Anal Cancer, Sex and HPV - Vaccine?

Hot Medical News

I was e-mailed through my form the other day by a doctor running a medical site. Amongst his links was "Anal Cancer on the Rise." Having not dealt with anal cancer since I left General Surgery a decade ago, I read it. It reminded me that anal cancer has been associated with human papillomavirus virus (HPV). This is the same virus that is considered a sexually transmitted disease (STD) and for which the new vaccine for cervical cancer was devised.

I wonder if single sexually active women just got a new reason to consider that vaccine. And you gotta wonder how the drug company is going to advertise that one!

LOL.


Best Regards,

John Di Saia MD

Adult Film Star Houston Diagnosed with Melanoma

Houston Help Site

The adult film star known as Houston has developed Stage III melanoma. This was apparently found in a lymph node in her arm. She is scheduled for chemotherapy and has already had surgery.

According to her blog, the primary site of this cancer has not been identified. Melanoma usually arises from a skin site due to sun exposure.

Good luck to her in this difficult time. Contributions can be sent to her via her blog linked above.



Best Regards,

John Di Saia MD

Madonna "Bad" Plastic Surgery?

Yeeeah

Yeeeah suggests that Madonna has had "bad" plastic surgery. She has likely had more than her fair share of surgery. In the images they post, she could either be freshly post-op or showing the signs of multiple procedures over time.

Too much facial surgery can contribute to a skeletal appearance that is not exactly attractive. As we have said before, there is a point of diminishing returns when adding more surgery. Then again, if she is freshly post-op things will likely improve.



Best Regards,

John Di Saia MD

Thin Gal with Breast Implants

Story/Image 1 Source (NSFW)

The Dirty posted on a thin gal with implants commenting on how poorly they looked. She should have considered putting them behind muscle. For over the muscle types in a gal of her build they don't look badly.

Putting them "under the muscles" would improve things, but you can't blame her doctor for the appearance of her breast bone (sternum.) This woman is really thin. Larger implants would help decrease the "spacing," but would look even more bizarre on her thin chest. Thin patients can be hard.

A Thin Gal from my Practice



Best Regards,

John Di Saia MD

Dr D Compliment on Yahoo Answers

Dr D Compliment on Yahoo Answers

This was kinda nice. A previous patient recommended me to someone on Yahoo Answers for breast implants and a labiaplasty it seems.


Thanks to all,

John Di Saia MD

Barack Obama - Nosejob?

A Recent Blog Comment:

Since this is a plastic surgery forum. Have you seen Barack prior to his rhinoplasty? Check out the pictures of him while in law school. Very big nose. Wonder if he could have been president with the old nose? He wasn't very attractive then. - Corey

Obama in his youth

More recently

It looks like the blogger might be right. The old Barack image features a more rounded nasal tip. His later images look consistent with a minimal tip rhinoplasty to me. It makes for a more "Caucasian" look. Maybe. Nice pickup.




Best Regards,

John Di Saia MD

Janice Dickinson looking Post-op

Drunken Stepfather image (NSFW site)

When one side of your face doesn't move, you look post-op. As Janice Dickinson has been by rumor a "patron of the art," I'd bet something has happened here recently.

Facial nerve paralysis (here Janice's right side seen on the left side of the image) is actually common in the short term after some facial surgery like a facelift or even from the numbing medication from more minor surgery. In the case of the numbing medication it usually wears off in a day or so.



Best Regards,

John Di Saia MD

John Edwards - From Presidential Hopeful to Cad?

TimesoftheInternet

John Edwards has been a presidential and vice presidential hopeful. He has been a lawyer.

He now may very well be a cad according to this story. His wife has been described as having terminal breast cancer. It appears Mr Edwards has lost his fight with his libido.

If this is true, I can only thank God that he is not anywhere near the presidency.


Best Regards,

John Di Saia MD

Breast Reduction Video from the BBC

Here is a nice breast reduction documentary from the BBC:



Breast reduction is far more popular in the UK than it is here in the US, but many of the points the doctor makes regarding patient satisfaction and age hold true worldwide.


Best Regards,

John Di Saia MD

Post op Breast Implants & Sex Question

As many of you know I have a web site, this blog and a forum or two that I surf and at which I receive questions. This one was direct:

The Question:

"I feel silly asking the question but I just got my breast implants done and my man really likes boobie sex. When can we do it? My doctor did a great job, but is so conservative. I would feel stupid asking him. I feel less silly asking you as I have read you site and blog for quite a while now."

An Answer:

This definitely qualifies as the question of the week. The question has been asked before but you don't "beat around the bush" at all (no pun intended). LOL.

Patients tend to be a bit embarrassed in asking questions about cosmetic surgery and sex. This has been a recurring topic on a Makemeheal forum that I frequent, but there it usually comes up after tummy tuck surgery. I also put up something brief on my web site directed toward assisting my patients. These issues obviously interest many people but many like yourself are too embarrassed to ask.

Ideally you would ask your surgeon what he or she recommends. Patients do not realize that not all surgeons do surgery in the same fashion with the same materials. So what I recommend to my patients may not be the best for you. In fact, following the advice of anyone other than your surgeon has more risk than following your surgeon's direction. So I offer you general guidelines and not medical advice.

With this being said, you can probably "test drive" your new rack a month after surgery. If you are a redo operation, you definitely want to ask your surgeon first. Have your man avoid licking the breast on the area of the incision (the healing line through which the implants were placed) or getting any bodily fluids on it for at least a month after surgery or a week after it appears completely closed (without scabs) whichever comes second. Stop if anything hurts.


Happy playtime.


Best Regards,

John Di Saia MD

Dr D in Jib Jab?

Send a JibJab Sendables® eCard Today!

Denise Richards - Curses her "Roll" Video

Redlasso clip

Denise Richards says she will do whatever it takes to get rid of her tummy "roll." She is under the impression that it represents fat. As she has had children and is in good shape, this roll is more likely skin and stretched muscle for the most part. Without knowing more, she seems a good candidate for a tummy tuck.




Best Regards,

John Di Saia MD

Zoo Magazine's Best Boobjobs

Drunken Stepfather Forum Post (NSFW)

I don't know if these are the best but maybe they are amongst the best known breasts. I don't know if they are all augmented but many seem to be.



Best Regards,

John Di Saia MD

McCain Cigarette Joke - Who Cares?!

AOL News

John McCain apparently made a joke about killing Iranians with cigarettes and the Iranians weren't too happy about it. Who the hell cares?!

The Iranians who cheered when the twin towers fell to rubble and who pretty commonly call for the destruction of their neighbor Israel really don't matter (listen the the thirds clip below for this.) It is clear that the Iranians want Obama for US President and this is the amongst the reasons I could never vote for Obama.



Best Regards,

John Di Saia MD


Related Video Clip Links:
* Iranian Children's Video - features Israelis as evil thugs when their troups actually try not to harm civilians. It also favorably presents suicide bombers.

* Iranian President Doubts 911

* Iranian President as the New Hitler - He spews forth hate and the crowd cheers "Death to Isreal."

Scarguard Commercial

I just saw a Scarguard commercial on television. It said plastic surgeon's recommend it. I don't. It might work. It might not. But despite the inference, scarguard is not the "Standard of care" or anything. I have used a number or products for scar control and have not found any one to be that much better than another. Maybe with time....

The best thing for most scars is time, sun avoidance and massage.

Just be careful trying to take anything meaningful from most commercials.


Best Regards,

John Di Saia MD

Jan Adams DUI

This guy is just in "crash and burn" mode it seems. Poor guy.


Best Regards,

John Di Saia MD

Theresa Correa & her "All Implant" Breasts

Theresa Correa has what appear to be pretty much "all implant" breasts. She likely had very little breast tissue before surgery and went for pretty large implants. Some people love them and others hate them, but here they are.

Best Regards,

John Di Saia MD

A-Rod Divorce - As They Fall Into The Trap

Blemish
Celeb Parasite
D Listed


Divorce is something I can discuss as I am one of the afflicted. Looking back on mine I can see that the lawyers simply cut themselves in on your life savings via making you mad at one another. And that just means there is less for you to split.

I'd wager that In A-Rod's divorce many of the things released that seem so inflammatory are being released in legal filings by the lawyers to raise the animosity level between A-Rod and his "not-soon-enough-to-be-ex-wife." For all we know the lawyers encouraged the $100,000 shopping spree. They sure will write about it. Lawyers get paid to write filings and for the time they spend on a case. More animosity means more filings and the more legal time spent and that means money to the lawyers. People don't settle their divorce until they calm down. With all the excitement here that won't be any time soon.

This is the Divorce Trap game.

It's just that A-Rod has more money to lose.


Best Regards,

John Di Saia MD

Best Breasts in Hollywood

CelebSlam

CelebSlam blogs on In Touch Weekly's "Best Breasts in Hollywood." I always wonder who chooses these. As usual there are a fair number on implanted breasts.

Best Regards,

John Di Saia MD

Surgical Tourism - Insurance Companies Getting Involved Too

MSNBC

Surgical tourism has been an issue within Cosmetic Surgery as it is a lower cost alternative. Domestic cosmetic surgery is expensive. Your surgeon's overhead stays high and the time to become trained is long and expensive as well. Now it looks like the insurers are getting in the "tourism game" paying for your Hip surgery in India.

This has been a worry to the cosmetic surgery mills practices, but not-so-much to others. The tummy tuck I do in my practice is pretty high end and my patients get long term follow-up as well. You aren't going to get that in India or Mexico. Quality differentiates domestic from cheap foreign plastic surgery in many cases. And some of the outcomes considered OK in foreign countries would get you sued in the US.

This isn't an "apples to apples" comparison.


Best Regards,

John Di Saia MD

Why I Keep Comments Off (Approval)

Folks when you do controversial operations like Labiaplasty and write about them (and other stuff of course) on your blog and/or YouTube, you just keep comments as "after approval only."

This weekend I had a few comments validating that position with pretty rude stuff.

Many of the "anti-plastic surgery" lefties amaze me:

Liberals commonly present themselves as the party/group of tolerance, but if you present something with which they do not agree, they respond with personal attacks. It is kinda like politics. Somehow by taking care of people in a way the patients appreciate, I am a "bad guy."

There are women who desire labiaplasty and I serve some of them. Some of the more vociferous opponents would deny these women the right to do with their bodies as they wish. I do not talk patients into anything. They come to me with concerns and I address them. Simple.


Best Regards,

John Di Saia MD

Dr D's LATalkRadio Interview Segment 070108

I did an interview with Angela Segal on LATalkRadio this week. The topics included celebrity plastic surgery and a bit on choosing your plastic surgeon. The interview is online for download at the LaTalkRadio site.

Special thanks to Angela for allowing me to share this with you:




Best Regards,

John Di Saia MD