Michael J. Will, MD, DDS, FACS • Phone: 301.874.1707
Cosmetic Surgery • Oral & Maxillofacial Surgery

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How Much Could Cosmetic Maintenance Cost Over a Lifetime?

July 26th, 2010 by editor2

Beauty Breakdown graphic from Newsweek.comA special report titled “The Beauty Advantage” on Newsweek’s website includes “The Beauty Breakdown,” an interactive feature that estimates what a lifetime of cosmetic maintenance will cost a “modern diva.”

Gathering data from a number of sources, such as the Professional Beauty Association and Allure magazine, it looks at beauty costs for American women from their early teens through age 50 plus for treatments for the hair, face, body, and hands/feet. The lifetime total cost it comes up with: $449,127.

For those in their 30s and 40s, it included facial treatments like microdermabrasion, Botox, and lip plumping and body treatments such as varicose vein treatments and waxing, in addition to hair care, tanning, manicures, and pedicures. For women in the 50 plus age range, chemical peels and deep line wrinkle fillers were added to the facial regimen.

The lifetime total spent on the face was estimated at just over $314,000—more than treatments on hair, the body, and hands and feet combined.

The feature argues that spending money on these treatments may not be “frivolous.”

“Economists have long recognized what’s been dubbed the ‘beauty premium’—the idea that pretty people, whatever their aspirations, tend to do better in, well, almost everything. Handsome men earn, on average, 5 percent more than their less-attractive counterparts (good-looking women earn 4 percent more),” writes Jessica Bennett in the article “The Beauty Advantage” on Newsweek.com.

A Newsweek survey of 202 corporate hiring managers found that:

  • 56 percent said qualified but unattractive candidates are likely to have a harder time getting a job
  • More than half recommended spending as much time and money on “making sure they look attractive” as on perfecting a résumé
  • When asked to rate nine character attributes in order of importance for job applicants, looks came in third, behind experience and confidence, but before where an applicant went to school

(image via Newsweek.com)

Woman with World’s Largest Breasts Fighting Staph Infection

July 21st, 2010 by editor2

Sheyla Hershey, a Brazilian model with the largest breasts in the world, is experiencing complications following her latest breast surgery.

After more than 30 plastic surgeries, Hershey suffered her first complication when a severe staph infection reached both of her breasts following her most recent breast augmentation procedure in Brazil this past June, according to Fox News in Houston.

The model and mom, who lives in Houston, said her new surgeon told her she should be concerned for her life because the infection could leak into her bloodstream. Hershey has had to give herself infusions of intravenous antibiotics every twelve hours to fight the infection.

While frightening, is this complication common after breast surgery?

Dr. Michael Will, who performs breast augmentation and breast implant repairs, had this to say:

Breast augmentation procedures should be preceded by a comprehensive consultation between the cosmetic surgeon and the patient, where the patient’s concerns and expectations are discussed in relation to the patient’s breast and chest wall anatomy.

An effective evaluation and treatment plan should result in a post-operative outcome that reaches a balance between the patient’s expectations and the surgeon’s surgical and anatomical limitations to yield an esthetic and healthy outcome. When the surgical tissue tension and stress exceed the capacity for normal healing, wound breakdown and infection often develop.

However, infection related to breast augmentation is rare, and when encountered, the implants frequently need to be removed and replaced at a later date.

In 2009, Hershey was a 38KKK and received the Brazilian equivalent of the Guinness Book of World Records award.

Hershey is currently undergoing treatment, according to her website www.sheylahershey.net, which includes updates on her condition.

Consumers Choose Hyaluronic Acid Fillers; Collagen Fillers Discontinued

July 14th, 2010 by editor2

InjectablesThe trend toward hyaluronic acid injectables may be part of the reason that collagen fillers will be gone from the U.S. market at year’s end, reports the latest issue of Dermatology Times.

In late 2009, Johnson & Johnson announced that it was discontinuing its collagen filler Evolence, and in January 2010 Allergan announced it would be discontinuing its collagen line of fillers at the end of the year. Allergan actually halted production of its collagen products in 2009, but manufactured sufficient inventory to meet estimated market demand through the end of 2010, according to Kelly Lao, manager of corporate communications.

“The discontinuation of the sale of our collagen products … is in response to declined market interest … since the introduction of hyaluronic acid dermal fillers like Juvéderm have become more popular,” Ms. Lao says.

“There is an overwhelming popularity of the new kid on the block: the hyaluronic acids. They have been embraced universally, and suddenly collagens aren’t as popular,” concurs Dr. Seth L. Matarasso, a clinical professor of dermatology at the University of California School of Medicine, San Francisco

The popularity of hyaluronic acid products is due to several factors:

  • Longer-lasting results
  • Appear to give a better fill
  • Some contain lidocaine for less painful injections
  • Upcoming improvements will provide more volume and contour-changing ability and the ability to fill deeper lines

Hyaluronic acids products include Restylane, Juvéderm, Radiesse, which are all available at Will Surgical Arts in the Frederick County area in Maryland.

Dermatologists prepare for departure of collagen from U.S. market” is online at Modern Medicine.

New Website Aims to Cover All Things Beauty

July 8th, 2010 by editor2

Project Beauty is a new beauty website launched this week by the ASAPS that aims to help consumers navigate all the information available on beauty products and procedures by answering questions such as:
Project Beauty website home page

  • What treatments work?
  • Which treatments don’t work?
  • How can you tell if a product is legitimate or just marketing hype?

Project Beauty is a video news magazine that “features a ‘who’s who’ list of experts on fashion, makeup, and skincare as well as news and first person stories on all things related to aesthetic surgery,” according to the ASAPS press release. The content includes videos, blog entries, and forums.

Videos cover a range of beauty topics, including hair, makeup, nutrition, fashion, skin care, and cosmetic surgery. Current videos include:

  • Staying Fit While Away from Home
  • The Dr. Gets a Facelift
  • How to Apply Perfect Day Make-up
  • A Very Personal Decision: Breast Augmentation

To kickoff the launch of Project Beauty, the site is hosting a month-long giveaway contest called “30 Days of Beauty.” Each day from July 6, 2010 to August 4, 2010, Project Beauty will offer one prize, such as a Sonicare toothbrush or SmashBox cosmetics, per day. To win, you just join the Project Beauty Community and enter daily to win the prize of the day.

To join the Project Beauty community, sign up at www.projectbeauty.com. Project Beauty also launched a social media campaign on Facebook, Twitter, and YouTube.

Dr. Will Talks Cosmetic Trends with New You Magazine

June 30th, 2010 by editor2

New You magazine coverNew You, the official consumer magazine of the American Academy of Cosmetic Surgery, recently interviewed Dr. Will for an article on the latest cosmetic surgery trends and the top procedures among today’s men and women.

The AACS’s 2009 statistics found the trend today is toward less invasive procedures. According to Dr. Will, less invasive a sign of the times.

“The economy has affected our cosmetic surgery practices—influencing patients to make decisions on maintaining or improving their appearance, with less invasive procedures,” says Dr. Will, who practices in Ijamsville, Md.

“Foremost in many patients’ minds today: Minimal downtime and being able to re-integrate into society and the workplace without taking an extended leave of absence.”

Dr. Will also told that magazine that procedures that patients can recover from over a weekend, such as laser-assisted liposuction and fillers, are gaining in popularity.

The top noninvasive procedure of 2009 was Botox, and Dr. Will explains that Botox’s popularity is part of a larger trend to intervene earlier in the aging process with subtle improvements and changes.

“Using these less invasive tools, you can help ward off, in a sequential fashion, the aging process and affects of gravity over the full lifespan,” he says.

Rounding out the top 5 noninvasive procedures are: fillers, chemical peels, laser hair removal, and microdermabrasion.

Dr. Will tells New You that he believes filler use will continue to increase, as manufacturers develop longer lasting options. “Not long ago, hyaluronic acid fillers lasted four to six months. Now they last as long as a year,” he says.

Compared to a facelift, the price tag for fillers, at least in the short term, is more attractive to many who are looking for a quick fix, Dr. Will adds.

Visit the New You website to read the complete article and learn more about the top 5 invasive and noninvasive procedures of 2009.

Plastic Surgery for Dads isn’t Taboo

June 24th, 2010 by editor2

Blond manThe “mommy makeover” phenomenon, where new moms get several cosmetic procedures (typically a breast augmentation, tummy tuck, and/or breast lift) helps women return their bodies to their pre-pregnancy shape.

And while women make up the majority of plastic surgery patients, men—some of them dads—turn to plastic surgery to enhance their appearance as well. According to 2009 statistics from the American Society of Plastic Surgeons (ASPS), men received 13 percent of all cosmetic surgical procedures and 9 percent of all cosmetic minimally-invasive procedures performed last year in the United States.

Bill Neville, 52, a father of a four-year-old son, recently shared his plastic surgery story with reporter Elise Morgan of WHNT NEWS 19 in Huntsville, Alabama. Neville began to worry about how old he looked. “He’s going to start t-ball, swimming, and I don’t want to be out there with the rest of the dads and have them looking at me like, ‘Hey! Grandpa is out here to watch his grandson!’” he said.

While changes in his diet and exercise helped, he decided to get cosmetic surgery as well. “Just rolling back the clock a bit on this turkey gobbler and possibly getting the skin off my eyelids would be great,” he said before the surgeries.

Neville’s surgeries included his eyelids, a facelift, a neck lift, laser resurfacing of his skin, and injections to fill in wrinkles. “I was hoping not to look real “plasticky” and stretched, and I don’t think I do,” said Neville. “I think it looks real natural and everyone I’ve talked to thinks it looks great.”

According to ASPS statistics,the top 5 cosmetic surgical procedures and minimally-invasive cosmetic procedures for men last year were:

  1. Rhinoplasty (surgical) / Botox (minimally-invasive)
  2. Eyelid surgery / Microdermabrasion
  3. Liposuction / Laser hair removal
  4. Breast reduction / Chemical Peel
  5. Hair transplantation / Wrinkle fillers

Bill Neville’s story is on the WHNT News website: “Plastic Surgery for Men Isn’t Taboo”.

Men considering cosmetic surgery in the Frederick, Maryland and Washington, D.C. area should choose a surgeon who has extensive knowledge regarding special considerations to take into account when performing a cosmetic procedure on a man rather than a woman.

Does Botox Affect Emotions?

June 17th, 2010 by editor2

Woman smilingDo people who undergo Botox treatments experience weaker emotions? A new study published in Emotion, a journal of the American Psychological Association, examined if Botox injections have an effect on emotional experience.

In order to test if feedback from facial expressions influence emotional experience, Barnard College Professors Joshua Davis and Ann Senghas, who led the research, compared the impact on self-reported emotional experience of those with Botox injections, which paralyze muscles of facial expression, and a control group with Restylane injections—a cosmetic filler that does not affect facial muscles.

According to the abstract, “When examined alone, Botox participants showed no pre- to post-treatment changes in emotional responses to our most positive and negative video clips.”

However, between-groups comparisons showed Botox participants exhibited an overall significant decrease in the strength of emotional experience.

“With the advent of Botox, it is now possible to work with people who have a temporary, reversible paralysis in muscles that are involved in facial expressions,” said Davis. “With Botox, a person can respond otherwise normally to an emotional event, e.g. a sad movie scene, but will have less movement in the facial muscles that have been injected, and therefore less feedback to the brain about such facial expressivity. It thus allows for a test of whether facial expressions and the sensory feedback from them to the brain can influence our emotions.”

The findings suggest to the researchers that feedback from facial expressions is not necessary for emotional experience, but may influence emotional experience in some circumstances.

Read the “The effects of BOTOX injections on emotional experience” abstract to learn more. Dr. Will offers both Botox and Restylane injections at his Ijamsville, Maryland office.

Plastic Surgery Popular Gift for Graduates

June 9th, 2010 by editor2

Graduation presentThe demand for plastic surgery among teens has swelled in the last few years—and has even become a popular graduation present, according to Crain’s New York Business.

In 2009,  8,199 U.S. teenagers aged 18 and 19 had breast enlargements—more than triple the number in 2001, according to the American Society of Plastic Surgeons. Furthermore, the increase came during the height of the recession, at a time when there was a drop in the overall number of plastic surgeries.

While teens now make up just 2 percent of all cosmetic surgery patients in the United States, their numbers are growing, most likely in part because of press coverage of celebrities’ bodies and more openness about plastic surgery in U.S. culture.

“In the past few years, I’ve seen more younger people doing more plastic surgery than ever before,” says Dr. Andrew Jacono, a plastic and reconstructive surgeon in New York City. “There’s a lot of pressure on young people to look a certain way, and when kids go away to college, it’s a chance to start all over.”

Popular procedures for teens include nose jobs, liposuction treatments and breast augmentations. “Breast surgery is at the top of the list for graduates now,” says Manhattan plastic surgeon Dr. Mauro Romita.

Stephanie Michelle, who just graduated from the University of Buffalo, originally wanted a nose job for her high school graduation present; her parents said no. Now that she’s graduated college, they’ve agreed and the family is researching doctors.

“This is the perfect time to do it,” says Ms. Michelle. “I am going to be on my own and moving to the city and becoming an adult.” Read the full article, “Pomp and rhinoplasty honor grads,” at Crain’s New York Business.

Depression and Cosmetic Surgery Study Reveals Unexpected Results

May 25th, 2010 by newseditor

Archives of Facial Plastic Surgery recently published a study that reveals some intriguing findings:  patients in treatment for depression may be more satisfied with their surgical outcome than those who are not.

During consultations, cosmetic surgeons routinely evaluate patients to determine their emotional stability and readiness to undergo a surgical procedure. Many assume that patients who are optimistic before surgery will feel more satisfied with their surgical outcome.  Surprisingly, these assumptions were not borne out in the study’s results.

Jill Hessler, M.D. and her team of researchers at the University of Michigan studied 51 cosmetic surgery patients who underwent facial plastic procedures between January 1, 2007 and January 1, 2008.  Before surgery and 4-6 months after surgery, each of them voluntarily responded to a survey that assessed their attitude regarding the procedure(s).

Results of the study showed that patients being treated for depression before undergoing surgery expressed higher levels of satisfaction with their outcomes than those not being treated for depression.  Furthermore, those who expressed more optimism before undergoing their procedures did not feel their results were better than their more pessimistic peers.

Read more about this study online in Archives of Facial Plastic Surgery

Surgeons Meet for Annual Breast Surgery Workshop

May 17th, 2010 by newseditor

40 cosmetic surgeons recently met for the 4th annual breast surgery workshop at the Ohio cosmetic surgery practice of Dr. Mark Mandell Brown. To attend the workshop, doctors traveled from England, Canada, Taiwan and other areas of the U.S.

The course was sponsored by the American Academy of Cosmetic Surgery, the nation’s largest medical society of cosmetic surgeons. During the 3 day workshop, surgeons discussed cosmetic procedures such as breast augmentation, breast lift, and breast reduction surgery.

Through a combination of lectures, surgery, and anatomy labs, the visiting physicians can improve their skills.  “It’s also a great way to showcase Cincinnati to our visiting doctors” observed Therese Holden, Nursing director.  She added, “we really strive to make this an outstanding educational experience for the participants.” “Our breast course has earned excellent recognition and is one of the most popular breast courses in the Academy,” said Dr Mandell-Brown.


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