Skin removal surgery after weight loss cannot be classified as cosmetic, Calif. judge rules | Caitlyn Jenner brings facial feminization surgery into the spotlight | Study: Sebaceous glands affect facial wrinkles
July 24, 2015
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Skin removal surgery after weight loss cannot be classified as cosmetic, Calif. judge rules
A Superior Court judge in California issued a tentative ruling on July 15 that removal of excess skin after bariatric surgery cannot be systematically classified as a cosmetic procedure by insurance companies. In a class-action lawsuit involving Kaiser Permanente, the judge said that doctors could decide in each individual case whether the patient qualified for referral to a plastic surgeon. Insurance Journal (7/21)
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Caitlyn Jenner brings facial feminization surgery into the spotlight
As Caitlyn Jenner remains in the spotlight, facial plastic and reconstructive surgeon Vartan Mardirossian, who specializes in facial feminization surgery, has been following the facial aesthetics of Jenner's evolution. FFS, also referred to as gender reaffirmation surgery, combines surgical and non-surgical procedures to feminize the face of transitioning transgender patients and can include lifts to the brow, face and neck, cheek augmentation, chin and jaw contouring, a tracheal shave and more. The Palm Beach Post (Fla.) (free content) (7/20)
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Study: Sebaceous glands affect facial wrinkles
A study of Japanese cadavers published in the journal Clinical Anatomy found that sebaceous glands could play a key role in the severity of facial wrinkles. Researchers found that areas of the face where the glands are less prevalent, such as the eyes, have deeper wrinkles than areas that have a higher concentration of sebaceous glands. Study authors noted that other factors, such as hydration, diet, sun protection and sleep, also contribute to skin appearance. HealthDay News (7/17)
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Dr. Farid Kazem on VECTRA® 3D
"VECTRA 3D has definitely brought more patients, increased my conversion rate and improved patient satisfaction. The staff at Canfield's European office in Amsterdam is extremely helpful and their US based technicians can log in to my system remotely whenever I need them. They are always there, and I appreciate that in a company." Read More>>
Farid Kazem, M.D., Leimuiden, Netherlands
Practice ManagementAdvertisement
BYOD policies protect patient data
Practices should institute policies for staff members using their own electronic devices at work not just for HIPAA compliance, but also to protect patient data, says health care consultant Jerry Coil. He advises practices to be restrictive about data, allowing people to see only the data they need, and to use mobile devices as browsers, rather than having them store the data. Having a written policy and training employees are also key, he says. Physicians Practice magazine online (7/22)
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Is your medical group writing off revenue?
Learn how automated billing rules, working denials and managing payer contracts can help you keep more of your medical practice revenue. Don't leave up to 30% of your medical practice revenue behind. Read this report.

Health Quality & Advocacy
Seniors are signing up for more plastic surgery
Of the more than 10 million cosmetic procedures performed in the U.S. last year, patients over age 65 accounted for 10.9% of nonsurgical procedures and 7.9% of cosmetic surgeries, according to the American Society for Aesthetic Plastic Surgery. The most common procedures for older patients are liposuction, face and breast lifts, blepharoplasty and abdominoplasty. Medical advances are making these surgeries safer, and the limitations are related more to patients' physical condition and illnesses rather than age, said plastic surgeon Bruce Topol. New Hampshire Magazine (8/2015)
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Thinking Outside the Box
To stay relevant, companies need to spend as much time generating ideas for the future as they do running their businesses today. Read Boomtown: Think Like a Startup

Research & Technology
2-year-old has good cosmetic result after CMN removal
A 2-year-old boy had a giant congenital melanocytic nevus removed from his buttock and an Integra bilayer matrix dressing applied post-excision. Later, the wound was covered with a split-skin autograft. One year later, a good cosmetic result with no contour abnormality and good color match and texture has been achieved, although the patient has some hypertrophic scarring. Medscape (free registration)/ePlasty (7/20)
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-- Thomas Watson,
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