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Obesity Disease Center Presents the History of Obesity

Obesity did not exist until humans started living in houses, domesticating animals, and farming the land. Americans think that obesity is a lifestyle choice. Maybe not. Could it be a disease that has been passed down from our forefathers? 

There was a time, not so long ago, that obesity was considered a sign of health, wealth, and beauty. It is widely known today that this is not the case. Obesity has many dangerous side effects such as high blood pressure, diabetes, and heart disease. At no other time in history has obesity been as widespread as it is right now.

Why? What is the reason for this spike in obesity? Is it lifestyle? Is it laziness? Do we just not care about ourselves anymore? What is the problem?

Obesity probably dates back to Neolithic times beginning about 8000 years ago. That was the first time in history that man began to own property, domestic animals, and live in houses. Before that time obesity was almost non-existent. Today obesity is extremely common among all civilized races because it is a disorder that can be inherited. Read more

               

Accentuating Expression With Fillers

The lips are an incredibly sensitive part of the human body, and an important characterizing feature that defines and accentuates a woman’s sexuality. Through the lips, love is expressed, communicated and experienced.

It’s no wonder women spend so much time trying to beautify them. Luckily, fillers provide excellent options for accentuating and providing supple and full lips in a natural way. Most physicians use two specific types of hyaluronic acid (HA) fillers, Restylane and Juvederm for lip enhancement.

It all started in early 1980s when Zyderm, a bovine-originated collagen product, was approved by FDA for use as a filler for cosmetic purposes. It was mostly used in the folds and wrinkles of the face but quickly gained notoriety for its predictable and reliable use in the lips.

For 20 years, collagen products grew in popularity and enjoyed a monopoly as the only fillers approved for cosmetic treatments. Downsides to collagen, however, included a 3 percent hypersensitivity reaction rate. Thus, patients had to get skin tests prior to treatment. Even so, upwards of 1 percent of people developed allergic reactions. And patients also had to return every three months for the same results-as the collagen only lasted 12 weeks.

The popularity of collagen injections grew steadily, peaking with more than a million annual injections until 2003. That’s when a new competitor came on the scene with the addition of HA and its FDA approval for the treatment of facial lines and folds. Read more

               

Botox May Affect Ability to Feel Emotions

New Study Shows Botox May Dampen Some Emotion

Botox injections may do more than smooth your wrinkles and limit your facial expressions. These popular injections may also dampen your ability to feel emotions. The study findings appear in the journal Emotions.

Botox injections were the No. 1 nonsurgical cosmetic procedure performed in 2009, according to statistics by the American Society for Aesthetic Plastic Surgery.

“For at least some emotions, if you take away some part of the facial expression, you take away some of the emotional experience,” says study researcher Joshua Ian Davis, PhD, a term assistant professor in the department of psychology at Barnard College in New York City.

“Whether this is a benefit or a detriment depends on your goals,” he says.

Botox Dampens Emotions

Botox injections smooth wrinkles by paralyzing the underlying muscles that cause the wrinkles. In the new study, participants who received Botox injections self-reported less emotional response to some emotional video clips, and as a result, did not feel their emotions quite as deeply as their counterparts who received treatment with a wrinkle filler called Restylane, which does not paralyze muscles. Instead, Restylane restores volume to facial folds and wrinkles. Read more

               

Study: Botox Erases Wrinkles, Maybe Emotions Too

A new study suggests that the muscle-paralyzing cosmetic injections called Botox could also rob you of your full range of emotions.

“With Botox, a person will have less movement in the facial muscles that have been injected, and therefore less feedback to the brain about such facial expressivity,” wrote the study’s co-author Joshua Davis, a psychology professor at Barnard College.

The study was published in the journal Emotion. Read more

               

Understanding Botox Cosmetic Pricing and Dosage

Every day we get questions from patients asking about the way Botox Cosmetic is prepared and priced, and it is confusing until you understand the difference between dilution and units.

Botox Cosmetic is a vacuum-dried protein powder so it needs to be mixed with a liquid in order for it to be injected. The total “dose” of Botox in each vial is always 100 units but doctors mix different amounts of saline solution (water that has the same concentrations of sodium and chloride as the human body) with each vial depending on the intended use.

In some cases its beneficial to have more units in less liquid or a more concentrated solution. Men, for instance, need almost double the dose of Botox that a woman would need for each area treated, and using a more concentrated dose prevents the formation of ping pong ball-size lumps that would be seen with a larger amount of liquid. On the other hand, a lower concentration is useful when it’s advantageous to have the Botox effects spread out more, such as in the underarm area when used to prevent sweating, or when only a minute amount is needed with each injection, such as around the lips.

The total number of units injected during a treatment determines the degree and duration of effect more than the number of cc (the measurement of liquid). For example, whether a more concentrated or dilute solution of Botox is used, it takes an average of about 20 units to relax a woman’s frown muscles adequately for a full 3-4 months. Read more

               

Off Label uses in Aesthetic Medicine

Off-label prescribing, also known as unapproved use, is the physician practice of prescribing a drug or medical device for a purpose different from one of the indications for which the product is approved by the Food and Drug Administration (FDA). The practice is widespread. Although there are no accurate data, estimates run as high as 60% of all drug prescriptions written in the United States in a given year, including a large proportion of chemotherapy and pediatric prescribing.1

The practice raises a number of legal and ethical issues. Is off-label prescribing a form of human experimentation, triggering the safeguards established to protect human subjects? When is it appropriate in that it conforms to the standard of care? Could a failure to prescribe off-label leave the physician vulnerable to a malpractice suit? Does the physician have a duty to inform the patient that the product is being prescribed off-label? In prescribing a drug for an unapproved use, does the physician act as a “learned intermediary,” thereby relieving the drug manufacturer of liability for resulting patient harm? How does the FDA regulate off-label prescribing? Can a manufacturer promote a product for an off-label use?

When Is Off-Label Prescribing Appropriate?

From a legal and ethical standpoint, off-label use represents a delicate balance between the regulatory objective of protecting patients from unsafe or ineffective drugs and medical devices on the one hand, and, on the other hand, the prerogative of physicians to use their professional judgment in treating patients. Read more

               

No More DIY Botox

A website selling vials of injectable aesthetic medicines has been shut down.
  
Last October, we reported that authorities were cracking down on a north Texas woman who was selling injectables like Dysport, Botox and Restylane over the internet in a kit containing two saline filled syringes and a vial of the medicine. The woman, Laurie D’Alleva, also posted videos on Youtube that describe how to inject yourself.

She has now agreed to stop selling the products and take down her website, following a suit filed by the Texas Attorney General. The state sued D’Alleva and her business, claiming they mareketed cosmetic enhancement devices and prescription drugs over the Internet. Injectables like these are only available via a prescription and are dangerous in the wrong hands. Botox and Dysport are diluted, purified versions of the botulinum toxin, the deadliest toxin on earth. Both carry a black-box label, meaning they have a risk of serious side effects, including respiratory problems and death. No deaths have been attributed to either real Botox nor Dysport when administered by a trained physician, however several deaths have been attributed to the fake stuff.

D’Alleva and her businesses are charged with multiple violations of the Texas Food, Drug and Cosmetics Act and the Texas Deceptive Trade Practices Act. Her website has been taken down and she must pay the state $125,000 in civil penalties, attorneys’ fees and other costs.

While there are many cosmetic treatments you can do at home, we advise that you avoid any DIY beauty project that involves injectables or harsh chemicals like those used in a chemical peel. If you really want a DIY project, follow something like a home improvement DIY site.

Friday, June 11, 2010 for American Health and Beauty at http://www.americanhealthandbeauty.com/articles/?article=3064

               

FDA Agrees to UltraShape 510(k) Pathway - Expected to Shorten FDA Clearance Process

UltraShape Ltd. announced today that the US Food and Drug Administration advised the company that it may submit a request for clearance of its Contour I system under the 510(k) regulation rather than as a Pre-Market Approval (PMA) as was previously advised.

Proceeding under the 510(k) pathway is expected to simplify and shorten the submission process to the FDA for clearance to sell the Company’s Contour I system in the United States.

UltraShape CEO, Assaf Eyal, said “The United States is the largest and most important market in the world, and represents a huge opportunity for our products. Submission for FDA market clearance under the 510(k) regulation is a major milestone for UltraShape. The recent launch of our new third generation product, together with our efforts to gain regulatory approval in the United States and China, provide us with a major growth opportunity.” Read more

               

Off-label use of Botox benefits stroke victims

While the FDA finally approved the use of Botox to treat stroke victims (suffering damage to their arms and hands) this past March, doctors have been injecting it into stroke victims for nearly twenty years in a practice called “off-label” prescribing.

“Off-label” basically means that physicians use certain drugs to treat conditions for which they have not been tested or given the green light by the Food and Drug Administration. The practice is legal, and strongly backed by the American Medical Association. In fact, “approximately 20% of all medications prescribed for adults are for off-label purposes,” according to research from Stanford University and the Institute of Medicine, a federally chartered non-profit group that advises government agencies as well as the public. The Institute also estimates that the off-label use of prescriptions for children is closer to 50%-75%.

Read more

               

Use Of Botox Injections And Anticholinergic Drugs As Facial Sweating Cures

Have you had heavy facial sweating for the past couple of years already? If you’ve had it for years, you are definitely searching for a cure that will get rid of your excessive sweating for good or you have tried some treatment methods that disappointed you. Read this article to find out some important facts about excessive facial sweating cures.

Excessive facial sweating has many treatment methods which are categorized into chemical, topical, holistic, and surgical.

First, topical treatments for heavy facial sweating are antiperspirants, ointments, and creams. When talking about topical treatment, this means that the medicine is applied directly on the skin of the affected area. One of the cheapest treatments, topical treatment is also one of the treatments with the shortest duration of effectiveness. The effectiveness of topical treatments is short-term because it is only for 12 to 24 hours and sometimes less if excessive sweating is severe. The most common adverse effect of topical treatments is skin irritation.

Second, chemical treatments for heavy facial sweating are botox injections and anticholinergic drugs. The usual modes of administration for chemical treatments are oral and injection. The effects of anticholinergic drugs lasts for 24 hours. With botox injections, efficacy usually takes 4 months or more depending on your response to the treatment. Furthermore, two to three injections are usually needed before botox injections can control heavy facial sweating. Some of the side effects of anticholinergic drugs are rashes, diarrhea, and nausea while some of the side effects of anticholinergic drugs are facial pain, temporary eyelid droop, and facial asymmetry. Read more

               

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