Dr. Ellenbogen's Plastic Surgery Blog

Botox may have cancer fighting role

Thu, 08/21/2014

 

Botox injection

 

Botox injections - beloved by those seeking a wrinkle-free face - may help fight cancer, animal tests suggest.

The study, published in Science Translational Medicine, showed nerves help stomach cancers grow.

Research on mice found that using the toxin to kill nerves could halt the growth of stomach tumours and make them more vulnerable to chemotherapy.

Cancer Research UK said it was early days and it was unclear whether the injections could help save lives.

Botox is usually used in the fight against the signs of ageing, not cancer.

The toxin disrupts nerve function to relax muscles and even out wrinkles, but a growing body of work suggests nerves can also help fuel cancer growth.

Stomach cancer

Scientists Columbia University Medical Centre, in New York, and the Norwegian University of Science and Technology in Trondheim investigated the role of the vagus nerve - which runs from the brain to the digestive system - in stomach cancer.

Either cutting the nerve or using the toxin Botox slowed the growth of tumours or made them more responsive to chemotherapy.

One of the scientists, Dr Timothy Wang, told the BBC: "If you just cut nerves is it going to cure cancer? Probably not.

"At least in early phase, if you [disrupt the nerve] the tumour becomes much more responsive to chemotherapy, so we don't see this as a single cure, but making current and future treatments more effective."

Stomach cancer

Stomach cancer can be fuelled by nerves

Some trials have started in people who are having surgery to remove a stomach cancer. There has also been research suggesting nerves may have a role in prostate cancer too.

However, Dr Wang acknowledged that there was a long way to go before this could be considered a treatment.

"With everything new in cancer, even if it looks great, when you start to roll it out to patients it always seems cancer is smarter than we are.

"Tumours have the ability to out-evolve any single agent, knocking one leg of a stool is probably not going to topple it.

"But I think this has a lot of potential and in a decade or two I can see these pathways being targeted."

Eleanor Barrie, senior science communications manager at Cancer Research UK, said: "Over the last few years, some evidence has emerged that certain stomach cancers might depend on signals from the nervous system to grow.

"This interesting study adds to that evidence, and shows how probing the inner workings of cancer can spark ideas for innovative new treatments. But the research is at an early stage and it's not yet clear if this particular approach could help to save patients' lives."

Grandparents splash out £5,000 on boob job

Thu, 08/21/2014
  • Amy Hart had always suffered from body confidence issues
  • She hated being pictured in a bikini because of her 34A cup size
  • Amy turned to her grandparents to fund the £5,000 surgery
  • The air stewardess has now gone up to a cup size 34DD
  • She is now so confident that she has began competing in pageants 

By MARTHA CLIFF FOR MAILONLINE

PUBLISHED: 05:47 EST, 20 August 2014 | UPDATED: 09:58 EST, 20 August 2014

When it came to their granddaughter's 21st birthday one pair of grandparents weren't content with gifting a key in the door.

Dee and Harry Giles made their granddaughter's dreams come true when they paid for her to get the boob job she had always wanted.

Amy Hart, 22, from Worthing West Sussex had always suffered from low body confidence due to her 34A bust.

Scroll down for video 

Amy Hart turned to her grandparents for a loan when her mother couldn't afford her £5000 boob job

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Amy Hart turned to her grandparents for a loan when her mother couldn't afford her £5000 boob job

Although she was often compared to soap star Helen Flanagan, Amy still suffered from self esteem issues and hated being photographed in a bikini.

So when it came to deciding on a 21st birthday present, breast implants were the obvious choice for Amy.

However, when the air stewardess approached her mother with her request, Susanne Hart said that operation - costing £5000 - was out of the question.

Desperate to get the breasts to match her size 8 figure, Amy turned to her grandparents.

Amy says she had always felt really self-conscious wearing a bikini with her 34A breasts

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Amy says she had always felt really self-conscious wearing a bikini with her 34A breasts

Amy posing with her new boobs

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Amy has gone up to a 34DD

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Amy has now gone up four cup sizes to a 34DD and she says she has never felt more confident

Her doting relatives were hesitant at first but when Amy said that if they couldn't help she would take out a commercial loan Harry and Dee finally relented and agreed to lend her the cash.

Once she was given the go ahead, Amy wasted no time and days later had booked an appointment with a private surgeon and decided on a double D pair to take the place of her natural boobs.

The stewardess was no stranger to surgery having had her teeth corrected when she was just a teenager.

'When I was 17 I had veneers for my teeth and they made me so much more confident and willing to smile I figured that it would be a similar story with my boobs.'

Since her operation Amy has felt confident enough to try her hand at beauty pageants

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Since her operation Amy has felt confident enough to try her hand at beauty pageants

Despite it being a life long dream to have bigger breasts, Amy admits that she was nervous about the operation. 

'I had a wobble the week before my surgery but when they came to draw on me I figured it was too late now and I was sure it was the right decision.' 

Since having the procedure the 22-year-old feels so confident that she has turned to beauty pageants to flaunt her new figure and has spent the last year strutting the catwalk.

'I'm loving getting in to the pageant circuit - I would never have had the confidence before I had the surgery' says Amy.

Doting grandparents: When Amy (centre) first approached them Dee and Harry Giles  were hesitant to loan her the money, but when their granddaughter said she would turn to a commercial loan they gave in

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Doting grandparents: When Amy (centre) first approached them Dee and Harry Giles  were hesitant to loan her the money, but when their granddaughter said she would turn to a commercial loan they gave in

'The best bit is that it's not all about looking nice and pretty dresses - it's about inspiring younger girls and raising thousands for charity.'

Amy says that since her operation she has been able to where whatever she wants without feeling self conscious about her small chest.

'I've always been flat-chested and all my friends are really skinny with massive boobs and I would actually hide and refuse to sunbathe next to them.

'Now I never worry about putting on a bikini or a nice dress to go out because my boobs are ample enough to fill them. And it's all thanks to my grandma and granddad.'  

Amy thought about keeping her procedure a secret but has decided her implants are something to be proud of

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Amy thought about keeping her procedure a secret but has decided her implants are something to be proud of

Although her grandparents originally paid for the procedure Amy is helping to cover the cost by repaying them slowly.

'Borrowing the money from my grandparents was definitely worth it - even though I'm paying it back bit by bit every month.'

Amy attempted to keep her breast implants quiet but has since decided that they are something to be proud of.  

'I thought about keeping my fake boobs a secret, but when a friend told everyone in my hometown I didn't really have a choice.

'And then I thought: "Why should I be ashamed?" I have a career, I didn't take money from the NHS to get them, and I'm much happier.'

Botox may have cancer fighting role

Thu, 08/21/2014

 

Botox injection

 

Botox injections - beloved by those seeking a wrinkle-free face - may help fight cancer, animal tests suggest.

The study, published in Science Translational Medicine, showed nerves help stomach cancers grow.

Research on mice found that using the toxin to kill nerves could halt the growth of stomach tumours and make them more vulnerable to chemotherapy.

Cancer Research UK said it was early days and it was unclear whether the injections could help save lives.

Botox is usually used in the fight against the signs of ageing, not cancer.

The toxin disrupts nerve function to relax muscles and even out wrinkles, but a growing body of work suggests nerves can also help fuel cancer growth.

Stomach cancer

Scientists Columbia University Medical Centre, in New York, and the Norwegian University of Science and Technology in Trondheim investigated the role of the vagus nerve - which runs from the brain to the digestive system - in stomach cancer.

Either cutting the nerve or using the toxin Botox slowed the growth of tumours or made them more responsive to chemotherapy.

One of the scientists, Dr Timothy Wang, told the BBC: "If you just cut nerves is it going to cure cancer? Probably not.

"At least in early phase, if you [disrupt the nerve] the tumour becomes much more responsive to chemotherapy, so we don't see this as a single cure, but making current and future treatments more effective."

Stomach cancer

Stomach cancer can be fuelled by nerves

Some trials have started in people who are having surgery to remove a stomach cancer. There has also been research suggesting nerves may have a role in prostate cancer too.

However, Dr Wang acknowledged that there was a long way to go before this could be considered a treatment.

"With everything new in cancer, even if it looks great, when you start to roll it out to patients it always seems cancer is smarter than we are.

"Tumours have the ability to out-evolve any single agent, knocking one leg of a stool is probably not going to topple it.

"But I think this has a lot of potential and in a decade or two I can see these pathways being targeted."

Eleanor Barrie, senior science communications manager at Cancer Research UK, said: "Over the last few years, some evidence has emerged that certain stomach cancers might depend on signals from the nervous system to grow.

"This interesting study adds to that evidence, and shows how probing the inner workings of cancer can spark ideas for innovative new treatments. But the research is at an early stage and it's not yet clear if this particular approach could help to save patients' lives."

Kylie Jenner Plastic Surgery: Keeping Up With The Kardashians

Tue, 08/19/2014
Kylie Jenner plastic surgery
(Photo : Kylie Jenner Instagram )

One of the most popular families in Hollywood has made a living out of their fabulous lifestyle, plus their crazy antics, and funny family dynamics. We're talking about the Kardashians of course, who have made "famous for being famous" into a whole new level.

It must be tough to be photographed and documented all the time, and it's not surprising that the family is surrounded by rumors most days. The latest one is the Kylie Jenner plastic surgery rumor, which all started when celebrity blogger Perez Hilton posted  photos on his site of the alleged before and after pics of Kylie Jenner, claiming it was proof that the youngest of the brood has had lip injections.

The photo was taken from the reality star's Instagram page which showed her and a friend posing for a selfie. The controversy and Kylie Jenner plastic surgery rumor started when a tiny, reddish dot was seen on a spot on her lip. Is it just a blemish or the spot where the limp plumpers were injected.

To further support his case for Kylie Jenner plastic surgery, Hilton compiled some photos of the young reality star featuring her lips that were quite thinner than her current photos.

Her fans on Instagram have also weighed in on the debate of whether she had indeed undergone plastic surgery, much like the older members of her family.

If OK! Magazine is to be believed, she already has had much more done than just lip fillers -- the tabloid reports that she has also had a nose job and a Boyox.

For her part, Jenner has denied the rumors that she had gone under the knife. She told the Daily that these rumors are "ridiculous and not true."

When she was much younger, she also expressed her feelings about the rumors through her Twitter account.  "These plastic surgery rumors hurt my feelings to be honest are are kinda insulting. Just in case anyone forgot... I'm 16," Jenner tweeted.  

See photos here, and decide for yourself, did Kendall Jenner really have plastic surgery?

Tummy tucks, botox and silicone testicles: the weird and wonderful world of pet plastic surgery

Tue, 08/19/2014

The weird and wonderful world of pet plastic surgery

As the craze for wrinkly-faced dogs leads to an 80 per cent rise in pet facelifts, why else do our dogs go under the knife?

A fashion for bulldogs has led to a rise in unhealthily squashed faces Photo: JR

If your neighbour has a particularly pretty pooch, he may not be an adorable gift from nature. A fashion for designer dogs with squashed, wrinkly faces - such as pugs, bulldogs and shar peis – has led to breeders dangerously focusing on appearance at the expense of health, creating puppies with oh-so-cute wrinkles, but who can’t see through the layers of skin.

Dogs who suffer - quite literally – for their looks are being treated withcanine “facelifts”, a medical treatment that removes excess skin to prevent serious health risks, such as infections and trouble breathing.

But for those who are focused on canine chic, there are plenty of procedures designed to tweak a pup’s appearance. While looks-obsessed humans queue up for liposuction, the go-to dog op is“neuticles” – silicone testicles that are implanted in neutered dogs to help preserve their sense of masculinity.

More than 500,000 neuticles have been implanted in dogs from 49 countries, and the Kardashians' pet Rocky one high-profile fan. The implants range from petite to XXL sizes and are offered in three levels of realistic quality – the ultraPLUS version, which costs from $379, offers "qualities and features not available on human implants today".

Kim Kardashian with Rocky. PHOTO: Twitter/@KimKardashian

The company claims that neuticles help pets “retain their natural look, self esteem and aids the pet’s owner with the trauma associated with altering,” and testimonials published online are glowing. “He’s a guy and I wanted him to remain looking like one,” says Lane Hinderman from Louisiana, while Janell Sausser from San Lorenzo, California, says, “Frodo never knew he lost anything and is just a happier little dog since he's been neutered with neuticles.”

Other cosmetic options are more niche, though many of the plastic surgery procedures offered to humans are available to dogs – especially for owners who are willing to pay for private vets abroad.

Dr Edgard Brito, from Sao Paulo, Brazil, is one of the leading canine cosmetic surgeons who specialises in Botox to perk up dogs’ ears, reduce wrinkles and correct eyebrow shapes. He often operates on dogs that compete in shows.

“You need to use a technique that the judges can’t feel or see,” Brito told Bloomberg. “Why not be beautiful? It’s very important. If the pet is beautiful, the owner is happy and wants to show their pet to their friends.”

Meanwhile, plumper pups who start to avoid those extra doggie biscuits and shed the pounds can turn to tummy tucks to remove excess skin. Last year, a slimmed-down dachshund who once weighed 77lb had more than 2lb of excess skin removed at the Emergency Veterinary Clinic of Tualatin in Oregon.

Obie, the Dachshund who used to be almost three times above his ideal weight, prepares for a skin removal and reconstruction surgery. PHOTO: Facebook/Obie Dog Journey

Chin lifts were once popular to prevent excess drooling and some looks-obsessed owners have shortened their dogs’ tails for the desired effect, but any procedure carried out purely for cosmetic reasons is considered a dangerous and unnecessary health risk.

Paul Manktelow, senior vet at animal charity PDSA, says “tail docking” should only be considered in working dogs, where a long tail could be a hazard.

“A dog uses it’s tail as expression and I view it as a form of mutilation,” he explains. “I’ve seen really bad examples when people have done tail docking themselves to puppies when they’re first born and they end up with horrible complications.”

Owners who alter their pets' looks for cosmetic reasons are putting their dogs at risk and are unethical, he adds. “They do it for appearance – that’s how they think a breed should look. Actually, a Rottweiler, for instance, should have a nice long tail which is uses to wag and express itself.”

Not for dogs only: Zeek, a male cockatoo, receives a botox injection to treat an abdominal condition while undergoing treatment at the Animal Medical Center in New York. PHOTO: Getty Images

The PDSA will fund skin-removal operations – which can cost anything from £200 to £2,000 at a private clinic – but only if there’s a genuine medical reason. When Manktelow was a senior vet at Newcross Hospital, he had to perform one or two of the operations every week because the focus on designer breeding has led to more dogs who look cute but have associated health problems.

“Some of these dogs are in a lot of pain – their eyelashes are rubbing against their eyes and it can cause quite a lot of damage,” he says.

Dogs with squashed faces can also have difficulty breathing, and may need palate surgery or an operation to enlarge nostrils – insurance company PetPlan reported that $2.5m was spent on “nose jobs” in 2010. And while veterinary surgeons have to cope with difficult procedures, canine dentists are left dealing with complex dental issues.

“When dogs are bred to have a flat face, everything in their mouth is squashed up. They often have overcrowded teeth which can cause a problem,” says Manktelow.

Petplan reported 220,000 claims for teeth-related issues in one year, and while vets will usually pull out problematic teeth, some dogs can be fitted with crowns. “I have seen braces being used, but it’s not common,” adds Manktelow. “It’s very expensive.”

A dog with train tracks is hardly the designer look - but once the awkward metal-mouth phase is over, your pup will be able to chew his toy and pose for family snaps with style.

Perfectly plump: Stephanie Pratt showed off suspiciously fuller lips

Tue, 08/19/2014

She starred on popular U.S. reality show The Hills for four seasons and has more recently appeared on British TV series Made In Chelsea.

But now Stephanie Pratt has accepted a rather more challenging reality role.

The 28-year-old star entered the UK's Celebrity Big Brother house on Monday night, while showing off a rather dramatically different appearance. 

Perfectly plump: Stephanie Pratt showed off suspiciously fuller lips as she made her way into the Big Brother house at London's Elstree Studios on Monday night
Perfectly plump: Stephanie Pratt showed off suspiciously fuller lips as she made her way into the Big Brother house at London's Elstree Studios on Monday night

Perfectly plump: Stephanie Pratt showed off suspiciously fuller lips (left)as she made her way into the Big Brother house at London's Elstree Studios on Monday night, looking different to her appearance in 2008 (right)

Top of the crops: Stephanie showed off her svelte figure in a crop top and mini skirt teamed with strappy platform heels

Top of the crops: Stephanie showed off her svelte figure in a crop top and mini skirt teamed with strappy platform heels 

  

As she emerged in front of fans at London's Elstree Studios, Stephanie showed off suspiciously plumper lips before her pre-house interview with host Emma Willis. 

In fact, Stephanie, who showed off her svelte figure in an embroidered while crop top and matching skirt, looked markedly different to the fresh faced wannabe who first appeared on the MTV show back in 2007. 

Then there is her 2006 police mugshot - taken following her arrest for stealing $1,300 worth of merchandise from a Neiman Marcus in Honolulu, and showing her with dark circles under her eyes, brown hair and blemished skin.

A touch of California: Stephanie will be joining a menagerie of stars from the world of British television and sport on the show
A touch of California: Stephanie will be joining a menagerie of stars from the world of British television and sport on the show

A touch of California: Stephanie will be joining a menagerie of stars from the world of British television and sport on the show

Pre-house chat: Stephanie was interviewed by host Emma Willis before entering the house

Pre-house chat: Stephanie was interviewed by host Emma Willis before entering the house 

Stephanie Pratt makes debut on UK Celebrity Big Brother



Blonde ambition: Stephanie Pratt is appearing on Celebrity Big Brother and became a housemate on the UK show on Monday

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Blonde ambition: Stephanie in a publicity still for the show where she is wearing a blue dress with cut out features 

Vast changes: Stephanie pictured in her police mugshot back in 2006 after her arrest for shoplifting

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Vast changes: Stephanie pictured in her police mugshot back in 2006 after her arrest for shoplifting 

Stephanie has long been rumoured to have had a nose job and chin implant but has never commented publicly on the reports. 

The blonde star is sister in law to Heidi Montag, who famously underwent ten plastic surgery procedures in just one day.

Hills star Heidi and Stephanie's older brother Spencer Pratt appeared on the show last January, where they became the couple viewers loved to hate. 

Providing she avoids elimination by the viewers, Stephanie will spend weeks in the Big Brother house with actor Gary Busey, transgender boxing promoter Kellie Maloney; Benefits Street’s White Dee; TOWIE’s Lauren Goodger; B*Witched member Edele Lynch; Kelly Brook’s fiancé David McIntosh; boxer Audley Harrison;  Geordie Shore’s Ricci Guarnaccio and Emmerdale’s Claire King among others. 

In fact Point Break actor Gary denied knowing Stephanie's brother Spencer when she spoke to him inside the house. 

Meanwhile, it has been reported that Stephanie along with other housemates are 'livid' that transgender boxing promoter Kellie  is being paid £400,000 for appearing on the show. 

A source told The Sun newspaper: 'The housemates haven't even gone into the house yet and are rowing. The main spats are over money, after it was revealed Kellie is on £400,000.

Reality star: Stephanie with Lauren Bosworth on The Hills back in 2010

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Reality star: Stephanie with Lauren Bosworth on The Hills back in 2010

'Stephanie had thought that her deal was the biggest and White Dee is now also questioning if she is being paid enough as she is a major draw.'

Stephanie found fame on US reality TV show The Hills, where she appeared alongside her brother Spencer Pratt, who the public loved to hate. 

She has reportedly signed on to take part in Celebrity Big Brother for £250,000 and thought she was the highest paid.





Read more: http://www.dailymail.co.uk/tvshowbiz/article-2728352/Stephanie-Pratt-makes-d-UK-Celebrity-Big-Brother-suspiciously-pout.html#ixzz3Ar3Jbt3d 

Follow us: @MailOnline on Twitter | DailyMail on Facebook

Kimberly Kisselovich has 'lipo' treatment

Tue, 08/19/2014

She flashed her slim figure in a revealing swimming costume last week, but Big Brother star Kimberly Kisselovich had a little assistance in shifting a couple of extra pounds. 

The secret to her flat tummy was a visit to the LoveLite clinic in Harley Street, where she had a £1000 fat freezing treatment called lipoglaze, to lose the pounds she had put on in the house.

A source close to the 23-year-old star told MailOnline: 'Prior to having the 60 minute treatment, Kimberly didn't feel confident to wear a cut-out swimming costume because she felt out of shape. 

Shedding the pounds: Big Brother star Kimberly Kisselovich says she feels more confident in her swimwear after having a lipoglaze treatment

Shedding the pounds: Big Brother star Kimberly Kisselovich says she feels more confident in her swimwear after having a lipoglaze treatment

  
Trying something new: The former Playboy model had the £1000 fat-freezing treatment after eating fatty foods, drinking too much and not doing any exercise in the BB house

Trying something new: The former Playboy model had the £1000 fat-freezing treatment after eating fatty foods, drinking too much and not doing any exercise in the BB house

'The former Playboy model had been eating fatty foods, drinking too much and not doing any exercise in the BB house.'

The stunning Californian caused controversy by having a steamy sex session with her boyfriend Steven Goode which appeared to last for only two seconds on TV.

And recently she revealed that she had fallen pregnant but had lost the baby because it was an ectopic pregnancy - where an egg implants outside the womb and she had to be treated in hospital. 

 
White Dee has also experienced lipoglaze treatment



Kimberly told MailOnline: 'The only kind of bump I've got is from being out of shape from not being able to work out. I can absolutely 100% state that I'm not pregnant'

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Kimberly told MailOnline: 'The only kind of bump I've got is from being out of shape from not being able to work out. I can absolutely 100% state that I'm not pregnant'

Kimberly told MailOnline: 'The only kind of bump I've got is from being out of shape from not being able to work out. I can absolutely 100% state that I'm not pregnant.'

She added: 'There's not a lot of room in the house and I couldn't do my regular work-out because there's little or no privacy and we weren't exactly eating and drinking well.

'I can't believe how painless it was. I could feel a cold sensation at first but after there was no discomfort at all.'

Racy: The stunning Californian caused controversy by having a steamy sex session with her boyfriend Steven Goode which appeared to last for only two seconds on TV

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Racy: The stunning Californian caused controversy by having a steamy sex session with her boyfriend Steven Goode which appeared to last for only two seconds on TV

The Lipoglaze treatment works by freezing the fat cells beneath the surface of the skin to minus 2.5C at which point they crystallize and die. 

The fat cells then naturally waste away through the body and the full results can be seen within six to eight weeks and Kimberly reveals she has lost two inches from her waistline and each thigh.

She said: 'I probably put on about half a stone in the house and I need to shift that quickly and as well as Lipoglaze I'm going to be getting back in the gym and eating healthily and cutting down on the booze.'

Fresh start: Steven and Kimberly fell for one another in the Big Brother house

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Fresh start: Steven and Kimberly fell for one another in the Big Brother house



Read more: http://www.dailymail.co.uk/tvshowbiz/article-2723797/BBs-Kimberly-Kisselovich-lipo-treatment-confirms-not-pregnant.html#ixzz3ArJYGU2R 

Follow us: @MailOnline on Twitter | DailyMail on Facebook

Botox helps relax chronic muscle spasticity

Tue, 08/19/2014

Spasticity is a muscle control disorder that is characterized by tight or stiff muscles and an inability to control those muscles.

Chronic muscle spasticity is very common condition that can be painful and debilitating. It can interfere with movement, walking, dressing, bathing and sleep. It can also cause joint deformities and skin breakdown.

Debilitating chronic spasticity is seen frequently with stroke, multiple sclerosis, cerebral palsy, brain injury and spinal cord injury as well as alone in such conditions like chronic neck spasm or writer’s cramp.

Fortunately, there are multiple effective ways to treat chronic muscle spasticity. For some patients, applying hot packs helps. Physical therapy is another alternative that can teach patients exercises to maintain movement and relieve pain.

Other treatments include medication to reduce spasm. Some respond well to anti-spasm pills. With severe spasm, medications often do not work. There are frequent side effects, including fatigue, dizziness and dry mouth.

For those who do not respond to physical therapy, medications or suffer from the side effects, there is another option: Botox®, which is an injected medication used to help relax tight spastic muscles.

The procedure takes about 30 minutes, and patients can go back to work immediately. Usually only the several tight muscles are treated. The large majority of patients experience a major reduction in muscle spasm about one week after treatment. This last for about three-four months and can be repeated an unlimited number of times. Almost any muscle can be treated.

Some patients do not respond to Botox because they are genetically resistant. In these cases, there are two other injectable medications, Myobloc and Dysport, which usually work. On rare occasions, side effects from the injections may occur, but your physician will review if the procedure is right for you before beginning treatment.

The results of Botox treatment can be dramatic. In some cases children with Cerebral Palsy walk for the first time. Stroke patients regain the function that was once lost. Pain is often reduced as tight muscle groups become relaxed.

If you feel a Botox injection would be beneficial for you, a family member or friend, ask your primary care physician for a referral to a physiatrist (a specialist in physical medicine and rehabilitation) or a neurologist that performs Botox injections or contact your local physical medicine or neurology practices directly.

Dr. Elliot Bodofsky is Chair, Division of Physical Medicine and Rehabilitation at Cooper University Health Care.

North Korean women turning to cosmetic surgery 'for chance to work abroad'

Tue, 08/19/2014

South Korean trends for eyelid enhancements and permanent makeup are also popular in the North, especially among university students hoping to improve career opportunities.DailyNK reports

Members of the Korean People's Army pose for a photo near the site of late North Korean leader Kim Il-sung's house on 15 April, 2014, in Pyongyang, North Korea.

Members of the Korean People’s Army pose for a photo near the site of late North Korean leader Kim Il-sung’s house on 15 April, 2014, in Pyongyang, North Korea. Photograph: Transterra Media/Barcroft

Cosmetic surgery procedures common in South Korea are becoming increasingly popular in the North, sources inside the country have toldDailyNK.

Demand for cosmetic surgery procedures has increased over the summer, as young women hurry to complete both surgery and recovery before the start of the new university term. Eyelid surgery and permanent makeup are particularly popular.

Previously, North Koreans were expected to abide by strict codes of conduct on appearance and avoid any trends seen as anti-socialist, but under the young leader Kim Jong-un, these appear to be easing – a move observers say is designed to show his rule as a modern and progressive.

“The demand on women to look beautiful is much stronger than it used to be,” a source in Yangkang Province told Daily NK. “Blepharoplasty [known as double-eyelid surgery, a common procedure in South Korea] and cosmetic tattooing on the eyes and lips are all getting more popular these days.”

The source said minor cosmetic surgical procedures are most common for women in their 20s. No figures are available detailing how many people have cosmetic surgery in North Korea, but the source said they believe nearly “one in five university students will have a cosmetic surgery procedure at some point.”

Most people get the procedures done in their own homes: “There are licensed physicians who make house calls to perform these procedures, but the majority are individuals who have picked up the skills themselves,” the source said. There is testimony suggesting that this results in no small number of botched surgeries and infections due to unhygienic conditions.

Many believe cosmetic surgery will help them to achieve better careers. As previously reported by DailyNK, beauty is a major factor in the selection of women chosen to work abroad, a chance that many in the isolated country strive for.

Women sit in the Kaeson Youth Park in Pyongyang, North Korea.

Women sit in the Kaeson Youth Park in Pyongyang, North Korea. Many women in the capital now wear high heels, a trend that was previously frowned upon in the conservative country. Photograph: UkrikPedersenTransterra/Barcroft

“They aren’t embarrassed to have cosmetic procedures done,” the source said. “If the change is blatant they may feel a bit sheepish, but they don’t hide it if they’ve had a simple procedure like eyelid surgery or lip pigmentation.”

“The notion that ‘beauty brings success’ rings true here, and women understand it better than anyone,” the source added. “The basic sentiment among people wanting to get surgery is that if they can get a better future from it then it makes sense to get it done.”

Mina Yoon, who defected from North Korea in 2010, has previously written for NK News about the popularity of simple surgical procedures among secondary school students in the North.

The average recovery time for a simple procedure is around two weeks. Since university students cannot forfeit time away from their studies for a prolonged period, the summer is a time of high demand. North Korea’s harsh winters, combined with persistent heating fuel shortages, may result in swelling and infection, adding to the demand during the summer months.

Technically, cosmetic surgery is illegal under North Korean law. However, the source told DailyNK that cosmetic surgery is openly offered at state-run hospitals and clinics. “I’ve never heard of anyone running into trouble because of eyelid surgery or permanent makeup procedures,” the source said.

North Korean leader Kim Jong-un (3rd L) and his wife Ri Sol-ju, whose appearance is believed to be setting new fashion trends in the secretive, impoverished country.

North Korean leader Kim Jong-un (3rd L) and his wife Ri Sol-ju, whose appearance is believed to be setting new fashion trends in the secretive, impoverished country. Photograph: KCNA/REUTERS

The popularity of procedures appears to have contributed to a rise in prices. The current price for eyelid surgery in the North is reportedly 18,000-20,000 won ($138-$150) and micropigmentation procedures range from 24,000-25,000 won, the exception being lip pigmentation, which costs in the region of 18,000 won, a significant amount in the impoverished nation.

There has been an emphasis on youthfulness and appearance during the Kim Jong-un era, which is believed to have contributed to rising popularity of surgery. Kim’s wife, Ri Sol-ju, has been credited with helping to relax clothing trends, with bans on women wearing trousers and stringent regulations on skinny jeans having both eased considerably since Kim came to power in late 2011. Accessories previously listed as “anti-socialist” and perceived to be symbolic of “capitalist winds” have also made their way to the remotest areas of the country, while more women in the capital Pyongyang have been seen wearing higher heels.

“People figure that if the Marshal’s wife is going to dress so fabulously then they aren’t going to crack down strongly on clothing for anyone else,” the source said. “Party officials were the first to follow the Ri Sol-ju style, and now it has trickled down to most residents.”

“The idea of there being some kind of ‘ideal Chosun woman’ with her bobbed hair, no makeup and skirt down to the ankle is a complete thing of the past,” she said. “Spending money on self-beautification is a fast growing concept.”

A version of this article first appeared on Daily NK, which contacts multiple sources inside and outside North Korea to verify information. Sources remain anonymous to protect their identities.

DYSFUNCTIONAL FAT CELLS SUCKED OUT WITH LIPOSUCTION-LIKE PROCEDURE

Tue, 08/19/2014

Victoria Albano knows what some people think when they see her - that she just gave up on herself. 



"All this working out and exercising and all this taking care of myself wasn't doing anything," Albano said.



When Albano, now 45, was in her thirties, her arms and legs were growing disproportionately bigger. A doctor treating her for an unrelated injury told her it could be lipedema, a genetic issue that distributes fat in an irregular way, mostly on the hips and legs. 



Lipedema affects about 11 percent of women. No one is sure what causes it, but doctors think female hormones play a role because it affects mostly women and it can worsen at puberty, pregnancy and menopause.



"Lipedema can get bad enough where the patient is basically bed-bound," said Dr. David Greuner, a cardiovascular surgeon.



The build-up and blockage can prevent proper draining of lymph fluid which can lead to infections, delayed wound healing and loss of leg function.



Treatments include manual lymphatic drainage, which is like therapeutic massage and the use of stretch bandages for compression.



Greuner uses a new liposuction-like procedure to remove the dysfunctional fat cells, making small incisions in the legs. Doctors can first flush the fat, then vacuum it away while leaving the vessels intact.



"We can't remove all the lipedemanous fat - it's not possible - but we can significantly decrease the burden," Greuner said.



Albano plans to have her surgery soon. It will take a year to 18 months to see the full impact, but she's excited to get her life and limbs back.



"I'm very excited, very excited," Albano said.

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