Tag Archives: plastic surgery

Stem Cells Give Plastic Surgery A Facelift

A facelift can make you more popular, study finds

Even though we are taught to “never judge a book by its cover,” a new study suggests people make immediate judgments about someone’s character based on his or her appearance.

The study suggests women who underwent facial rejuvenation surgery were perceived to be not only more attractive, but also more likeable, to have better social skills and be more feminine than people without surgery.

The types of surgery the study looked at included: facelifts, necklifts, browlifts, upper and lower eyelid lifts and chin implants.
The study, published in the journal JAMA Facial Plastic Surgery, suggests people perceive others to be happier or more likeable simply based on their resting facial expression- facial profiling.
“The judgments we make about people are based on how closely their resting facial expressions resemble the expression associated with a known emotion,” said Dr. Michael Reilly, a head and neck surgery at Georgetown University, who conducted the study.
The people leading the study showed 170 participants photos of 30 Caucasian women before and after plastic surgery. The reviewers rated their perception of personality traits in the woman featured in the photos. Both a patient’s preoperative and postoperative photos were not shown to the same reviewer. The individuals rated each photograph for aggressiveness, extroversion, likability, trustworthiness, risk seeking, social skills, attractiveness and femininity.
Of the eight traits tested, the study showed a statistically significant improvement in the scores for likeability, social skills, attractiveness and femininity for the postoperative photos compared to the preoperative photos.

“The femininity and attractiveness findings are likely more directly related to the perception of these traits being associated with a more youthful appearance,” said Dr. Michael Reilly, “the improved trustworthiness findings most likely relate to the eyes appearing more open and less tired.”

Dr. Pablo Prichard, senior partner at Advanced Aesthetic Association and chief of plastic surgery at HonorHealth, formerly John C. Lincoln Hospital, said that certain surgeries, such as a face lift, amass more change in personality traits than others. A face lift smooths out your jawline Prichard said, which is a younger feature and youthfulness is often associated with likability and attractiveness.

“When you lift the contours of the face with a facelift to reverse the trend toward a resting frown, they look happier and therefore more likeable,” Reilly said, “When you make someone look more relaxed or less tired by removing the bags under their eyes, they look more  sociable.”

The results of this study challenge the notion that femininity and attractiveness, usually linked with sexual desirability, are an adequate measure for assessing the outcomes of cosmetic surgery, Reilly said. He find this very interesting because most facial rejuvenation surgery is done on older patients.

Reilly says he hopes that both patients and physicians will be more aware of the other dimensions of an individual’s sense of person  that may be changed through surgery and to incorporate it into the  surgical decision making conversation.

David J. Jacofsky, MD, chairman and CEO of The CORE Institute.

The CORE Institute celebrates 10th anniversary

Ten years ago, fellowship-trained orthopedic surgeon Dr. David J. Jacofsky, along with Dr. John A. Brown and Dr. Mark D. Campbell, believed they could provide best-in-class orthopedic care to Phoenix area residents. Ten years later, it is clear that they have been able to bring that dream to fruition with 150 care providers, 700 employees and almost half a million patients in the practice.

In January, 2005, The CORE Institute was born and over the next ten years the practice grew from one small office in Sun City West, Arizona into a nationally recognized, innovation-leading, orthopedic and neurological practice with 700 employees spanning two states and 26 facilities.

“Our phenomenal growth has been built on a platform of evidence-based medicine and meticulous outcomes tracking managed by our proprietary IT platform,” said Chairman and CEO David Jacofsky, MD. “It’s very rewarding to see our innovative approach to patient care being embraced by hundreds of thousands of patients, from all 50 states and multiple countries. The one thing that has remained the same is our commitment to a proven, evidence-based, outcomes driven, standardized patient care approach. I am proud of what we have accomplished. We’re truly honored that patients and the medical community have entrusted us to care for them at The CORE Institute over the last 10 years.”

The CORE Institute has expanded from its early years to offer care in Orthopedics, Spine, Pain Management, Neurology, Rheumatology, Plastic Surgery and Physical Therapy.  In addition to its innovative evidence-based medicine IT platform, the organization continues to be a leader in payor-reform initiatives and hospital alignment strategies.

Unique within the industry, The CORE Institute has agreements to co-manage the orthopedic departments at several major hospitals, including at five Banner Health facilities in Arizona, Green Valley Hospital South of Tucson, and St. John Providence Hospitals in Southfield and Novi Michigan. In 2013, The CORE Institute teamed up with the Cleveland Clinic, OrthoCarolina and The Rothman Institute to form the first-of-its-kind clinically integrated Orthopedic PHO (Physician Hospital Organization), operating as the National Orthopaedic & Spine Alliance LLC (NOSA).

The CORE Institute was recognized as the #1 Orthopedic Group by Ranking Arizona three years in a row, one of the Best Places to Work by Phoenix Business Journal four years in a row, and was the 2014 recipient of the IMPACT Award by the Greater Phoenix Chamber of Commerce. Over the years, numerous physicians have also been recognized by Phoenix Magazine Top Docs issue, Hour Detroit’s Top Docs issue, and several other publications.

Of today’s 700 employees, many are celebrating their 10th year of employment at The CORE Institute. It is no surprise to see the continued expansion and growth of The CORE Institute because of their committed and dedicated team.

The CORE Institute is already looking towards the next ten years, with clinics planned to open in other states, as well as overseas, in the near future.

“We’re early in our journey as a company and I’m very excited about our future as we expand our efforts to give patients best-in-class care,” concluded Dr. Jacofsky.

Timeline of milestones:
2005: Opened The CORE Institute in Sun City West, Arizona
2006: Expanded locations to service patients in Sun City on the Banner Boswell Medical Center campus and Phoenix on the John C. Lincoln Deer Valley Hospital campus
2006: Welcomed 7 new providers to the Arizona Market
2006: Expanded subspecialties to include comprehensive spine care
2007: Welcomed 6 new providers to the Arizona Market
2007: Launched CORE Ink publication
2007: Relocated Peoria and North Phoenix clinics due to increased patient demand
2007: Expanded subspecialties to include hand and upper extremity care
2008: Launched non-profit foundation, the MORE Foundation
2008: Welcome 3 new providers to the Arizona Market
2008: Expanded locations to service patients in Gilbert, Arizona on the Mercy Gilbert Medical Center Campus
2009: Featured new treatment options for Rotator Cuff Injuries, Reverse Shoulder Replacement
2010: Welcomed 12 new providers to the Arizona Market
2010: Recognized Drs. John Kearney, Mark Campbell, David J. Jacofsky, and Steven L. Myerthall as PHOENIX Magazine’s Top Doctors in Arizona
2011: Launched first co-management agreement with Banner Del E. Webb Medical Center in Sun City West, Arizona
2011: Welcomed 8 new providers to the Arizona Market
2011: Recognized Drs. Ali Araghi and Eric Feldman as PHOENIX Magazine’s Top Doctors in Arizona
2012: Opened first Spine Center in Sun City, Arizona
2012: Recognized Dr. David J. Jacofsky as one of the “Top 26 Knee Surgeons” by Orthopedics This Week
2012: Recognized Dr. David J. Jacofsky as the “Surgeon of the Year” by Arizona Business Magazine: Healthcare Leadership Awards
2012: Welcomed 21 new providers to the Arizona Market
2012: Expanded co-management relationship with Banner Health to provide world-class orthopedic care at Banner Desert Medical Center and Banner Thunderbird Medical Center
2013: Expanded locations to service patients in Mesa, Arizona on the Banner Desert Medical Campus
2013: Welcomed World-Renowned Spine Surgeon from the Mayo Clinic, Dr. Mark Dekutoski
2013: Expanded into Michigan, first clinic expansion outside of Arizona
2013: Launched CORE Cycling Team to include a 50-member cyclist team
2013: The CORE Institute, is joined by Cleveland Clinic, OrthoCarolina and Rothman Institute to form the first-of-its-kind clinically integrated Orthopedic PHO (Physician Hospital Organization), operating as the National Orthopaedic & Spine Alliance LLC (NOSA).
2013: Built  prosthetic tail for alligator, Mr. Stubbs
2013: Welcomed Dr. Victor Nwosu to the Michigan Market
2013: Welcomed 24 new providers to the Arizona Market team
2013: Received #1 Orthopedic Group Recognition by Ranking Arizona
2013: Recognized as one of the Best Places to Work in the Valley by Phoenix Business Journal
2013: Recognized Dr. David J. Jacofsky as one of the “Most Admired Leaders” by Phoenix Business Journal
2013: Recognized Dr. Mark Dekutoski as one of the “Top 28 Spine Surgeons in America” by Orthopedics This Week
2013: Expanded co-management relationship with Banner Health to provide world-class orthopedic care at Banner Good Samaritan Medical Center
2014: Opened 70,000 sq. ft. Headquarters facility and Clinic opens in Phoenix, Arizona
2014: Expanded specialties to include Neurology, Plastic Surgery and Rheumatology
2014: Signed Orthopedic Co-Management Agreement at Green Valley Hospital in South of Tucson
2014: Welcomed Gina Ore as CEO of the MORE Foundation
2014: Welcomed 4 new providers to the Michigan Market team
2014: Welcomed 40 new providers to the Arizona Market team
2014: Reached 500th employee
2014: Completed first two-level disc replacement surgery in Arizona by Dr. Ali Araghi
2014: Received #1 Orthopedic Group Recognition by Ranking Arizona for second year in a row
2014: Recognized Drs. John Kearney, Jr. and E. Michael Lucero as PHOENIX Magazine’s Top Doctors in Arizona
2014: Recognized as one of the Best Places to Work in the Valley by Phoenix Business Journal
2014: Recognized for the IMPACT Awards for Entrepreneurial Excellence by the Greater Phoenix Chamber of Commerce
2015: Expanded Michigan Market to Grand Blanc, Michigan

For more information, visit www.thecoreinstitute.com or call 1.866.974.2673 to schedule an appointment

fat stem cell transfer

Fat Stem Cells Can Be Used Cosmetically, Medically, As An Anti-Aging Alternative

Phenomenal fat: Fat stem cells can be used cosmetically, medically and as an anti-aging alternative.

If someone were to tell you your fat could not only make you look up to 20 years younger, but also save your life, would you believe it?

According to local surgeons, it can — with fat stem cell transfers and fat banking.
The fat stem cell transfer — or fat grafting procedure — consists of harvesting or removing fat from one part of the body, purifying it and re-injecting it into the areas that need volume or rejuvenation.

The two most common uses for fat stem cell transfers are as natural and long-lasting alternatives to fillers and implants.

“Although the procedure has been around for many years, autologous fat grafting or fat injections are becoming a hot topic in plastic surgery,” says Dr. Jennifer Geoghegan, M.D., of Oasis Plastic Surgery in Scottsdale. “Fat can be used to revise scars, fill in depressions, to volumize or rejuvenate the face or hands or to enhance body contours such as the buttocks or breasts.”

Breast augmentation and reconstruction

Both Geoghegan and Dr. James M. Nachbar, M.D., FACS, Scottsdale Plastic Surgery in Scottsdale, agree that the use of fat to correct defects from breast biopsies has gained popularity over the past year.

“Many of my most informed patients seem to be my breast reconstruction patients,” Geoghegan says. “After doing research on their options, they commonly come in looking for fat injections as an option to potentially improve their lumpectomy scars or as an improvement to their current implant-based breast reconstruction.”

Dr. Todd K. Malan, M.D., founder of the Innovative Cosmetic Surgery Center in Scottsdale, also uses fat-derived stem cells frequently at his practice for patients who have had lumpectomies or multiple biopsies or left with defects. But, he says the most common use for fat stem cells is for breast augmentations, a procedure for which he was the very first surgeon in the United States to perform.

The procedure is performed with needles, with no cutting into the breast, and takes about two hours. The fat, along with the stem cells, is injected throughout the breast. Patients are typically uncomfortable or sore from the liposuction for about three to five days, with possible bruising and very little swelling, according to Malan, and should subside within a couple of weeks.

“You can rebuild the breast, instead of implants,” says Dr. Jeffrey J. Ptak, M.D., FACS, Aesthetic Surgery in Scottsdale. “It would probably take two or three sessions to build a reliably fuller breast to the same volume that you would get an implant.”

Although it may take more time, the fat stem cell transfers are considered a much more natural alternative for breast augmentations, and they’re also long-lasting and less expensive in the long-run, compared to implants.

“With implants, you’re looking at replacing them every 10 years, at least,” Malan says. “A recent study done by one of the implant companies shows that 50 percent of patients will have their implant removed prior to 10 years because of complications or issues. So, you’re talking about a procedure with fat that lasts forever.”

Malan adds that if one were to average the potential complications, potential issues and the replacement costs, she would be looking at $1,000 per year for the rest of her life, after the implants are put in.

Stem cell facelifts

“Stem cell facelifts have been the most popular recently,” Malan says. “And I think that the word is getting out now.”

According to the American Society of Plastic Surgeons, facelifts help improve visible signs of aging in the face and neck, but the procedure does not stop the aging process. Fat transfers to the face, however, can reverse skin aging. Ptak says instead of stretching the skin outward, surgeons who incorporate fat transfers, also known as fat grafting, in their procedures are filling up the volume of fat in the face where there used to be volume, giving patients a youthful look. Ptak, more than a decade ago, was one of the first in the country to offer fat grafting in the country.

Facial aging is caused by a loss of volume, so injecting fat creates volume and rejuvenates the face, creating a natural, youthful, recharged appearance. Stem cells make the skin thicker; they regrow collagen, stimulate blood flow and eliminate age spots, and patients can look up to 20 years younger.

“Fat transfers have been used a lot now along with facelifts to improve the result of the facelift, Nachbar says. “As you age, the wrinkles and the sagging of the skin relates to loss of the fat in the face. As you get older, the fat drains out so it becomes more hallow. Injecting fat can help improve the shape of the face.”

Stem cell transfers are a fraction of the cost and can last up to 10 years, if not longer, Ptak says. For instance, facelifts range from $15,000 to $20,000, while fat transfers can cost anywhere from $4,000 to $7,000, he adds. And the number of patients receiving this procedure at his practice have increased.

“I think we’ve seen anywhere from a two- to five-fold increase in this procedure in the last four years at my practice,” Ptak says. “There are very few of us doing it.”

And the stem cell facelift isn’t just for women. According to Ptak, it’s the most appropriate procedure for male facelifts.

“If you think of all of the bad male face lifts you’ve seen, doing the wrong procedure for the male, just pulling their facial skin doesn’t make it look better,” Ptak says. “What gives a face the youthful volume is all the vary subtle layers of the fat compartments of the face.”

Fat stem cell banking

Normally after liposuction, fat is discarded as medical waste. However, doctors suggest saving or banking your fat for future possible anti-aging or medical treatments — because the fat is rich in regenerative stem cells.

Ptak calls this bio-insurance. “You’re essentially setting up another insurance policy for yourself to have these stem cells readily available,” he says.

For those who do not opt for a fat transfer to the face or use it for a breast augmentation, patients can store it at a tissue bank. Just two exist in the U.S. — BioLife Cell Bank located in Dallas; and AdiCyte located in Tucson, the largest stem cell bank in the country. Last year, Dr. Ptak was appointed as a national board advisor for AdiCyte.

If you have a family history of cancer, multiple sclerosis or Alzheimer’s disease, “You really should be considering having your fat removed and stem cells stored while you’re young,” Malan says. “Those stem cells will be able to do amazing repair work.”

The younger the better, Ptak says. And it can be done anytime. “If you’re going in for another procedure, and you’re under anesthesia, you can have it done then,” he adds. “It’s easy.”

The amount of fat removed for stem cell banking is 500cc’s — about the size of a 16 oz. bottle of water. Malan has had patients come in to his practice specifically for the fat removal and fat stem cell banking.

“This really is the most exciting, medical breakthrough in any of our lifetimes,” Malan says. “This really has the potential of completely altering disease where we could not only cure disease, but we could reverse the disease process so that you don’t have to suffer from debilitating chronic conditions anymore. And, we can actually help repair chronic genetic diseases.”

Rebuilding breasts, reversing aging, treating heart disease and diabetes — fat transfer can be used just about anywhere in the body, from head to toe, with stem cell therapy able to treat a range of conditions. And the fat-derived stem cells can be used now or later.

“Your fat can save your life, especially if you happen to develop a disease that they have a proven therapy with stem cells now or in the future,” Ptak says. “The old model of drugs and surgery being the old way to fight disease is really going out the window. We’re really trying gene therapy and stem cell therapy as the way to fight disease. This is definitely looking in the future of medicine.”

For more information about fat stem cell transfers and/or banking, visit:

Innovative Cosmetic Surgery Center  
7425 E. Shea Blvd., #107, Scottsdale
(623) 748-4892

Jeffrey J. Ptak, M.D., FACS
9431 E. Ironwood Square Dr., Scottsdale
(480) 451-9220

Oasis Plastic Surgery
9590 E. Ironwood Square Dr., #108, Scottsdale
(480) 264-6428

James M. Nachbar, MD, FACS, Scottsdale Plastic Surgery
8896 E. Becker Ln., #102, Scottsdale
(480) 289-5300

Scottsdale Living Magazine Winter 2013

Plastic Surgery

Plastic Surgery Trends 2011: Increase In Nonsurgical Procedures, New Demographics

Cosmetic Confidence: Scottsdale plastic surgeons report high numbers in nonsurgical procedures, as well as new plastic surgery demographic trends

In 2010, nearly 9.5 million cosmetic surgical and nonsurgical procedures were performed in the U.S., according to American Society for Aesthetic Plastic Surgery statistics. Breast augmentation was reported as the No. 1 surgical procedure, with more than 300,000 procedures performed, and Botulinum Toxin Type A injections (Botox) ranked as the most popular nonsurgical procedure, with almost 2.5 million performed procedures.

But over the past year, Dr. Todd Malan, cosmetic surgeon and founder of the Innovative Cosmetic Surgery Center, reported quite different trends. And he’s not alone as other surgeons in the area witnessed similar trends at their respective practices.

For one, although consumer spending increased, money was spent not on the major surgical procedures, but on cost effective procedures instead. Malan says the major procedures have been “significantly down and continue to be down,” while people look for more cost effective options within their budget, opting for nonsurgical, smaller procedures.

“Instead of doing a traditional facelift, they started looking at using a lot more Botox and filler and laser therapy and fat transfers to the face so that they could achieve very similar results for a significantly lower cost,” Malan says.

With about a 12 percent increase in Botox and fillers from 2009 to 2010, according to the American Society of Plastic Surgeons, Malan reported an even higher increase at his practice.

“We rely on (Botox and fillers) to really supplement our income by about 30 percent,” Malan says, “so we’ve seen a 30 percent increase in fillers and Botox in our practice.”

But this increase in nonsurgical procedures isn’t coming just from women, but men, too. Malan, and Dr. Patti Flint and Dr. Marc Malek, both board certified plastic surgeons in Scottsdale, have seen their respective clientele demographic change over the past year.
“Facelifting in men increased more in one year last year than it ever had in the history of facial plastic surgery for men,” Flint says.

Malan and Malek’s explanation for this?

“In talking with my male patients, it makes them more marketable in the job market,” Malan says. “The job market became far more competitive, so they are looking to liposuction and Botox and fillers to make themselves look younger, healthier and more vibrant.”

Malan now performs chin liposuction on men three or four times a week, which they used to perform about once a month.

“Men are more and more accepting of cosmetic surgery,” Malek says. “I think image has been a source of empowerment in the workforce, and they’re interested in looking better for the simple reason that looking good means feeling good.”

Malan also continues to work on the Baby Boomers, who “refuse to age gracefully,” he says.

“They’re more careful about their spending, but they still have disposable income available,” Malan says. “We’re in that Baby Boomer age where they’re now in their 60s, and this is a group of people that will not accept aging as being a natural part of the process.”

In addition to the aging population (the Baby Boomers) having procedures, menopausal makeovers are also becoming increasingly popular at Malan’s practice. These patients seek liposuction, a complete facial rejuvenation with fat to restore the lost volume in their face and even vaginal rejuvenation procedures.

“Those procedures are something that were very uncommon,” Malan says. “We’d maybe do two or three every six months, and now we’re doing three a month. These are menopausal patients who are wanting to improve their sexual function.”

All three surgeons are optimistic for the oncoming year, ready to adapt to any changes that may come their way.

“The doctors who are able to adapt to the changing profile of the plastic surgery patient and understand that the patients who want subtle but noticeable changes within their budget are the doctors that will continue to do well,” Malan says.

Scottsdale Living Magazine Winter 2012

2011 Cosmetic Plastic Surgery Report

Cosmetic Plastic Surgery Experiences Increase In 2011

Who says the economy is holding anyone back from spending a little extra cash on themselves? For the second year in a row, the number of cosmetic plastic surgery procedures continued to increase. According to the American Society of Plastic Surgeons’ (ASPS) 2011 Plastic Surgery Statistics Report, more than 13.8 surgical and minimally invasive procedures were performed in 2011 in the United States ― with procedures up 5 percent since 2010 and up 87 percent since 2000.

The top five cosmetic surgical procedures for 2011 are:

Breast augmentation: 307,000 procedures, up 4 percent from 2010
Nose reshaping: 244,000 procedures, down 3 percent
Liposuction: 205,000 procedures, up 1 percent
Eyelid surgery: 196,000 procedures, down 6 percent
Facelift: 119,000 procedures, up 5 percent

Cosmetic surgical procedures increased 2 percent since 2010. Comparing 2010 with 2011, the top five cosmetic surgical procedures differ only slightly, with facelifts replacing tummy tucks. While facelifts experienced a 5 percent increase in 2011, tummy tuck procedures experienced a zero percent change.

The top five minimally-invasive procedures for 2011 are:

Botulinum Toxin Type A (Botox, Dysport): 5.7 million procedures, up 5 percent from 2010
Soft tissue fillers: 1.9 million, up 7 percent
Chemical peel: 1.1 million, down 3 percent
Laser hair removal: 1.1 million performed, up 15 percent
Microdermabrasion: 900,000 performed, up 9 percent

Minimally-invasive procedures experienced a 6 percent increase since 2010.

Laser hair removal experienced the most growth in 2011, with microdermabrasion coming in second. As for soft tissue fillers, hyaluronic acid ― which delivers nutrients, hydrates the skin by holding in water and acts as a cushioning agent ― increased by 9 percent, with more than 1.3 million procedures. Products such as Juvederm Ultra, Juvederm Ultra Plus, Perlane, Restylane and Prevelle Silk all have hyaluronic acid and are mainly used to smooth wrinkles.

The 2011 Plastic Surgery Statistics Report also included the top five reconstructive procedures, up 5 percent. They include the following:

Tumor removal: 4.2 million procedures, up 3 percent from 2010
Laceration repair: 303,000 procedures, down 15 percent
Maxillofacial surgery: 195,000 procedures, up 125 percent
Scar revision: 175,000 procedures, up 9 percent
Hand surgery: 120,000 procedures, up 13 percent

Maxillofacial surgery experienced the most growth. Including facial laceration repair, maxillofacial surgery consists of facial reconstruction around the mouth, jaw and neck area.

It should be noted that ASPS procedural statistics represent procedures performed by ASPS member surgeons who are certified by the American Board of Plastic Surgery, as well as other physicians certified by American Board of Medical Specialties-recognized boards.

For more information about ASPS’ 2011 Plastic Surgery Statistics Report, visit plasticsurgery.org.