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Blepharoplasty
Also called eyelid lift, blepharoplasty is a procedure in which the
physician surgically removes excess fat, muscle, and skin from both
the upper and lower eyelids to redefine the shape of the eye. Transconjunctival
blepharoplasty (eyelid surgery) is performed by making an incision
from inside the lower eyelid. It avoids any scarring on the lower
lid. It is a useful technique when only fat, and not skin or muscle,
needs to be removed from the eyelid area.
"Blue" Peel
A "Blue" Peel is a chemical peel using trichloroacetic acid
(TCA) and a blue dye the purpose of which is to allow for greater
accuracy and reduce chances of complications in performing chemical
peels of the face. This peel is also used in other parts of the body
such as hands, arms and breasts.
Brachioplasty
See Arm Lift
Breast Augmentation
Also called augmentation mammaplasty, breast augmentation is a procedure
to reshape the breast in order to make it larger. The procedure can
also be performed to reconstruct the breast following breast surgery.
Breast Implant (Silicone)
A breast implant is a silicone shell filled with either silicone gel
or a salt?water solution known as saline. On April 10, 1991, the Food
& Drug Administration (FDA) asked the manufacturers to submit
evidence in a pre-market approval (PMA) application that silicone
gel?filled breast implants were safe and effective. However, they
were unable to provide the FDA with this information. Without enough
data on safety and effectiveness, the FDA determined that silicone
gel?filled breast implants could not be approved. Therefore, silicone
gel?filled breast implants were removed from the open market. Because
of concerns that there was insufficient information demonstrating
the safety of silicone gel?filled breast implants, the FDA determined
that new gel?filled implants, should be available only to women participating
in approved studies. Silicone gel?filled implants are available to
women through the following FDA?approved studies: an adjunct study
or an investigational device exemptions (IDE) study. Some women requiring
replacement of the implants are also eligible to participate in the
study. To date, both Mentor Corporation and McGhan Medical have adjunct
and IDE studies approved by FDA. For further information on enrolling
into one of these studies, or the latest on FDA approval contact your
doctor or the manufacturer. (The above guidelines were current as
of August 29, 2000.) See also Breast Implant (Saline).
Breast Implant (Saline)
Saline?filled breast implants continue to be available to breast augmentation
patients on an unrestricted basis, pending further Food & Drug
Administration (FDA) review. The manufacturers of saline?filled breast
implants were notified by the FDA in January 1993 that the agency
would require data on their products' safety and effectiveness. While
the manufacturers were conducting the required studies, saline?filled
breast implants remained on the market. On August 19, 1999, the FDA
asked the manufacturers to submit evidence in a PMA that saline?filled
breast implants were safe and effective. On March 1?3, 2000, the FDA=s
General and Plastic Surgery Devices Panel met to review PMAs for saline?filled
breast implants manufactured by Mentor Corporation, McGhan Medical,
and Poly Implant Protheses (PIP). The Panel voted to recommend approval
of Mentor Corporation and McGhan Medical=s saline?filled breast implants
and to recommend disapproval of PIP=s implants. On May 10, 2000, FDA
granted approval of Mentor=s and McGhan=s PMAs. To date, all other
manufacturers= saline?filled breast implants are considered investigational.
You should ask your doctor more about the specifics of the FDA decisions.
(The above guidelines were current as of August 29, 2000.)
Breast Lift
See Mastopexy
Board Certified Surgeon
A board certified surgeon is someone who has completed the required
course of study, including an accredited residency in a particular
field and has successfully passed the examination given by the certifying
board.
Botox
Botox is most often used to soften and relax forehead/scowl lines
as well as crows feet around the eye area. Botox is an injectable
substance that is a medical grade form of the botulinum toxin A. Botox
has been used for years to treat muscle twitches, and has recently
come into favor for creating a more youthful rested look when used
on the upper third of the face. Botox is not always permanent and
may have to be repeated for ongoing and optimal results.
Brow Lift
See Forehead Lift
Breast Reconstruction
Breast reconstruction is a surgical method for recreating a breast
that was lost due to breast cancer, trauma or other disease. Breast
reconstruction can be achieved with: a tissue expander and breast
implant, a breast implant alone, autologous surgical procedures which
use the patients own body tissues, or a combination of autologous
and breast implants.
Breast Reduction (Female)
See Mammaplasty
Breast Reduction (Male)
See Gynecomastia
Buccal Fat Pad
Buccal fat pads are located above the jawline near the corner of the
mouth. They can be removed in individuals with excessively round faces
to give a more contoured look, sometimes referred to as the "waif
look." However, plastic surgeons warn that, in some individuals,
removal of the buccal fat pads can lead to a drawn, hollow?cheeked
look as aging progresses.
Buttock Lift
Excess fat and loose skin in the buttock area can be reduced by performing
a buttock lift in combination with lipoplasty (liposuction). Incisions
required for skin removal can often be hidden in the fold beneath
the buttocks.
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