The Chronicle of Cosmetic Medicine & Surgery Spring 2014

Embed Size (px)

DESCRIPTION

The Chronicle of Cosmetic Medicine & Surgery Spring 2014. A new journal from the publishers of The Chronicle of Skin & Allergy. ©Chronicle Information Resources Ltd.

Text of The Chronicle of Cosmetic Medicine & Surgery Spring 2014

  • !" #

    !

    $

    %

    !

    %

    &'(%)

    *+,)'

    % $

    %

    !

    #!

    "

    !%

    !%

    % )%('&

    '),+*

    CosMed_Spring2014_05-28-14_cosmetic_dermatology_summer-2013_07-19-13.qxd 5/28/2014 10:29 AM Page 1

  • DYSPORT D I S C O V E R

    DYSPORT D I S C O V E R

    Onset of effect was reported as soon as 24 hours, with a median time of 3 days to onset of treatment response1

    t0OTFUPGSFTQPOTFXBTDBMDVMBUFEGSPNQBUJFOUEJBSZEBUB*PSXBTCBTFEPOJOWFTUJHBUPSTPSQBUJFOUTBTTFTTNFOUTBU%BZ

    Signi cant treatment success as assessed by both investigators and patients, respectively was reported at Day 30 through Day 120 vs. placebo1

    With demonstrated FAST-ACTING and LONG-LASTING results

    NEW botulinum toxin Now available in Canada

    Dysport (botulinum toxin type A) is indicated for the temporary improvement in the appearance of moderate to severe glabellar lines in adult patients

  • From the editors Dr. Michael J. Weinberg on whether cosmetic surgery is best undertakenafter learning reconstructive surgery ..............................................................................................4

    Thinking like a businessman? Dr. Eric Swanson argues for a return to a tradi-tional model: Treat patients well and they will beat a path to your door ........................................6

    Cosmetic Update: On the leading edge of research, discoveries and new clinical findings in aesthetic medicine. Complications for obese reduction-mammaplasty patients, &c. 10

    Cosmetic Medicine 2014: Growing experience has taught Canadian clinicians whotreat patients with fillers that adhering to the principle of less is more is a good approach ..........12

    Bimatoprost effective for growing eyelashes Dr. Jean Carruthersexplains the aesthetic effect of a medicine developed as glaucoma therapy ..................................19

    Managing patient expectations and outcomes Tools such as FACE-Qcan be useful measuring instruments of patient satisfaction in facial surgery ................................20

    Age perception An objective study finds cosmetic procedures reduce an average of 3.1years from patients appearance................................................................................................21

    Pregnant or post-partum women: Dr. Mary Maloney says a checklist is essen-tial for dermatologic or cosmetic procedures on this cohort ........................................................23

    Body contouring Increased demand follows explosive growth of bariatric surgery proce-dures, according to Dr. Jonathan Toy ....................................................................................25

    Treating the Cosmetic Patient Taking herbal supplements? Thats the questionphysicians sometimes forget to ask ............................................................................................26

    Published four times annually by the proprietor, Chronicle Infor mation Resources Ltd., from offices at 555 Burnhamthorpe Rd., Suite 306, Tor onto, Ont. M9C 2Y3Canada. Tele phone: 416.916.2476; Fax 416.352.6199.E-mail: health@chroni cle.orgContents Chronicle Information Resources Ltd, 2014,except where noted. All rights reserved worldwide. ThePublisher prohibits reproduction in any form, including print,broadcast, and electronic, without written permission. Printed in Canada.Subscriptions: $59.95 per year in Canada, $79.95 per yearin all other countries, in Canadian or US funds. Single copies:$7.95 per issue. Subscriptions and single copies are subjectto 13% HST.Canada Post Canadian Publications Mail Sales ProductAgreement Number 40016917. Please forward all correspon-dence on circulation matters to: Circulation Manager, DentalChronicle, 555 Burnhamthorpe Rd., Suite 306, Toronto, Ont.M9C 2Y3 Canada.E-mail: circulation@chronicle.ca ISSN 1927-4955 Cover image: Luba V Nel | Dreamstime Photos

    Since 1995, Ideas in the Service of Medicine. Publishers of: The Chronicle of Skin & Allergy, The Chronicle of Neurology & Psychiatry,The Chronicle of Healthcare Marketing, Best Practices Chronicle, healthminute.tv, and Linacres Books

    EditorsSheetal Sapra, Oakville, Ont.

    Nowell Solish, Toronto

    Guest EditorMichael J. Weinberg, Toronto

    National Editorial Board

    Sheldon V. Pollack, Toronto (Chairman)

    Scott Barr, Sudbury, Ont.

    Arie Benchetrit, Montreal

    Vince Bertucci, Woodbridge, Ont.

    Yves Hbert, Montreal

    Frances Jang, Vancouver

    Julie Khanna, Oakville, Ont.Mark Lupin, VancouverMathew Mosher, Vancouver

    W. Stuart Maddin, Vancouver

    William McGillivray, VancouverKent Remington, Calgary

    Jason K. Rivers, Vancouver

    Arthur Swift, Montreal

    Jean-Franois Tremblay, Montreal

    Fred Weksberg, Toronto

    Industry AdvisorsAnn Kaplan, iFinance, Toronto

    Roxane Chabot, RBC Consultants,Montreal/Miami

    Publisher Mitchell Shannon

    Editorial DirectorR. Allan RyanSenior Associate EditorLynn Bradshaw

    Assistant EditorsJohn Evans

    Emily Innes

    Sales & Marketing Sandi Leckie, RNProduction & CirculationCathy Dusome

    ComptrollerRose Arcierowww.chronicle.cawww.twitter.com/skinchroniclehealth@chronicle.org

    DYSPORT D I S C O V E R

    Onset of effect was reported as soon as 24 hours, with a median time of 3 days to onset of treatment response1

    t0OTFUPGSFTQPOTFXBTDBMDVMBUFEGSPNQBUJFOUEJBSZEBUB*PSXBTCBTFEPOJOWFTUJHBUPSTPSQBUJFOUTBTTFTTNFOUTBU%BZ

    Signi cant treatment success as assessed by both investigators and patients, respectively was reported at Day 30 through Day 120 vs. placebo1

    With demonstrated FAST-ACTING and LONG-LASTING results

    NEW botulinum toxin Now available in Canada

    Dysport (botulinum toxin type A) is indicated for the temporary improvement in the appearance of moderate to severe glabellar lines in adult patients

  • 4 The Chronicle of Cosmetic Medicine + Surgery

    It is a privilege to write the guest editorial forthis issue. The ChronICle of CosmeTICmedICIne + surgery is a new initiative whichfills a niche in the cosmetic medicine and sur-gery market. showcasing all the excellentwork done by Canadian medical and surgicalspecialists in the field, The ChronICle servesto foster collaboration between the medicaland surgical members and among those of uswith varying areas of expertise within eachdiscipline.

    highlights in this issue include the sur-vey by Dr. Jugpal Arneja on plastic sur-gery practices in Canada which revealed that amajority of plastic surgeons have significantreconstructive practices at the start of theircareers, and that this is maintained well intotheir more senior years (see page 27). further,the study found that the transition to a cosmet-ic practice may be happening earlier in theunited states than in Canada, leading theauthors to theorize that this may be due topoor reimbursement for reconstructive work inthe u.s.

    Achieving a balance between reconstruc-tive surgery or medical dermatology and cos-metic practice is a significant issue for derma-tologists and plastic surgeons. universalhealth care is a pillar on which social andcommunity support rests in this great countrywe live in. Consequently, I was glad to seethat a significant percentage of plastic sur-geons in Canada continue to maintain some

    aspect of reconstructive practice. In my view,the transition to cosmetic surgical practice islikely best undertaken after some experiencein reconstructive surgery, and some experi-ence in understanding patients and theirexpectations.

    unfortunately, in the new medical envi-ronment, in which many new graduates willstruggle to find hospital jobs, we may find anincreasing number of residents going directlyinto cosmetic medicine. I am not convincedthat this is the best path, both for surgeons,and for patients. my hope is that physicianswill continue to maintain some balance, inthe interests of promoting excellence in ourfield, ensuring patients receive our full sup-port, and also in the hope that future surgeonswill have the benefit of the rich and variedcareer that those that came before them haveenjoyed.

    I found the report on Dr. PeterAdamsons discussion of facial rejuvenationand attractiveness very interesting. I commenddr. Adamson on his diligent surgical studywhich showed a range of longevity in rejuve-nation results from three to seven years.Previously the general teaching has beenandthe public has come to expecta five to 10year span. I have never thought that 10 yearswas typically achievable, nor necessarilysomething desirable to strive for, as I agreewith dr. Adamson that people prefer a morenatural look.

    Commentaryand opinion oncurrent topics of interest in aesthetic medicine

    Cosmetic surgery: best undertaken after learning reconstructiven Dr. Michael J. Weinberg, TO R O N TOP L A S T I C S U R G E O N

    Your feedback, please: The editors of The Chronicle of Cosmetic Medicine + Surgeryinvite your comments concerning the articles in this publication, on issues of current interestin the practice of aesthetic medicine, and on matters at large. Write us at:cosmetic@chronicle.ca

    CosMed_Spring2014_05-28-14_cosmetic_dermatology_summer-2013_07-19-13.qxd 5/28/2014 10:30 AM Page 4

  • Volume 4 Number 1 5

    Over-correction in the interests of offer-ing a more long-lasting result can push usinto the realm of the very unnatural or donelook that the public increasingly finds unat-tractive and fears. However, while modest,natural looking correction may be desirable,it behooves us to carefully manage the expec-tations of our patients. The attractivenessfinding