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Facial cosmetic surgery

Facial plastic surgery pros and cons to consider before surgeryThere are different types of facial plastic surgery. each type of operation in different parts of the face has a unique terminology. below I have listed the different types of facial plastic surgery to date:• blepharoplasty (eyelid surgery)• Forehead Lift• Otoplasty (ears)• Rhinoplasty (Nose Surgery)• resurfacing• Scar face changes• Treatment of wrinkles• Mentoplasty (Chin Surgery)• Rhytidectomy (Face Surgery)• Botox injections• Hair Replacement• LiposuctionThe work of such a person can actually be performed under local anesthesia. the enemy, for example, chin surgery (menthoplasty) can be done that way. Although, if you need to get bone from other parts of the body, and then general anesthesia will be used. Cosmetic surgery involves simple insertion of a chin implant through an incision is made either under the chin or mouth. In general, the type of person is actually a very successful operation, although the nerves may be damaged, producing numbness and lack of mobility of the lower lip, temporarily or, in rare cases on an ongoing basis.Liposuction or lipoplsty it is also known as one of the most common procedures for the face and the most popular plastic surgery. Individuals raising young liposuction cosmetic procedure that is quickly becoming popular among men and women. Liposuction surgery should be considered as a way to improve the contours and shape of the body, not as an easy way to lose weight. Liposuction is not without risk, such as asymmetry, bruising, swelling and numbness are possible.as with all types of plastic surgery, liposuction should not be accepted without enthusiasm. In fact, the procedure requires incisions and sutures, and, as mentioned above, relating to plastic surgery in general, in fact, a long recovery time. Face liposuction is an excellent procedure that can benefit those who want to eliminate unsightly fat from localized areas of the face. another type of liposuction is liposuction Microcannalicular. In fact it is an outpatient procedure performed through a small incision under the jaw line or the bottom of the ear.A facelift is considered one of the main operational procedures. Facelift procedures as brow lift procedure can improve wrinkled skin, but the patient’s skin type and age is an important factor in the outcome. Operation facelift usually takes several hours. sometimes a small incision in the neck under the chin, and if necessary additional tightening. sometimes a small secondary procedure may be recommended to improve the results, such as raising the eyebrows.as with any type of surgery you really need to make sure that you are doing operations for the reasons you think you cannot be settled down. For example, there is a clear change Rhiniplasty nose, but it may be possible that the consultation on the issues that lead to the need for nose surgery can help avoid the need to actually perform cosmetic operations running smoothly.keep in mind that there are a lot of aftercares after surgery are needed to ensure the operation was a complete success. You can, of course, most people take time from work and there will be people who choose to perform facial plastic surgery requires a long period of time in which they will not be able to perform daily duties as freely as before the operation.the recovery time for surgery can vary from patient to patient. But as a landmark six months after the surgery, recovery is usually complete and the maximum impact on performance achieved. It is important to remember that with age, the main fat and the skin loses elasticity. thus, there may not be the complete removal of wrinkles, like the skull start to shrink in size. How to grow effeteness facial plastic surgery cannot guarantee to remove all signs of aging.

Facial cosmetic surgery

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Dr. Grigoryants Los Angeles cosmetic surgeon provides plastic surgery services throughout Southern California including Glendale, Burbank, Pasadena, Los Angeles, Encino, Huntington Park, Studio City, Arcadia, Montrose, Hollywood, La Crescenta, La Canada Flintridge, Valencia, Monrovia, Eagle Rock, Altadena, San Marino, Sherman Oaks, Thousand Oaks, North Hollywood, Long Beach, Beverly Hills, Van Nuys, Santa Monica, Calabasas, Palmdale, Fresno, Northridge, and Westlake Village, and Simi Valley.

Our Plastic Surgery center in Glendale, Los Angeles, California specializes primarily in Cosmetic Plastic Surgery inclding breast enlargement, breast augmentation, breast implants, liposuction, tummy tuck, abdominoplasty, cosmetic facelifts, rhinoplasty (nose surgery, nose job), Forehead Lift, Eyelid Surgery and other body contouring procedures. The center led by an expert Los Angeles Plastic and Cosmetic Surgeon. As a board certified Los Angeles plastic surgeon, Dr. Grigoryants is dedicated to providing high quality yet affordable cosmetic plastic surgery options to Los Angeles patients and being the best plastic surgeon in Los Angeles, Glendale, Pasadena, Beverly Hills.

vgplasticsurgery » Blog Archive » Improve The Functionality & Appearance Of Your Nose With A Nose Job:

Beverly Hills Brow Lift -

  This Topic has Been Moved.new Location is Here.                                                  Beverly Hills Brow Lift  Information and experience picture information forehead lift, the aspens.. Surgery Los Angeles Beverly Hills browlift forehead lift forehead.. In addition, Forehead lift Forehead lift is called, and the face amount of lift services .. more Los Angeles young people has been updated correctly provided by the company Beverly Hills plastic surgery.. many women can choose to receive brow lift in Beverly Hills as you get older they lose some of the elasticity of the skin of his face.. Expert eyebrow lifting … Beverly Hills skin elasticity was reduced and connected, PhD.. Fleming u0026 Mayer, many patients are some of the most common procedure has helped rejuvenate her face through Beverly Hills Forehead Lift Dr.Bruno .. performed by lift breast augmentation, breast, breast augmentation surgery during the year .. include auditing, chest, PhD.. Fleming and Mayer have established a reputation as a brow lift surgery in Beverly Hills some of the most qualified.. Eyebrow lifting … Beverly Hills, forehead lift surgery, remove frown lines and deep wrinkles on his forehead and gently lift.. In addition, this method is the amount of lift surgery by Dr.. Warren surgeon to improve the shape of the eyebrows . 703580ebf2 Beverly Hills, Lent.. Brow lift surgery will restore the youthful appearance of your face.. Forehead lift procedure .. Beverly Hill Beverly Hills Beverly Hills browlift, improve the look of anger and fatigue, may be one of the most attractive plastic face.. For many years .. Fleming and Mayer have physician established a reputation as a surgeon in Beverly Hills brow lift was the most qualified.. Slightly lift the eyebrows, dermatology and cosmetic surgery procedures …. Spalding is a design of plastic surgery face lift or brow lift by popular because of the amount of Beverly Hills … they are heavier normal youthful, raise eyebrows sag Los Angeles plastic surgeon Dr.. Aboolian of Beverly Hills .. .. Forehead lift or brow lift done to correct eyelid drooping eyebrows and aesthetics of “browlift is ” a procedure – This procedure is a browlift step is to raise the eyebrows to determine the sagging eyebrows, in this area .., more young people a new one, make a show update.. Dr.. Simoni before after pictures, explains Dr.. .. Dr.. Jason Diamond advantages of endoscopic forehead lift to the other methods, and a plastic surgeon in Beverly Hills 90210 star is the browlift and facial This section describes the most effective technique in upper eyelid surgery.

Beverly Hills, Lent.. Brow lift surgery will restore the youthful appearance of your face.. Forehead lift procedure .. Beverly Hill Beverly Hills Beverly Hills browlift, improve the look of anger and fatigue, may be one of the most attractive plastic face.. For many years .. Fleming and Mayer have physician established a reputation as a surgeon in Beverly Hills brow lift was the most qualified.. Slightly lift the eyebrows, dermatology and cosmetic surgery procedures …. Spalding is a design of plastic surgery face lift or brow lift by popular because of the amount of Beverly Hills … they are heavier normal youthful, raise eyebrows sag Los Angeles plastic surgeon Dr.. Aboolian of Beverly Hills .. .. Forehead lift or brow lift done to correct eyelid drooping eyebrows and aesthetics of “browlift is ” a procedure – This procedure is a browlift step is to raise the eyebrows to determine the sagging eyebrows, in this area .., more young people a new one, make a show update.. Dr.. Simoni before after pictures, explains Dr.. .. Dr.. Jason Diamond advantages of endoscopic forehead lift to the other methods, and a plastic surgeon in Beverly Hills 90210 star is the browlift and facial This section describes the most effective technique in upper eyelid surgery.

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Beverly Hills Brow Lift -

Surgery for crow’s feet

The combination of fat from the skin, collagen depletion and stores in that area and reduction of elasticity of the skin creates a fine network of lines often referred to as the crow’s feet. If you surgery may be a way to make them less visible.IdentificationA brow lift is the best way to get rid of crow’s feet, says the American Society of Plastic Surgeons. The brow lift, also known as forehead lift, tightens the skin around your forehead, eliminating wrinkles at the corners of his eyes and forehead lines. also raising eyebrows, you can make less noticeable crow’s feet drooping eyebrows can exacerbate wrinkles at the corners of the eyes.

ExpertsFor best results, the American Society of Plastic Surgeons recommends getting a treatment of skin rejuvenation, and a brow lift. The rejuvenation of the skin, which may take the form of micro derma brasion, chemical peels or laser treatments, cooling the surface layer of the skin to wrinkle less visible. Skin rejuvenation can be a good addition to a brow lift, because it treats dynamic wrinkles, which are displayed when you smile or laugh, and permanent wrinkles that a brow lift can correct.

MisconceptionsMany people associate the elevators for the eyes with crow’s feet but blepharoplasty or eyelid surgery is really focused on tightening its actual eyelid does not make a significant difference in the appearance of crow’s feet. If you have droopy eyes, puffy eyelids or bags under the eyes, an eye lift may help but does not address the problems that cause crow’s feet.

WarningA brow lift is a surgical procedure, and should expect to take five to 10 days for initial cure for all the bruising and pain fade. Make sure your plastic surgeon is certified and experienced in performing brow lifts, and be aware that, as with any surgical procedure, cosmetic surgery carries a small but serious risk of complications, including scarring, infection and nerve damage. Learn about the risks and potential benefits of getting a brow lift before deciding to schedule one.

ConsiderationsOften the best treatment for crow’s feet is not the surgery, says Jeffrey Benabio, a dermatologist at Kaiser Permanente in San Diego, on “The Oprah Magazine”. If you already have crow’s feet, keeps getting worse with the use of broad-spectrum sunscreen every day and using a retinol cream at night to stimulate collagen production. Botox injections freeze and stabilize the muscles that affect can also make less visible crow’s feet without surgery.

Surgery for crow’s feet

Can I Afford Plastic Surgery?

With the struggling economy, money is tight these days. People wonder if they can afford plastic surgery. Below we’ll outline the basic costs, so you can have a better idea of the expenses.

The good news is there are many more minimally invasive procedures. Therefore, if you do no have the funds to finance an expensive operation, you can still enhance your look. Much more people are electing to have less invasive procedures performed. According to the American Society of Plastics Surgeons (ASP), in 2007, 5.5 million people had non surgical procedures performed and 1.9 million had surgical procedures.

The face is a very important asset to many people, and they yearn to keep it looking youthful. when people think of plastic surgery, the facelift is the classic procedure. It has been around for a long time, and many celebrities have had it done. its medical name is a rhytidectomy and fees are about five thousand for the procedure. Eyelid surgery (blepharoplasty), forehead lift (brow life) and nose reshaping (rhinoplasty) all cost between three and four thousand. Ear surgery (otoplasy) and chin augmentation are between three and two thousand dollars.

Surgery is not for everyone though. There are many non-surgical procedures that can also give you fresh look. While laser skin resurfacing and fat grafting cost a couple thousand dollars. Chemical peels, calcium Hydroxylapatite, Hyluronic Acid, Botox, and Microdermabrasion are all under a thousand dollars.

In addition, to the face many people look to restore their body’s youthful appearance. Tummy tucks are the most expensive surgery costing five thousand. Butt implants, butt lifts, and thigh lifts are range between four and five thousand. Breast augmentation is a little less than four thousand on average, and liposuction is about three thousand dollars.

Non-surgical body procedures are much less expensive. Laser hair removal costs on average five hundred dollars per session. However, multiple sessions are necessary. each case is unique, so it is important to consult your doctor about your predicted cost. Laser treatment for varicose veins in the legs is about four hundred dollars per treatment. To reduce cellulite, expect to pay two hundred dollars.

All of the above prices are only national averages, so you cost pay be more or less depending upon your area and doctor. if you would like to know more about plastic surgery and the associated costs, visit http://www.dr-apo.com today.

Can I Afford Plastic Surgery?

Facial Plastic

February 26, 2012 – 5:18 am

Nitin Chauhan, M.D., of the University of Toronto, and colleagues evaluated the degree of perceived age change in 60 randomly selected patients aged 45 to 72 who underwent aesthetic facial plastic surgery . Raters were presented with photographs and asked to estimate the patients’ ages. The patient population was divided into three groups: face- and neck-lift (group 1); face- and neck-lift and upper and lower blepharoplasty (group 2); and face- and neck-lift, upper and lower blepharoplasty, and forehead-lift (group 3).

The researchers found that, on average, patients’ ages were estimated at about 1.7 years younger than their chronological age before surgery and 8.9 years younger after surgery. The effect was most dramatic for group 3, and less substantial for group 1.

“our data demonstrate a significant and consistent reduction in perceived age after aesthetic facial surgery,” the authors write. “this effect is made more substantial when the number of surgical procedures is increased, an effect unrelated to the preoperative age of a patient and unaffected by other variables that we investigated.”

One of the authors disclosed financial ties to Allergan Canada.

More information: Abstract Full Text

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Facial Plastic

PR-USA.net – Non-Surgical Facial Procedures Spike Dramatically in 2010

New survey results released today by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) showed three-fourths of the procedures performed by the Academy’s surgeons in 2010 were non-surgical procedures, highlighting a trend that more people are choosing non-surgical procedures to delay more invasive surgical procedures. The survey results also showed that the number of procedures performed annually has risen 45 percent over the last two years, with a 16 percent increase in non-surgical procedures. The results were released at the AAFPRS Rejuvenation of the Aging Face Meeting. The meeting is being held January 19-23, at the U.S. Grant Hotel in San Diego, CA. 

A majority of surgical procedures, including facelift, revision surgery, rhinoplasty, forehead lift, chin augmentation, lip augmentation, and scar revision, increased in cost from 2009, which may be one reason why people opted for less invasive surgeries. in addition, surgeons reported performing fewer lip augmentations, hair transplants and collagen/cosmoderm/cosmoplast procedures in 2010.

“Non-surgical procedures are an excellent option for some people, with the added benefits of lower costs and shorter recovery time; two things that are consistently important to those considering facial plastic surgery,” said Jonathan M. Sykes, M.D., President of the AAFPRS. “We have been seeing a trend over the past few years that people who want to look and feel younger and rejuvenated are turning to non-surgical, less invasive procedures to obtain the refreshed look they want.”

The most common non-surgical procedures last year were Botox and hyaluronic acid injections. Surgery is still popular, with the most popular cosmetic surgical procedures in 2010 being rhinoplasty, facelift, and blepharoplasty (eyelid surgery).

Procedures Vary by Age/Gender Women, who made up 83 percent of all surgical and non-surgical procedures in 2010, continued to be the most likely candidates for all plastic surgery other than hair transplants, though the procedures varied greatly by age. Women under age 35 opted for less invasive procedures. The most common non-surgical procedures for women under age 35 were Botox injections (65 percent, up from 58 percent in 2009), hyaluronic acid injections (51 percent), microdermabrasion (23 percent), and chemical peels (22 percent).

Facelifts, blepharoplasty, ablative skin resurfacing and rhinoplasty were the most common surgical procedures performed on women overall, while Botox, hyaluronic acid injections, and microdermabrasion were the most common non-surgical procedures in women overall.

Women between the ages of 35 and 60 most commonly underwent brow lifts, facelifts, blepharoplasty, Botox, chemical peels, and filler injections, which all showed at least a five percent increase from 2009. Filler injections and chemical peels increased 12 and 26 percent, respectively, since last year.

Rhinoplasty was the most common surgical procedure performed on women between the ages of 22 and 34, with 84 percent of all rhinoplasties, versus 23 or less percent of other procedures, being performed in this age group, up nine percent from 2009.

Men also saw their share of surgical and non-surgical procedures last year, with Botox, hyaluronic acid injections, rhinoplasty and hair transplants being the most common procedures performed.

Ethnicity also Plays a Role Two out of five surgeons have also reported an increase in their Asian American, Caucasian, and Hispanic patients in 2010. among the four different popular cosmetic surgeries, African Americans and Hispanics were most likely to have received rhinoplasty (78% and 62% respectively). Asian Americans were most likely to have received blepharoplasty (47 percent) or rhinoplasty (44 percent), while Caucasians were more likely to get rhinoplasty (42 percent, up from 26 percent in 2009), followed by facelifts (36 percent).

Patients are More Educated Physicians agree that patients are more educated about plastic surgery than in recent years, despite patients receiving most of their plastic surgery information from friends. Surgeons also reported that patients are split in their concern over the results and cost when making the decision to undergo facial plastic surgery.

Find the Right Surgeon The AAFPRS reminds patients and professionals that when considering a facial procedure to first seek surgeons who are qualified, trained and experienced in performing those procedures and ensure that patients trust their face to a facial plastic surgeon. The AAFPRS web site offers a searchable member directory, which can help you find an AAFPRS facial plastic surgeon near you. for more information, visit www.facemd.org.

About the Survey The data for this study was collected directly by AAFPRS on the web between December 21, 2010 and January 8, 2011 using SurveyMonkey.com, a web site for conducting self-designed web surveys. The survey was emailed to only AAFPRS members who are American Board of Facial Plastic and Reconstructive Surgery (ABFPRS) certified. ICR, headquartered in suburban Philadelphia, analyzed key findings using data obtained from the SurveyMonkey site. One hundred and fifteen surgeons responded to the survey. The number of respondents this year is consistent with the number from previous years.

About AAFPRS The AAFPRS is the world’s largest association of facial plastic and reconstructive surgeons with more than 2,700 members — whose cosmetic and reconstructive surgery focuses on the face, head and neck. The AAFPRS fellows and members are board certified and subscribe to a code of ethics. in addition, the AAFPRS provides consumers with free information and brochures and a list of qualified facial plastic surgeons in any area by visiting the AAFPRS web site, www.facemd.org.

For more information, or to schedule an interview with an AAFPRS spokesperson, please contact the Academy’s public relations firm, Green Room PR at 973-263-8585 and ask to speak to Heidi Floyd. 

<a href="http://pr-usa.net/index.php?option=com_content&task=view&id=595023&Itemid=28tag:news.google.com,2005:cluster=http://pr-usa.net/index.php?option=com_content”>PR-USA.net – Non-Surgical Facial Procedures Spike Dramatically in 2010

Best Plastic Surgery in Austin From Whgormanmd

One of the oldest and most popular facial plastic surgeries, Rhinoplasty can change the size, shape, and general appearance of your nose, which in turn, can give your entire face an attractive new look. The goal is a natural looking nose that “fits” with the face behind it. It can be done after a damaging injury, in conjunction with a facelift to correct changes caused by aging, or by itself on those older than fifteen, simply to change a displeasing feature. Often certain breathing problems caused by internal nasal structure can also be corrected during the aesthetic surgery. If the look of your face no longer reflects how you feel about yourself, a facelift, or rhytidectomy, can make you look younger by smoothing the loose skin on your face and neck, tightening underlying tissues, and removing excess fat. It can eradicate deep wrinkles in cheeks or a deep line running from your nose to the corners of your mouth. It can remove loose skin and wrinkles in your neck, and even the “jowly” look that comes with the loss of a well-defined jaw line. Performed on both men and women, a facelift can be combined with other procedures, like a forehead lift, eyelid surgery, nose reshaping, or skin rejuvenating treatments like chemical peels or dermabrasion.If you can feel well rested and content, but your face doesn’t reflect it, it may be that your forehead is to blame. Sometimes called a Browlift, the surgical correction for furrowed brows and frown lines between the brows corrects the sagging or low position of the eyebrows and softens the horizontal creases that can create a worried or angry expression. The result is a more serene, relaxed appearance overall, due to a refreshing change to the upper third of the face.though fat is often something people want to lose in various places, fat injections or Lipostructure are often used to smooth out and contour various asymmetries and irregularities on the face and other areas of the body. Depending on the part of the body affected, this procedure is often done in an outpatient setting with only local anesthesia. If you are a good candidate for this surgery, it can give a more youthful look to your facial features without the need for more invasive surgical procedures.If you can’t flatten your stomach with a healthy diet and regular abdominal workouts, you might be in the market for an abdominoplasty. While such lifestyle changes can improve your health, they are often no match for excess fat and loose, sagging skin that some people hold onto after losing a lot of weight or having children. a tummy tuck will firm and smooth the abdomen by removing that excess fat and skin, and may also tighten the muscles of the abdominal wall. If you want a leaner and more defined midsection than you have been able to achieve with diet or exercise, speak to Dr. Gorman about a tummy tuck. he is skilled in tummy tuck procedures from the most basic to more extended, circumferential abdominoplasty surgeries.If you are happy with the size of your breasts but not with their firmness or the effects gravity has had on them, you could be a good candidate for a mastopexy. This procedure removes excess breast skin to raise, reshape and firm your breasts. you can also combine this procedure with breast implants to increase size while you reshape. Sometimes large breasts can be the cause of physical discomfort like neck, shoulder and back pain, or skin rashes underneath the breast. a reduction mammaplasty is designed to reduce those discomforts and enhance the overall appearance of your breasts by removing excess breast tissue and skin, making your breasts smaller and firmer. a similar surgery can be performed on men with enlarged breast tissue (a condition called Gynecomastia). These breast reduction surgeries have some of the highest rates of patient satisfaction of any plastic surgery procedures. Dr. William H. Gorman is a Board-Certified Plastic Surgeon who has practiced medicine in Austin for more than twenty years.after graduating with two degrees from the University of Texas at Austin, he attended Texas Tech University School of Medicine, and graduated with an M.D. degree in 1975. Dr. Gorman did his internship and his general surgery residency at the University of Texas Medical Center in San Antonio, and is a Fellow of the American College of Surgeons.he later completed his residency in Plastic and Reconstructive surgery at the University of Texas Southwestern Medical School in Dallas, Texas. he returned to Austin with his family in 1983 and has since been practicing his specialty of Plastic Surgery.your privacy and comfort is as important to us as it is to you. We know that your decision to have surgery is one often approached with hesitation. We believe the caring and attention we provide will allow you to more comfortably access the services you need to meet your individual cosmetic goals. Sometimes it can seem that the world of medicine, particularly surgery, is somehow different from your own. Nothing could be farther from the truth at our office. our world is your world.

Visit us:=========http://www.whgormanmd.com

Best Plastic Surgery in Austin From Whgormanmd

REVISED – Migraine Surgery Offers Good Long-Term Outcomes

Surgery to “deactivate” migraine headaches produces lasting good results, with nearly 90 percent of patients having at least partial relief at five years’ follow-up, reports a study in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

In about 30 percent of patients, migraine headaches were completely eliminated after surgery, according to the new study, led by Dr. Bahman Guyuron of Case Western Reserve University and the Cleveland Clinic.

‘Trigger Site’ Surgery Reduces or Eliminates Migraine HeadachesDr. Guyuron, a plastic surgeon, developed the migraine surgery techniques after noticing that some migraine patients had reduced headache activity after undergoing cosmetic forehead-lift procedures. the techniques consist of “surgical deactivation” of “trigger sites” in the muscles or nerves that produce pain.

For example, for patients with frontal migraine headaches starting in the forehead, the muscles in that area were removed, as in forehead-lift surgery. this procedure may reduce headache attacks by relieving pressure on key nerve in the frontal area. other approaches target other migraine trigger sites.

Before surgery, each patient was tested with botulinum toxin a (Botox) to confirm the correct trigger sites. for most patients, surgery targeted at least two trigger sites. the five-year results—including standard measures of migraine-related pain, disability, and quality of life—were evaluated in 69 patients.

Eighty-eight percent of these patients had a positive long-term response to surgery. Headaches were significantly decreased in 59 percent of patients, and completely eliminated in 29 percent. the remaining patients had no change in headache activity.

Migraine attacks were less frequent after surgery; average migraine frequency decreased from about eleven to four per month. when attacks occurred, they didn’t last as long—average duration decreased from 34 to eight hours. Migraine surgery also led to significant improvements in quality of life, with few serious adverse effects.

Migraine is a very common problem that interferes with many aspects of daily life for millions of Americans. About one-third of patients are not helped by current treatments. the new surgical techniques have the potential to reduce or eliminate migraine attacks for many patients who do not respond to other treatments. a previous study found good results at one-year follow-up evaluation.

The new report shows that these good outcomes are maintained through five years’ follow-up. the findings “provide strong evidence that surgical deactivation of one or more trigger sites can successfully eliminate or reduce the frequency, duration, and intensity of migraine headache, and the results are enduring,” Dr. Guyuron and colleagues write. More research will be needed to refine the surgical techniques—as well as to clarify the reasons for the effectiveness of surgical deactivation of trigger sites in relieving migraine headaches.

Plastic and Reconstructive Surgery® is published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health.

About Plastic and Reconstructive SurgeryFor more than 60 years, Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. the official journal of the American Society of Plastic Surgeons, Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, and cosmetic surgery, as well as news on medico-legal issues.

About ASPSThe American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. Representing more than 7,000 physician members, the Society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 94 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the Society represents physicians certified by the American Board of Plastic Surgery or the Royal College of Physicians and Surgeons of Canada.

About Lippincott Williams & WilkinsLippincott Williams & Wilkins (LWW) is a leading international publisher for healthcare professionals and students with nearly 300 periodicals and 1,500 books in more than 100 disciplines publishing under the LWW brand, as well as content-based sites and online corporate and customer services.

LWW is part of Wolters Kluwer Health, a leading provider of information and business intelligence for students, professionals and institutions in medicine, nursing, allied health and pharmacy. Major brands include traditional publishers of medical and drug reference tools, journals, and textbooks, such as Lippincott Williams & Wilkins and ; and electronic information providers, such as Ovid®, UpToDate®, Medi-Span®, Facts & Comparisons®, and ProVation® Medical.

Wolters Kluwer Health is part of Wolters Kluwer, a market-leading global information services company focused on professionals with annual revenues (2009) of €3.4 billion ($4.8 billion), approximately 19,300 employees worldwide and operations in over 40 countries across Europe, North America, Asia Pacific, and Latin America. Visit our website, YouTube or follow @Wolters_Kluwer on Twitter for more information about our market positions, customers, brands and organization.

Source: Wolters Kluwer Health: Lippincott Williams & Wilkins

REVISED – Migraine Surgery Offers Good Long-Term Outcomes

Migraine Surgery Offers Good Long-term Outcomes

Posted on: Thursday, 3 February 2011, 09:21 CST

5 years later, nearly 90 percent of patients have at least partial relief of migraine headaches

Surgery to "deactivate" migraine headaches produces lasting good results, with nearly 90 percent of patients having at least partial relief at five years’ follow-up, reports a study in the February issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS).

In about 30 percent of patients, migraine headaches were completely eliminated after surgery, according to the new study, led by Dr. Bahman Guyuron, chairman of Plastic and Reconstructive Surgery at University Hospitals Case Medical Center and Case Western Reserve University School of Medicine in Cleveland, Ohio.

‘Trigger Site’ Surgery Reduces or Eliminates Migraine Headaches

Dr. Guyuron, a plastic surgeon, developed the migraine surgery techniques after noticing that some migraine patients had reduced headache activity after undergoing cosmetic forehead-lift procedures. The techniques consist of "surgical deactivation" of "trigger sites" in the muscles or nerves that produce pain.

For example, for patients with frontal migraine headaches starting in the forehead, the muscles in that area were removed, as in forehead-lift surgery. this procedure may reduce headache attacks by relieving pressure on key nerve in the frontal area. other approaches target other migraine trigger sites.

Before surgery, each patient was tested with botulinum toxin a (Botox) to confirm the correct trigger sites. for most patients, surgery targeted at least two trigger sites. The five-year results—including standard measures of migraine-related pain, disability, and quality of life—were evaluated in 69 patients.

Eighty-eight percent of these patients had a positive long-term response to surgery. Headaches were significantly decreased in 59 percent of patients, and completely eliminated in 29 percent. The remaining patients had no change in headache activity.

Migraine attacks were less frequent after surgery; average migraine frequency decreased from about eleven to four per month. when attacks occurred, they didn’t last as long—average duration decreased from 34 to eight hours. Migraine surgery also led to significant improvements in quality of life, with few serious adverse effects.

Migraine is a very common problem that interferes with many aspects of daily life for millions of Americans. About one-third of patients are not helped by current treatments. The new surgical techniques have the potential to reduce or eliminate migraine attacks for many patients who do not respond to other treatments. a previous study found good results at one-year follow-up evaluation.

The new report shows that these good outcomes are maintained through five years’ follow-up. The findings "provide strong evidence that surgical deactivation of one or more trigger sites can successfully eliminate or reduce the frequency, duration, and intensity of migraine headache, and the results are enduring," Dr. Guyuron and colleagues write. More research will be needed to refine the surgical techniques—as well as to clarify the reasons for the effectiveness of surgical deactivation of trigger sites in relieving migraine headaches.

Plastic and Reconstructive Surgery® is published by Lippincott Williams & Wilkins, part of Wolters Kluwer Health.

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Migraine Surgery Offers Good Long-term Outcomes