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New Haven, Connecticut - Providence, Rhode Island Periodic Messages about Cosmetic Surgery
Tuesday, January 05, 2010
Post-op Pain
Everyone is afraid of pain following surgery or any semi-invasive procedure. Pain is usually secondary to swelling which follows any form of injury. We can help limit this discomfort if we logically and intuitively decrease our activity after any operation. This does not mean that we should lie in bed, on the contrary, that would be most dangerous, but rather our level of activity should slowly increase day by day until we have reached our usual level of daily movement without undue pain. Remember, activity causes swelling in an area of injury, which then causes pain. These trail each other by several hours, so that you can be sitting at home at the end of the day and experience only then most of the pain. Do not worry, you are only paying for the "sins" you committed when you were active earlier in the day.
posted by Dr Leon Goldstein at 6:37 PM
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Friday, December 18, 2009
Freedom in the USA
A large part of plastic surgery encompasses cosmetic procedures. Cosmetic surgery has come under attack recently in many different ways, but one particular editorial stands out as the most misguided effort yet. A very young woman felt it necessary to declare that cosmetic treatments should be declared illegal so that she does not have to feel the need to compete with other women for looks. Not much more has to be said other than we are a country of freedom where adults have choice. Choice includes also how we feel and respond to other people's decisions.
posted by Dr Leon Goldstein at 4:28 PM
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Wednesday, November 04, 2009
Everybody on the Bus!
Recently a fax came to my office offering a 2 day course in establishing and running a cosmetic practice featuring no less than eighteen (18) procedures! The course involves lasers, Botox, fillers, pulsed light (whatever that really does), needle free mesotherapy and.... how to market the practice. Wow, that is a lot to learn in two days especially since the course is offered by the American Academy of Family Physicians presumably for family physicians. I wonder how desperate doctors can get, and more importantly how good a care will they provide for their new-found cosmetic population not to mention their family care practice. We need a climate that allows each physician to practice his/her specialty (in which they spent many years training) without worrying about economic survival.
posted by Dr Leon Goldstein at 2:58 PM
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Thursday, September 24, 2009
A Money Saving Solution to Health Care Costs
I took a short break from blogging due to a busy schedule trying to keep pace with our economy and people's needs. Present concerns of most people centers around health care reform. We cannot have real reform without tort reform. The health care crisis comes down to lack of insurance for some people. Aside from those who do not choose to have insurance, the problem is cost of premiums and drugs. These costs have sky-rocketed because providing care or new drugs has become expensive due to liability for doctors and drug companies. Each group has to cover "all the bases" no matter how unlikely the event may be; and that my friends costs big time. I propose a very simple and expedient way to reform our tort system that can be initiated tomorrow: loser of the lawsuit pays all costs! That is too simple and too practicle and too fair, and of course will never happen.
posted by Dr Leon Goldstein at 6:00 PM
1 comments
Friday, May 29, 2009
What Every Face Needs
Short of surgery which physically puts our anatomy back where it should be, the aging process should also be treated in terms of skin. We need moisturizers, cleansers, and sun screen on a daily basis; but once in a while we can augment our looks with laser treatments which smooth out our texture , botox treatments which smooth out our frown, laugh lines, and fillers which lessen the deep folds. A unique combination of these procedures helps our face look as young and vital as possible.
posted by Dr Leon Goldstein at 9:42 AM
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Thursday, January 22, 2009
Pain Perception
Pain is both real and perceived. Everyone's response is based on biophysics and emotion. Emotion can of course play a big or small role depending on our psychological state of mind. Nonetheless the majority of our pain is based on very real biophysical and biochemical events. To simplify this event lets pretend that out nerve endings that carry pain sensation to the brain are a gate. Some gates are very easy to swing open with just a light touch or push , and others require pushing with both hands to swing open. Our nerves (gates) vary from person to person; and so nerves require much (gate pushing) or very little (gate touching) stimulation to create the sensation of pain. This is known as the Gate Theory of Pain and explains the differences in reaction to the same pain stimulus from person to person. It is an over simplification to label people as "wimps" or "stoics" and also, many times, unfair.
posted by Dr Leon Goldstein at 2:38 PM
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Friday, December 26, 2008
Laser Treatment of Skin Texture
The best way to summarize the aging of the skin is to state that our skin texture worsens. Everyone wishes to improve the texture of their skin which includes fine wrinkles, scars, tone and the roughness that appears with time. The texture of our skin can start changing early; it can begin even in our thirties. Now with the advent of the fractional laser the skin can be improved upon in little to no downtime. The fractional component of the laser uses microbeams to treat pinpoint areas of the skin. Instead of treating 100% of the skin surface area, only a fraction (6,8,10%) of the total skin receives a deep laser ablation, allowing for the surrounding non-ablated tissue to "cool down" the area. This technique provides little to no pain during the treatment. The healing process is also quick and the downtime is short. The process works because the treatment stimulates new collagen which plumps up the skin and smooths the texture. This laser can be used on the face, neck, chest and hands. No special preparation is needed other than clean skin that has a numbing cream applied. The procedure takes about half an hour depending on the size of the area. A person may need 1-4 treatments spaced 2-4,6 weeks apart. These treatments can be combined with other laser treatments at the same sitting. People experience mild redness that is treated with moisturizers. Healing occurs in 1-3 days. Most patients can wear make-up in 1-2 days. The laser treatment can be specifically tailored to a person's downtime schedule. If you are looking for smoother, younger skin and rejuvenation then you may be an ideal candidate for this laser.
posted by Dr_Goldstein at 12:46 PM
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