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Vegas Angel: What a Blast!

December 4th, 2009

Hey Vegas Friends, It is Angel Here Reporting!

The days we spent in Vegas were unforgettable! I am still recovering.   I have never had so much fun and so little sleep!  This was an experience of a lifetime!  I met so many great people, but I was really surprised to find out how many people wanted to actually hear about my surgery.   It was interesting to share my surgery stories with them.   I did not really know what to expect when I arrived, but I had an awesome time.  I was told it would be crazy and it definitely lived up to that.

Being on the stage for the contest was great and meeting all the KQRS team was so fun!  We had a blast backstage hanging out with Brad Blanks before being introduced to the audience.   Everyone from the radio station was so friendly.   I would love to do this again!

I am so happy that I decided to have plastic surgery, because it makes all the difference in how I fee about myself.   To look and feel great, is such an important part of my life.   A big thank you goes to Dr. Bashioum and Sandy, for allowing me to be a part of this cool experience.

KQRS has always been part of my wake-up routine and now being a part of the biggest show of the year is so great!  To all the Vegas Virgins or Not: I LOVE YOU GIRLS!!!   Until we meet again!

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Buttocks Surgery Causes Death of Miss Argentina

December 1st, 2009

My wife, Lindsay, brought this unfortunate case of cosmetic surgery in the news to my attention today.  CNN was among the media outlets who ran the story.  Gluteoplasty or buttocks enlargement has been popularized by the cultural emphasis on a round, protruding, and firm butt.   Both men and women consider this surgery when they want a fuller buttocks.   Because of safety issues and concerns, I do not offer this surgery to my patients.

There are two ways to achieve “butt enlargement.”   First is by injection.   The most popular injectable material has been fat.   Fat is first removed using a liposuction technique.   The fat is then injected in to the buttocks, after it is purified.   Theoretically, this should work, as the buttocks are primarily fat.   Unfortunately, there are many reports of sudden death when this technique is used.   Extreme caution should be exercised when considering this type of cosmetic surgery, because there appears to be no clear explanation as to why the patients have died.   Anytime anything is injected into the body there is a risk of intravascular injection.   Antibiotics, anesthesia drugs, and intravenous fluids need to be administered intravenously or into the vein.   Immunizations, insulin, local anesthetic, and fat should not.   If fat is accidentally injected into a vein in the buttocks, the fat will travel to the heart.   The heart pumps the venous blood and fat into the lungs, because this is just how our plumbing works.   The lungs filter the fat in its small blood vessels near the aveoli.   Small amounts of fat or emboli are usually inconsequential.   However, if there is a large amount of fat in the blood or if the blood begins to clot around the injected fat, the resulting pulmonary embolus would most likely be fatal.   Sadly, Solange Magnano, Miss Argentina 1994 suffered a fatal pulmonary embolus due to complications from the fat injection into her buttocks.

Another way to enlarge the buttocks is an alternate technique where a solid silicone implant is placed beneath the skin and fat.   Solid silicone implants have been around for many years in other shapes.   They are used to enlarge the chest in men, calves, and chin.   They have been proven to be relatively safe and effective.   The surgery to place such implants in the buttocks is not complicated, although the skill of the surgeon is important.   The results are generally acceptable to many patients.   However, there is a significant risk of a very serious gram negative infection.   Because of the posterior location of the surgery and the adjacent location of natural occurring bacteria, risk of infection is considerable.

Some of these bacteria are home to the intestinal tract.   Such infections frequently require hospital admission and have a high risk of death.   In addition, coloform bacteria can also result in an infection known as synergistic gangrene.   In this case, multiple bacteria types infect the tissues together and lead to skin and fat death.   Extensive reconstructive surgery, including skin grafts and terrible scars may result.   At its worse, synergistic gangrene can lead to death.

I chose not to do either of these surgeries.   I do not feel that the risks of these very serious complication are worth the benefits of the surgery for my patients.

Sometimes it’s better to just hit the gym!

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