Coming along

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Yesterday I spent the day on Capitol Hill advocating for healthcare reform. Every year I join other members of the ASPS (American Society of Plastic Surgeons) in Washington D.C. for an advocacy event where we try to raise awareness for important issues facing our patients and our specialty. We have a lobbying group that helps us with the ins and outs of district politics, but at the end of the day, we are doing the talking. As many of you know, we are facing a national debt crisis at this very moment with a looming August 2nd deadline. So as you might imagine our agenda was not the first thing on everyone’s mind in D.C. Despite this we carried our messages forth. We met with the several congressmen and women and discussed our agendas. Here is a synopsis of what we discussed:

Protection of Medicare-

The current formula for Medicare calls for a 30% reduction in physician reimbursement at the end of 2011. Medicare physician reimbursement has steadily declined since 1989 and this additional cut would make it nearly impossible for physicians to pay their staff and overhead while taking care of our senior citizens. We fear that this fee reduction would cause many physicians to stop accepting Medicare patients. As plastic surgeons we perform many procedures for our Medicare patients including skin cancer treatment, breast reconstruction, and wound care to name a few. The current cost of preventing this 30% payment cut is 30 billion dollars. So the problem is significant. I generally do not believe in social entitlements; however the men and women who built this country are entitled to the best health care we have to offer. I proudly accept Medicare and hope the government fixes this dilemma and keeps Medicare feasible.

CARES bill –

CARES (children’s access to reconstructive evaluation and surgery) is a bill that standardizes the insurance coverage nationwide for children born with congenital defects. Currently these decisions are made on a state by state basis and this often leads to crucial delays in necessary surgeries that children need. This bill has been proposed for the past 5 years and has received bi-partisan support. It was included in the House version of the healthcare reform bill from 2010; however it was omitted from the final Senate version of the bill. One would think this is an easy bill to have passed, however it seems in D.C., nothing is logical or easy.

Medical Liability Reform-

Here are the facts: The congressional budget office has determined that medical liability reform would save the country 50 billion dollars. Medical malpractice insurance premiums for many doctors are above $100k yearly- more than some doctors annual incomes. The fear of a lawsuit causes the practice of defensive medicine, which leads to unnecessary testing and procedures, further driving up the cost of healthcare. Reform is needed and almost everyone in Washington agrees, but it will never happen. 61% of congress is comprised of lawyers. Trial lawyers make their livings off of lawsuits. Sadly, the system is corrupt and everyone is going to suffer the consequences as the access and quality of American healthcare declines.

Lest I sound cynical, I still feel that our system of government is the best in the world. It was a uniquely American experience to walk across the lawn of the Capitol and into the office of my congressman to voice my concerns. I urge all of you to speak up and be heard. Write or email your representatives, or better yet, pay them a visit in person.

God bless America!

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We are excited to announce that we now officially own 1304 S. Main St. in Mount Airy, MD, the future home of our practice.
The property is near the intersection of Ridgeville Blvd and Main St. (next to Carter-Que). Currently on the property there is a small private residence built in the 1920’s. Our plans include extensive renovation with a 2 story addition and beatification of the property. If all goes as planned, we hope to be moving in November 2011!

The main level will be home to Guy Cappuccino, MD- Plastic & Reconstructive surgery and La Bella Medispa. The second floor will be a new luxury spa experience in central Maryland~ The Spa at La Bella!

Stay tuned for more updates.

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Though traditional procedures like breast augmentation may get a lot of recognition, many patients are electing to “augment” their bodies using their own fat stores, according to FOX News.

Insight on Growing Trend in Cosmetic Surgery: MyFoxHOUSTON.com

Fat grafting surgery, which is an alternative to somewhat more involved implant procedures, uses stubborn fat deposits from a harvest site on the patient’s own body. This may include the stomach, thighs, flanks or another site.

Once the fat has been removed through liposuction, it is purified. Using a thin needle, your plastic surgeon then injects it into the chosen site.

Your own purified fat can be placed through fat grafting surgery in many areas of the body, like the buttocks or breasts to provide projection and fullness, or to fill dimples. However, one of the most popular sites for fat grafting surgery is the face. When facial fat grafting is performed, your own purified fat can fill deep lines and wrinkles. This is an alternative to dermal fillers for those who would prefer a more natural option.

As a bonus to fat grafting surgery, the downtime is minimal, often less than what it would be for an implant procedure. It is also a long-lasting alternative, after the fat graft has been accepting in the new location by your body.

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best age for a faceliftGood news for seniors wondering if they are at the best age for a facelift—advanced age may not mean a higher risk for post-operative complications, according to HealthDay News.

In a recent study of more than 200 women over the course of three years, Cleveland Clinic found that female facelift patients over 65 who were first properly screened did not present a high risk for complications. This is compared to women of a younger age, provided they too, did not present complications in a screening.

Any patient who is at the best age for a facelift will exhibit a more toned lower face and reduced lines and wrinkles following surgery.

To come to these findings, the creators of the study compared how women over the age of 65, and a group of women under 65, fared both during and following a facelift surgery.

Given that no possible complications were found prior to surgery, the patients were found by the study to have similar rates of complication—proving the best age for a facelift may be any age, as long as other factors are considered.

The creators of the study did stress, however, that proper screening of patients is key and not every patient over the age of 65 (or even under it) may be an ideal candidate. The study also did not determine a maximum best age for facelift surgery.

Aside from facelifts, seniors often elect to undergo several other facial procedures to reduce some advanced signs of aging. This includes a forehead lift, which opens the eyes and corrects a sagging brow. Eyelid surgery can also take years off one’s apparent age by reducing bags and sagging skin above and under the eyes.

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Welcome to my plastic surgery blog.  The main purpose of this forum will be to address hot topics in plastic surgery.  I will talk about emerging techniques and products as well as more common procedures such as Botox.  Areas of particular interest to me or my patients will be highlighted.  I encourage questions or suggestions for topics to be discussed.

Other issues related to plastic surgery will also be addressed.  These issues will include patient safety, changes in healthcare, and general health concerns.

This blog will also keep my patients up to date with our practice’s special events and news.  As we continue to grow and expand our services, I will discuss our new offerings in this blog.  I will periodically give updates on the progress of our new office construction as well as construction of “The Spa of Mount Airy”.

Upcoming posts will include the following topics:

  • The in-office mini-facelift
  • Tummy tucks without drainage tubes
  • Laser treatments

Here’s to looking, feeling, and living the best you can!

Dr. C

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