were administered into the skin (rather than into muscles) at 12 sites across the top of the foot, the team explained in the medical journal Neurology.

At the start of the study, the average pain score on a scale of 0-10 points was 6.36. There were significant differences in the decrease in pain scores between the Botox and saline injections during each 12-week period.

Specifically, at 12 weeks, the score was reduced by 2.53 points with Botox injections compared with 0.53 points with the saline injections.

Moreover, 44 percent of the subjects had a reduction of at least 3 points in their pain score within 12 weeks of recieving the Botox injections.

Another added and unexpected benefit discovered in the study was that patients are able to sleep much better after the treatments.

Hu’s team concluded that intradermal Botox injections “are an effective and safe method of relieving diabetic neuropathic pain in the feet.” However, “the detailed underlying mechanisms, optimal dosage, and precise course of therapy require further evaluation.”

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When it was first discovered a year ago about surprising new evidence that Botox and other drugs containing the neurotoxin botulinum could travel from the site of injection to the brain, it wasn’t clear whether this posed a threat to patients (the study cited described was done on lab animals).

Earlier this week however, the Food and Drug Administration announced that the risk was all too real: effective immediately, the FDA will now require Botox, Myobloc and all other botulinum treatments to carry what is known as a “black box warning” — the strongest FDA warning of record — alerting doctors and patients alike that the toxin can spread to distant parts of the body, well enough away from the injection site(s), posing serious risks such as trouble breathing and swallowing.

The FDA is also requiring manufacturers to send doctors and all other licensed practitioners a letter warning of the risk.

The action comes in response to a petition from Public Citizen, which in 2008 asked FDA to require both a black box and the warning letters. Initially, it was expected that FDA would have limited the warnings to non-cosmetic uses of the drugs, since that’s where most of the problems with adverse side effects had occurred (Editors note: botulinum is used to treat cervical dystonia, eyelid spasms and a few other medical conditions in addition to cosmetic applications such as treating frown lines), especially in unapproved uses such a limb spasticity in children with cerebral palsy.

But the administration said it found 225 cases in which the drug had migrated beyond the injection site, sometimes as far as to deep internal tissue. That was alarming enough to justify the black-box decision, even on cosmetic Botox.

According to the FDA, “there is insufficient information to fully characterize the safety profile and potential risk factors for spread of botulinum toxin at this time, given that the mechanism by which spread may occur has not been confirmed…Based on available information, it is not possible to precisely predict the role of injection site, injection technique, or dose in the spread of toxin or severity of the event. Therefore, we are seeking safety labeling changes for the both the dermatologic and neurologic indications.”

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With all the news circulating about new and ever-growing health concerns, such as the latest epidemic, Swine Flu, making sure that patients maintain their health after surgery is more important than ever. But the question that most plastic surgery patients are asking is, “Can it happen to me?”

The simple truth about any medical procedure is this: No one is 100% immune from post-surgical infection. Regardless of what kind of surgery a patient undergoes, it all carries some risk of viral infection. And with the increasing popularity of things like makeshift black market plastic surgery, the risk grows as health regulation becomes harder to come by.

We here at CosmeticSurgery-Information.com would like to take this opportunity to offer some advice and tips to keep yourself protected while undergoing medical treatment.

Make Sure Your Surgeon or Health Provider is Currently Board-Certified

While the risk of getting ill following surgery can happen to anyone, even in the best of circumstances, doctors and medical professionals have strict guidelines to follow regarding sanitation and cleanliness in order to stay in good standings with the governing medical boards. Double-checking a doctor’s credentials takes very little time and can potentially save money, time and undue stress. Board certification is a crucial aspect of maintaining patient safety!

Review Your Surgeon or Health Provider’s Clinic and Practice History

Occasionally, even the best surgeons and facilities can still be a contributing source of post-operative patient illness. However, this isn’t necessarily the fault of the surgeon or their staff. In addition to doctor reviews from medical boards, take the time to find an independent review body that can indicate occurrences of viral or infectious diseases happening in hospitals and private clinics. There’s no such thing as being too prepared or too informed.

Avoid Sub-Standard, Un-Licensed and Black Market Cosmetic Surgery and Beauty Facilities At All Costs!

With the economy in the condition it’s in, it’s very easy for those of us who are desperate for change and refinement to look to some “off the table” options in order to make quick and inexpensive improvements on one’s appearance. We’ve detailed stories of motel “plumping parties” where patients engage in unlicensed injectable procedures – oftentimes involving injections of dangerous chemicals with potentially unsafe medical tools, in lieu of board-approved procedures such as Botox or collagen. Risking your life and health are not worth saving a few dollars just to look better.

Follow Your Doctor’s Recovery Instructions

We’ve also recently shared news about the health risks associated with taking herbal supplements and vitamins before and after surgery and the risks associated with this practice. If you feel you’re at risk for contracting a post-surgical virus, speak with your doctor and share your concerns. He or she will be able to best inform you on how to protect yourself from illness and surgical complications.

Report Suspect Practitioners and Facilities

There is a fear among surgery patients that reporting sub-standard or un-licensed facilities, especially if the patient chooses to go to such a facility, will get said patient in trouble with the law. This is simply not true. If you’ve witnessed an un-sanitary facility or a practitioner who seems suspect, report them immediately. Protecting the lives of fellow potential patients is something that benefits everyone in the long run.

Even though information regarding swine flu pandemic is somewhat controversial and, in some cases, outright untrue, its easy to become confused and concerned about how to best protect oneself. Participating in sound and well-trusted post-op practices as instructed by a licensed medical professional is the best way for patients to protect themselves.

Report suspect facilities and practitioners to the Center For Disease Control and any other swine flu information to the World Health Organization.

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