The dichotomy in the hype of filler products for facial rejuvenation has confused physicians and made intelligent comparisons (on the part of the public) virtually impossible. In order to understand the confusion in marketing fillers, I will divide the protagonists into 2 camps: the manufacturers and salons (medispas) vs. cosmetic surgeons, which includes sophisticated dermatologists, facial plastic surgeons, plastic surgeons, oral maxillofacial surgeons, and oculoplastic surgeons.
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On or about August 27, 2002 I awoke in the morning and went to work as usual. I did not know that my world as I knew it was about to change irrevocably. On a subliminal basis I knew that I had cancer of the soul. My marriage was in name only, my family dissipated, my work was my passion. I did not understand that in a few hours, a Kafkaesque moment, I would turn yellow and the cancer in my soul would become the cancer in my pancreas. That was then — now I am a 7 year survivor of a cancer that few get to tell about.
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I am not sure how many of the public noticed a provision in the proposed health reform legislation that would have placed a federal tax on cosmetic procedures. The provision was known as the Bo-TAX and it aroused a unified response from the medical community in general and organized medicine in particular. This proposed tax was a clear example of how out of touch the Congress is with the needs of the public. This always happens in government when those who govern make a career of governing rather than serving the electorate.
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