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Michael J. Will, MD, DDS, FACS
Maryland (301) 874-1707

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Migraine Surgery Developed from Cosmetic Brow Lift

When a plastic surgeon noticed that after undergoing endoscopic brow lift surgery some migraine patients were having less headaches, he developed a migraine surgery technique. The treatment, which involves “surgical deactivation” of “trigger sites” in the muscles or nerves that produce pain, appears to have some success: after five years, 88 percent of patients had less frequent or severe migraines, according to a new study in Plastic and Reconstructive Surgery journal.

In addition, the study found that 59 percent of patients reported that their headaches were significantly better and 29 percent said their migraines were eliminated completely five years after surgery.

The researchers followed 69 patients after they had migraine surgery; in order to confirm the trigger sites prior to surgery, each patient was tested with Botox in places like the forehead, temple and nose. For most patients the surgery targeted at least two trigger sites.

Other findings from the study included:

  • Average migraine frequency decreased from about eleven to four per month
  • Average migraine duration decreased from 34 to eight hours
  • Migraine surgery led to significant improvements in quality of life, with few serious adverse effects

An additional benefit to the migraine surgery is that patients may end up with fewer wrinkles. “For those patients, commonly the aesthetic outcome is pleasing. They just look like they’re less angry or are less serious,” said Bahman Guyuron, MD, the surgeon who developed the technique.

While more research is needed to refine the surgical techniques and to clarify the reasons for the effectiveness of surgical deactivation of trigger sites, the researchers wrote that “the findings provide strong evidence that surgical deactivation of one or more trigger sites can successfully eliminate or reduce the frequency, duration and intensity of migraine headache, and the results are enduring.”

Experts say migraine surgery is probably only a good idea for those who’ve tried less invasive treatments first.

Scientific Meeting Highlights Advances in Cosmetic Surgery

advances in cosmetic surgery Highlighting advances in cosmetic surgery, the annual scientific meeting of the American Academy of Cosmetic Surgery (AACS) in January had record attendance and named a new president.

Dr. Gerald Edds, MD, FACS, was officially inducted as the 2012 president at the meeting in Las Vegas.

“To be elected president of the leading organization for cosmetic surgeons worldwide is an incredible honor,” said Dr. Edds. “The AACS remains the trusted source for the highest quality training and continuing medical educations for doctors practicing cosmetic surgery. We will continue to set the standard in these areas and expand our presence internationally.”

The AACS’s 28th annual scientific meeting had its highest attendance in history, with more than 700 medical professionals.

Dr. Will served as a session director for “Advanced Topics in Face and Neck Surgery” at the meeting

Dr. Edds said that this year’s meeting focused on the education mission of the AACS to advance cosmetic surgery and quality patient care by featuring sessions customized for each specialty within the field, focused on best practices, practice gaps, patient safety and quality improvement.

Cosmetic surgeons could attend sessions on a wide range of cosmetic surgery topics, including: Advanced Topics in Body Contouring and Post-Bariatric Surgery; Rhinoplasty and Otoplasty; Blepharoplasty and Browlift; and Advanced Topics in Breast Surgery.

Keynote speakers came from around the world, including Dr. Jean Carruthers, of Vancouver, Canada, who is a pioneer of the cosmetic use of botulinum A exotoxin and Dr. Luitgard Wiest, of Munich, Germany, a renowned dermatologist.

To learn more about the American Academy of Cosmetic Surgery, visit www.cosmeticsurgery.org.

What Affects The Natural Feel of Breast Implants?

What type of breast implant feels natural? Does saline feel natural or is silicone the most natural-feeling implant? These are common questions during surgery consultations.

Surgeons generally agree that silicone implants mimic natural breast tissue more closely than saline. However, natural results can be achieved with either implant. If you’re concerned about a natural look or feel in your breast implants, there are a few factors to consider:

  • The amount of tissue covering the implant will affect the way it looks and feels, so you may want to consider sub-muscular or partial sub-muscular implant placement.
  • After breast augmentation with saline implants, the breasts can be very firm but over time the tissue and the implants may soften.
  • Women with a thin body and thin breast tissue will often be advised to choose silicone implants due to the possibility of visible implant wrinkling caused by a lack of adequate coverage.
  • Choosing the proper size is critical for achieving a natural result that matches your body proportion.

Read more about breast augmentation in Frederick County, Maryland

When Should I Consider Male Breast Reduction?

Male With Gynecomastia Holding ChestMale breasts — a condition known as gynecomastia — are embarrassing and emasculating, and they’re not something you should have to live with long term. Male breast reduction surgery may be what you need to restore your confidence and stop you from hiding your condition under excess weight or baggy clothes. You may be a candidate for male breast reduction surgery at Will Surgical Arts if you have persistent, painful male breasts that affect your daily life.

Continue reading “When Should I Consider Male Breast Reduction?” »

Wednesday Afternoons: Bad for Your Looks?

If you happened to take a quick peak in a mirror earlier today, you might be able to relate to the results of a new study.

St. Tropez (a self-tanning retailer), decided to investigate aging and how appearances change throughout the work week. And what they found was that women look their oldest around 3:30pm every Wednesday.

The Aging Effects of Work Stress & Weekend Partying

So what’s the deal?

According to the study, Wednesday is when low energy levels, work stress and the effects of late weekend nights prevail – leaving some women looking a little worse for wear.

Of those surveyed, about one in ten women (12 percent to be exact) revealed Wednesday to the most stressful day of their week – with one in five admitting they usually work through their designated lunch hour.

Wednesday isn’t the only stressful day of the week though; a quarter of women surveyed also admitted to feeling stressed out several times a week.

As far as weekend drinking goes, you might feel the physical effects the next day, but they won’t appear on your face for about 72 hours – otherwise known as Wednesday afternoon.

Thursday, Friday & Beyond

Interestingly enough, the study also revealed that once women make it over that Wednesday afternoon slump, they start feeling frisky. Thursday is when women are most likely to get romantic – giving them a rosy Friday glow.

As a result (along with several other reasons) Friday is the happiest day of the week for 60 percent of study participants.

While we’ll admit the results of this study are certainly interesting, it’s important to consider the source.  In addition to researching the aging process, St. Tropez also sells anti-aging products. This study in particular, coincides with the release of their newest anti-aging self-tanning lotion.

Source: DailyMail

Photo Credit: cwangdom

New Device Reshapes Newborns’ Ears without Surgery

A new infant ear correction system can reshape a newborn’s ears starting in the first month of life without surgery.

Stanford University’s Children’s Hospital reports their surgeons are now using the EarWell system, which was approved by the FDA in 2010. EarWell has a custom-fit plastic molding device that babies can wear for six to eight weeks early in life to reshape their ears and permanently correct their shape. The system works because the circulating estrogen left over from pregnancy gives infants’ cartilage high flexibility.

“We see an immediate result, even within the first two weeks,” said Rohit Khosla, MD . “It’s very remarkable.”

Between one-fifth and one-third of babies have prominent or misfolded ears.

“It’s painless and non-surgical. And it allows the patient to avoid potentially many years of social stigma associated with ear deformities,” said Khosla.

According to Khosla, early intervention with EarWell is key for a successful outcome. The device has greater than 90 percent success when treatment is started within the first month of life, but it is less effective in older babies.

“We can take advantage of the patient’s biology in this specific window of infancy to correct a deformity that will otherwise be uncorrectable until the child is older,” Khosla said. “And with this technique, the cost of surgery, the pain and the recovery can all be avoided.”

Ear surgery is another option for correcting such problems as prominent ears and can be performed on patients at a fairly young age — as young as five. Also known as otoplasty, ear surgery pins back protruding ears.

Read more about ear surgery at Will Surgical Arts, and learn more about EarWell at the Stanford School of Medicine website.

Makers of Anti-Aging Products Struggle With Anti-Competition

Its an age-old problem: someone starts a company and later sells it, then starts obagi_product_marylandanother company and winds up in competition with the one they sold. But isn’t all fair in love, war, and business?  Well maybe, maybe not.

The Superior Court of California (Los Angeles County) will have to decide in one such case involving two companies founded by the same man, industry leader Dr. Zein Obagi. ZO Skin Health (ZO), a company founded by Dr. Zein Obagi, has filed a lawsuit in Los Angeles County Superior Court seeking an injunction and other relief against Obagi Medical Products (OMP), another company founded by Dr. Obagi but later sold to outside investors.

The suit claims, among other things, anti-competitive practices by OMP. According to the complaint, OMP contacted a would-be e-commerce distributor that stood ready to distribute a new product line for ZO Skin Health. Apparently, OMP informed the distributor of a non-compete agreement between the parties, thus stopping, at least temporarily, the distribution of the products. Of course, OMP denies any anti-competitive conduct in the matter, and says it will vigorously defend the suit.

The demand for anti-aging skin care solutions has increased over the last decade as baby-boomers have taken advantage of advances in skin care science. In fact, between 2006 and 2008, U.S. sales alone rose 13% to 1.6 billion dollars, and the trend shows no sign of weakening.

Read more about Obagi Medical Products

New Study Says Patients Look Younger After Rhinoplasty

benefits of rhinoplasty Rhinoplasty can shave a bump off of your nose and, according to a new study, a year or two off your age.

The study found that the anti-aging benefits of rhinoplasty were statistically significant, and, on average, patients looked 1.5 years younger after the procedure, according to Ali Sepehr, MD, and researchers at the University of Toronto.

During the study, 50 people guessed the ages of 53 rhinoplasty patients in before-and-after photos. The patients ranged in age from 15 to 61, and about three-quarters were women.

Patients who had a hump reduced or removed saw the greatest anti-aging effect. Among these patients, the reduction in perceived age was 1.6 years younger after surgery, compared to 1.1 years for patients who did not have a hump prior to surgery. Those with a droopy tip also saw more of the age reduction benefit.

Whether a patient was older or younger at the time of surgery was less of a factor, the researchers reported.

“Older patients tended to enjoy a greater degree of rejuvenation,” they wrote in the study. But the differences between age reduction in older vs. younger patients was not statistically significant.

While rhinoplasty may make you look slightly younger, this is not the reason people choose the procedure. Patients are usually motivated to have nose surgery in order to improve the look of their nose or to improve their breathing.

Dr. Sepehr told Reuters Health, “I wouldn’t say that in terms of the findings of this study, it adds a major reason to go forward with the procedure. It’s just a nice added benefit when somebody’s already going to get the procedure for another purpose.”

Nose surgery can reduce the size of the nose, remove bumps, improve the nasal angle and alleviate breathing problems. To learn more about nose surgery, contact Dr. Will.

Sources: MedPage Today, Reuters Health

Cosmetic Surgery Numbers by Age: An Infographic

Age is more than just a number – especially in terms of cosmetic enhancement numbers. As we get older, our bodies gradually begin to change, and so do our cosmetic priorities and expectations.

Though men and women of all ages seek out cosmetic enhancement, the type and frequency vary significantly across age. To elucidate cosmetic enhancement trends across age, the American Society for Aesthetic Plastic Surgery (ASAPS) recently released an infographic on the subject.

Men and Women 19-34

Those in the 19-34 group comprise around 19.5% of total surgical and non-surgical cosmetic procedures performed annually. And in general, younger adults seek out cosmetic procedures to enhance body proportions, facial imbalances or skin tone and texture.

Most popular surgical procedures:

Most popular non-surgical procedures:

  • Microdermabrasion
  • Laser hair removal
  • Botox injections

Men and Women 35-50

Approximately 42.9% of cosmetic procedures performed annually are within the 35-50 age group – making them the most likely to seek out cosmetic enhancement. For this age group, anti-aging and body contouring procedures are by far the most popular.

Most popular surgical procedures:

  • Breast surgery
  • Tummy Tuck
  • Liposuction

Most popular non-surgical procedures:

  • Botox, Dysport & Xeomin
  • Laser resurfacing
  • Chemical peels
  • Light treatments

Men and Women 51-64

Those in the 51-64 age group comprise around 27.8% of cosmetic procedures performed annually – making them the second most likely to seek out surgical and non-surgical enhancement. Anti-aging surgical procedures (rather than non-surgical) that minimize wrinkles and rejuvenate the face are the most popular.

Most popular surgical procedures:

Men and Women 65+

Men and women 65 and over are the least likely to seek out cosmetic enhancement. Roughly 8.3% of surgical and non-surgical cosmetic procedures are performed in this age group. Though this group is small, it’s been steadily growing – increasing by nearly 80% in the past 10 years.

Most popular surgical procedures:

  • Neck lift
  • Neck liposuction
  • Enhancing or correcting previous cosmetic procedures

Check out the actual infographic below.

Get Back Your Smile With Dental Implants

dental implants MarylandIf you have lost a permanent tooth, you’re not alone. According to statistics, 69% of adults aged 35 to 44 have lost at least one permanent tooth.

If you have missing teeth and are considering dental implants, Will Surgical Arts in Maryland offers you this overview.

Dental Implant Facts

A few decades ago the only solutions to replace permanent teeth were fixed bridges or removable dentures.

Today, patients with missing permanent teeth have the option of dental implants, which are long-term replacements that are surgically attached to the jawbone.

You can avoid the potential problems that used to come with having “false teeth” with dental implants:

  • Dental implants never slip
  • Dental implants never decay
  • Dental implants fuse with the jawbone, so bone loss is usually not a problem
  • Dental implants can last a lifetime, if cared for properly

Dental Implant Surgery in Maryland

Dental implants are small titanium posts that are surgically placed into the jawbone where teeth are missing. The metal anchors act as root substitutes, and the bone bonds with the titanium to create a strong foundation for artificial teeth.

Typically the process takes two surgical procedures. During the first, the implants are placed in the jawbone. Then for about three to six months after surgery, the implants are beneath the surface of the gums bonding with the jawbone. During this time, you can wear a temporary crown.

Once the implant bonds to the jawbone, the second procedure can be done. During this procedure, the artificial tooth is surgically fixed to the implant with a connector post.

If you have missing, decayed or injured teeth, Will Surgical Arts in Maryland invites you to learn more about dental implants.

Source: American Association of Oral and Maxillofacial Surgeons

“Patient care was incredible! We are so very happy our child was referred to Dr. Will. We appreciate the attentiveness given to his medical condition. Will highly recommend to others.”

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