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One of my friend from Belarus, she is a doctor, working at plastic surgery hospital that is known as very famous, professional and succesfull surgery hospital at Istanbul, Turkey.. She mentioned detailly about their operations.  If you need plastic surgery, before going somewhere, before loosing time and loosing money you can ask her anything about all kind of plastic surgeries. I can give her contact number, my contact is ---. live with health..

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This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Welcome to our forum and discussion group.

There is quite a bit more to Picking a Plastic Surgeon than someone saying their hospital is famous, professional and successful. While public endorsements have merit, how does one verify who you are, your ability to give advice or refer? Seeing actual surgery for specific problems is a much more powerful meaning to a surgeon's skill.

Sorry to be blunt but there are so many forum spamming services with fake attestations, we like to learn more.

Tell us more about yourself and how this surgeon fits the many factors discussed in the many resources we have here about finding doctors who have a passion for their work. Even better, have the doctor post their experiences and answer questions here to let the public understand the doctor's specializations and passions. Our forum however is in English.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Plastic Surgery
12
One of my friend from Belarus, she is a doctor, working at plastic surgery hospital that is known as very famous, professional and succesfull surgery hospital at Istanbul, Turkey.. She mentioned detailly about their operations.  If you need plastic surgery, before going somewhere, before loosing time and loosing money you can ask her anything about all kind of plastic surgeries. I can give her contact number, my contact is ---. live with health..

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Email Address Removed from Post
Contact through Forum Mail
13
Quote
Dr. Bermant I have a couple questions:
 
1.       I have a deviated septum and was told by my local ENT that one option would be to have have a septoplasty. One curious thing He said to me thou was to AVOID using medications like Flonase to improve nasal congestion and made the claim that it can Actually make things worse. To me this didn’t make much sense? What are your thoughts? I’m not completely blocked so he Said the procedure would be optional, the only downside to not doing it would be sinus infections and PND. Which leads Me to #2
 
2.       Here’s the second, and hopefully more interesting question. Last year I was diagnosed with Laryngopharangyeal Reflux. I was recently Reviewing the literature on LPR and came across THIS which I thought was MOST interesting http://www.medscape.com/viewarticle/778052
 
This was the part that jumped out at me “If the patient needs to see an allergist, refer the patient to an allergist. If the patient doesn't have adequate postnasal drip control, that needs to be addressed.”
 
There is also mention of primary postnasal drip mentioned here as well:

http://www.ccjm.org/content/77/5/327.full
 
“In patients who show no improvement, other causes of symptoms should be explored. Diseases that can mimic LPR include postnasal drip, allergies, sinus inflammation, and various pulmonary diseases.”
 
 
Any thoughts you have would be appreciated!

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Minor mechanical airway obstruction can become major with surgery narrowing the nose or making a big nose smaller. Fixing such issues became part of the required surgical planning if a patient wanted to have their nose shape changed.

For my patients considering Rhinoplasty and Nasal Obstruction, I managed the cosmetic and mechanical obstruction issues and deferred medical management issues to doctors who specialized in such treatments. Each of my Rhinoplasty patients had extensive history forms to complete and I carefully examined each patient including endoscopic evaluation. Those with active irritated or boggy nasal linings were not accepted for my surgery nor treatment due to potential healing and comfort issues.

Sorry, I will defer both questions to others who specialized managing those conditions.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Rhinoplasty, Septoplasty, and Sculpture
14
This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Pocket Body (iPad and iPhone)

is an Anatomy application. A human body drawing featuring 9 layers that you can scroll through and view. There is 360 degree rotation along the vertical axis only. You can zoom in and out for a detailed look. The full body view zooms out to about 2/3 of the body.

A layer slider builds or subtracts layers. Your only option had been to scroll through the layers as the slider moves. New versions now include just having one layer turned on: Circulatory System or Lymphatic. The end two layers from the slider are skin and bone. Other than that, the reveal or hide are limited to the linear progression set by the slider.

Other views include a Cranial View or Plantar view which have limited application as your view is stuck at the top or bottom of the body. You cannot scroll up or down the body to see this view from inside.

Once you get beyond the skin, pins describe anatomic features. Each pin can contain
Anatomy
Function
Supply
Clinical
Notes where the user can write notes.

The clinical component is the weakest of the applications features.

All content is on the application, limiting its power not using linking to offer a better user experience. While there is an advantage of not needing the Internet to supply the content, the user is severely limited to what connectivity could offer in both video, animation, and clinical details beyond the applications very limited offerings.

Looking at the abdomen:

then compare to this clinical application of my Anatomy of a Tummy Tuck. A clinical link option to that page would open up the issues of what happens to the structures when loose after pregnancy or weight loss and how surgery can repair the structures.

A pin menu permits selecting what layers pins show and permit the user to add a new pin. There is a quiz (also limited), and search for pin / glossary, and share options on both versions. Sharing can be of screen shots or pins / notes created.

The interface is different iphone vs ipad. The Ipad offers a drawing layer of value when teaching or discussing issues with others. A position option and rotation tools are highlighted on full body view, lymphatic, and circulation. The position tool would be nice to have on the plantar or cranial view to look at this view inside the body. The ipad help option labels each icon, nice when starting out.

The price is $19.99. Compare this to more conventional anatomy textbooks:

Search Amazon for Anatomy Textbooks

What this app offers is picking your own view perspective and seeing the 3d aspect. What is lacks is the additional details offered by the anatomy textbook. There is just not enough detail in this app for surgical or detailed clinical use such as understanding flaps or surgical options. But as a pull out of the pocket discussion tool for patient education, it can have some possible use. For an introduction to anatomy, this does nicely. But do not expect the details to see details needed for surgery.

If a larger version would have clinical anatomy such as for our various cutaneous or musculocutaneous flap anatomy, and we could see the 3d relationships with more sophisticated navigation, that would have been so much easier to learn from for a surgeon, but too much detail for the average person trying to understand basic anatomy.

I have enjoyed browsing through the applications on both the iphone and ipad and look  forward to their continued evolution of the app.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Plastic Surgery
15
This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

I was in the process of reviewing new versions of Pocket Anatomy when I was not finding powerful option of clinical education with links to selected resources.

I was reading a clinical note on the orbicularis oris mentioned rare missing portion of muscle causing asymmetry on crying or smile.  It misses much more common congenital defect of Cleft Lip the animation abnormality is just amazing and the repair critical for restoration of speech. Macrostomia is cleft lip at the oral commisures and looks like the Jack Nickolson Joker make up. In real life the animation of which is a major issue for repair. Sorry, I have not published those images / videos. Cinically much more critical is acquired defect such as stroke or trauma to nerve supply resulting in drooping lip or poor animation as in injured nerve from trauma or surgery such as face lift.

Pocket Anatomy

Is a neat tool that is so interesting but misses so much physician surgical detail to make it tempting but frustrating to see clinical anatomy issues. As an introduction it permits inspection of a 3D relationship to a degree. Too many restrictions to peal away or leave behind for some inspections. But at the price, a fraction of what my many Anatomy Atlases were. They announced a:



But I fear they are stepping into a can of worms about what is male or female. I would like them to consider not falling into the trap fog the male breast. All male mammals have some gland component. It is small but exists in every male.

Gynecomastia Anatomy  the male breast for clinical.

here is what gland looks like Gynecomastia Gland Gallery. I would suggest starting at the Body Builders section. The first series of photos shows the gland component and the fat fibrous tissue of the sagging male breast after major weight loss. I think such photos add reality to anatomy discussions and dispel misconceptions artists have distorted reality. That is why links to my drawings have value to such a tool.

And here is Normal Female Breast Anatomy

In the body, breast gland (male and female) is white. The red color may be correct for a surgeon who has a bloody field. My drawings were the first I could find using the real color of white for the gland and connective tissue. That is why I drew them that way.

There are pages on Normal Nipple Anatomy and Inverted Nipple Anatomyfor both male and female and other clinical pages Pocket Anatomy Readers could benefit from.

You are also missing the elements of the ear:
Ear Anatomy that could be linked to on your body part.

There are quite a few clinical situations that could be used on other parts of the atlas if interested.

Am still reviewing last release but posting this as requested.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Plastic Surgery
16
Liposuction / Re: fort lauderdale lipo
« Last post by DrBermant on April 30, 2013, 08:34:40 AM »
Hello guys,
I  23 years old and i am overweight ..I am interest in liposuction .Can anyone here recommend me its price.Please help me.Thanks.

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Cost of Liposuction varies depending on what needs to be done, skill of surgeon, and around the world. However, Liposuction is not an alternative to weight loss. When overweight, there is typically a global fat problem that liposuction does not manage. Here is a post I discuss that topic:

Liposuction Forum - Is It Safe? Want Advice

Liposuction Is Not For Weight Loss. Read my Liposuction Important Information
Quote
Liposuction is a refinement technique and not an alternative to losing weight.
. Be careful when someone claims it is. Look for good documentation. Even with dangerous Large Volume Liposuction, very little total weight is removed. Here is another page I wrote on that topic: Tumescent liposuction is not a good way to lose weight..

If someone is to document such issues, they would need good Standardized Pictures for Liposuction. This method of documentation can also be used to document weight loss and body shaping by other methods. Also check for Body Fat Analysis and Scales for careful documentation of weight, when it was lost or changed.

If you are going to show any advantage to a method, why not post pictures. Use our standard images and chart your weight and body fat measurements. Record your methods. Let others better understand what you are accomplishing. 



I have seen patients with very strange body shapes from other doctors' attempts at liposuction when there was a global fat contour component that looked like this ancient statue. 

Liposuction Forum - Liposuction Not Alternative for Global Fat Issues

and yet another discussion: Liposuction Forum - Do You Have to be a Certain Weight to Have Liposuction?

points to other similar discussions on this topic. When I was in practice, I advised my patients that surgery was rarely a good starting point for global fat issues.

Consider learning about Weight Loss Forum - Discussion Wi-Fi Scales and Body Fat Analyzers that monitor weight, fat, BMI calculation and helped my patients with motivation. I compare the different devices here: Body Fat Analyzer Scale Review.




Fitbit FB201W Aria Wi-fi Smart Scale 



Withings Wifi Body Scale

Beyond the numbers, tracking the body contours, loose skin shrinking, and other visual factors is a discussion found here:

Standard Weight Loss Pictures, Losing Weight Photos, and Training Photographs Programs Critical Concepts and Evolving Ideas

Why not consider posting your weight, body fat percentage and standard photos and share your concerns about your contour that you are seeking liposuction to address?

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Liposuction Body Contouring
17
Welcome to aBodyBeautiful / Re: Hello
« Last post by DrBermant on April 30, 2013, 07:38:43 AM »
Hello guys,
 i am newbie here...just want to say hello to all members here...Hope u all enjoy ur stay her.Thanks

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Welcome to our discussion group. Hope we can help answer your questions.

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Plastic Surgery
18
Welcome to aBodyBeautiful / Re: Hello I am new here....!!
« Last post by DrBermant on April 30, 2013, 07:37:13 AM »
Hello
 i am also newbie welcome to this communtiy

This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.

Welcome to our discussion group.

Hope this helps,

Michael Bermant, MD
Retired Plastic Surgeon
Learn More About Plastic Surgery
19
Welcome to aBodyBeautiful / Re: Hello I am new here....!!
« Last post by Jhonethanjoy on April 30, 2013, 02:30:57 AM »
Hello
 i am also newbie welcome to this communtiy
20
Welcome to aBodyBeautiful / Hello
« Last post by Jhonethanjoy on April 30, 2013, 02:28:35 AM »
Hello guys,
 i am newbie here...just want to say hello to all members here...Hope u all enjoy ur stay her.Thanks
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anything