Anna Nicole Smith

MSNBC is reporting that Anna Nicole Smith may have had surgery to repair a breast implant prior to her unfortunate death. According to their source, she was prescribed multiple pain medicines to help her cope with the pain from the surgery.

Other story credit: Make Me Heal.com, TMZ.com

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

Nancy Pelosi - Plastic Surgery?

Has Nancy Pelosi had plastic surgery? SF Weekly has an interesting article which examines this possibility, along with quotes from yours truly. I haven't seen many 'before' photos of her, but she does look darn good for 66 years. She may very well have had her face and her eyelids lifted...

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

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Teri Hatcher - No Botox?

According to Starpulse, actress Teri Hatcher now states that she is against the use of Botox:

She is quoted by Daily Express newspaper as saying: "I don't use Botox or Restylane and I've never had any surgery. A male friend in the fashion industry once asked me, 'Why is make-up any different to getting Botox?' I said I didn't think it was a fair comparison, make-up is removable, it's not permanent. But changing the natural chemical state of who you are? I'm not sure."

In March 2006, the Desperate Housewives star admitted having Botox and collagen injections - which plump up the lips - to keep her looking young. Teri - who plays hapless Susan Mayer in the US TV show - said: "In the past, I've had Botox and collagen."

Hmmm, that's a pretty smooth forehead she is sporting in this photo from 2 weeks ago... Must be good genes.

Photo credit: photorazzi.com

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

Jennifer Aniston Post-Rhinoplasty Photos

US Magazine has some before and after photos of Jennifer Aniston's nose. She has apparently admitted to having a septoplasty performed to improve breathing. This is a common surgery which can also straighten a crooked nose as a byproduct of repairing the septum. Her after photos do appear to show her nose to be straighter and thinner than before. It looks like her surgeon (Dr. Kanodia?) did a very nice job.

Thanks for reading.

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

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Gwen Stefani on Plastic Surgery

According to a recent interview, singer Gwen Stefani would consider plastic surgery.

Thirty-seven year old singer Gwen Stefani has given thought to going under the knife as she ages to maintain her looks according to a recent interview. Stefani states that she is a fan of television shows where surgery is the focal point, confessing to watching a lot of them while pregnant with her son Kingston last year.

She always looks great, unlike that homely husband of hers...

Photo Source: photorazzi.com

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

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Cosmetic Injectables... Which ones are the Best?

There are so many cosmetic injectables on the market today, it's difficult for a consumer to determine exactly what they want or need. Here are my opinions on the most popular cosmetic injectable treatments:

1. Botox: By far the best. Nothing works like it. Botox causes paralysis of certain facial muscles which cause wrinkles in the forehead, frown lines between the brows, and crow's feet wrinkles. It lasts 3-4 months on average and is the best "bang-for-the-buck," in my opinion. Plus, Botox injections are nearly painless if topical skin anesthetics are used.
2. Restylane: This is the most popular injectable "filler" today. This means the product is injected into wrinkles or the lips to fill them in by adding volume. I use this very regularly. It's best for filling in the nasolabial folds (the deep wrinkle from the side of the nose to corner of the mouth) and plumping up the lips. It is somewhat painful to have injected and can cause a bit of bruising in some. I often use local anesthetic injections for it. Restylane lasts around 6 months. Jessica Simpson has admitted to using Restylane.
3. Collagen (Cosmoplast, Cosmoderm, Zyplast, Zyderm): This used to be the most popular filler before Restylane came along. Collagen doesn't last as long (2-4 months on average) but is cheaper than Restylane and less painful to have injected. This is what Barbara Hershey had before she filmed "Beaches."
4. Hylaform / Hylaform Plus / Captique / Juvederm: These are all "Restylane substitutes." The first three were touted as comparable to Restylane but their longevity was disappointing (I saw 3 months for Hylaform and 4-6 months for Hylaform Plus). The newest one is Juvederm, and supposedly the results can last 6 months like Restylane. It is reportedly more comfortable to have injected as well. The jury is still out on this one.
5. Radiesse: This is another injectable filler. The benefit of Radiesse is that it lasts much longer than Restylane (over a year). However, I caution anyone who is considering having it injected into the lips. I have seen many cases where it has caused visible bumps which needed to be poked with a needle and the Radiesse squeezed out. It may be a good treatment for people who need long-term, deeper injections. Some people now inject it into noses to change the contour.
6. Artefill: This is a recently FDA-approved permanent injectable substance. Be careful with any permanent substance, as it can cause bad reactions even several years after it is injected. Physicians used to inject silicone into people's faces, with some disastrous results.
7. Fat: In my opinion, this is by far the best 'permanent' injectable treatment. I often perform facial fat grafting on my patients. I take fat from their tummy or thighs, purify it, then reinject it into the cheeks, under the eyes, and into the lips. It is real surgery, however, but can last for years.
Like with any medical cosmetic treatment, make sure you consult with a reputable physician before having it done. There are a lot of practitioners who are trying to do these injectable treatments with little or no experience or training. If you are not sure who to see, a board-certified plastic surgeon is usually a good choice.
If anyone has any experience with other injectables like Sculptra, I'd be interested to see what you have to say!

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

Did Katie Holmes Have a Rhinoplasty?

Has Katie Holmes had a rhinoplasty? Her nose looks quite thinner in the after photo, the possible result of a rhinoplasty with removal of part of the nasal cartilage. This surgery is often performed using a "closed" technique, where all the scars are inside the nose. Personally, I like the older nose better, but the newer one makes her look more mature and older.

Photo source

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

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