World Record for Plastic Surgery?

AOL

"Angela Bismarchi, 36, is hoping to set the world record for most plastic surgeries. The Brazilian model has had 42 operations, making her a celebrity in her home country."

This one is kinda odd, but she seems happy about it. It is both fortunate (practical) and unfortunate (financial) that my practice doesn't appeal to this kind of patient.

LOL. I probably wouldn't do these cases anyway.


Best Regards,

John Di Saia MD

A Silicone Gel Breast Implant Story on AbsolutelySafe.com

Boston.com

This piece features the story of a woman who has had problems with a breast reconstruction that involved silicone gel breast implants. It also makes the supposition that all of us in plastic surgery have unanimously proclaimed that silicone gel implants are "safe." The piece fails to differentiate between cosmetic breast surgery patients and reconstructive breast implant patients. They differ substantially in the risk of complications.

These people obviously haven't read anything I have written.


Best Regards,

John Di Saia MD

* A Brief Piece on Breast Implant Choice from my Web site - This is directed at cosmetic patients.

Britney Spears Wardrobe Malfunction- News?

Hollywood Tuna

Am I the only one that finds Britney Spears' topless wardrobe malfunction without interest? Is it because of what I do for a living?


Best Regards,

John Di Saia MD

John Ritter's Death Lawsuit - Benefit versus Risk

AOL

Clinical medicine is a minefield. Looked as "Benefit vs Risk" it is very much in negative territory. This is why so many doctors trained in other fields leave them to practice cosmetic surgery. While I do not know the Ritter case, it is safe to say that the millions sought after by the plaintiff vastly dwarf any money paid for the care of Mr Ritter. While I still do some regular medicine, I am actively suppressing that portion of my practice. It simply isn't worth the risk.


Best Regards,

John Di Saia MD

Botox Deaths?

AOL


16 Botulinum toxin deaths? I wonder is this is a worldwide figure and who is injecting the material and far what in the cases of problems? Millions of people have had these injections worldwide.


Best Regards,

John Di Saia MD

Porn Stars & The Rare Full Breast Lift

Anita Dark At Bullz-Eye


Years ago I wrote a piece on my web site about Porn Stars and their Misadventures with Cosmetic Breast Surgery. A friend provided images from the web including some of a lady who went by the name "Anita Dark." She was #3 on the page.

In surfing today I found more recent images of Anita at a softcore site Bullz-eye taken in 2004. She is one lovely lady making me wonder why she ended up in porn. Nevertheless, she has had at some point a full breast lift or breast reduction with a complement of incisions that appear to have healed pretty well.

My point is that patients who have droopy breasts should consider breast lift surgery and not just placement of large breast implants. I see far more problems with large breast implants than with breast lifts (when properly performed of course). There are of course less invasive types of breast lifts for women with less droopy breasts or those willing to trade less correction for fewer incisions.


Best Regards,

John Di Saia MD




Track Linked to: Celebrity Smack / Leaning Straight Up / Blue Star Chronicles / Dumb Ox News

and Special Thanks to LinkFest Haven

Flabtastic Celebs at TMZ

TMZ


Celebrities get older and lazy too. Some of these really aren't all that fat. Others look like they would tip the Titanic. Gotta wonder about Photoshop on some of these.


Best Regards,

John Di Saia MD

Walmart Going Green?

MSN


Walmart seems to be doing more "green" stuff than the liberal "bombthrowers" like Gore. Who are the libs going to complain about next? Watch Hilary take credit. Wasn't she on their board years ago? LOL.

Best Regards,

John Di Saia MD

Bill Clinton Has A Dream Video

I guess even Bill gets tired of a'Speachin. Hilly ain't a gonna like this!


Best Regards,

John Di Saia MD

Dr Phil Gets slapped on the Britney Spears Visit?

TMZ


It looks like the Spears family is trying to get back at Dr Phil on the Britney Spears hospital visit. They have filed a complaint with the California Board of Psychology and apparently also filed to sue him.

The problem: Mr McGraw no longer practices psychology. He relinquished his Texas license in 2006 per TMZ and has never had one in California. When someone gives advice of the sort he gives, does that define psychology? If so, every friend to ever give advice to another could also be sued. He is an entertainer now. I think they are barking up the wrong tree. Maybe he should have kept his mouth shut, but when you call an entertainer what do you expect?


Best Regards,

John Di Saia MD

Jennifer Love-Hewitt is "Hot" in the Right Clothes

Derek Hail


Like many (if not most) women Jennifer Love-Hewitt, recently subject to PR assault by being photographed from an unflattering angle, looks her best when seen from a certain angle. Wearing the right clothes serves to camouflage the not-so-great areas in favor of the better ones.

Best Regards,

John Di Saia MD

Wii problems and Costco

The kids got a Wii from my Dad this Xmas. It was great for 2 weeks and then we had a remote problem. Costco is usually a great place to buy stuff, but really supports the Wii poorly. They told us to return it as they would not reserve an incoming unit for us (as an exchange) eventhough it had been purchased there receipt or not. Although I am usually a huge Costco fan, I would recommend buying your Wii elsewhere.

Interestingly enough, a call to Nintendo yielded a request that I smack the remote around to make it work again.


Best Regards,

John Di Saia MD




Track Linked to: 123Beta / Blue Star Chronicles / Stix Blog

and Special Thanks to LinkFest Haven

Model in Orgasm Commercial Sues

ABC News


This model who says she has made efforts to maintain a wholesome image is suing a jewelry company over a commercial she did for them. Wonder what her release stated?

Here's the commercial (YouTube):




Best Regards,

John Di Saia MD

Transgendered Patient Sues Hospital

Trying to figure out why a patient would want to push a surgeon into doing an operation he/she wasn't happy to offer has always confused me. The surgeon / hospital can't win here. If the procedure doesn't work out to the patient's satisfaction, then the lawsuit becomes an issue of poor performance.

If I am not comfortable, I do not operate. Believe me, unless I am comfortable you really don't want me to work on you.

Never having done breast augmentation upon a "previously" male chest, I would not know where to start and could not make any kind of assurances on the outcome. Would a patient really want that? In this case, the hospital refused on religious reasons. Although I believe they should have the right to do so, they are probably screwed.


Best Regards,

John Di Saia, M.D.





Track Linked to: Celebrity Smack / Leaning Straight Up / The Virtuous Republic

and Special Thanks to LinkFest Haven

Jenna Jameson's Breast Lift Scars on the Runway

Drunken Stepfather (Pic Source)

Drunken Stepfather (NSFW) posts on Jenna Jameson's breast lift scars. These are a consequence of having had large implants before. The lift surgery "takes up the slack" of the excess skin we get when removing larger implants that have been in a while and either replacing them with smaller ones or not replacing them at all.


Best Regards,

John Di Saia MD

Donda West Health History / Cosmetic Surgery Candidacy

LA Times

Donda West had high blood pressure and "high blood sugar" (probably diabetes) according to the LA Times.

I find myself agreeing with Dr Rohrich as he states:

"It's not like going to find a pair of shoes. You can take the shoes back. You can't bring your life back."

"Bottom line, cosmetic surgery is only for patients that are healthy. If they're not healthy, it's really not usually a good thing to do."

The real question in the review of this case will likely be whether or not Ms West was a reasonable candidate for the surgery in the first place. The subject of medical clearance will undoubtedly also come into play.


Best Regards,
John Di Saia MD

Donda West's Post Misinterpreted on the News?

That's not what I read when I read the coroner's report. What did they read?


Best Regards,

John Di Saia MD

Donda West died of a Heart Attack; had a Lower Body Lift

TMZ

TMZ has posted a copy of Donda West's coroner's report (How did they get this?) that reports that she died of a heart attack and various post-operative factors. It also reports that she had a circumferential tummy tuck or a lower body lift. This is large scale surgery.

One of the reasons a surgeon may seek medical clearance from an internist is to minimize the medical risk of large scale surgery particularly in a person not in the best of health. It is my understanding that she didn't have this done prior to surgery.

This isn't over if the medical board decides to investigate. I am not placing blame upon anyone. This case is not open and shut however.

Best Regards,
John Di Saia MD

Michael Jackson - Funky Video

Michael Jackson without surgery
Uploaded by ambro23

Here's another video positing what Michael Jackson may look like had he not had surgery. Somewhere in the middle of his surgical experience he probably would have looked good and stopping there would likely have preserved that, but that was not in the cards was it?


Best Regards,

John Di Saia MD





Track Linked to: Celebrity Smack / Right Voices / Leaning Straight Up

and Special Thanks to LinkFest Haven

Katie Price - Bigger is Not Always Better?

Seriously! OMG

Dlisted



Katie Price looks much different after removing/down-sizing her breast implants. Maybe bigger is not always better? Then again who would know her if not for her monster boobs of yesteryear?

BTW - This was not a breast reduction technically. It was am implant exchange/lift.


Best Regards,

John Di Saia MD

Victoria Beckham's Breast Implants - Again?

HollywoodTuna has a post today featuring Victoria Beckham's breasts looking kinda freakish as they did a few months ago in most of her pictures. There were images of her looking a bit less firm upon which I commented in late 2007.

What gives?

Looking at what Mrs Beckham tends to wear (such as in her latest pictures,) she can make even the softest implanted breasts look firm. It is hard to tell with this kind of clothing.

I'd still lay my bet upon her having had them re-done late last year but there is not much that is certain when you examine images of clothed celebrities alone. That is what makes this so interesting, yes?

It is also possible that her new implants have started to "firm up." Contracture commonly recurs particularly in women who smoke and women who had silicone gel implants. I do not know the specifics in her case.

Best Regards,

John Di Saia MD





Track Linked to: Celebrity Smack / Adeline and Hazel

and Special Thanks to LinkFest Haven

"Real Housewives," The OC Register and "My Breasts are too big with these Implants!"

OC Register Blog on "Real Housewives of The OC"

This week the "Real Housewives of the OC" featured a woman who had old breast implants reduced and her breasts lifted. A number of plastic surgeons were asked to provide commentary. I did so but my comments were not used. Nevertheless, the issue is worth discussion as this event happens in reality more commonly when women choose to "go too large."

My Commentary:


Breast implantation results undergo an evolution of sorts as patients age. With the weight gain many patients experience as they age, breast size increases and the larger breasts may descend. Breast implants of course just add to this weight. With the movement of increased breast weight to a lower position on the chest, sometimes back pain can occur usually along the course of ten to twenty years after surgery. This is not universal, but it happens.

Because of these changes, there are not infrequently patients that come to my office considering removal of breast implants frequently along with breast lift surgery. I do a few such cases a year in which I remove implants for weight concerns. If there is enough breast tissue remaining to produce attractive breasts, I make an attempt not to replace the implants. Some patient will want the implants back.

A point of education would be to consider smaller goal sizes in "first time" implant surgery with the idea of decreasing the possibility of something like this happening. As the leading cause of dissatisfaction in augmentation is "too small" a size result, this produces a paradox that patients should carefully consider before surgery.



Best Regards,
John Di Saia MD



Track Linked to: Amboy Times / The World According To Carl / Right Truth / Stage Left

and Special Thanks to LinkFest Haven

The McRib Scheduled for Termination - Pull The Switch!

WalletPop

The McRib sandwich must die. Anybody remember what the late Sam Kinison said about it? Maybe this time it will stay dead?


Best Regards,

John Di Saia MD

Weekend Miscellany Links [TB]

It has been a slow week online, but there is always something funky out there for you:


Celebrity Plastic Surgery is Hot at CityRag - I would say that: Yes.

Cindy Margolis is a KnockOut at Bastardly


Derek Hail Gossip







Track Linked to: Blue Star Chronicles / Celebrity Smack / Shadowscope

and Special Thanks to LinkFest Haven

KFed New Year's Images Are Too Much To Take

Flash Game

Seeing images of KFed from New Year's made me think of this old flash game where you get to give it to him good. This is perhaps the best way to get out your frustration that this douche bag has made so much off being a human parasite.

Best Regards,

John Di Saia MD



Track Linked to: Blue Star Chronicles / Celebrity Smack / Third World Country

and Special Thanks to LinkFest Haven