Iggy Azalea Before And After Plastic Surgery Transformation & What Kind Of Surgery She Got?

In a recent interview, Iggy Azalea said that the rumors that she had plastic surgery to get back in shape after giving birth were untrue.

The 30-year-old Australian rapper credited a balanced diet and the fact that she was in terrific shape before becoming pregnant for her toned body, which she revealed to a fan on Twitter.

While that may be true, it doesn’t rule out the possibility that the Fancy hitmaker had had surgery in the past.
From a rumored chin implant to a nose operation and breast augmentation, Iggy’s look has undergone a dramatic transformation over the years.

Recent photographs of the celebrity reveal a very different person from the young blonde who burst into the scene in 2012.

Iggy looks very different in photos from when she was 23 years old. She has smaller lips, a bigger nose, and a flatter breast.

She has been quite forthright about her plastic surgery history, which includes a rhinoplasty and breast implants.

Iggy Azalea Before And After

But she insists her naturally large buttocks aren’t anything to be ashamed of.

Dr. Randal Haworth of Beverly Hills, who examined the singer last year, speculated to Daily Mail Australia that she may have had more cosmetic surgery to alter the structure of her face.

Although Dr. Haworth has not personally seen or treated Iggy, he notes that she has made some “subtle” and “wonderful” improvements.

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Iggy, in his opinion, is a great “canvas” for a plastic surgeon to show off his or her skills.

Results can be magnificent and undetectable to the untrained eye if done correctly.

Dr. Haworth speculates that Iggy may have had “a chin augmentation as well as mandibular angle enhancement to give her a more refined, “modelesque” jawline” in addition to her rhinoplasty, which he says “straightened and narrowed her nose.”
She could have had this done with solid silicone implants or with commercially available injectable fillers, but in either case the results would be “spectacularly non-obvious,” as he put it.

Iggy, who was born in Mullumbimby, NSW, and who came to the United States when she was 16 years old, has always been open about the fact that she had breast implants implanted.

“I acquired larger boobs four months ago!” She revealed her lifelong preoccupation with the idea to the fashion bible Vogue in 2015.

She addressed her decision to go public with her new appearance in an interview with E! afterward.

‘I love them so much I had to talk about them,’ she said. ‘ Everyone agreed that “I don’t believe you need to say anything since no one would ever know because they’re so little”. Rather than keeping my thoughts to myself, I blurted out, “I know but I’m just going to say it [because] I’m a blabber mouth!”

I think it would be better if I didn’t have a secret. It’s easier to say it out loud, she said, since you don’t have to fear that someone would go looking for it.

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The rumors that bootylicious Iggy has had “butt implants” persist, despite her openness about her willingness to undergo surgical procedures.

She denied having bum implants in an interview with Australian radio hosts Stav, Abby & Matt in 2017. Although they aren’t my natural breasts, this is my actual butt.
Iggy’s incredible post-baby physique is the result of strict dieting and intense exercise, she said earlier this week, ruling out plastic surgery as a possible explanation.

On Monday, a Twitter user commented on her looks by writing, “I’m not having a baby till I can afford what these celebs are doing to look like weeks after giving birth.”

In response, Iggy tweeted, “All you have to do is monitor what you eat when you’re pregnant and already have a six pack previously. It’s risk-free; all you need is the willpower to see it through for nine months.

Ellen DeGeneres on plastic surgery spree after aging quickly amid criticisms: Rumor

Ellen DeGeneres recently made a public appearance when she hung out with Kevin Hart. Photos of the comedian show that she looks a bit older.

But Globe wanted to create an entire storyline about Ellen DeGeneres aging extensively amid the recent criticisms she has received. They even published an old photo of the funny woman in this week’s issue.

Ellen DeGeneres criticisms have left a lasting impact on her face

A source claimed that the recent allegations against DeGeneres and Ellen Show had left an ugly impact on the host.

“It shows in the bags under her eyes, the saggy cheeks, and jaw. She’s breaking out something terrible, and her skin looks blotchy from all the stress she’s been under. Even with makeup on, she looks haggard,” the source said.

Ellen DeGeneres panicking over a recent change in appearance

The insider also claimed that DeGeneres has always been conscious of her image. As such, she couldn’t take the recent changes in her appearances. And she has, allegedly, booked appointments with experts.

“She’s booking appointments with dermatologists and surgeons, demanding Botox fillers, a facelift and eye-lift, surgery to tighten her neck, and microdermabrasion. She doesn’t care what it costs because money is no object,” the source said.

Ellen, Portia alleged marital problems

Ellen DeGeneres is also, allegedly, struggling with her marriage to Portia de Rossi. And their issues have also, allegedly, contributed to her aging appearance.

“They’ve had their share of problems, and Ellen’s diva behavior is to blame. That’s exactly what’s gotten Ellen into so much trouble with her staffers, past, and present,” the source said.

But even though DeGeneres and de Rossi are, allegedly, having marital issues, the latter still supports her wife’s desire to look younger.

“Portia’s supporting Ellen’s surgery plans, too. Anything to make Ellen feel better,” the source said.

‘Ellen Show’ host’s face costs $1 million?

Rumors about DeGeneres getting plastic surgery have been rife for months. And the recent claims weren’t the only ones made by Globe.

Two years ago, the tabloid claimed that the Ellen Show host’s entire face has gone under the knife. And all of the procedures combined, allegedly, cost DeGeneres $1 million.

“It’s quite obvious she underwent a full face-life – and everything else, as well. She had almost everything was done that can be done – and I suspect a nose job too,” New York-based plastic surgeon Dr. Yoel S. Shahar said.

Meanwhile, Dr. Randal Haworth also said that DeGeneres’ ears also show signs of a facelift.

A source also said that over time, Ellen DeGeneres, allegedly, coughed up a million to fix her entire face. However, one should take the claims made by the tabloid with a grain of salt.

Iggy Azalea shows off her plastic surgery transformation in the artwork for her new single Lola… and she looks like a completely different person compared to throwback photos

Iggy Azalea has released the artwork for her new single, Lola. 

The cover art shows a sleek-looking Iggy pouting in a plunging green dress with pop star Alice Chater resting in her lap.

With her plump lips and slender nose, the 29-year-old rapper is almost unrecognisable compared to when she first arrived on the celebrity scene in 2012.

She’s back! Iggy Azalea looks like a perfect mannequin on the cover of her new single, Lola. Pictured with pop star Alice Chatter

In photos taken when the Australian-born star was just 23, she sports noticeably thinner lips, a larger nose and a flatter chest.

Iggy has admitted to undergoing some procedures, including rhinoplasty and a breast augmentation. 

However, she has always maintained that her famous derrière is all natural.

Remember me? In photos taken when the Australian-born star was just 23, she sports noticeably thinner lips, a larger nose and a flatter chest. Pictured on September 6, 2012 in LA

What a transformation! The 29-year-old rapper has completely changed her appearance between 2012 (left) and 2019 (right)

Last year, Beverly Hills plastic surgeon Dr. Randal Haworth told Daily Mail Australia that he believes the rapper may have made additional changes to her facial shape.

According to Dr. Haworth, who has not treated Iggy himself, she appears to have invested in some ‘subtle’ and ‘beautiful’ refinements.

‘Iggy is what I would describe as an excellent “canvas” on which a plastic surgeon can reveal his work,’ he observed.

‘When done right, results can be sublime and indiscernible to a layman’s eye.’

Stunning: Iggy has admitted to a nose job and breast augmentation, but has always maintained that her famous derrière is natural. Pictured on July 26, 2019 in Las Vegas

In addition to Iggy’s rhinoplasty, which ‘straightened and narrowed her nose’, Dr. Haworth believes she may have undergone ‘a chin augmentation as well as mandibular angle enhancement to give her a more refined, “modelesque” jawline.’

‘This can be done either with solid silicone implants or off-the-shelf injectable fillers, but either way, her results are spectacularly non-obvious,’ he said.

Iggy, who hails from Mullumbimby, NSW and moved to the U.S. aged 16, has never concealed the fact she has undergone a breast enlargement.

Before and after: Iggy’s face has completely transformed over the years. Pictured left: in September 2012, and right: in September 2019

‘Four months ago, I got bigger boobs! I’d thought about it my entire life,’ she told fashion bible Vogue in 2015.

She later spoke about her new look with E! and explained why she decided to go public with the news.

‘I love them so much I had to talk about them,’ she revealed. ‘Everybody did say, “I don’t think you need to say it because no one will ever know because they’re so small”. I said, “I know but I’m just going to say it [because] I’m a blabber mouth!”

Quite the difference! Iggy’s face looked remarkably different in this photo taken in late 2014

‘I’d feel better not to have some secret. It’s much freer to say it and then you don’t have to worry someone will dig it up,’ she added. 

However, despite her candid attitude to surgery, bootylicious Iggy steadfastly denies rumours she has undergone ‘butt implants’.

She told Australian radio program Stav, Abby & Matt in 2017: ‘No, I don’t have bum implants! They’re not my real boobs, but it is my real butt.’

Barbie girl! The blonde beauty often shows off her flawless features on social media

REVEALED: Shane Warne, 49, debuts his whopping ’15kg weight loss’ – achieved via a series of VERY unorthodox methods

Spin king Shane Warne, 49, has lost a whopping 15 kilograms by following a number of unorthodox methods.

Woman’s Day magazine reported on the father-of-three’s impressive achievement on Monday, breaking down the cricket legend’s keys to success.

According to the publication, Shane credits alternative wellness products, fasting, and even Channel Nine personality Eddie McGuire, for his slim-down.

Slim Spin king! Shane Warne, 49, has lost a whopping 15 kilograms by following a number of unorthodox methods 

The retired icon reportedly underwent a dramatic fasting diet inspired by friend Eddie McGuire’s ‘101 Wellbeing’ Program. 

He has also been indulging in detoxifying Chinese green tea and a ‘liquid herbal supplement,’ the magazine reports.

Shane’s weight has fluctuated dramatically over the years, with a significant weight gain back in 2017 the last to be widely reported on.

Alternative wellness! According to a new report, Shane is using detoxifying Chinese green tea and a ‘liquid herbal supplement’ to shed the kilos. (L) In 2017. (R) Last week 

Shane openly joked about his weight at the time  – notably during an idyllic vacation with his children in Spain.

‘Auditioning for the Baywatch with big bellies movie hahah,’ part of his post read. 

But weight loss isn’t the only well documented cosmetic struggle the retiree has encountered over the years. 

Health and fitness:  The retired icon also reportedly credits a dramatic fasting diet inspired by his friend Eddie McGuire’s ‘101 Wellbeing’ Program

It’s long been speculated that Shane dabbled in cosmetic surgery, including injectibles such as Botox and filler.

Speaking to Daily Mail Australia in July last year, Beverly Hills cosmetic surgeon Dr. Randal Haworth suspected he had enlisted a little help.  

‘I suspect that he has dabbled with Botox and perhaps some fillers here and there,’ he exclusively told Daily Mail Australia.

‘While women’s faces tend to look younger and softer with the right amount of fat, men’s faces tend to look better with weight loss,’ he said. 

 

A little help? But weight loss isn’t the only well documented cosmetic struggle the retiree has encountered over the years – Shane has long been accused of cosmetic work

 

‘Shane’s is no exception – his face has become more chiseled, defined and handsome,’ he added.   

Shane has always denied all allegations of cosmetic surgery, with one such denial airing on I’m A Celebrity… Get Me Out Of Here! in 2016. 

 ‘Everyone says, “look what Warne’s done to his face. What’s he done to his head? Lay off the Botox. Get rid of the facelifts. He’s had fillers” and I’m like if I wanted to have some, I would have no issue and if someone asked, I’d say, ‘Yep, I’ve had some. But until then…”‘ 

Rumour has it: He previously sparked surgery speculation when he appeared to have undergone a major physical transformation while dating Elizabeth Hurley (R) 

‘Their lips are preposterously out of proportion!’ MAFS brides Jessika Power and Ines Basic ‘are destroying their looks with facial fillers’, says a leading cosmetic surgeon

A renowned plastic surgeon has delivered a withering assessment of this year’s Married At First Sight stars, saying they are too dependent on fillers.

Beverly Hills-based Dr. Randal Haworth says the latest crop of brides have ‘over-inflated lips’ that sit uncomfortably with their faces and ‘don’t do them any favours’.

Speaking exclusively to Daily Mail Australia, the CEO of DrHaworth.com also claimed that reality TV stars more generally are sending a harmful message to young fans by excessively plumping up their features.

‘Their lips are preposterously out of proportion!’ MAFS brides Jessika Power and Ines Basic ‘are destroying their looks with facial fillers’, says a leading cosmetic surgeon. Pictured left: Jessika pre-2017, and right: in 2019

After being shown before-and-after photos of Jessika Power, Martha Kalifatidis and Ines Basic, Dr. Haworth didn’t hold back.

‘Like a loud out-of-tune instrument in an otherwise beautiful orchestra, these over-inflated lips resemble baboon bottoms in heat and do no one any favours,’ he said.

Speaking about reality stars generally, he said there is a risk they are projecting unrealistic beauty standards on to a young generation of women. 

He added: ‘As a renowned lip reshaping expert, I can say it is not just the lips, but also the surgically and “filter enhanced” faces and bodies that send a bad message to young people. It breeds insecurity and bland conformity whereby everyone starts to look the same.’

‘These over-inflated lips resemble baboon bottoms in heat’: After being shown before-and-after photos of several Married At First Sight stars, Dr. Randal Haworth didn’t hold back. Pictured left: an undated photo of Martha Kalifatidis from several years ago, and right: in 2019

Several MAFS contestants, including single mother Susie Bradley, have admitted to using off-the-shelf lip fillers, such as Juvéderm.

In photos taken before their cosmetic transformations, the reality stars are almost unrecognisable compared to how they look today.

But Dr. Haworth believes that facial fillers have not necessarily improved or complemented the brides’ natural features.

‘Instead of enhancing facial sensuality, overly plumped lips tend to do the opposite and even age the face in a strange way,’ he observed.

Plump pouts: Several MAFS contestants, including Ines Basic, have admitted to regularly getting lip fillers. Pictured left: Ines in September 2018, and right: on April 18, 2019

‘The exaggerated lips of Jessika only serve to distract from her natural beauty’: Dr. Haworth told Daily Mail Australia that ‘overly plumped lips tend to age the face in a strange way’. Pictured: Jessika before and after having lip fillers

He added: ‘For example, the exaggerated lips of Jessika only serve to distract from her natural beauty, while the lips of Martha just draw attention to her other churlish facial plastic surgery, including her rhinoplasty.’

Dr. Haworth went on to say that ‘so-called practitioners’ of cosmetic enhancements are allowing ‘their own aesthetic judgment to be hijacked by social media influencers’ and reality stars like the Kardashians.

‘This [fixation] encourages tunnel vision in doctors and nurse injectors alike, focusing only on lip volume and not on shape,’ he said. 

‘Doctors and nurse injectors alike focus only on lip volume and not on shape’: Dr. Haworth wasn’t a fan of Martha Kalifatidis’ cosmetic enhancements. Pictured before and after she underwent facial fillers

Speaking to NW magazine on Monday, Jessika confirmed she has spent $25,000 on her cosmetic transformation so far – and has no plans to slow down. 

Last month, Ines also admitted she has been getting lip fillers ‘for years’. 

Furthermore, Martha has acknowledged having Botox and facial fillers in addition to undergoing a rhinoplasty and breast enlargement.

Mummy makeover: Susie Bradley underwent extensive cosmetic work after having her first child. Pictured left: Susie in 2015, and right: earlier this year

Has Former Miss Universe Jennifer Hawkins Gone Under The Knife?

Beverly Hills plastic surgeon Dr. Randal Haworth offers his expert opinion on whether Jennifer Hawkins has gone under the knife. She has been the subject of ongoing surgery speculation due to her changing appearance over the years. Dr. Haworth told Daily Mail Australia on Tuesday: ‘I often see pretty girls like Jennifer wanting to fine-tune their features to enter “supermodel” territory.’

Jennifer Hawkins Despite being a household name for 15 years, Jennifer does not appear to have aged a day and is arguably more beautiful now than she was in her early twenties. Dr. Haworth, who has not treated Jennifer himself, stated that the Australian model appears to have invested in some minor improvements to ‘improve facial balance as a whole’. In 2010, Jennifer attributed her drastic change in appearance to healthy eating, exercise and makeup during an interview with The Kyle and Jackie O Show.

While old photos of Jennifer reveal a noticeably thinner pout and fuller face, she has previously brushed off surgery speculation. Jennifer once told The Australian Women’s Weekly that it’s the nature of the fashion industry to be accused of undergoing cosmetic surgery. ‘When someone says “under the knife” I don’t have a reaction,’ she told the magazine.

Original Article

The Unique Vision behind The Haworth Institute

Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
Art and Plastic Surgery
Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
Art and Plastic Surgery
Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
art and Plastic Surgery
Dr Randal Haworth’s Artisitic 1800 lb Reception Counter
Realizing a vision in stone Swapping his scalpel for a chisel, Beverly Hills plastic surgeon Dr. Randal Haworth MD was hands on in the design and construction ofhis new ojj‘ice lobby, which included a mammoth reception counter made from Carrara marble by lenniter Richinelli When designing his new office for his plastic surgery practice in Beverly llills, CA, Dr. Randal llaworth MD was drawn to while marble In create the look he envisioned. ntients visiting the office of I)renowned plastic surgeon Dr. Randal Haworth MD in Beverly Hills, CA, will observe firsthand the doctor’s flare for design. As the former Chief Resident in Plastic and Renonstructive Surgery at the UCLA Medical Center and recipient of the title of “Plastic Surgical Consultant Of The Year for 1993-94,” I-laworth excelled in science and medicine, but always remained in touch with his artistic side. As a result, it was no surprise how intimately involved he became in the design and construction of his new office space, which features an extensive amount of stone. “My inspiration for the lobby was simply the notion of lime,” explained Randal. “Amongst the seemingly infi- nite number of both inorganic and 66 August Z01? | Stone World For the lobby walls, an alternating formation of both protruding and recessed multi-tiled pieces was individually assembled in sections from a 1-are and now unavailable source of distressed unfinished 2- x 8-inch marble tile veneer. organic ‘things’ on this planet, only the human being can be affected psychologically by the idea of time passing. Of course, everything on this planet, including those entities we consider permanent, such as the mountains, oceans and atmosphere, physically change over time. However, it is only the human who can be con- sciously aifectecl by the concept of time and consequently react to the present and plan for the future. “‘l‘he bmwn, white and gray palette, including the dual-toned aqua and cobalt blue sofa, reflects the basic molecular foundation of Mother Earth herself, while the repetitive pattern formalired by the textured shone walls represents what is ostensibly immuta- ble and ‘forever/” Haworth went on to say. “ln contradisfincfion to this is the massive 18-foot-long marble reception counter, which is transformed from violent, yet beautiful chaos, into a tra- ditionally refined smooth surface. As a metaphor of how modern plastic sur- gery can make unappealing forms into beautiful ones, the sculptural transfor- mation reminds us we can change how we appear over time.” The doctor explained how he has always been attracted to all types of stone construction since he was a child attending the King’s School in Canterbury, England, which he said is purportedly the oldest school in the world. “Many of the classrooms and dorms were based within ancient Gothic stone buildings surround- ing the 1,400-year-old Canterbury Cathedral, so for me, stone represented stability, strength and wisdom. Stone is far more than just a construction mate- rial — within its austerity lies timeless beauty,” he said. The lobby walls consist of an alter- nating formation of both protruding and recessed multi-tiled pieces – totaling 120 square feet “l had each tile section individually assembled from a rare and now unavailable source of distressed unfinished 2- x B-inch mar- ble tile veneer that came in old wood crates from Italy,” said Haworth. “The oombinal-ion of the particular texture — along with the pattern and manner in which it was assembled – was chosen to maximize depth.” The showpiece of the 240-square- foot office lobby is the mammoth reception desk made from two massive slabs of Carrara marble. These were divided into nine pieces in order to complement the full 18-foot length of the counter. “The stone materials were chosen from both an aesthetic and practical standpoint,” explained Randal. “I was looking for a white purity for the wall themselves, while the slabs for the reception counter were chosen for a certain multi-variegated pattern, as well as thickness. The thickness was needed to accommodate both violent carving and impart mass in the end.” The stone was supplied by Empire Marble in San Fernando Valley, CA. The installation When it came to the stone installa- tion, Randal was intimately with the 1-ton reception “Indeed, I rolled up my involved counter. sleeves to carve and polish the structure and ulti- mately camouflage its seams because, it turned out, l was the only one who knew what I envisioned,” he explained. “l experimented with a number of painterly techniques in order to visu- ally unlfy the individual sections of marble as one horizontal massive rock. For the foundation, a pony wall was set up as the main anchoring frame span- ning frorn the left corner adjoining the tiled wall to the right suspended hand- icap accessible section. Creating and anchoring the recep- tion desk was a trial-and-error process, explained l-laworth. “As experienced and proficient as they were in their craft, I realized my team was inad- equately prepared for what I wanted Stone World | August 2017 67 The Carrara marble slabs were cut into nine pieces and then assembled to create the mammoth reception counter. ‘Work was then dune ho smooth out the seams. The main attraction of the office lobby is an 18 -toot-long reception counter made tram two massive slabs of Carrara marble. to create,” he said. “It was basically my fault because my inexperience did not allow me to realize theirs in han- dling this one idiosyncratic aspect of the total project. It was as much about structural engineering as it was about art. I realized that when you are utiliz- ing others to translate your vision of something that is unique and out of their comfort zone, you must seek top specialists in that particular medium you want to work with. For example, despite the innumerable conversations and detailed drawings I provided to the architect, project manager. engi- neer and marble craftsman, the form of the counter during construction began to differ widely from what I was envi- sioning. lt was fortunate that l arrived after surgery just in time before the glue and mortar dried so that I was able to have the nine stone pieces repo- sitioned to my “ln a similar vein, the person l commissioned to do the carving was woefully oft course in terms of ele- gantly decreasing the texture of the marble from left to right to convey the analogy from chaos to perfection,” Haworth went on to say. “With dead- lines rapidly looming, I realized that I had to take matters in my own hands to become quickly proficient with the Makita saw, power sanding and the plain old chisel and mallet until the wee hours of the night.” While there were some bumps in the road during construction, Randal was pleased with the final outcome. “Since wehavernovedintoournew officeore and half years ago, the subjective raw emotional feelings as an artist during the act of creation have now dissipat- ed,” he said. “I am affected by it in in a more objective way. lam amazed that I created what I feel is a magical, mod- ern yet spiritual space which brings an element of strength and peace that will not vanish with time. Marble since CrecoRoman times has fascinated humans, as evidenced in temples nest- ing our desire of eternity. Design today still wants to echo the perpetual against nature’s backdrop. Yet, nature will always be ahead of us in our creative search which can only be successful if we understand and respect nature before we attempt to perfect it.” El 68 August 2017 I Stone World

Building the optimal in-office OR

Beverly Hills Surgical Center

Building the optimal in-office OR

By Lisette Hilton

1. Flow and Freedom of Movement

Beverly Hills-based plastic surgeon, Randal Haworth, M.D., says he needs to be comfortable and free to move in order to perform facial and body plastic surgery.

But space can be somewhat limited in an OR inside a boutique plastic surgery practice, he says.

“… so careful planning of the envisioned flow between patient, surgeon, scrub tech, circulating nurse and anesthesia provider must be done,” Dr. Haworth says. “In my case, I had to work with a rectangular operating room, in which case I first had to decide where the anesthesia machine would be situated, since its range of movement would be limited by the oxygen and vacuum hoses tethering it to the ceiling. Consequently, it was important for me to have a 180-degree turning radius for the operating table, so I could position it according to whether I am performing facial or body surgery. Of course, OR lights have to follow suit and must be very mobile and bright. My Trumpf LED [Trumpf Medical] system fits the bill nicely.”

2. A Quality Monitor and Sound System

Having a big monitor with a good sound system for music is not only a luxury but a necessity for the modern plastic surgeon. Having the monitor in constant view is a must, according to Dr. Haworth.

3. Intelligently Designed Cabinetry

Proper cabinetry, design to maximize space and efficiency, is essential, according to Dr. Haworth.

“You can never have too many cabinets from the get-go, since these promote organization and obviate the need for vulgar retrofits in the future,” he says. “When it comes to designing my clinic or the operating room, I think that creating and maximizing the feeling of unrestricted space is important for both the patient’s sense of security and the staffs’ sense of clarity.”

4. Don’t Cut Corners

Don’t cut expenses, when it comes to safety, according to Dr. Cohen.

5. Seek Expertise

Dr. Cohen says cosmetic surgeons should tap experts in designing operating rooms.

“Reach out to architects with experience in both the design and credentialing processes,” Dr. Cohen says. “Ultimately, certain third-party inspections may be required, and you don’t want to be caught off guard.”

Dos and Don’ts for the In-office OR

Erin Metelka, an interior designer with Studio Four Design, offers these design dos and don’ts.

OR Dos:

  • Use a sheet flooring, with heat welded seams and sanitary cove base.
  • Use bleach cleanable/non-porous products.
  • Use clean/calming colors.
  • Provide a variety of adjustable ambient lighting options.
  • Utilize floor patterns to designate the extents of the sterile zone and care-provider zones.
  • With the wide variety of procedures that occur in an operating room, often times, the table is moved in order to accommodate the most efficient workflow with the other equipment in the suite. The floor patterns can also be used to dimension the proper location of the table for these various scenarios.
  • When creating several operating rooms, utilize an identical layout (not mirrored). Often, physicians are moving into adjacent operating rooms for a procedure, while a room is being turned over and sterilized. Having identical layouts increases efficiency and reduces error.

OR Don’ts:

  • Do not have extraneous items of décor within the suite, such as artwork.
  • Do not utilize fabric of any kind such as curtains/draperies. If there are windows, create privacy with natural light by using integrated frosted glass. If an upholstery is required for a physician stool or other items, a bleach cleanable vinyl is a suitable alternative, ideally with a Crypton or nano-technology finish applied (these finishes work to prevent moisture penetration to the cushion and function as an antimicrobial).
  • Do not place any direct down-lighting, with the exception of the surgical boom, directly over the table.
Read the original article here!

Healing after Plastic Surgery; State-of-the-Art for 2017.

“Time is a cruel thief to rob us of our former selves. We lose as much to life as we do to death.” Elizabeth Forsythe Hailey

Living in the modern world becomes more complex and harder as life in the 21st-century becomes faster and faster. We are burdened with responsibilities and distracted by an interminable onslaught of media in all forms including the capricious internet. It seems as if everything is competing for our attention in one way, shape or form while stealing precious time we could otherwise devote to family, friends and simply to our  own selves. Therefore, when it comes to saving time, the need to heal quickly after any cosmetic procedure is almost rapacious.

Unfortunately, there is no magic pill or formula to bypass the post operative inflammation of  bruising, swelling and discomfort at this current time. As one of the top plastic surgeons in Beverly Hills, Dr. HAWORTH has seen a thing or two about how patients heal after the thousands of surgeries he has performed over two decades. As a facial plastic surgery expert, he has performed thousands of primary and revision rhinoplasties, brow lift, facelifts and blepharoplasties not to mention the breast implant operations throughout his career and has realized there are things you can do both at home and in the clinical setting to accelerate your healing.

First of all, it is a good idea to focus on whole foods as much as possible while avoiding processed ones as the former will contain the highest levels of vitamins and amino acids your body will need for a speedy recovery.  Amino acids help wounds heal faster and obviously, these are found in  chicken, meats, egg whites, fish, brown rice, healthy nuts like walnuts and almonds or sunflower seeds. Taking supplemental vitamin C in your diet while increasing zinc in your diet can be helpful. Instead of taking vitamin C for a bottle, you can eat strawberries, papayas and citrus fruits which are great sources of vitamin C.  500-1000mg  is the usual amount that is taken. Zinc is found in oysters which have one of the highest levels of zinc found in any food. If you are going to take a supplement, 15 mg of zinc daily is the recommended amount but you can increase your zinc intake to 30–50 mg for 2 weeks before and 2 weeks after surgery, using zinc picolinate.

Beverly Hills plastic surgeon Dr. Haworth also recommends these useful supplements to take in preparation for your surgery include:

B12 and Iron – Iron and B12 both aid bone marrow in forming new blood cells, so incorporate foods like fish and eggs.

Vitamin B6  250mg, twice a day for a week, starting 3 days after surgery. This helps reduce post-surgical fluid retention, such as swelling of the face, hands, feet or legs. With B6, you can experience substantial reduction within 24 to 48 hours.

CoQ10- Surgical trauma (particularly from cardiac surgery) causes an increase in free radicals, which  damage cellular function. For this reason alone, you should take at least 50 mg of CoQ10 as part of your daily routine before your cosmetic surgery and 100–200 mg/day for at least 4 weeks after.

Fiber and probiotics – This combination helps boost the immune system and also keeps your digestive tract moving along. Eating yogurt with granola is just one easy way to get a serving of both fiber and probiotics! When choosing a probiotic, consider one that contains acidophilus and bifida bacteria (follow label instructions for dosage). Surgical patients often receive oral or intravenous antibiotics in the hospital, which creates the potential for  yeast infections, digestive disturbances and diarrhea. A probiotic may help counteract these problems.

One amino acid that has been shown to speed with healing is glutamine and a study from Harvard and Dave showed that it shortened healing by about four days. Apart from supplements, glutamine can be found in beef, chicken and all types of fish. Dairy products such as cheese, milk, yogurt and eggs contain glutamine with ricotta and cottage cheese being the two richest sources. Vegetarians can find glutamine in beans and lentils. For most of his patients, facial plastic surgery specialist Haworth recommends supplemental Arnica Montana, Bromelain/ Bromezyme (this pineapple enzyme helps prevent blood clots, aids digestion while decreasing inflammation and pain after surgery) and Pycnogenol/Pine bark. This triumvirate is aimed at reducing bruising, soreness and inflammatory edema. Apart from the above, many patients inquire about any other additional medications, exercises or procedures that can be done to maximally reduce their healing times after surgery. Of course, all patients should ask their individual physicians or surgeons about their own personalized recommendations to speed up recovery which is beyond the scope of this post.  
Bioptron® Light employs a combination of polarized infrared and visible light (480nm-3400nm) considered beneficial in the treatment of wound problems and injuries by exerting its effect at the cellular level. Bioptron® therapy has a low energy density (fluency) of 2.4 J/cm2 at a distance of 10 cm and can penetrate the skin up to 2.5 cm.
This patient had impending skin necrosis around her here after a facelift. Only 7 days of Bioptron ® light therapy were administered and notice the rapid improvement in reversing the damage.
After 5 days of Bioptron® therapy to resolve bruising resulting from lower eyelid procedure to treat her dark circles/tear troughs.
After 3 days of Bioptron® light therapy to accelerate the resolution of bruising and skin injury after a breast reduction by Dr. HAWORTH.

It has been used effectively in the treatment of burns, pressure sores, leg ulcers, wounds, pain and recently, postoperative healing. Dr Haworth have found it very useful in his clinic to reduce both swelling and bruising. Supporting his experience, other plastic surgeons here and abroad have noted decreased resolution times of eccymosis and edema following surgery by over 33% with Bioptron®. Indeed, it has been used to also reverse the course of cutaneous necrosis as well as accelerate granulation of open wounds, either alone or in conjunction with hyperbaric oxygen therapy (HBOT).

Hyperbaric oxygen therapy involves breathing pure oxygen in a pressurized room or tube. It is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with HBOT include serious infections, bubbles of air in blood vessels and non-healing wounds as a result of diabetes or radiation injury.

In a HBOT chamber, the air pressure is increased to 3 times higher than normal air pressure and under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure. However, there is some confusion about what actually is “true” HBOT. Those employing “soft” tent like enclosures are essentially useless since they are unable to obtain a true hyperbaric environment of 2 to 4 atmospheres absolute (ATA). In fact, these personal or home-use “hyperbaric”  tent enclosures can usually only attain a pressure of 1.3 ATA. There is a debate as to how much and how many treatments are necessary to speed up recovery after plastic surgery. While most plastic surgeons perhaps recommend one preoperatively and at least 3 to 5 postoperatively, experts in the field say one needs at least 15 to 20 treatments in order to see significant results. In my experience, 3 to 5 treatments are all that is necessary to achieve the more modest goals of reducing edema, bruising and discomfort resulting from elective  plastic surgery.

After certain surgeries, body contouring plastic surgery expert Dr Randal Haworth may also recommend selective lymphatic massage/drainage to resolve edema (swelling)  of the extremities, particularly after liposuction or liposculpture.

The above aforementioned vitamins, nutritional supplements and clinical interventions may not be the panacea to surgical healing which comes in a pill form, but they certainly are a step in the right direction in making recovery from any procedure as smooth as possible in 2017.

Dr Randal Haworth

2017 Beverly Hills

       

Kybella ® vs. liposuction for a double chin

While we in the cosmetic industry are getting better and better at delivering the results that patients expect, I still hold fast that 60 to 70% of modern high-tech materials and devices in plastic surgery over promise and under deliver ! Considering that the future of plastic surgery will be less about actual surgery as more more and more technological advances are made in the lab (think genetic engineering, better fillers, better lasers, etc.), this 60-70% statistic is rather disappointing. What makes this all the more egregious is the fact that doctors are forced to pay an arm and a leg for such underperforming technologies (Ulthera ® Thermage®, etc.). In light of the fact you can get a state-of-the-art Tesla  with all the bells and whistles for around $100,000, paying $150,000 or more for a machine that just delivers fuddy-duddy ultrasound technology through a wand to aid in liposuction is frankly outrageous. However, the medical tech companies can’t be solely blamed for this-they are basically governed by the FDA’s policies which, in turn, are a response to precedents extrapolated to an absurd degree by  lawyers. Unfortunately, I have seen it all too many times – a new plastic surgery technology coming out amidst a flurry of media only to fade into relatively rapid obscurity. This is similar to a Billboard chart topper only to turn out to be a one-hit wonder! In my opinion the latest overhyped snakeoil is Kybella® from the big pharma conglomerate Allergan®, proud makers of Latisse®, Botox®, Voluma®, Juvéderm®, etc. I was glad to hear from some of my esteemed colleagues at the recent American Society of Plastic Surgery meeting in Los Angeles that their thoughts on Kybella ® echoed mine.   Taking into account Kybella’s negative points, which include: 1.  relative risk of damaging important facial nerves, 2.  cost (though one treatment is less expensive than liposuction, more often than not multiple treatments are necessary and these, of course, add up), 3.  associated pain, 4.  longer recovery (which, ironically, is worse than surgical liposuction since remarkable swelling can occur after every injection session) and 5.  inferior results to those obtained  with aesthetically and skillfully performed liposuction …there is little to no advantage in utilizing Kybella® for my patients except perhaps for its superior multi-million dollar marketing campaign! Indeed, micro liposuction can provide unprecedented control in removing  fat to treat a double chin while refining the jawline and addressing the jowls as well-all with less downtime and more economically so in the end. Case in point:
Dramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transfer
Dramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
Dramatic perioral rejuvenation including improvement of the jowl and chin utilizing a combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
After combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
After combination micro liposculpture and fat transfer. Note the smoother jawline and submental (chin) region all performed with delicate no scar facial surgery without a face or neck lift.
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