Celebrity Cosmetic Surgery

Tickle Lipo?

2010-10-03T17:20:00.003-04:00

Smart Lipo, Slim Lipo, Cool Lipo, now Tickle Lipo?

Tickle Lipo is the name of one of the newest forms of liposuction. According to the company, it involves Nutational Infrasonic Liposuction, an FDA approved technique that utilizes low frequency infrasonic vibrations to aid in allowing both easier removal of fat and less motion/work for the surgeon. The company also claims "reduced risk, less trauma, bruising, and swelling, greater comfort, and faster recovery." Is this true? Will Tickle Lipo make all the other types of liposuction obsolete?

I have never used this machine, but it sounds somewhat similar to PAL (power assisted liposuction). PAL utilizes a vibrating cannula that allows a plastic surgeon to remove fat easier, faster, and with overall less effort. It'll be interesting to see how Tickle Lipo distinguishes itself from Power Assisted Lipo.

On Tickle Lipo's website, there is a local news segment with a doctor who combines Tickle Lipo with Smart Lipo to achieve a large amount of fat removal with maximal skin tightening. Sounds all good and dandy, huh? Too bad he's an internal medicine specialist, and not a real plastic surgeon. I'd feel much better if there was a real, board-certified plastic surgeon on their website instead of an internist!

For Tickle Lipo's website, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Elf Ears - The Newest Plastic Surgery Trend?

2010-09-30T09:37:00.003-04:00

I read an interesting article today introducing one of the newest trends in plastic surgery: Creating Elf Ears. There is a Hungarian plastic surgeon practicing in New York City who created this procedure and even claims that it can "improve the experience of listening to music." Apparently there are "music faun clubs" which are dance clubs that only allow entrance to those with pointy ears.

This is a new one for me! By looking at the photos I can see how the procedure is done. It's a variation of the types of surgeries we do to reconstruct an ear after part of it is removed for cancer. Instead of making your ear look normal, however, it makes you look like Spock.

I'd rather my daughter get a tramp stamp than one of these!

Story and photo source

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

10 Telltale Signs of Plastic Surgery

2010-09-28T20:43:00.003-04:00

CBSNews.com has an interesting slideshow of my 10 Secret Signs of Plastic Surgery. Some of these are obvious to those who read this blog regularly. I recently covered the topic on the Rachael Ray Show as well.

You can check out the slideshow here. After reading it, you will have many of the tools necessary to be a plastic surgery detective!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

The Thong Lift?

2010-09-27T12:34:00.003-04:00

There is an interesting article in the Daily Mail today announcing:

Bottoms up! The facelift is old hat, the tummy tuck's yesterday's news - the latest craze is the bum lift!

The article goes on to describe the Thong Lift, the name given by a Miami plastic surgeon for fat grafting to the buttocks (a.k.a. Brazilian Butt Lift). Here's more:

The difference between this is and other sorts of fat augmentation is that the surgeon injects fat between layers of muscle, so there is more blood supply to the fat and less of it dies.
The scars left by the incisions needed to inject the fat are hidden, says Mendieta, ‘in the grand canyon where the thong goes’, hence the name of the procedure.

"Grand Canyon?" That's a strange term to use!

I perform fat grafting to the buttocks, but am always concerned about being too aggressive with grafting it into the actual muscles, which have large blood vessels and nerves. This would make me more concerned about a major bleeding episode. The surgeon is definitely well-known for his gluteal work, however, and probably does a few more of these than I do.

Click here for the article.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Facial Filler Foul Ups Article on MSNBC.com

2010-09-24T21:48:00.003-04:00

There is an alarming and interesting article on MSNBC.com regarding the growing incidence of complications with facial filler injections. Facial fillers (like Restylane, Juvederm, and Sculptra) are now the second most common plastic surgery procedure in the country. It's inevitable that as these procedures grow in popularity, the number of people having complications will also increase.

While this article is alarming, it's important for consumers to realize that the most popular injectables (hyaluronic acids like Restylane, Perlane, Juvederm, and Prevelle) have a near-antidote called Hyaluronidase if too much is injected. That's one big reason I prefer these injectables over Radiesse or Artefil. Even so, if you are considering having facial fillers injected, make sure you have it performed in the office of a board-certified plastic surgeon or dermatologist.

For the MSNBC.com article, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Kate Gosselin's Post-Tummy Tuck Belly

2010-09-22T12:57:00.004-04:00

The website Poponthepop.com has posted this photo of Kate Gosselin in a bikini, and called it "terrifying" due to the loose skin on her tummy, even after a tummy tuck. What's the scoop here?

Tummy tucks are meant to remove excess, hanging skin (and the fat accompanying it) and tighten up the muscle layer underneath. Although Kate looks flat and tight when standing, it's not surprising that her skin looks this way when sitting. Everyone has some skin that folds over when sitting down. We must, otherwise we wouldn't be able to stand up straight. With Kate, however, that skin has been profoundly stretched out, so it's not going to look as smooth as the skin of a person who has not had children.

So poke fun at her for being an annoying fame junkie, but that tummy skin is completely normal.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Want to Heidi Yourself?

2010-09-20T05:13:00.004-04:00

Want to see what you would look like after undergoing Heidi Montag's ten plastic surgeries? A Miami plastic surgeon has posted a website which allows you to do just that. It's called Heidi Yourself, and the page looks like a combination of an advertisement for The Hills and for his iPhone plastic surgery app. Check it out here.

Photo source

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

E! To Debut New Bridal Plastic Surgery Series "Bridalplasty"

2010-09-18T05:14:00.005-04:00

E! has ordered episodes of a new program that mixes a wedding competition with extreme plastic surgery. Bridalplasty combines elements of a game show competition, dream wedding, and plastic surgery documentary. Read about it in the Hollywood Reporter:

Each week, a group of women competes head-to-head in such challenges as writing wedding vows and planning honeymoons. The winner receives the chance to choose a plastic surgery procedure from her "wish list." She's given the procedure immediately, and results are shown at the start of the following week's episode. One by one, the women are voted out by their competitors and, according to the show's description, "possibly walking away with nothing and losing [their] chance to be the perfect bride." The last bride standing will receive a "dream wedding," where she will reveal her new appearance to friends, family and the groom. "Viewers will witness his emotional and possibly shocked reaction as they stand at the altar and he lifts her veil to see her for the first time following her extreme plastic surgery," E! said.

The plastic surgeon from the Swan will be performing all the procedures, and the host of the show is Shanna Moakler.

No, I have nothing to do with this program, but I have heard from a few Hollywood producers that there are a few plastic surgery-related programs currently in the works. This one sounds quite similar to the Swan, which aired several years ago for one full season. I bet there will be a lot of people watching, especially since these brides have got to be absolutely crazy to be featured in a program like this!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Kate Gosselin's Breasts: "These Breasts Are All Mine"

2010-09-16T09:14:00.003-04:00

Kate Gosselin's appearance in a bikini has some questioning whether she has breast implants in addition to the tummy tuck she admitted to having. According to RadarOnline.com, Kate has responded to questions regarding breast implants with:

"These breasts are all mine."

So does she have breast implants? I think so. It is unusual for a woman to have given birth to eight children, undergone a tummy tuck, and slimmed down to a tiny size, yet still retain natural, perky, firm, round, and large breasts. Usually when the tummy droops, so do the breasts, although often to a lesser extent. My last quote to Radaronline.com:

Youn quipped that either way, Kate's 'no surgery' claim is accurate: "They are all hers because once she pays for them they are all hers. I've never taken back any patient's implants."

Story link: Radaronline.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Kim Kardashian Gets Botox! And Has A Bad Reaction Afterwards!

2010-09-14T20:36:00.005-04:00

Kim Kardashian has allowed the E! cameras to follow her on an appointment to get Botox. While the procedure appears to go well, she unfortunately suffers from a reaction while at a restaurant afterwards. What could this be from?

There are many possibilities. She could be allergic to the Botox although this is very rare. In fact, my office treats at least 50 Botox or Dysport patients each month, and I've never seen an actual allergic reaction. It could also be due to bruising and swelling causing her discomfort. Finally, and the most likely, maybe she's just a drama queen.

To read a CBS News report on this subject (with my comments), click here.

Thanks for reading.

Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Dr. Youn on The Rachael Ray Show Tuesday, Sept. 14th!

2010-09-12T20:44:00.002-04:00

Hey all! I will be returning to the Rachael Ray Show for a segment called "How To Spot Plastic Surgery," airing Tuesday, September 14th. Check out her website here for a teaser. For your local listings, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Jane Fonda On Her Plastic Surgery

2010-09-10T22:18:00.002-04:00

It's funny that Jane Fonda admitting to having had plastic surgery is suddenly news now, especially since I reported it on this blog 7 months ago (click here for that!). She is now going public with her plastic surgery. According to CBS News:

The 73-year-old actress revealed to Entertainment Tonight that she "recently had plastic surgery."
"It was a hard decision to make, and I decided if I'm going to do it, I'm going to tell the truth," Fonda said. "I'm writing a book about aging, so I can't write that book and not say I've had plastic surgery. And you know, I just decided it was for me -- I don't want to have bags under my eyes that make me look tired, and so forth and so on."

"I got tired of not looking like how I feel and I wanted a more refined chin line like I used to have so I changed my mind."

No one who is 73 looks as good as she does without the help of a scalpel. Yes, that includes you Raquel Welch and Joan Collins! Kudos to Jane's plastic surgeon.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Heidi Montag Tweets Plastic Surgery Advice

2010-09-08T22:16:00.002-04:00

Our favorite plastic surgery disaster, Heidi Montag, has now taken to tweeting advice for people regarding plastic surgery. Here are three recent tweets, courtesy of USAToday.com, and my analysis (in italics):

"Warning: to anyone who is thinking about getting their ears pinned, I learned after the fact it is the most painful surgery a person can get" - Untrue. I've performed this surgery many times and pain is almost never an issue. A tummy tuck or breast augmentation is much more painful than an otoplasty (ear pinback).

"Giving my self a soft tissue breast massage. Ladies we have to keep those implants soft" - True. I have all my breast implant patients massage their breasts as a way to help keep the scar tissue and implants soft. Unfortunately, scientific studies don't support this helping, but most plastic surgeons recommend their patients do it anyway.

"I had a nightmare that I slept without my nose tape on thank God it wasn't true!" - Huh? THAT's a nightmare? Geez, my nightmares are more about driving off a cliff or finding myself in school without any pants on.

Story credit: USA Today

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Has Courtney Love Had a Stem Cell Facelift?

2010-09-06T07:17:00.004-04:00

The Daily Mail is reporting that Courtney Love has undergone a stem cell facelift in the Manhattan office of a Facial Plastic Surgeon. Photos show that she certainly looks better than she has in a long time. But are her looks really due to a stem cell facelift?

Stem cell facelifts are definitely the future of facial plastic surgery. The idea behind the procedure is that stem cells are removed from liposuction fat and reinjected into the face. Because stem cells are extremely youthful cells which can transform into new cells in the location they are transplanted, they can theoretically create newer, younger looking skin. At this time, the machines to separate stem cells from fat are not currently FDA approved for cosmetic purposes. Therefore, the closest thing we have to a stem cell facelift in the United States is a 3-D Volumetric Facelift, a.k.a. a facelift with fat grafting. I, along with three other prominent plastic surgeons, introduced this procedure five years ago in the Aesthetic Surgery Journal. Since then, several plastic and cosmetic surgeons have introduced this procedure as their own.

To read my scientific paper on The Volumetric Facelift, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Dancing with the Stars or Dancing with the Plastic Surgery Patients?

2010-09-04T21:02:00.002-04:00

Do the casting directors of the new season of Dancing with the Stars like people who've had plastic surgery? It appears so!

Three of the contestants have had obvious plastic surgery, including Florence Henderson (face work), Audrina Partridge (breast implants), and Jennifer Grey (rhinoplasty). I also wouldn't be surprised with David Hasselhoff, Margaret Cho, and Rick Fox have had a minor nip and tuck as well. Plus, host Brooke Burke was married to a prominent Beverly Hills plastic surgeon for years!

For a plastic surgery-related slideshow on these DWTS contestants, click here to be taken to the In Your Face blog.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Has Brad Pitt Undergone Radiesse Injections?

2010-09-02T21:16:00.002-04:00

The National Enquirer is reporting that Brad Pitt has undergone filler injections as a way to look younger. According to Celebitchy:

The 46-year-old actor has been getting injections of the wrinkle filler Radiesse to make his face look younger and smoother, the Enquirer has learned. And it appears to be having the desired effect. Not only does Brad’s face look brighter and more radiant, Angelina has given her seal of approval.
“Brad hasn’t looked this good in years - and Angelina is definitely pleased about his makeover…”
For months, the actor hid behind a scraggly beard “because he was so self-conscious about how he was aging.”

I haven't seen photos of him, but a little Radiesse can definitely take off some years. I'd probably recommend a little Sculptra to fill in some of the gaunt areas of his face.

Photo credit: prphotos.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Politician Raffles Off a Breast Augmentation to Raise Money!

2010-08-31T20:45:00.002-04:00

No, this politician is not in the United States. Gustavo Rojas, who is campaigning to be an alternate in Venezuela's General Assembly is raffling off a boob job at $6 a ticket as a fundraising tool. He claims it's no different than raffling off a TV set.

The American Society of Plastic Surgeons (ASPS) would disagree. This society (which I am a proud member of) has ruled that offering plastic surgery services as part of a promotion or raffle is unethical, since it trivializes the serious nature of plastic surgery and may influence people to undergo surgery they may not want or be a good candidate for. I can see the rationale behind this ethical rule, but don't necessarily agree with it.

That being said, there are radio stations which have raffled off free breast augmentations as their "Breast Christmas Ever" promotions using questionable non-ASPS surgeons. Is it really a "prize" to have one of these surgeons operate on you? Sounds more like a punishment to me!

Story source

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Has Serena Williams Had a Rhinoplasty?

2010-08-30T09:32:00.003-04:00

Has tennis great Serena Williams had a rhinoplasty? According to the Daily Mail, Serena underwent surgery for damage from broken glass on July 15th. Did she have a rhinoplasty too?

According to these photos the answer may be yes. Her nose looks thinner and more sleek. The bridge of the nose looks like it may be built up, possibly by a silicone implant. She looks great, nose job or not.

Sports Illustrated recently named her the greatest female tennis player ever. I disagree with this. Steffi Graf is the best female tennis player in the Open era. Had Monica Seles not been stabbed by a crazed fan, she might be number 2. I loved her 'two-fisted' attack!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

More Heidi Montag- Steri Strips on Her Nose?

2010-08-27T21:21:00.002-04:00

She just keeps looking for attention. Radaronline.com has posted several photos of Heidi Montag in Costa Rica, with her face looking oddly normal except for steri strips on her nose. According to a Life and Style press release:

"The last time I didn't wear tape after surgery and my nose changed shape," she explains. "The tape is supposed to keep the swelling down and hold my nose in place the way Dr. Ryan sculpted it. Dr. Ryan always said I was his best, most cautious patient, and I'm not taking any chances now that he's gone. I don't want my face to fall off like Michael Jackson's."

That's not quite true. Some surgeons place steri strips on the nose for months as a way to reduce swelling. I prefer to take them off at one week, because no one wants to walk around with tape on their nose if they can help it. Unless you're Heidi Montag, I suppose, and are looking for any attention you can get!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Heidi Montag Wants Her Implants Out!

2010-08-25T21:04:00.003-04:00

The drama regarding this silly woman continues on and on. In the recent issue of Life and Style Weekly, Heidi Montag claims that she is looking to South American plastic surgeons to remove her 700 cc Size G breast implants.

According to the article:

"I'm desperate to go back to normal," she confides to Life & Style. "I'm downgrading and going a little smaller, to a D or a double D."
More than nine months after she went under the knife on Nov. 20, Heidi says she is still in severe pain and her body has not gotten used to the over the top boob job. "I have major anxiety about it. I was taking painkillers but they weren't working so I stopped. It hurt either way,"
Besides being unable to hug her four dogs or wear anything but custom-made clothing, "I'm obsessed with fitness but it's impossible to work out with these boobs," she says. "It's heartbreaking. I can't live an everyday life."

And while Heidi tells Life & Style she is currently shopping for a surgeon in South America, she worries that she'll be trapped in this cartoonish body forever after the untimely passing of her confidant Dr. Ryan. "I feel trapped in my own body," Heidi tells Life & Style.
"There's just no fixing it," she says. "Dr. Ryan knows the work he did, he knows everything."

While I am sure Dr. Ryan was a fabulous plastic surgeon, there are thousands of plastic surgeons who can downsize breast implants successfully. Instead of travelling to South America, maybe she should see a plastic surgeon in the States and spend a few bucks on a shrink. Putting in 700cc implants was probably a mistake in the first place. In the past six years I've put implants this size into a small number of people, and none of them had the tiny frame of Heidi Montag.

Source

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

My New Website - www.dryoun.com

2010-08-24T23:03:00.003-04:00

If you have a minute, check out my new business website at www.dryoun.com. I recently completed a full relaunch of the site, complete with 3-D animations of a plethora of plastic surgeries.

I am also working on a complete overhaul of this very blog, and will be moving it to www.celebcosmeticsurgery.com very soon. I'll keep you posted.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Beau Bridges - I Want To Get My Hands On His Neck

2010-08-22T21:09:00.004-04:00

Yes, I would love to get my hands on Beau Bridges' neck! No, not to strangle him (you sickos!), but to give him a good facelift. He's the type of guy who has such a heavy neck that he'd get a really nice result from a well-done facelift. He'd get some well-hidden scars around his ears and one under his chin, but these are almost never seen, even in men with short hair.

An eyelid lift (blepharoplasty) might be nice for him, too. And maybe a rug.

Photo source: dlisted.com

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Pediatric ER Resident Versus Plastic Surgeon

2010-08-20T21:48:00.004-04:00

I think this is absolutely hilarious and completely realistic! Like most plastic surgeons, I take ER call, which means the ER docs will call me for plastic surgery emergencies (dog bites, car crashes, etc.). I can't count how many times I've been called by the ER doc to take care of something any 3rd year medical student can do. I was once called into the ER in the middle of the night to see a patient with a "severe eyelid laceration." I lugged myself out of bed, drove 20 minutes to the ER, and found the patient lying on a gurney with a little blood on his eyelid. I proceeded to wipe it off to find absolutely no injury there.

No, it's not all boob jobs and facelifts!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Dr. Frank Ryan Has Died

2010-08-17T21:02:00.004-04:00

Celebrity plastic surgeon Dr. Frank Ryan died yesterday when his Jeep crashed off the Pacific Coast Highway near Los Angeles. Dr. Ryan is best known for being the plastic surgeon who performed Heidi Montag's 10 plastic surgeries in one day. He was a classic Hollywood plastic surgeon, with patients including Gene Simmons, Vince Neil, and many others. He was also very active in philanthropic pursuits, including the Dr. Frank Ryan Foundation.

I've never met Dr. Frank Ryan so cannot comment on his personality. I don't agree with the surgeries he performed on Heidi Montag, but I have always respected him as a fellow plastic surgeon. He was a man who, I'm sure, touched many, many lives.

My condolences go to his family, friends, and staff.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

"Superbug" Coming From India on Cosmetic Surgery Patients?

2010-08-15T21:53:00.003-04:00

There are alarming reports that a gene which causes bacteria to be resistant to nearly all antibiotics is being brought overseas on patients undergoing cosmetic surgery in India. I will have more on this tomorrow, but here is an article from the Examiner addressing this scary finding:

http://www.examiner.com/plastic-surgery-in-chicago/plastic-surgery-brings-a-super-bug-to-united-states

Cartoon source

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Sofia Vergara On Madonna's Cheeks and Plastic Surgery

2010-08-14T07:12:00.003-04:00

Sophia Vergara from Modern Family had some choice words to say about Madonna in a recent interview:

When asked about going under the knife, Vergara said, "L. A. is crazy. The women all look the same now. That thing with the cheeks. Like Madonna." "Who do they think they're fooling? It doesn't make them look young. You end up looking like a freak," Vergara added.

The "Modern Family" actress, however, admitted that she once considered having a breast reduction but put down her plan after her mother Margarita told her, "God is going to punish you if you cut them."

Sophia better watch what she says about Madge. I wouldn't want to be on her bad side. While Madonna's cheeks do, at times, appear a bit overdone (with implants or Sculptra?), overall she probably looks a lot better now than she would without any plastic surgery at all. Let's see how Sophia looks in 15 years... if she's lucky like Maria on Sesame Street.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Teri Hatcher Reveals She Is Now Botox-Free

2010-08-11T20:59:00.003-04:00

Teri Hatcher has revealed on her Facebook page photo album (called Oy With The Botox!) that she is currently Botox-free. She posted photos of herself proving that she is not currently under the influence of Botox (or Dysport, for that matter). You can see for yourself that she's definitely not lying.

She also posted the following comments:

Out of the bath getting ready for bed. Thought about all those damn critics of my face. Love it or hate it, my face that is, no surgery, no implants, no matter what "they" say. Decided I'd shoot myself in to reveal some truths about "beauty" and hope it makes you all easier on yourself.
Did I every toy with fillers or Botox over the years? yes. Tell me does this look Botoxed to you?Yes I am alone in my bathroom naked in a towel on behalf of women everywhere trying to make a point. Women YOU ARE BEAUTIFUL.

I think it would have been better if she ended it by stating "And they are SPECTACULAR."

So she's Botox-free today. Ho hum. Maybe she made an appointment with a plastic surgeon for tomorrow. ;)

Story and photo credit: Huffington Post

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

What's Up With Teen Stars Getting Plastic Surgery?

2010-08-09T12:52:00.003-04:00

There is an interesting article in Popeater.com about the trend of more and more teen stars having plastic surgery. The most recent obvious example is singer Charice, who reportedly received Botox injections to thin her lower face. My comments are featured in the article, along with those of Dr. Grant Stevens, a well-known and respected plastic surgeon. While Charice's doctor, Dr. Vicki Belo, is called a "plastic surgeon," she's actually a dermatologist.

For the Popeater article on teen plastic surgery and its Hollywood connections, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Jillian Michaels - Rhinoplasty

2010-08-07T09:49:00.003-04:00

Celebrity trainer Jillian Michaels has revealed that she had a nose job when younger. According to the Huffington Post she stated:

"In eighth grade, I weighed 175 pounds and my nose was the size of a softball. Once, I was sitting at lunch and got surrounded by a bunch of kids who let me have it about how ugly I was --- my unibrow, the size of my nose, the fat rolling over my jeans. It was pure hell. My mom had to pull me out and put me in another school.
"I had my nose done," she admits. "I felt much better about myself. Plastic surgery is a very personal decision."

Sounds like her childhood was no fun. I bet she now looks better than 99% of the people who made fun of her! It's always nice to hear a celebrity plastic surgery success story.

My 20 year high school reunion is in a couple weeks. So depressing! It's hard to believe that it's been so long since I was a flat-topped, big-jawed, skinny brace face.

Photo credit: Huffington Post

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Julia Roberts - Hindu, No Botox, But Maybe Nose Job?

2010-08-05T14:26:00.003-04:00

Popeater is reporting that my favorite actress Julia Roberts has revealed that she is a "practicing Hindu" and is against Botox injections. According to the site:
"It's unfortunate that we live in such a panicked, dysmorphic society where women don't even give themselves a chance to see what they'll look like as older persons," the 'Eat Pray Love' star tells Elle in its September issue. "I want to have some idea of what I'll look like before I start cleaning the slates."

That sounds a bit excessive. Someone should tell her that Botox is temporary, is performed on hundreds of thousands of men too, and doesn't typically alter one's appearance in a major way. This is unlike a rhinoplasty, which I believe she may have had done.

Thanks for reading.
Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Suspects Flee After Buttock Injections Result in Death

2010-08-03T21:40:00.002-04:00

Two women are sought by the authorities after allegedly performing illegal silicone injections into the buttocks of a woman who subsequently died. Guadalupe Viveros and Alejandra Viveros are believed to have fled to Mexico after posting $20,000 bail. This story has achieved national headlines with CNN's Nancy Grace focusing on it this week. If you have info on these fugitives, click here.

These types of illegal injections are unfortunately more common than most people realize. It seems that many of these phony plastic surgeons come from other countries to prey on immigrants here in the States. On a recent trip to Boston's Chinatown, I was shocked at the number of Botox and other cosmetic surgery clinics located in dingy storefront windows next door to stinky fish markets. Not the place I would go for plastic surgery! Or food, for that matter...

Link: In Your Face Blog

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

"Nup / Tuck" - Chelsea Clinton's Pre-Wedding Plastic Surgery?

2010-07-31T21:13:00.004-04:00

There's quite a bit of speculation that Chelsea Clinton may have undergone a "Nup / Tuck," aka pre-wedding plastic surgery. She certainly has never looked better. A friend of mine, Dr. Jennifer Walden, has commented to The Examiner that she believes Chelsea underwent a rhinoplasty and chin augmentation. After looking at photos, I would agree with her, although it can be difficult to separate what changes may be due to plastic surgery versus natural maturation.

In addition, Chelsea's gummy smile appears to be improved, which can be due to a surgical gummy smile repair (where the muscles that elevate the lip are cut) or Botox injections to paralyze these same muscles.

Either way, Chelsea looks great, and I hope her big day was a terrific one for her. I remember my wedding day vividly. Best day of my life!

Photo credit: The Examiner

Thanks for reading.

Michigan-based Plastic Surgeon
Anthony Youn, M.D.

What to do about Breast Acne?

2010-07-29T22:00:00.003-04:00

Whenever I am looking for solid, scientific information on a particular beauty product or ingredient I check out the Beauty Brains. This is a fantastic blog that focuses on all sorts of beauty questions, all from a scientific point of view. In this post, they tackle the problem of breast acne.

Some suggestions for treating breast acne include benzoyl peroxide, salicylic acid peels, the AFA Clay Peel, and topical antibiotics like Clindamycin. Be sure to visit your medical aesthetician or dermatologist if this is a problem for you.

Photo credit: Beauty Brains

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Kim Kardashian and Celeb Lookalike Surgery

2010-07-27T20:32:00.002-04:00

Kim Kardashian recently stepped into the Celeb Lookalike Surgery arena, by conducting a mini-Twittervention for a fan who was planning to have buttock surgery to look like Kim: "Don't try 2 b someone else," and implored her not to "change yourself for anybody but yourself." Today Madison Park of CNN.com published an article that expanded on the phenomenon of people trying to undergo plastic surgery to look like a celeb. Click here for the article, which includes some of my thoughts on the subject.

This story is similar to the one with Jessica Alba, as documented in my blog post here, where she convinced a fan in China not to undergo surgery to look like Jessica.

Check out my thoughts in the CNN.com article, but in addition to that, here are some more:

1. I think it's very normal to admire and wish to have similar body parts of certain stars (I would kill, maim, and steal for The Situation's Abs) but when this takes the next step to wanting to look exactly like another person, that signals a potential major psychological problem.

2. Good for Kim that she would take time out of her day to help out a fan.

3. I hate how Twitter and texting are making people forget how to write (try 2 b??!!). I especially HATE that Pussycat Dolls' song, "Stick Wit U." Argh!

Thanks for reading.
Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Oksana Grigorieva - Plastic Surgery That Mel Hates

2010-07-25T20:32:00.003-04:00

I think Mel Gibson is an insane, racist psychopath. I'm pretty sure that most of you who've heard his rants on Radaronline.com agree with me. I used to be a fan of his, but now... yechh!

What plastic surgery do I think his ex Oksana Grigorieva has had? In one tape Mel mentions her "foreign bodies," referring to her breast implants. Looking at photos of her (some before-and-afters are on display on awfulplasticsurgery.com), I bet she's had cheek implants, a rhinoplasty, and lip enhancement, likely with a semi-permanent implant like Alloderm. Overall I think she looks pretty, but a bit plasticized. Each of the procedures appears to have been a tad overdone (nose is a bit too thin, cheeks a bit too plump, and lips a little puffy).

Lastly, I guess we shouldn't forget those veneers that Mel allegedly punched out. What a jerk!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Proof Paris Hilton Does Not Have Breast Implants

2010-07-23T14:23:00.004-04:00

There are always rumors going around that Paris Hilton has breast implants. If this photo isn't proof that she has natural A cups, then I should give up my day job and be a full-time writer of plastic surgery nonsense.

The funny caption from ayyyy.com:

The new Scrabble Body Board Paris Hilton edition is the perfect size for children! Coming soon: the Heidi Montag Bangin’ Bosoms Board for expert wordsmiths who need more real estate.

For more of my posts on Paris Hilton, click the following links: wonky eyelid surgery, plastic surgery is "sleazy"

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Botox in a Cream Form?

2010-07-21T12:14:00.003-04:00

Can Botox be applied as a cream? Yes, if the company Revance Therapeutics has its way. They are currently testing a cream form of botulinum toxin to the crow's feet. I've heard that initial results are promising, although the product appears to be at least 2 years away from potential FDA approval. There are a lot of questions surrounding this product, such as: Should patients be allowed to take it home? What other applications are there? How long will it last?

Here are my thoughts:
1. I would be concerned with patients taking it home and mistakenly applying the cream to potentially harmful areas. What would happen if a patient applied it with his finger to his crow's feet and then accidentally rubbed his eyelid? Would he get a droopy eyelid? Maybe. What if someone ingested it?
2. I think a huge application of this topical botulinum toxin is in sweat reduction. Could you imagine an antiperspirant stick with this product that lasts several months with each application and leaves no residue? I'd buy it!
3. It's currently being tested on the crow's feet, which has thin skin. Would it work in the forehead where the skin is thicker?

This product could definitely be a 'game changer' if and when it comes out. There are a lot of places I'd consider applying it 'off-label' for myself...

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Quick Links - Glee Star Gets Botox To Her Jawline? And More on Vampire Facelift

2010-07-19T21:01:00.005-04:00

Some quick links for you:

1. US Magazine.com is reporting that future Glee star Charise may be getting Botox injections to her jawline in order to make her face look less round. Her rep has denied it, claiming the Botox injections are for TMJ, a painful jaw disorder. Which is right?

I would bet on the former. I often inject Botox into the masseter muscle of the jaw to cause it to shrink down. This procedure is often performed on Asians, who traditionally have rounder faces and jaw muscle overgrowth. Click here for a photo of it from my website. As you can see, her face is quite round.

2. Salon.com has picked up the Vampire Facelift story and is reporting on it here, complete with some of my oh-so-interesting quotes.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Model with World's Largest Breasts Fighting Staph Infection

2010-07-17T15:39:00.005-04:00

Sheyla Hershey, the model with reportedly the largest breasts in the world, is fighting a staph infection of her breasts which could threaten her life. A year ago she travelled to Brazil to make her breasts a KKK in size, despite her being only 5'3" tall. She is now suffering a severe infection that not only threatens her breasts, but also her life. In addition to the 10 surgeries she's had on her breasts, she's also undergone liposuction and rhinoplasty, all by the age of 30.

This unfortunate story exhibits three truths:

1. The bigger the implants, the greater the risks.

2. Going abroad for plastic surgery can be risky.

3. Where your plastic surgery is performed can have a big impact on whether you develop an infection.

Hopefully she isn't suffering from MRSA, which is resistant to most antibiotics. Her story reminds me of one of my patients who underwent a bargain-basement breast augmentation in Miami, only to develop multiple staph infections resulting in devastating deformities. Local NBC covered her story, which can be seen here. After several surgeries with me, I'm proud to say, she now looks pretty darn good.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

The Vampire Facelift?

2010-07-15T21:35:00.002-04:00

Vampires and sucking blood have gone mainstream... even in plastic surgery. One of the newest procedures is called the Vampire Facelift. This is based off an FDA approved product called Selphyl, a kit which allows a plastic surgeon to draw a sample of a patient's blood, remove the platelets and fibrin from the blood, and reinject this Platelet-Rich Fibrin Matrix (PRFM) into the face. According to the company, the PRFM causes an increase in the thickness of collagen, filling in wrinkles and plumping up facial depressions. It's the newest type of facial filler, and the only one based entirely off a patient's own tissue. No foreign substances are injected into the face, unlike every other popular filler. Early reports give the Selphyl a longevity of 12 months or longer.

Unlike some of the other injectable fillers that have come and gone (Evolence, anyone?), Selphyl does bring something different to the table. Platelet-rich plasma is known to be filled with growth factors and even stem cells, and therefore it is theoretically possible that the Vampire Facelift can create new, younger skin, in addition to just filling in the wrinkles. While it may not make you immortal, it can make you look younger!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Woman Almost Dies When Eye Doctor Performs Breast Augmentation

2010-07-14T21:00:00.004-04:00

CBS Atlanta News is reporting that a woman almost bled to death during a breast augmentation performed by an opthalmologist (an eye doctor). According to their accounts, the woman was awake during the procedure and experienced her 'surgeon' calling 911 for help. Luckily, a real plastic surgeon was on staff at the ER and helped save her life. See the disturbing news report here.

I have documented in numerous posts the scary trend of immoral doctors masquerading as real plastic surgeons. Unfortunately, in most states there is no law against physicians performing whatever procedure they choose, whether they are properly trained to perform that procedure or not. Because hospitals will not allow these phony plastic surgeons to perform plastic surgery in their facilities, they bypass this by building OR's in their own offices. In fact, there is no law against me, a board-certified plastic surgeon, performing a cataract surgery on someone in my office, even though I have no training in it.

If you are considering plastic surgery, make sure your surgeon is certified by the American Board of Plastic Surgery. If he or she is not, then be very, very cautious. It's not enough for an eye doctor to have stayed at a Holiday Inn Express the night before your surgery.

To read a post about an alleged horrible laser liposuction result from an ER doc just down the street from me, click here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Dr. Youn on Rachael Ray Wednesday July 14th

2010-07-12T21:52:00.004-04:00

This Wednesday, July 14th, the Rachael Ray Show will be rerunning an episode I did with them called Plastic Surgery Breakthroughs, where I revealed four of the hottest new technologies in plastic surgery today. Check your local listings or the Rachael Ray Show website here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Danielle Staub - Example of Asymmetric Breasts

2010-07-11T22:32:00.002-04:00

According to a recent article in MSNBC.com, Real Housewives' Danielle Staub has revealed that she went under a plastic surgeon's knife to correct breast asymmetry caused by uneven breast implants.

Click here for the article, which includes my comments on 'lopsided' breasts.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Cindy Crawford on Botox, Plastic Surgery, and Weekly Sex?

2010-07-10T20:46:00.007-04:00

Supermodel Cindy Crawford has given a revealing interview reported in MonstersandCritics.com. Some highlights:

1. She admits to having tried Botox, and that she has gotten more accepting of the idea of plastic surgery as she has gotten older.

2. She states that she has cellulite (like 90% of women!)

3. She schedules once-a-week date nights with her husband where sex is a priority (although she admits to "dry spells.")

I hear that Cindy Crawford is a really nice, down-to-earth person. My brother met her a few times back in the 90's, and she was always really pleasant and friendly. She even sent him a signed calendar, which I coveted for years!

To view a segment I did for Fox News on treating cellulite, click here.

For more of the brief interview, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Bad News for Lindsay Lohan: Jail, Lawsuit Problems, Trout Pout

2010-07-08T22:28:00.005-04:00

Poor Lindsay Lohan. First she gets sentenced to three months in jail, then she suffers a setback to her $100 million E-Trade lawsuit. And to cap it all off, some plastic surgeon gave her a trout pout!

There is definitely too much filler in her upper lip, causing it to be larger than her lower lip and violating the natural 1:1.5 ratio (the lower lip should be 1.5 times the width of the upper lip). At least while she sits in the clink her upper lip will settle down, so hopefully by the time she walks free her lips will look normal once again.

Photo credit: NY Daily News

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Funny FatBooth App - See How You'd Look 100 Lbs Heavier

2010-07-06T21:38:00.004-04:00

There's an iPhone app for everything these days! The newest one is the FatBooth iPhone App that allows you to see how you'd look like if you doubled in size. Somehow Megan Fox still looks pretty good!

Check out some celebs made fat (like George Clooney) on the slideshow here. I'd buy this app if I had an iPhone, but I'm sure it's not available on my Blackberry Storm. Bummer.

If anyone picks this up and has a chance to put my photo in it, please send along and I may post it on this site! I'll probably look like Margaret Cho.

Story credit: Cosmetic-makeovers.com

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

12 Ridiculous Plastic Surgeries?

2010-07-04T15:55:00.002-04:00

The Daily Beast and the OC Register have interesting articles on 12 Crazy Plastic Surgeries. Are these really crazy? Are people doing them? Do I do them? Here we go!

1. Creation of dimples - This is being done, just not be me or most plastic surgeons.

2. Chin cleft surgery - same as #1. Michael Jackson reportedly had this done.

3. Abdominal etching (liposuctioning fat to make it look like a six-pack) - This is being done by a handful of surgeons. My concern is, will that six-pack turn into a party ball in 15 years?

4. Eyebrow and eyelash transplants - unusual procedure. The only doctor I know of who does this is my friend Dr. Alan Bauman in Florida.

5. Toe shortening - Is this really necessary? Only if someone has a foot fetish, I guess.

6. Cankle liposuction - I will rarely perform this procedure. It has a higher complication rate compared to liposuction of other areas, but can really help those with severe cankles.

7. Toddler teeth whitening - Anyone who does this to their kid should be visited by social services... or at least by Supernanny.

8. Collagen feet fillers - This is being done, especially before Red Carpet appearances, although Restylane is now the injection of choice. I spoke about it on the CBS Early Show. See a clip of it here.

9. Pubic hair transplants - Seriously?? Yuck!

10. Belly button surgery - Otherwise known as umbilical hernia repair. I do this all the time during tummy tucks. I turn an 'outie' into an 'innie.'

11. Iris implants - Sounds pretty ridiculous. Only about 250 people have undergone this procedure worldwide, as a way of giving a different eye color. I prefer colored contacts over taking a knife to my eyeball!

12. Gummy bear breast implants - These are not crazy or ridiculous at all, as they are being widely used in other countries. These firm, form-stable implants are not FDA-approved yet, and my inside sources tell me that it may be a long, long time before we are using them routinely. Click here to see a segment of the CBS Early Show where I discuss them.

With any of these procedures, make sure you consult a surgeon certified by the American Board of Plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Daryl Hannah: Plastic Surgery Patients Look Like "Muppets"

2010-07-02T23:01:00.005-04:00

In a recent interview with the Daily Mail, Daryl Hannah explained her thoughts on plastic surgery, denying that she's had any:

‘There are so many people in LA who have had cosmetic surgery and they all look like Muppets,’ she says, firmly. ‘There was a picture taken a while ago of me emerging from the ocean, with my hair slicked back and no make-up on. I looked as though I had puffy, squinty eyes and the rumour went round I’d had work done; I lost jobs because of it and I thought about suing, but in the States you have to prove malicious intent.
‘I’ve got a little jowly, and sometimes I look in the mirror and think, “Oh my God”, but I am too much of a coward to go under a surgeon’s knife for something that wasn’t life-saving.

I agree that some plastic surgery patients look like muppets (mostly due to the recent craze of overplumping lips and cheeks with filler injections), but Daryl, you looked like one too! In fact, you looked like Janice!

To see my previous post with photos of Daryl's possible plastic surgery makeover, click here.

Thanks for reading.

Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Susan Boyle - Plastic Surgery?

2010-06-30T21:51:00.003-04:00

Every time Susan Boyle returns to the spotlight people speculate whether she's had plastic surgery. She does look SO much better than when she first wowed audiences on Britain's Got Talent. But has she really had plastic surgery to look the way she now does?

Doubt it! Her aesthetician has done a very nice job waxing her previously out-of-control eyebrows, but other than that she's probably just had some nice primping and a fashion makeover. She looks like she just finished a segment of What Not To Wear.

How do I know she hasn't had any real plastic surgery? The one surgery that could really benefit her is a facelift. A few hours under the knife and that double chin would be history. It wouldn't make a lot of sense for a plastic surgeon to operate on anything else on her face.

Plastic surgery or not, she's an amazing singer. I wouldn't be caught dead buying her album (unless it was for my mom) but her voice can even make me get a little weepy (don't tell anyone!).

Photo credit: mirror.co.uk

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Why Are Teens Getting 'Toxed?

2010-06-29T15:19:00.005-04:00

There's an interesting article in MSNBC.com on the recent trend towards teenagers getting Botox. According to the American Society for Aesthetic Plastic Surgery (ASAPS), last year over 12,000 Botox or Dysport treatments were performed on people under the age of 18. One plastic surgeon quoted in the article claimed that 5-8% of his Botox patients are teenagers! What percentage of my Botox patients are 18 or under?

Zero!

I guess this would need to be taken on a case-by-case basis, but to date I've never seen a teenager whom I thought would benefit from Botox. The good thing is that Botox injections are temporary with relatively minor side effects or complications. I have no problem with other plastic surgeons performing the procedure. It's just that I choose not to do it. I feel much more strongly against certain surgeries in teens, however, like breast augmentation, which create permanent changes and have consequences that can last for life.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Jessica Alba Stops Chinese Woman From Lookalike Plastic Surgery

2010-06-27T20:19:00.004-04:00

Many news agencies are reporting that Jessica Alba has stepped in to prevent a Chinese woman from undergoing plastic surgery to transform herself into a Jessica Alba lookalike. The woman, known only as Xiaoqing, reportedly planned the extensive surgery after being dumped by her boyfriend, a Jessica Alba fan. After Shanghai surgeons offered to perform the surgery for free, Jessica stepped in, telling the fan, "I think you should never have to change yourself like that. If somebody loves you, they'll love you no matter what." After hearing Jessica's appeal, Xiaoqing changed her mind, stating, "I think it's great that Jessica is so concerned about me. Her words also played an important role in my decision."

Good for her!

I hate, hate, hate it when I see a woman in consultation who plans plastic surgery at the request/demand of a boyfriend or husband, and doesn't necessarily want it for herself. Occasionally I've seen the man point at and pick apart the woman's body as if he was Lorenzo Lamas in Are You Hot? More often than not it's some overweight, unkempt loser who points his chubby sausage-like finger at her hips and explains how they are too big. Uggh!

I just don't know why some women stay with men like that.

Click here to view a clip from VH1's Plastic Surgery Obsession, dealiing with topics like MTV's I Want a Famous Face show.

Story and photo credit: starpulse.com

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Kate Gosselin - Botox Brow?

2010-06-25T20:47:00.003-04:00

Whoa! What's happened to Kate Gosselin and why does she look like the older, evil sister of Heidi Montag?

She definitely appears to have had Botox injections into her forehead. Kate displays the classic "Botox brow," the over-arched eyebrows that can be created by Botox (or Dysport) injections giving the eyebrows a sinister look. This can be corrected by a few injections above her eyebrows to let them drop a bit, or just waiting a few months for the Botox effects to subside.

Or she could shave her eyebrows off and pencil them back on into a lower position.

I recommend she go with option "3."

To read the story and my comments in US Weekly.com, click here.

To view streaming video of a segment on Dysport (the Botox alternative) I did for Fox News, click here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Does Katy Perry Have Breast Implants?

2010-06-24T21:59:00.003-04:00

There's no question that the song of the summer is Katy Perry's California Girls. But, is there any doubt that Katy's California breasts are fake?

Actually, there is. I don't think that Katy Perry has breast implants. I heard an interview several months ago where she claimed her D cups were 100% natural, and after looking at photos and videos I would tend to agree. There's no evidence of the half-grapefruit look you see with Whitney Houston (see hers here) or Sharon Stone (see hers here). Now, if Katy's breasts are fake, then Katy should Kiss her plastic surgeon! (Damn! Not me.)

To view a breast augmentation I did for Fox News, click here.

Photo credit: prphotos.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Bridal Diapers... Seriously???

2010-06-22T16:04:00.002-04:00

This has nothing to do with plastic surgery, but is freaky enough to warrant mentioning. Marie Claire is reporting that there is a growing trend for Bridezillas to use bridal diapers in order to avoid having to remove their bridal gown to relieve themselves.

Really???

CelebritySmack.com did a search of bridal diapers and couldn't find a seller online. I suppose a pair of Depends would do the trick.

Wow. I'm glad my wife never considered this!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Jocelyn Wildenstein - Part I - Her Story

2010-06-21T21:39:00.003-04:00

Every once in a (long) while I reprise a popular post from the distant past.
This is the first post of three I wrote back in Feb 2007 on Jocelyn Wildenstein, the New York Society Lion Woman. While many of us recognize her face, not many of us really know her story. By understanding how she came to be, maybe we can better understand why she has made herself look the way she does. Divas the site.com has an excellent writeup of her personal story, which doesn't just trash her and her plastic surgery. Here is the Cliff Notes version:

Jocelyn grew up in a middle class family in Switzerland. There she became a skilled hunter and pilot. She eventually met and married billionaire art collector Alec Wildenstein. Marriage was difficult. Though Jocelyne tried as hard as she could, it was sometimes a thankless task to jolly her husband out of his somber moods. The only consolations, it seemed, were the lions in his private jungle and his priceless art collection. When Alec's eye began to wander after many years of marriage, Jocelyne grew jealous and believed that drastic measures were called for.

Pushing fifty and insecure about her looks, Jocelyne visited a renowned plastic surgeon. She wanted to revitalize her appearance in order to recapture the Alec she was so desperately in love with. The first surgeries were successful. This happy state of affairs lasted quite some time, and Jocelyne had the feeling that things were once again back on an even keel. So it was with both shock and sadness that she learned Alec wanted to sleep with other women. Not knowing what to do, a desperate Jocelyne formulated a plan that was so audacious in its daring that she may be forgiven for failing to see its drawbacks.

Jocelyne realized that Alec loved his jungle estate, and the cats that inhabited it, more than anything else in life. So armed with this information, she returned to her plastic surgeon with an unusual request: She wanted to be transformed into one of the giant Cats that Alec loved so much. Though surprised at this unorthodox request, the surgeon did his best to comply.

After countless surgeries - no one can say with certainty just how many - Jocelyne the Swiss beauty disappeared, and "The Queen Of The Jungle" took her place. Jocelyne's appearance was indeed striking. The first time Alec saw his new wife, it is said he screamed at the sudden appearance of this creature that confronted him. Naturally, Jocelyne was disappointed, and returned to her plastic surgeon for more work. It is rumored that several prospective patients ran screaming from the office, so concerned were they that they would end up looking like Jocelyne. As the reader may well imagine, this did nothing to improve the poor socalite's anxiety. However, Jocelyne persevered, and hasn't stopped to this day. When questioned as to the precise number and types of surgeries she's had, she merely replies with a smile "no more or less than any other woman".

Part II focuses on what I think she has had done. Click HERE for Part II of the Jocelyn Wildenstein series: What Plastic Surgery Has She Had? (Back from Feb 2007)

To view streaming video of a segment of Montel that I did on plastic surgery addiction, click here.

Photo credit: Divas the site.com, Photorazzi.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Do Eye Creams Really Work?

2010-06-20T20:54:00.003-04:00

The Beauty Brains Blog has an interesting post called "Do Eye Creams Really Work?" This blog looks at various cosmetics from a scientific and chemist's point of view. Check it out here.

Do I think eye creams work? Yes... to an extent. Here is how I describe the three major causes (and treatments) of dark undereye circles:

1. Cause: thinning of the undereye skin, making it transparent and allowing the blood vessels underneath to be seen. Treatment: eye creams that thicken the skin, making it appear less transparent and smoother (such as Obagi's Elastiderm).
2. Cause: excess pigmentation (mainly seen in people with darker skin, not usually a concern in Caucasians). Treatment: creams with skin lightening agents.
3. Cause: shadowing from puffy bags under the eyes. Treatment: lower blepharoplasty surgery, which removes the fat that causes the puffiness and hence, the shadowing. Click here for before-and-after blepharoplasty photos.

Removing undereye wrinkles is not an easy task. Unfortunately, there is no 'magic bullet' even when surgery is involved that can make a wrinkled, droopy, puffy lower eyelid look perfect afterwards. If you are considering a lower eyelid blepharoplasty, make sure to avoid bargain-basement cosmetic surgeons, otherwise you may end up with an ectropion. Click here for the gruesome image of it (don't say I didn't warn you!).

Photo credit: beautybrains

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

John Goodman - Major Weight Loss- Gastric Bypass or Lap Band Surgery?

2010-06-17T21:25:00.003-04:00

This photo from Celebrity Smack! shows a slim and trim John Goodman. It looks like he's lost a good fifty pounds or more. Could it be Weight Watchers? Jenny Craig? Gastric Bypass? Lap band surgery? Large volume liposuction?

I doubt he's had any liposuction, but it's definitely possible he's had bariatric surgery. Even the more invasive procedures (like gastric bypass) can now be done with smaller incisions and less risk than ten years ago. Unfortunately, even with over 95% of the stomach removed, some people can still eat through it and gain their weight back (see example of Carnie Wilson here).

I occasionally refer patients for gastric lap band surgery when they are too overweight for liposuction. It's always a difficult to tell a patient that she isn't a good candidate for plastic surgery because she's too big without hurting her feelings. It's always harder to say 'no' to a patient than 'yes!'

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Rand Paul, Board-Certified Or Not, And How This Relates To Plastic Surgery

2010-06-15T22:02:00.007-04:00

There is a very interesting article in the Huffington Post which focuses on doctor/politician Rand Paul and the fact that he is an opthalmologist who is not certified by the American Board of Opthalmology(ABO). Instead, he apparently helped start his own Board, the National Board of Opthalmology (NBO), due to his rejection of certain older doctors being 'grandfathered in' to the ABO and not being required to take recertification exams like all the younger doctors. Unlike the ABO, the NBO is not recognized as a member of the American Board of Medical Specialties (ABMS), the governing organization that acts as the gold standard for board-certification. Read the article here, and then my thoughts and opinions follow below.

1. I also disagree with several boards' policies of not requiring older doctors to take recertifying exams. Older doctors, who are farther away from their residency training, should prove their skills and knowledge base like the younger doctors do, otherwise risk losing board-certification.

2. The American Board of Medical Specialties is truly the gold standard for board-certification. The major specialty boards are all in there: Pediatrics, Internal Medicine, Surgery, Obstetrics and Gynecology, and yes, Plastic Surgery. Other boards just do not carry the same weight as the ones in the ABMS, and that includes all the phony cosmetic-type boards out there. Anyone can start their own board, even Rand Paul! (Note: Osteopaths (D.O.'s) have their own Boards, which are completely separate)

3. Some doctors are fine physicians who receive the appropriate training, just don't take or pass their board exams. This doesn't necessarily make them bad doctors, but doctors with an asterisk*.

On a lighter note, ever wondered which politician I believe needs plastic surgery the most? Click here to find out!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.

Joan Rivers - A Piece of (Plastic Surgery) Work

2010-06-13T21:53:00.003-04:00

Joan Rivers has released a new documentary on her life, titled A Piece of Work. It has garnered rave reviews from every media outlet I've read, including Entertainment Weekly, The New York Times, and even Howard Stern. I've not seen it yet, but everything I hear is really good. Regarding her plastic surgery, though, she's a bit matter-of-fact.

"When I went into doing this film I thought, 'God, if I can just crack why she got all the plastic surgery.' That was the fascination I had," said co-director Stern. "But she's so matter of fact about it that it's almost boring. The answer is, 'I feel I look better with the surgery. I feel I look good at 77. If it makes you feel good, do it.'" (from the LA Times)

I'm not a huge Joan Rivers fan, but I admire the fact that at 77, she remains a completely relevant figure in entertainment. While countless others have come and gone, Joan is still plugging away. She was also kind enough to utilize me as a contributor to her plastic surgery-related book, Men Are Stupid...And They Like Big Boobs. While her plastic surgery is definitely overdone, who cares? She's doing great!

For more of Joan's comments on plastic surgery, click here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Cher and Plastic Surgery

2010-06-11T15:42:00.006-04:00

What plastic surgery has Cher had? Why does it look like she's wearing a Mask?

While Cher has reportedly admitted to some plastic surgery, including a rhinoplasty and laser treatments (source), I believe she's spent a lot more time under the plastic surgeon's knife than she lets on. I doubt the urban legend that she's had a rib removed to thin her torso, but what about the following cosmetic procedures:

1. Facelift - Her jawline is tighter than any 64 year old woman naturally should have.
2. Browlift - Her eyebrows are higher than when she was younger.
3. Botox injections - Hence the smoothness of her forehead and crow's feet
4. Lower blepharoplasty - At 37 I have larger bags under my eyes than she does at 64.
5. Upper blepharoplasty - Note the hollowing of her upper eyelids and the lack of an ounce of extra skin. Not natural.
6. Rhinoplasty - Maybe more than one, although it looks great.
7. Fat grafting - Her face looks almost as plump and soft as when she was in her 20's.
8. Filler injections like Restylane - Her smile lines are soft, too soft for a 64 year old.
9. Chemical peels or laser treatments - Her skin is waxy smooth!

If she could turn back time? I think she did! But I hope she stops while she's still ahead!

Click here to watch a segment of E!'s Celebrity Plastic Surgery: the Good, the Bags, and the Ugly.
Photo credit: prphotos.com

Thanks for reading.

Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Sarah Palin - Breast Implants?

2010-06-09T21:35:00.005-04:00

What's the difference between a pit bull and a hockey mom? Breast implants.

Many people are all a-twitter about Sarah Palin showing up to the Belmont Stakes in a white shirt with an ample bosom. This is in stark contrast to previous photos that show her with a smaller chest. Has she had a breast augmentation?

I really doubt it. I've seen countless women who've fooled even me with their padded bras making A's look like C's. With her schedule and the scrutiny placed on her, there is just no way she could have a breast augmentation without word getting out. Many of her detractors would salivate at the thought that she may have gone under a plastic surgeon's knife.

Almost as much as Barack's critics hoped that he actually starred in that porn video featuring his doppelganger. That is, until I quashed the rumors with my expert analysis. (click here for my post: I Saved Barack Obama's Candidacy!)

Photo credit: huffingtonpost.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

Extreme Dr. 90210

2010-06-07T21:23:00.003-04:00

If you get a chance, check out the new Extreme Dr. 90210 special airing at selected times on E!. This is not a continuation of the previous Dr. 90210 series, but a one hour special following three women who undergo 'extreme' plastic surgeries. It also marks the return of Dr. Robert Rey, who begins his quest to open a plastic surgery clinic in Honduras, of all places!

I found the results of the eyelid reconstruction amazing, and the antics of Dr. Rey especially entertaining. That guy cracks me up! If you TiVo it, I all but guarantee you will not be disappointed.

And no, I do not make my return to Dr. 90210 on this special. I've not been involved with the program since 2004! Hopefully someday soon...

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.

See How You Might Look in 20 Years

2010-06-05T20:23:00.007-04:00

If you want to be depressed, check out in20years.com where you can upload a photo of yourself and see what you might look like in 20 years. I hope I don't look like that when I am 57!

From a plastic surgeon/aging expert's perspective... that actually looks pretty realistic. As depressing as that may be!

Thanks to Cosmetic-Makeovers.com for the link!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

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Man Nips??

2010-06-03T21:13:00.004-04:00

This is a very disturbing photo from Dlisted.com. As you can see, this poor chap has enlarged nipples, or Man Nips. How would I treat him?

First off, I would ask him to shave off that Jack Shepard off-the-wagon beard. Then, as far as the nipples, we have two options. Some plastic surgeons would just lop them off at the mid-point, and allow the tip of the nipple to slowly heal in (ouch!). Another option would be to cut out a donut of skin from around the base of the nipple, causing the nipple to resemble a mushroom. Then I would stitch the end of the nipple (head of the mushroom) down to the base of the nipple to shorten it.

However he decides to have it done, this guy needs some professional help!

Madonna To Undergo $200,000 Worth of Plastic Surgery?

2010-06-01T21:21:00.006-04:00

Is the Material Girl planning to transform herself into plastic? According to Showbizspy.com:

“Madonna has been feeling her age since her divorce from Guy Ritchie in 2008,” a source told Britain’s Daily Star newspaper.
“She’s been dating the model Jesus Luz who is a lot younger than her and she wants to keep looking her best...Her friends have recommended things to have done and she’s considering them as a little treat for turning 52 in August... She wants things to look natural with nothing too radical... She’s still working out seven days a week and because she’s so skinny she feels her cleavage has gone. So her friends think she should go up one size and get them lifted...She’s got some spider veins on her legs that have come with age so she’s planning to get those sorted first and then will spend the next year overhauling herself completely.”

So what do you think Madonna can have that would add up to $200,000? Let's fancy a guess:

1. Revision Facelift: $10,000

2. Facial Fat Grafting: $5000

3. Fractional Laser Treatments: $4000

4. Breast implant revision: $10,000

5. Body skin tightening treatments, such as the Cutera Titan: $4000

6. Spider vein treatments: $2000

7. Botox: $500

8. Filler injections like Perlane: $1000

Wow. We're only at $36,000. What else can she possibly consider? Now we get into the weird and completely unnecessary stuff: 9. Endoscopic browlift: $8000. 10. Revision blepharoplasty: $5000. 11. Laser liposuction to sweat glands of the armpits: $5000. 12. Hand plumping injections: $4000. 13. Batwing reduction: $10,000. 14. Mini tummy tuck: $7000. 15. Designer laser vaginoplasty (yes, some docs actually call it that!): $7000? (My wild guess). 16. Fat injections to buttocks: $10,000. 17. Full body laser hair removal: $8000.

All of this only adds up to $100,000. To get to $200,000, I guess we'll have to add some really crazy things like: 18: Rib removal to thin the torso: $20,000. 19. Leg breaking and lengthening to add an inch of height (we get shorter as we age, you know): $30,000. 20. Second Toe Shortening: $10,000. And a few minor ones: 21. Restylane injections to the feet to help with high heels (check out my CBS Early Show clip on this) $2000. 22. Earlobe shortening: $1000. 23. Injections of her own plasma to her face: $4000. and finally the most bizarre: 24. Creation of wings: $33,000+. TOTAL: $200,000.

Photo credit: cityrag.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Get Your Body Beach Ready - Dr. Youn on the CBS Early Show

2010-05-31T15:35:00.002-04:00

Here is a recent segment I did on the CBS Early Show where I demonstrated four interesting ways to get your body ready for bathing suit season. Two of these are take-home devices that really do seem to work! You can order the Wellbox and Silk'N online. And no, I do not get any payment from either of these companies. (although it would be nice if I did...)

Thanks to the CBS Early Show for inviting me to be on the program once again!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Zeltiq - Noninvasive Fat Loss - Too Good To Be True? No...

2010-05-28T22:07:00.005-04:00

One of the hottest things in plastic surgery today, and what I consider the Holy Grail of plastic surgery, is Noninvasive Fat Loss. One of the latest to claim this is Zeltiq. This is a device which is FDA approved in the U.S. for other purposes, but many physicians are using it 'off-label' to remove fat without needles or surgery. How does it work?

Zeltiq chills the surface temperature of the skin, causing the fat below it to become irreversibly damaged. The body's natural clearing mechanisms then get rid of the fat over time, creating actual inch loss. According to an introductory study:

- Subjects were comfortable during the procedure and did not require pain medication.
- Cryolipolysis results in a visible contour change in a majority of subjects.
- 100% of a subset of ultrasound-evaluated subjects demonstrated a measurable reduction; the average for the group was 22.4% fat layer reduction 4 months post-procedure.
- Noticeable cosmetic efficacy was more consistently observed in properly selected subjects.
- 27 of 28 (96%) properly selected subjects (discrete fat bulges) had discernable efficacy.

Do I think this works?
Actually, yes. We've seen in certain types of reconstructive surgery (such as pressure sores) that the skin is much more resistant to damage than the underlying fat. Therefore, it makes sense that the chilling can destroy the fat but leave the skin viable. The before and after photos I've seen, however, have not been very impressive. 22.4% fat loss is pretty modest compared to what can be achieved with liposuction. For now, I consider it a modality with promise but limited effectiveness. It may be helpful for people who are not good candidates for liposuction.

For more on Zeltiq, click here for their website.

Thanks for reading.

Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Kim Kardashian Admits to Botox? Ho hum...

2010-05-26T22:22:00.002-04:00

Kim Kardashian has admitted to Botox and... nothing else. In a recent interview she has denied having her nose or breasts operated on. Her mom Kris also denied having a rhinoplasty, which, from what I remember about how she looks, seems untruthful to me.

Did any of you see Kim getting Velashape on her reality show to smooth her cellulite? Yes, she does have cellulite like 90% of women (and a few guys... check out Howard Stern's Fartman photos).

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

"In Stitches" - Dr. Youn's Memoir Hitting Shelves in April 2011!

2010-05-24T21:47:00.004-04:00

I'd like to announce that I've signed a contract with Gallery Books (A Division of Simon & Schuster) to write my medical school memoir, In Stitches. From Publisher's Weekly:

Kara Cesare at Gallery Books took world rights, at auction, to Dr. Anthony Youn's memoir, In Stitches. Youn, currently a world-renowned plastic surgeon, is writing with Alan Eisenstock and recounts his experiences growing up the sole Korean-American in a small Michigan town. Agent Wendy Sherman brokered the deal, and Gallery is planning a summer 2011 publication.

I'm really excited about my book coming out, as it's been over five years in the making. Thanks to Kara Cesare, Wendy Sherman, and Alan Eisenstock for making this dream come true. It's a funny, yet touching coming-of-age story of how a young Asian-American kid with big glasses and a huge jaw became a nationally-recognized plastic surgeon. (There's much more to the story, but this is all I can reveal right now)

You'll all be hearing more about this over the coming months!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

Nicole Kidman Has New Breast Implants?

2010-05-22T20:55:00.005-04:00

Two questions today:

1. Q: Has Nicole Kidman undergone a breast augmentation?

A: It appears that way. These photos from NYDailyNews.com reveal what appears to be new breast implants. It would be very unusual for a woman as thin as she is to have breasts as full and round as those are. I haven't seen her with obvious implants before, so she may be recently postop.

2. Q: Why do they look so round? Is it the plastic surgeon's fault?

A: Maybe. It can be quite difficult, even with today's silicone gel implants, to create a really natural look in someone who has so little body fat, especially after she's had children and the breast tissue has thinned. Now, a plastic surgeon can make matters worse (less natural-looking) by placing an implant that is overly round or doesn't fit the person's dimensions. Excess scar tissue (capsular contracture) can make the breasts look rounder and less natural, too.

Nicole has denied having plastic surgery in the past. I wonder if her denials will continue?

To view streaming video of a segment I did with the CBS Early Show on the newest breast implants, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

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Sharon Stone and Lip Injections

2010-05-20T22:23:00.003-04:00

Sharon Stone has revealed that she's had her lips augmented by a plastic surgeon in the past...and didn't like it. According to CNN.com:

“Nobody loves me. I’m 103. My life would be better if I had better lips,” she said in the interview. She had something - the name of which she can’t quite remember - pumped into her bottom lip.
How did she feel about it?
Well to be frank, like asking, “What the hell?" Stone added that her lips became so plump they didn't match, and even lip gloss wouldn’t stay on. She said she looked “like a trout,” and promised never to get plastic surgery again.

I wonder if she decided this before or after having a breast augmentation? Click here for my previous post showing a photo which may reveal her breast implants.

It's easy for celebs to reveal they've had minor cosmetic injections and didn't like them. What about admitting they've had major surgery and liked the results?

Photo credit: prphotos.com

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

How Today's Stars Will Age - My New MSNBC Slideshow

2010-05-18T22:16:00.003-04:00

Do you want to know how today's stars will age? Have you tried to figure out which parts of the face age certain stars or keep them looking young? Are you wondering why my recent blog posts have stunk?

It's because I've been busy writing my new celebrity slideshow on MSNBC.com. It's called "How Today's Stars Will Age." You can find it here. Since obtaining my book deal (more on this later), I'm feeling more and more comfortable letting my personality come out in my writing. I hope you enjoy it as much as I did writing it. (My favorite one is the Britney Spears write-up)

Thanks to MSNBC.com and Linda Dahlstrom

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Danielle DeLorenzo of Survivor

2010-05-17T21:40:00.004-04:00

I'm currently addicted to two prime time TV shows: LOST and Survivor. As a plastic surgeon, one thing that is always interesting on Survivor is figuring out which of the women have breast implants. It's usually pretty obvious. As they starve and get thinner and thinner, their breasts stay big and round. One good example is Danielle DeLorenzo, a "Villian" who played a prominent role this season. To me, her breast implants were obvious, and even exhibited some visible rippling. If I had to guess:

34 D
Mentor Smooth Round Saline, 375 cc implants filled to 425 cc.

Just a guess. I was rooting for Parvati to win.

Click here to view streaming video of a local news segment I did on breast augmentation.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Some quick links

2010-05-14T23:00:00.005-04:00

Here are links to a couple interesting articles about plastic surgery:

1. Are more and more men having plastic surgery as a way to keep competitive in the workplace? 'Fraid So! Click here for the article from Lan Nguyen at AOL Walletpop.

2. Has Botox Jumped the Shark? I don't think so! Click here for the article from Lan Nguyen at AOL Walletpop.
3. How Do You Get Your Body Red Carpet Ready? Check out a video of my recent appearance on the CBS Early Show by clicking here. If you look closely you may see me striking a rather strange pose right at the end. Now I know what NOT to do on TV!

Thanks for reading.
Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

Victoria's Secret Models Prefer Chest Hair and No Plastic Surgery

2010-05-13T20:23:00.002-04:00

In a recent interview, supermodel Miranda Kerr admitted that she liked men who "let the hair grow in." She is also against her men having any plastic surgery. Hmmm.... they like a hairy man with no work done? No wonder I've never had supermodels interested in me.

Link

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

Dr. Youn on Rachael Ray This Thursday, May 13!

2010-05-11T21:22:00.003-04:00

For those of you who are interested, I'll be returning to the Rachael Ray Show this Thursday, May 13th to present ways to get your body ready for summer. Check out the teaser streaming online here!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

Will Cate Blanchett's Husband Divorce Her If She Gets Plastic Surgery?

2010-05-11T21:12:00.002-04:00

According to opposingviews.com, Cate Blanchett has stated that her husband will divorce her if she gets plastic surgery:

“I haven’t had anything done, but who knows,” she said. “Andrew said he’d divorce me if I did anything. When you’ve had children, your body changes; there’s history to it… I think it’s important not to eradicate it...I look at someone’s face and I see the work before I see the person. I personally don’t think people look better when they do it; they just look different.”

It's easy for a person to say this when she's 5'8" and weighs a buck ten. I wonder if she'd feel the same if she developed a potbelly and breasts that drooped to her waist after having children? And does anybody believe her husband would truly divorce her if she had plastic surgery? If so, then he's a piece of s---!

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

Americas Newsroom G Shot.mp4

2010-05-10T20:59:00.000-04:00

My YouTube page is up and running for those of you who are interested in seeing some plastic surgery-related videos. Click here for my page. Enjoy! The video above is from my segment with Megyn Kelly of Fox News on the G Shot.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

Heidi Montag - Wants Bigger Implants? BDD? And Crying Botox Face!

2010-05-09T20:27:00.006-04:00

Sorry, but another post on annoying Heidi Montag. Star Magazine is reporting that Heidi is now regretting the surgery she had.

In this week's issue of Star, we reveal Heidi's regrets about getting DDD breast implants and having her chin shaved down. "And she's telling friends, 'I made a mistake!'," a family
friend tells Star. Swollen and wracked with pain, Heidi's dream body feels more like a prison. "She cries every night," a source says. "She's a wreck over what she's done to herself."

This is in stark contrast to other reports stating that she was so upset that Ryan Seacrest said her breasts weren't that big that she now plans to go to Europe to make them bigger! Is it actually against the law for her to have bigger implants?

No. It's not against the law in the U.S. for her to have larger implants, contrary to published reports. The two major breast implant companies make implants up to 800 cc, and her implants are reportedly 700 cc. Therefore, if she wants her breasts to be larger she has three options: (1) Convince one of the implant companies to custom-make one for her, (2) Go to another country where their manufacturer may make an implant larger than 800 cc, or (3) Convince some whacko surgeon to stack her implants. This is when the surgeon places more than one implant into each breast. Instead of doing any of those three, I would recommend that she dump that tool Spencer and consult a psychiatrist.

I believe Heidi has Body Dysmorphic Disorder (BDD). Check out this article on AOL's Popeater for my comments and the opinions of several psychiatrists. Click here.

Finally, if you've ever wondered what someone who's had her face over-Botoxed looks like when she's crying, the photo is it!

Thanks for reading.
Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

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Looking for NYC volunteer for TV segment

2010-05-08T09:08:00.003-04:00

A national news program is looking for volunteers (male and female) to take part in a segment on new non-invasive beauty treatments to film next Saturday, May 15th. They will send a car to pick you up and bring you back home Saturday morning. If you live in the New York City area, would like to see how a national news program runs, and would like 3 minutes of fame, please email me at miplasticsurgeon@yahoo.com. You must be willing to reveal your back or your (covered) bottom on air.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Has Megan Fox Had Her Lips Plumped?

2010-05-06T21:22:00.005-04:00

These photos from starmagazine.com appear to show that Megan Fox has "Transformed" her lips into two sausages! She's likely had them injected within a few hours to days before the photo to the right was taken. While they look puffy now, they should settle down nicely... unless she used something insane like liquid silicone. Then she's screwed.

You can read my analysis for Star Magazine here or, better yet, buy this week's issue!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Dr. 90210 on Heidi Montag

2010-05-04T22:36:00.003-04:00

Dr. 90210 (Dr. Robert Rey)has commented on Heidi Montag's recent surgery. You can read his thoughts here and here.

For what it's worth, I agree with him.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Dr. Sanjiv Kayastha - Albany Plastic Surgeon

2010-05-03T21:36:00.003-04:00

Since I have readers from every state (and even many other countries), every so often I try to recommend a plastic surgeon from another region whom I can vouch for. For those of you in the Albany, New York area, I give my highest recommendation to Dr. Sanjiv Kayastha. I did most of my residency training with Dr. Kayastha, and if I can describe him in one word it would be integrity. He is a thorough, meticulous, honest, and talented plastic surgeon who performs the entire spectrum of plastic surgery, including hand surgery, cosmetic surgery, and reconstructive surgery. He may not be me (ha ha), but he is a damn fine surgeon.

Visit his website at www.kplasticsurgery.com.

Let him know I sent you!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Alexa Ray Joel - Rhinoplasty

2010-05-01T01:02:00.004-04:00

Alexa Ray Joel, daughter of Billy Joel and Christie Brinkley, has admitted to People magazine that she's had a rhinoplasty (nose job). According to the New York Daily News,

"I was thinking about getting this for years," the 24-year-old singer told People magazine. "[It's] always bothered me a little bit. I was self-conscious of pictures taken from the side." She said she underwent rhinoplasty earlier this month.

The only photos I've seen are from the front, not the side. From the front she looks a bit straighter, but otherwise the same. It sounds like she had a bump on her nose that she wanted removed, one of my favorite things to do.

Her father is one of my favorite singers. Piano Man, Scenes from an Italian Restaurant, River of Dreams, Rosalinda's Eyes, Vienna, Say Goodbye to Hollywood, etc. etc. He rocks. Awesome concert performer too. I would give my left leg for a private concert with Billy.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Lady Gaga - Poker Face or Plastic Surgery Face?

2010-04-28T23:37:00.005-04:00

Rumors have been circulating recently that Lady Gaga is considering plastic surgery. A source has been quoted as saying:

"She's desperately unhappy but keeps talking about having thousands of dollars worth of plastic surgery. She really thinks that could fix everything."

This has led to a slew of blogs claiming that Ms. Gaga is planning to go under the plastic surgeon's knife. Not so, says someone in the know:

A spokesperson for the Poker Face star told the news provider he was "categorically denying" the reports, describing them as "ridiculous and untrue".

So, we've established that she is not planning plastic surgery now, but has she had it in the past? A rhinoplasty perhaps? My Magic Eight Ball Says: Signs Point To Yes.

I really like her music. Let's Dance is great, as is Poker Face and that GAGARARARA Bad Romance song. Her videos are really strange though...yet I can't not watch them when they are on.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.:

ASAPS Annual Meeting 2010

2010-04-26T22:44:00.002-04:00

I just returned from the annual meeting for the American Society for Aesthetic Plastic Surgery in Washington, D.C. It was an excellent meeting, attended by a "who's who" in aesthetic plastic surgery. Some interesting topics covered in the first few days:
1. Biofilms as a cause of capsular contracture - the bane of my existence as a breast augmentation surgeon is capsular contracture, or excess scar tissue that can build up around a breast implant. This can make the breast look round, hard, and painful. One potential cause is biofilm, or a coating of bacteria that can cover an implant. Techniques to limit biofilms were addressed, including the interesting Keller Funnel. If there is any way to reduce the amount of capsular contracture, I'm all for it.
2. Acellular Dermal Matrices (ADM) in breast revision surgery - We are now using several different types of radiated skin (from cadavers, pigs, etc.) as a way to prevent breast implants from bottoming out, moving into the armpit, or creating a una-boob (symmastia). My good friend Dr. Brad Bengtson gave two great talks on using these ADM's for preventing capsular contracture.
3. Laser Liposuction - Does laser liposuction really tighten the skin? Depends on who you talk to. There really wasn't a consensus on whether it visibly tightens skin, but there was a consensus on the need for more scientific studies to see if it does.
4. Lipodissolve injections actually work? One study sponsored by ASAPS/ASERF appeared to show a visible decrease in the thickness of fat in people injected with substances typically used for lipodissolve. There were no major adverse events, although the changes were subtle and the treatments did entail dozens of injections over several weeks/months. Another study didn't show any significant changes in their patients. So the jury is still out on that one.
5. I did a small talk on the eMatrix for International Hot Topics in Plastic Surgery. This is one of the newest fractional skin treatments I demo'd on the Rachael Ray Show.

There were more great topics than I can cover in a blog post. The meeting is actually still going on! I left early because I missed my family and have surgery to do tomorrow. It's always nice to sleep in my own bed next to my beautiful wife!

Thanks to everyone on the ASAPS meeting planning team for putting on a great meeting.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Spanish Plastic Surgeons Perform First Full Face Transplant

2010-04-25T07:25:00.004-04:00

Plastic surgeons in Spain have recently performed the first full face transplant on a farmer who had most of his face destroyed by a gunshot wound. The surgery took 22 hours and employed a team of over 30 doctors, nurses, and technicians.

According to an article:

The technique involved removing what was left of the man's face and giving him a replacement "in one piece." By the means of plastic reconstructive surgery and microsurgery of blood vessels.
, the doctors transplanted the entire face apart from the tongue and eyeballs onto the man.
The unnamed farmer now boasts of a brand new face from his hairline down. The only one scar he has runs across his neck, which looks like a wrinkle.
"The operation was carried out by a multidisciplinary team led by Dr Joan Pere Barret, performing the transplant of the entire facial skin and muscles, nose, lips, maxilla, palate, all teeth, cheekbones, and the mandible by means of plastic surgery and micro-neurovascular reconstructive surgery techniques."
Experts took care to ensure that the patient's new face resembled the one he had before the accident and did not have any likeness to that of the anonymous donor.
According to Barret, his new face will be reminiscent of both.

Amazing stuff. It's stories like this that make me proud to be a plastic surgeon. I am humbled by the skill of plastic surgeons like Dr. Barret and all of the surgeons who have contributed to the advancement of our specialty, both reconstructive and cosmetic.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

The King of Kong is a...Plastic Surgeon???

2010-04-23T18:22:00.006-04:00

Funny story from amednews: The newest King of Donkey Kong is a plastic surgeon! Dr. Hank Chien, a plastic surgeon from New York, scored over 1 million points in 2.5 hours on Feb 27th. According to the article:

In September 2008, about a year after watching the documentary, Dr. Chien sought out an arcade that carried the game. He said he figured his skills in the operating room could translate to a video game environment, and he believed he could master Donkey Kong...
A clinical study published in the February 2007 Archives of Surgery found a direct correlation between gaming and proficiency in laparoscopic surgery. Researchers said surgeons who played video games at least three hours a week in their past were 27% faster than were nongamers and had 37% fewer errors...
On the fateful morning of Feb. 26, Dr. Chien woke up to find New York City buried in several inches of snow. His office called to say his surgeries had been canceled...
He completed his game in the early hours of Feb. 27. Dr. Chien announced his victory on Facebook and was surprised at the number of people who were still awake and read his message. The flood of e-mails and calls started coming, and his life as an international celebrity in the gaming world began...
Dr. Chien's life once consisted of plastic surgery during the day and Donkey Kong at night. Now his spare time is eaten up with interviews and autographs.

I have heard of surgeons buying video games and writing them off on their taxes. I'd like to poke fun at Dr. Chien for spending so much time playing a video game, but then again, who am I to talk? I spend time writing a blog on celebrity plastic surgery.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Did Haylie Duff Have a Breast Augmentation?

2010-04-22T22:28:00.006-04:00

The latest issue of Star Magazine (and this photo from Hollywoodtuna.com) shows what appears to be a dramatic size increase in Haylie Duff's breasts. They look like they're about to explode out of her shirt. Has she had a recent breast augmentation or did she stuff two grapefruits into her bra?

I would bet on the breast augmentation. Give her some time and they should settle down nicely, unless she went to Europe and got the 'gummy bear' implants. Then she may be stuck with what she has.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Sharon Osbourne's Breast Implants Destined To Be Ozzy's Paperweights??

2010-04-20T22:40:00.002-04:00

In a recent interview on the Today show, Sharon Osbourne stated that she plans to have her breast implants removed this summer and then plans to give them to her husband Ozzy to use as paperweights! According to nydailynews.com:

"They're better on his desk than on my chest," she said. "They're awful!"

Even for a plastic surgeon who does this surgery nearly every day, I find that pretty gross. I once removed breast implants from a patient who asked me if she could take the explanted implants home with her. When I asked her why, she replied that she planned to mail them to her ex-husband!

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Kate Hudson Had A Breast Augmentation?

2010-04-18T20:06:00.003-04:00

There are reports that Kate Hudson has had a conservative breast augmentation. Recent photos show her with larger breasts (likely going from a AA to a nice B). This is in contrast to her previous comments at the 2002 Golden Globes: "I have small breasts, obviously... It's nice to be able to wear a plunging neckline and have it be elegant."

It looks like her surgon did a nice job. The surgery was probably performed at least a month ago since she doesn't appear to have much swelling. This is in stark contrast to Heidi Montag who looks like she could float all the way to Sri Lanka.

I wish she would.

Photo credit: usmagazine.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Is Heidi Montag Trying To Become a Human Barbie?

2010-04-16T15:52:00.001-04:00

How do Heidi Montag and Barbie's measurements compare? Is Heidi trying to become a real life Barbie doll? Check out lemondrop.com to find out.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Blog Reader's Experience with Juvederm Ultra

2010-04-14T09:06:00.002-04:00

One of our faithful blog readers, Rosina from Middle Ageless, has posted a photo essay on her recent experience with Juvederm Ultra injections into her cheeks and nasolabial folds (groove extending from the side of the nose to the corner of the mouth). You can see her nice improvement here. She has a fairly typical result from a conservative amount of filler injected. I wonder how many vials were used? Most people with fairly prominent nasolabial folds need at least 2 vials to get optimal results.

If you haven't checked out her Middle Ageless blog, make sure to visit. It has a great combination of beauty, plastic surgery, and fashion secrets. You can check it out here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

National Television Show Looking For Plastic Surgery Enthusiasts Age 18-28

2010-04-13T15:34:00.003-04:00

A national television program has asked me to help them locate anyone age 18-28 who is obsessed with plastic surgery and has multiple procedures at this young age. They produce a docu-style program which explores the double-life that some people lead. According to the producers:

We will treat your story with the utmost sensitivity, compassion, dignity and respect... We want to explore how you cope and how you untangle the web of your double life. With the help of a qualified, highly-credentialed, on-camera therapist, our hope is for you to jump start a dialogue about the issues you confront on a daily basis. Family members or friends may take part in your transformation.

If you are interested in sharing your story and you fit the above description, email me at miplasticsurgeon@yahoo.com and I will forward your info along to the producers.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Demi Moore Comes Clean About Plastic Surgery... Kind Of

2010-04-11T16:26:00.004-04:00

In an interview with Elle Magazine, Demi Moore has finally confirmed the rumors that she's had plastic surgery. The 47 year old actress stated that she had work done, but only to her body. She also admitted to body image issues, and would not rule out more plastic surgery in the future. According to nydailynews.com:

"I've had something done but it's not my face," says the mother of three... However, Moore did reveal that she wouldn't be opposed to having plastic surgery in the future.
"You know what? Maybe one day I'll go under the knife," she admits. "It just irritates me that people are constantly saying how much I've spent on plastic surgery."

"I had an extreme obsession with my body," she says. "I made it a measure of my own value. I tried to dominate it, which I did, and I changed it multiple times over."

It's nice to hear her finally revealing that her body is not 100% plastic surgery-free. I never believed the audacious rumors that she'd had $3 million worth of plastic surgery, nor did I believe her frequent denials of going under the knife. I wish that the reporter from Elle would have asked her why she felt it necessary to deny having plastic surgery for all those years. Good for you to finally embrace it, Demi! Now admit to having work done on your face and we'll all be happy!

For my previous posts on Demi Moore and her plastic surgery denials, click here.
Photo credit: prphotos.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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Heidi Montag Had Her Back Scooped?

2010-04-09T22:18:00.003-04:00

I've been asked by several media outlets what Heidi Montag meant by having her 'back scooped.' While the media outlets are swirling around what type of unusual new plastic surgery this might be, I have a pretty disappointing but accurate definition: liposuction of the back of her hips.

This area, also known as the love handle, can be very effectively liposuctioned, creating a 'scoop' or concave effect. It's one of my favorite areas to liposuction since it can create such a nice contour that most women (and men) really like. Plus, the risk of unevenness in this area is pretty low, especially compared to the abdomen, which can get lumpy very quickly (just ask Tara Reid).

Yes, I scoop backs all the time. Sorry, Heidi, you're not special in this regard.

For a great MSNBC article on "back scooping", click here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

FDA Warns Spas Against Fat-Melting Claims of Lipodissolve

2010-04-08T22:23:00.002-04:00

Is Lipodissolve or mesotherapy safe? The FDA has recently issued a warning to six medical spas for making false or misleading statements that their fat melting injections are safe and effective, despite the fact that they've never been appropriately studied or approved by the FDA for this purpose. According to the US News and World Report:

Lipodissolve involves injecting small amounts of soy lecithin and bile salt directly into problem areas on the hips, waist, thighs, and buttocks, which supposedly melts away fat. The injections became wildly popular three years ago with spas opening up around the country and with doctors in every specialty—from pediatricians to dermatologists —taking weekend seminars to learn the procedure before opening fat-dissolving clinics.

Fat melting injections became popular a few years ago, but have since lost a lot of their hype. To date, no wide-scale scientific study has validated its safety or effectiveness, although some smaller case studies have shown some effectiveness with the injection of certain drugs to melt fat. The problem is that the majority of physicians who perform these fat-melting injections have the drugs made in a compounding pharmacy to whatever concoction they believe might work. There is no standardization, like in most other medications we take. In my area (metro Detroit) I don't know of a single reputable plastic surgeon who performs these treatments. Most of the doctors who perform these treatments are what I consider 'fringe' practitioners. I have seen patients who have lost fat from mesotherapy, however, so I do believe there is some validity to these treatments. They just need to be standardized and studied to make sure they are safe, effective, and at least somewhat predictable.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Heidi Montag Can't Jog?

2010-04-06T20:47:00.004-04:00

In a recent interview with Ryan Seacrest, Heidi Montag has admitted that she can't jog due to the size of her breasts, since they are now an "E" or "F" size. She also revealed that her surgery was recorded for possible airing on a future reality show.

To Heidi: So, you can't jog?

Duh! Your implants are huge! Most insurances require 500 grams for a breast reduction to improve back and neck pain. Your implants are 700 cc, almost the biggest size they make. Of course you can't jog!

Why do we still care about her?

Photo credit: huffingtonpost.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

A Plastic Surgeon on Michael Jackson, Dr. Conrad Murray, and Regulatory Reform

2010-04-04T20:51:00.004-04:00

There is a very interesting article in the Huffington Post written by a board-certified plastic surgeon who shared a surgical suite with the late Michael Jackson's plastic surgeon. In it, he explains his thoughts on why Michael may have died (which appear to be refuted by the autopsy findings) and the responsibility that physicians and the lack of true health care reform share in contributing to his unfortunate death. While you may or may not agree with some of his opinions, it's definitely an interesting read. You can check it out here.

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

Raquel Welch - No Plastic Surgery?

2010-04-02T20:53:00.004-04:00

Raquel Welch was recently on the Oprah show making some pretty amazing claims. She denied going under the plastic surgeon's knife and instead attributed her youthful appearance to Yoga, a perfect diet, and three hours of makeup in the morning.

What do you think? I think she's a liar.

My opinion:
Her forehead hardly moves, likely frozen by a good amount of Botox or Dysport. Her brows are nicely elevated, possibly from a browlift. She shows none of the excess skin and puffiness of a 69 year old woman. I believe she's also undergone an upper and lower blepharoplasty. Her cheeks and lips are full, likely from a filler like fat grafting. Her neckline is way too sharp for a person her age who hasn't had a facelift. Finally, her nose looks overly chiseled, likely from at least one reduction rhinoplasty. If her looks are solely due to Yoga, diet, and makeup, then I'm one of Tiger Woods' mistresses.

Photo / story credit: twominutenews.com

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.:

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