Macrolane Withdrawn in UK

Mr Banwell notes BAPRAS’ Vice President Graeme Perks commments on Macrolane.

“BAPRAS believes it is critical that every patient in the UK – whether being treated on the NHS or privately – is protected before, during and after their surgery. If there is any doubt about the safety and efficacy of a product it should not be used. We therefore support the withdrawal of the dermal filler Macrolane for breast augmentation.

“The recent examples of PIP breast implants and now Macrolane reiterate how important it is for cosmetic interventions to be properly regulated within the UK. We continue to work closely with the Department of Health to review current regulation and make recommendations for the future. We would to see a mandatory register for breast augmentation as part of this, with all types of ‘implant’ included.”

23 April 2012

Does Plastic Surgery Benefit the Poor?

Mr Banwell notes a recent article published by ASAPS below.

Plastic surgery considered a health benefit in Brazil – ASAPS 17 April 2012

While plastic surgery is considered a luxury in America, in Brazil it’s considered a right.
A recent Associated Press report in the Daily News revealed that thousands of the country’s poor have undergone plastic surgery procedures such as Botox injections, laser hair removal, chemical peels and laser treatments free of charge.
According to the AP, more than 220 clinics throughout the country offer free or discounted plastic surgery to those who wouldn’t otherwise be able to afford it. The reason – these procedures help boost self-esteem and enable patients to feel more confident about themselves.
“What’s a wrinkle? Something minor, right? Something with precious little importance,” a Rio de Janeiro-based plastic surgeon, told the AP. “But when we treat the wrinkle, that unimportant little thing, we’re actually treating something very important: The patient’s self esteem.”
Dr. Ivo Pitanguy, the “philosopher of plastic surgery” in Brazil founded the first surgical center to treat the poor, mainly focusing on burn victims and those with deformities, but also offered discounted cosmetic surgery. Now, the growing numbers of hospitals and clinics that offer these services have long lines and waiting lists. Once a surgery is approved by a physician, patients might wait years to undergo their desired procedure.
And while the cosmetic procedures are beneficial to those undergoing them, it can also be argued that there’s a benefit for the providers as well, as they allow young doctors to gain experience.
Brazil, a common destination for medical tourists seeking discounted plastic surgery procedures, is the world’s top plastic surgery provider, with the United States coming in second place.
According to the American Society for Aesthetic Plastic Surgery (ASAPS), more than 9.1 million plastic surgery procedures were performed in the US in 2011. The most common cosmetic surgeries included liposuction, breast augmentation, tummy tucks, cosmetic eyelid surgery and breast lifts. The most common nonsurgical procedures included botulinum toxin type A injections, hyaluronic acid injections, laser hair removal, microdermabrasion and laser treatments.

PIP REPLACEMENT STATISTICS TO DATE…

Mr Banwell notes this recent post by Safter Cosmetic Surgery.

As concerned women with PIP implants come forward for reassurance and treatment the Department of Health (DH) continue to investigate the scandal.

Recent statistics from the Department of Health have revealed to date 4,872 referrals have been received by the NHS from patients who had their initial surgery at a private clinic. 280 of these referrals were received last week by 120 trusts.

So far 2,393 scans have been undertaken, leading to 252 decisions for explants to take place.

It was confirmed earlier in the year; patients who received PIP implants on the NHS will be contacted and offered removal and replacement procedures. The NHS has also agreed to help women who have been rejected by their initial private clinic by removing the faulty implants; but they are unable to replace them.

The DoH announced today the NHS will replace PIP breast implants for private patients if their reason for having implants was part of a reconstruction following breast cancer.

The ‘NHS offer’ to private patients with PIP implants varies depending on the circumstances of each patient, not all women will be advised to have their implants removed at this time, some women will simply want reassurance. 1,303 women have completed their NHS offer, 119 of these were completed last week.

The latest estimate of the number of women with NHS PIP implants in place is 748. So far 743 women have been contacted by the NHS and 112 decisions have been made to replace the implants. 37 scans have been recorded and 30 women have completed their NHS offer.

SaferCosmeticSurgery would like to reiterate the advice from the Department of Health and the British Association of Aesthetic Plastic Surgeons (BAAPS):

All patients are advised that they should be aware of the make of their implants. Those patients unsure of these details are advised to contact their surgeon/provider. Patients are advised that BAAPS agree with the DoH expectation that patients should not be charged to access their notes. All NHS patients who have a PIP implant will be contacted by their hospital.

Signs and symptoms of rupture/leak/inflammation in one or both breasts may include:

– Lumpiness of the breast
– Lumpiness/ swelling of the regional lymph nodes in the underarms and rarely in the neck
– Change in shape and size of the breast
– Redness of the skin
– Tenderness of the breast and or the lymph glands in the underarms
– Swelling of the breast
– Firmness of the breast
– Pain
– Hyper sensitivity

The advice to patients is that those who experience signs or symptoms of rupture or irritation should seek advice earlier. Those who do not have complaints but have concerns and wish to discuss the risks and benefits of implant exchange should also seek advice at some stage.

Sunscreen for the Olympics

Mr Banwell notes this recent article in an Australian newspaper. Whether wearing a one piece or two piece swimsuit, you need to protect yourself. Mr Banwell recommends Heliocare SPF 50 which is available in neutral, light and dark tint.

Canberra Times, March 29 2012

”A new swimsuit war has broken out four months from the Olympics.

It pits Australian swim team sponsor Speedo against other brands including Adidas, the uniform sponsor for the overall Games team.

The new row is not about exotic materials, but it does carry some echoes of swimming’s dark ”super suit” era, when 255 world records were smashed in two years until world body FINA banned the controversial polyurethane outfits in 2010.

Advertisement: Story continues below Swimmers must now wear textile suits, shorts for men and knee-to-shoulder for women, but the new hot question for elite competitors is: which textile suit to wear?

The Australian Olympic Committee has allowed swimmers at this year’s London Games to apply for permission to use suits other than Speedo, and many are taking up the chance. They include adidas-sponsored sprinters Cate and Bronte Campbell, the first siblings in 40 years to represent Australia in swimming.

”We have found the adidas suit is by far the best suit out there, and swimming in Speedo will impair our performances,” said Cate Campbell, the 19-year-old who won two bronze medals in Beijing. ”We believe 100 per cent adidas provides the best suit possible, so it’s another stress we don’t have to worry about.”

Cate Campbell described the situation as a repeat of the dilemma facing Australian swimmers at the 2009 world championships in Rome, where 43 world records fell.

”Speedo didn’t have the super suits and they were sponsoring the Australian swim team, so all the Speedo-sponsored athletes were having to worry about what suit to wear,” she said. ”It’s just that all over again.”