Tuesday, March 31, 2009

Sarah Jessica Parker Got Rid Of Her Chin Mole!

Perez Hilton / Pic

Her chin growth has been an eye sore for years. She looks better without it.



Best Regards,


John Di Saia MD


Related:


Dr D's "Plastic Surgery for Mole Removal"

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Barbie doll is 50 - Has Issues......

CNN


Still standing, however, is Cindy Jackson, a 53-year-old woman inspired by Barbie to do much more than collect dolls and splurge on matching outfits.

Over the course of more than two decades, Jackson has gone under the knife for 13 full-scale operations, including multiple procedures each time, and hundreds of less intrusive cosmetic tune-ups in order to achieve the "all-American beauty" look she said Barbie represents.


So without Barbie this woman would never had had all that surgery? She is an oddity in a culture that embraces Barbie. Maybe she was on "Obscene Makeover?" These patients are not regulars in any plastic surgery practice of which I know.



Best Regards,


John Di Saia MD

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Monday, March 30, 2009

Links & Comments

Heidi Klum and Lauren Conrad at Pop Sugar - Heidi Klum - no plastics? Gimme a break!

Nicole Scherzinger at FoxNews - Nice tummy!

Brazilian Wax Ban at Fox News - So two people have a problem (Out of how many?) and New Jersey wants to ban? It sounds safer than driving a car.



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Friday, March 27, 2009

A Plastic Surgical Tourism Disaster

AOL

Stacey Cavaliere's story starts off pleasantly enough. After two years of diet and exercise she lost 135 pounds, and as a reward she was planning a Costa Rica vacation, where a nice relaxing trip awaited her. Or that's what the tourist Web site promised her. It also promised that Caveliere, 35, would come back lifted, tucked and toned in places where her extreme weight loss yielded excess hanging skin. But upon returning to the U.S., Cavaliere wasn't showing off her new body -- she was rushed to the emergency room where her abdomen had to be completely reconstructed after a botched body lift. Only after eight surgeries did she end up with the body she wanted.



The problem with trying to offer large scale surgery on the cheap is that you often are short changed on the technical aspects ...like the actual surgery and the follow-up. Any patients can get a wound infection but if these are detected early in good follow-up they are much less damaging. When your surgeon lives on another continent, it is difficult to get good follow-up care even if the surgical care was fine. This woman had a catastrophe requiring eight operations by a domestic plastic surgeon for repair. In this case, cheap became really expensive.



Best Regards,


John Di Saia MD




Related:

Tameka Foster (Usher's Wife) and Surgical Tourism

Dr D's "Cheap Plastic Surgery"

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Daryl Hannah & Plastic Surgery Victims?

Popeater

Daryl Hannah claims she would never go under the knife, but new photos in In Touch Weekly look a little suspicious.


Yep, that swollen face image they have looks pretty post op to me or she had a ton of facial fillers. The bottom line on this one is that aging can be slowed by judicious plastic surgery, but there is a line after which much more can have less than attractive results.

Plastic surgery scares some people because of the results so prominently displayed in these kinds of pieces. They do underscore the importance of using sound judgment should you decide to have surgery and understanding limits when and if you do. This may not be a "sexy" statement, but it is the truth.




Best Regards,


John Di Saia MD




Related:

Dr D's "Do Plastic Surgeon's Ever Say NO?"

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Thursday, March 26, 2009

Kim Kardashian is not Fat, but she may be Sneaky.

IDLYTW Blog

In Kim Kardashian's recent shoot for Complex Magazine, the editors mistakenly posted an un-Photoshopped version of one of the pictures (side-by-side in the banner pic). They quickly replaced it, but not before she got to milk it for publicity and sympathy. She writes on her blog:

Complex later replaced the pic with the photoshopped version, causing all of this drama. But you know what, who cares! So what: I have a little cellulite. What curvy girl doesn't!?

So which is it Kim, are you proud of being "curvy" or are you admitting you're kinda fat? Are you "proud of your body" or are you going to stay in the gym? You can see where what you're saying might be interpreted as confusing.



Kim is curvy and curves come with fat. This whole "slip up" incident was likely staged, but that is another story. Don't you love how she dropped in the "Fitness DVD" bit in there.


Best Regards,


John Di Saia MD



Related:

Kim Kardashian's Failing Fight Against Cellulite

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Dying Woman Wants Plastic Surgery - $55K Worth

AOL News

A British woman dying of cancer plans to spend about $55,000 on plastic surgery so she can go to the grave looking like her idol, Demi Moore, London's Daily Mirror reports. Lisa Connell, 29, will fund the surgery with the money her mother had saved to pay for her daughter's wedding. The procedures will include liposuction, a breast enhancement, an eyebrow lift, and work on her skin and teeth.


She seems very attractive by the images I see with the story. The "to look like Demi Moore" part is a bit disturbing. Mrs Moore is not so thrilled about the idea either.


Best Regards,


John Di Saia MD


Related:

Dr D's "Why Would A Plastic Surgeon Ever Say NO?"

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Wednesday, March 25, 2009

Michelle Pfeiffer: Good Genes or Good Docs?

TMZ/pics


TMZ asks "Good Genes or Good Docs?"


The answer is as it is frequently: both. She's had a fair amount of facial surgery, but looks nice. I'd guess facelift, eyes, nose plus skin care.



Best Regards,


John Di Saia MD

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Tuesday, March 24, 2009

April Redbook- Dr D quoted

Redbook

Another option — if you can manage it — is paying cash up front. "This is a vastly underused method that works out better for patients and doctors," says John Di Saia, M.D., a surgeon in Orange County, CA. The benefit for your doctor is that she's paid immediately. (It can take months or even a full year before doctors get reimbursed by insurance companies.)


The article is about health care for the uninsured. It is not an interview, but a brief mention.



Best Regards,


John Di Saia MD

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Mannequins Look Like Breast Implant Patients?

Glamour Blog

When mannequins start looking like really large breast implant patients, where are we as a society? The woman's groups should spin out on this one. They really like the "Barbie " doll. A post is coming up soon on that one....



Best Regards,


John Di Saia MD


Related:

Dr D's "Can Breast Implants Be Too Big"

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Monday, March 23, 2009

Dr D's Opinion makes him Unpopular? Say it Ain't So.

Amuse Biatch

meet Dr. John Di Saia, a plastic surgeon whom we imagine to be the "real housewife"-maker of Orange County (since, on one of his blogs, he provides advice on "Cosmetic genital surgery -- labia minora reduction"). On his other blog, "Truth in Cosmetic Surgery," Dr. Di Saia seems to reach out to Padma Lakshmi, saying, "That arm scar is really ripe for improvement."


OK the blog itself isn't so bad on me. Now to the comments:

diSaia is a right wing asshole.


Maybe I am. I side with the military and police most often.

Yeah, I remember a blog post he wrote a couple years ago on how he felt Cindy Sheehan needed plastic surgery. It was disgusting. Someone wrote a not so happy comment about it and he started in on some anti-liberal bs. The guy needs to stick to fixing pussy lips and keep his shut.



Well I didn't say that. See Well in any case, I don't keep my mouth shut. That is one of the reasons I blog. Get it?




Best Regards,


John Di Saia MD

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Links & Comments

Carmen Elektra at The Superficial - She looks damn good for her age.

Pain Pills at FoxNews - I wouldn't try these cremes alone for surgical pain. You will hurt.

Charles Barkley at TMZ - If jail isn't your personal cafeteria, maybe make it a point not to drive drunk? Looks like a diet might be a good idea anyway.


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Friday, March 20, 2009

New Botched Plastic Surgery Lawsuits in Orange County

Oc Register Blog

The California Medical Board this month filed accusations of gross negligence and incompetence against Dr. Harrell Edward Robinson of Anaheim Hills and Dr. Shir Miskinyar of Santa Ana.


The terms here are pretty generic and mean little. They are common to accusations in plastic surgery.

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Robinson, a head and neck surgeon, is accused of performing procedures without a patient's consent and then later borrowing money from her and forcibly kissing her, according to legal documents. The documents say an unnamed woman paid Robinson $16,000 for a tummy tuck, but he allegedly performed liposuction and a facelift during surgery.

Going to a head and neck surgeon for a tummy tuck is pretty naive. The tummy is neither in the head nor the neck. This part is not against the law. Performing surgery without permission is not allowed though. The other accusations are equally inappropriate if true.

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Miskinyar, who works at All Beauty Plastic Surgery in Santa Ana, is accused of performing breast augmentation on two women who developed infections and had to have their implants removed.


This can happen in any implant surgery although in properly-trained hands it is exceedingly rare.

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Neither Robinson nor Miskinyar are board-certified in plastic surgery, according to the American Board of Medical Specialties Web site.


These patients did not do their home work it seems. Having plastic surgery with a non-board certified plastic surgeon is unnecessary in Orange County where board-certified talent is in abundance. Yes, folks I am board-certified. ;)



Best Regards,


John Di Saia MD



Related:

Dr D's "Surgeons and Credentials"

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Thursday, March 19, 2009

Dirty HealthCare Exec

La Times

Found It Here



The former senior vice president of City of Angels Medical Center pleaded guilty Wednesday to paying illegal kickbacks to recruiters who referred homeless patients from skid row to the hospital, where they received unnecessary health services.


Well. Well. Well. A dirty health care executive paying kickbacks and it has nothing to do with plastic surgery this time. I like it.


Best Regards,


John Di Saia MD

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Dr Matlock of 90210 Gets Sued

TMZ

Dr. David Matlock is being accused of causing Patricia D'Edgido to suffer "extreme and severe permanent personal injuries" after a 2007 surgery "on her buttocks and other areas of her body, including her arms and vaginal area."


Well in our place and time, docs get sued even when they are not at fault. Some are sued more than others. Dr Matlock is a Gynecologist and offers more than just gynecology, so we'll see if his qualifications to do the surgery here are in question. He currently stands accused of the nebulous "bad plastic surgery."



Best Regards,


John Di Saia MD

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Wednesday, March 18, 2009

Facelift Minimum Age?

OC Register Blog 3/18


This questionably qualified vascular surgeon felt he needed to inform the world as to when it was appropriate to perform facelift surgery. Seeing as his training did not include plastic surgery one might ask why anyone would care what he thinks, but we are free in this country (usually) to speak our minds, so here we are.


Best Regards,


John Di Saia MD

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Instant Boob job

DailyMail


It is undeniable that they did make me feel more feminine and a whole lot sexier.

But they were fantasy breasts, and accepting that made them easier to take off for good. Because they were made of silicone, they were pert and lifted, and perfect.

Most breasts ? like so much of life ? are imperfect. They sag and droop.

I will never have large breasts again, though, and that makes me sad.

They are sitting on my dresser now, a silicone reminder of some fleeting memories of being a size DD.




Temporary prosthetic boobs. I guess this isn't a bad tester for those who aren't sure they want the operation. lol.


Best Regards,


John Di Saia MD
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Tuesday, March 17, 2009

Twitter Question : "Michael Jackson is Having More Plastic Surgery?! How Much is Too Much?

HollyScoop

The buzz on Twitter is: "Why would Michael Jackson have any more plastic surgery when he has already had too much?"

Jackson, who is on the top of every 'Bad Plastic Surgery' is eager to go under the knife again, hoping to correct a few procedures and revamp his image.



The answer is that he has had so much, that things have arisen that push him towards more surgery for fixes. Very few people get into this situation, but when they do it is scary.


The moral of this story: If you plan plastic surgery, plan carefully to avoid this situation.




Best Regards,


John Di Saia MD

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Kerry Katona's Breast Implant Removed From Ebay Sale

FoxNews

British pop princess Kerry Katona had her breast implants removed on UK’s MTV last year, but hit headlines again last week when she placed one (autographed and all) on eBay apparently to raise funds for charity breastcancercampaign.org.


Well I guess you can't pull extra cash with your breast implants on Ebay anymore. Mary Carey did it over a year ago. Maybe the rules changed?



Best Regards,


John Di Saia MD


Related:

Dr D's Cosmetic Breast Surgery Index

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Liposuction in Children?

Modern Medicine

Nevertheless, the indication for using liposuction in children and adolescents is in essence the same as in adults, namely remodeling or sculpting areas of the body where fat deposits are in disharmony or disproportion to the rest of the general physique of the patient.


Good reasons are pretty rare in children of course depending upon what you consider a reasonable use of liposuction. The standard may be different in different countries or communities.


Some of these atypical indications for liposuction include post-traumatic lipoma, post-traumatic asymmetry, lipodystrophy regardless of the etiology, adiposis dolorosa or Dercum syndrome and Klinefelter syndrome," Dr. Berenguer says.


Lipodystrophy regardless of etiology means fatty problems regardless of reason. In this country, that reason would be looked at with jaundiced eyes.




Best Regards,


John Di Saia MD

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Monday, March 16, 2009

Nodular Basal Cell Skin Cancer




This is a common type of skin cancer. It tends to look like a lump sometimes with an open part that can bleed. You are better off without it.





Best Regards,

John Di Saia MD

Related:

Original "Plastic Surgeon for Skin Cancer - Why?" Post

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Links & Comments

Kellie Pickler at Celebitchy - Maybe a bit too much Botox in the forehead. At least it will wear off.

Dr Oz at Celebitchy - Oh my God. I agree with Dr Oz!

These Boobs Couldn't Be More Fake at Double Viking - High profile implants on thin women look fake. Maybe that is what she wanted?


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Friday, March 13, 2009

Facial Fillers in The UK - Horror Story

Daily Mail


On a whim, she decided to book in for cheek 'enhancement', an injectable water-based filler treatment. It would, she hoped, give her an indefinable, more youthful appearance.

She has been left permanently disfigured - with a sausage-shaped lump under one eye and a series of constantly moving lumps around the other.

Extraordinarily, given testimonies like these, use of cosmetic fillers in Britain is almost entirely unregulated. There are no fewer than 74 different cosmetic 'plumping agents' available, and no requirement for specialist training for the doctors or beauty therapists offering them - or insurance if things go wrong.


By contrast, in America, the home of anti-ageing procedures, cosmetic fillers are viewed as medical products. They are closely regulated and have to undergo full testing. As a result, only eight of them have been approved as entirely safe for human use.



I was unaware that facial fillers were so free of regulation in the UK. This woman probably had a non-water soluble agent injected. These are poor choices under thin skin. Injecting near the eyes can be tricky with any substance. Of course the level of experience of the doctor is critical. We don't regulate that here either.

It is nice to hear we still do something better here in the US.


Best Regards,


John Di Saia MD

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Thursday, March 12, 2009

Blogger Question: "Why are Pammy's boobies all messed up?"

Tasteful Celebs Pic


Dr D - I am scared of breast implants because of Pammy Anderson's Frankentits. What the hell did she do to herself?

Look at these @&^@#%#@ pics!


Pamela Anderson is interesting as a spokes model for breast implants. She also shows the extreme variation in what people consider attractive. Some women believe that her breasts are the goal in having implants and others want to avoid results like hers.

As we have discussed before, Pam has implants that are really large relative to the tissue she has available to cover them. She has also by report had at least 6 operations. Women show do not have a ton of surgery and keep it moderate on the implant size tend to have far fewer problems with their implants. They also tend to look more natural.


The "take home point" here is to come to grips with what you want (and what you are willing to accept) in implant surgery and communicate this with your surgeon should you choose to have surgery.




Best Regards,


John Di Saia MD


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Wednesday, March 11, 2009

Curad Scar Therapy - Gone

Pharmacy Times Supplement 2006


Kinda a shame this one was discontinued as I have been using samples for my own Triceps Surgery. Scar sheeting products can be used over time as opposed to creams which are consumed and kinda make a mess. If you look at page 54 of the Pharmacy Times issue attached (pdf,) you'll see that pharmacists have the power here and weren't really recommending Curad's Scar Therapy, so it was discontinued.




Best Regards,


John Di Saia MD



Related:

Dr D's "Scar Revision"

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Tuesday, March 10, 2009

MakeMeHeal Question: "Susan Lucci Looks Weird..."


Make Me Heal is doing a story on Soap star Susan Lucci and would like your opinion on what makes her look so odd...
tummy tuck, lipo, breast implants, facelift, Botox, etc? any of it or more?

http://www.dlisted.com/node/30817 (now)
http://www.imdb.com/media/rm477664256/nm0005166 (2008)
http://www.imdb.com/media/rm944085760/nm0005166 (2006)

http://www.blogcdn.com/www.tmz.com/media/2009/01/0121_susan_lucci.jpg (before and after)




A lot of facial surgery and not so much on her body makes her face "tight-looking" relative to her body. This is seen in the recent bikini images on DListed.

Facially, her hairline may have been pulled back by several forehead lifts I would estimate. This can also be a genetic hair loss pattern seen in women of Italian descent however. She has likely had a few facelifts and touch up work over the years. This explains the hair being worn for cover. In the big picture, understand that she is over 60 and for a lady of her age, looks pretty good. All is relative of course and we will never know how she might have looked without the plastic surgery she has had. I would not characterize her as a plastic surgery problem case.



Best Regards,


John Di Saia MD


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Large Volume Liposuction Study

Life Script


NEW YORK (Reuters Health) - Liposuction that removes large amounts of body fat can be a safe option for managing obesity in select patients, a new study suggests.


The procedure is not right for all overweight adults, however.



Liposuction on overweight patients usually does not result in weight loss at least not long-lasting weight loss. There are occasional studies trying to promote this idea however. This one contradicts itself somewhat.



Best Regards,


John Di Saia MD



Related:

Dr D's Liposuction Index

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Monday, March 09, 2009

Links & Comments

Paul "PJ" James at Dlisted - He's probably gained the weight on purpose for an ad, so he fool some TV viewers into believing some "Ab Work" thing actually works.

Kelly Clarkson at Hollywood Tuna - Kelly might be able to use that "Ab Work" thing?

Barbie? or Bimbo? at The Dirty - Nik, what is with the toilet babe pictures?


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Thursday, March 05, 2009

Jennifer Aniston's Expensive Hair Care

NY Daily News

Aniston's hairstylist Chris McMillan is estimated to have charged the sky-high sum ($ 56,000) to accompany the actress on her week-long European trip to promote the comedy "Marley and Me," according to Britain's Daily Mail.



I really should have saved the time in school and become a stylist.


Best Regards,


John Di Saia MD

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Blogger Question: "How Do It Get I Those Breast Implants?"

DoubleViking Pic


Dr D - I want my implants to look like this? What do I ask for? Thanks Honey.


You are probably petite and slight of build. This young lady looks like she has a short torso and implants that pretty much occupy it. She probably had a bit of breast tissue beforehand. She may have had this done twice.

You might be able to get this kind of result, but it may not last the long term. If this is OK with you talk with your surgeon about larger high profile implants. Also talk about the downside just to be complete and consider that you might need to stage things...meaning have two operations to get there.

Oh, and thanks for the "Honey." lol.



Best Regards,


John Di Saia MD


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Wednesday, March 04, 2009

Obesity Tax - Is there ever a Good Reason to Increase Taxes?

KitchenTableMedicine

New York Governor David Paterson has proposed to levy an 18 percent tax on non-diet soft drinks under the guise of combating obesity. Government doesn’t get much more cynical than this.



The Governor of New York may not be just physically handicapped. Non diet drinks to do cause obesity.

Furthermore, the concept of new taxes is based on the primary premise that we currently pay too little. We don't. Politicians also tend to tie the taxation to some common good. The money is almost never ultimately spent on that, but it sounds good to sell the tax hike.

Tell your representatives to cut spending or hand them a pink slip. We don't do this enough.


Best Regards,


John Di Saia MD

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Plastic Surgeon for Skin Cancer - Why?




I have had a practice in Skin Cancer for years. When there was more cosmetic business around, I did less. Now I am doing more.

Why Do Patients Want A Plastic Surgeon For Their Skin Cancer Surgery?

Because I help minimize deformity. That's one of the things plastic surgeons do. Looking at the image here, I helped not only make it look better, but reduce loss of function of the hand by reducing tissue loss.


Best Regards,

John Di Saia MD

P.S. I made a little YouTube video of part of this operation if you wanna check it out.

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Tuesday, March 03, 2009

Jenny McCarthy on Botox

Michigan Avenue


Her Beauty Secret: "I love Botox, I absolutely love it. I get it minimally, so I can still move my face."


That's the way to do it if you are going to do it.



Best Regards,


John Di Saia MD

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The Mom Blogger Comments on Economics and Plastic Surgery

OC Register

Mom Blog


So, basically what this means is that people who want to have themselves surgically altered, because their self-esteem is so pathetically low they feel they need to have people cut into their bodies so they can look more like models who have also been surgically altered, are unable to afford to do so.


Really? Does this also apply to my breast cancer patients who just want their breasts back or patients with ugly scars from traffic accidents or burns?


I was disgusted to watch the Oscars and see what has happened to Sophia Loren and Shirley MacLaine, two of my favorite actresses of all time and in case you were born in the 1980s, huge glamorous beautiful movie stars.


I hate to break it to you, but Shirley MacLaine is wrinkled and plastic surgery didn't do that to her. Age and perhaps cigarettes did. On the topic of how her surgical results have aged and how many operations she has had I cannot of course comment.

But I have many times been amongst the first to note that some people take cosmetic plastic surgery too far. To condemn anyone who wants to improve their appearance, however, is to condemn anyone who buys makeup or uses skin treatments. Why don't we all just run around with raging acne? That's natural.

This issue is a matter of degrees as it always has been. We just disagree as to how far is too far.


Best Regards,


John Di Saia MD

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Monday, March 02, 2009

Links & Comments

Audrina Patridge at Holy Taco - If he thinks these are bad implanted breasts, he should see what I am asked to fix.

Pam Anderson at TMZ - Can't we just agree that she is really hot for 41?

OctoMom at Derek Hail - Who would want to see that?
Do they have horror porn now?


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