Mischa Barton - Aging, Drugs, or Weight Loss?

Ayyyy.com has posted this photo of an extremely gaunt Mischa Barton. What has happened to her? Her face has gotten extremely thin and wasted. Can this be aging, drugs, or weight loss (or a combination)?

As the face ages, it loses volume. The best surgical treatment for this is facial fat grafting. Nonsurgically, Sculptra (although not FDA approved for this purpose) is a fine treatment for volumizing a gaunt face, but takes several treatment sessions.

Mischa was such an attractive woman before. Hopefully she can gain some weight, get healthy, and maybe even try a little fat grafting if needed.

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

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New Methods of Liposuction - Body Jet and Cryolipolysis?

It seems that everyone wants liposuction without the surgery. Two interesting new techniques have recently garnered attention: the Body Jet and Cryolipolysis. The Body Jet was FDA approved last summer and apparently infiltrates anesthetic fluid under a pressure system and then immediately sucks it out with associated fat. It is touted as having less pain, less downtime, and less swelling as compared to traditional liposuction. To my knowledge, it has not been studied by the American Society of Plastic Surgeons, and there is very little (or nothing) in the medical literature about it. It sounds like it may be a gimmick, but at this time the information out there is so sketchy it's hard to tell. The only physician that admitted to using it in this article is an Ob-Gyn who is now a cosmetic surgeon (not a real plastic surgeon). Click here for an article on the Body Jet.

Cryolipolysis involves a chilling device that is placed on the skin to rapidly cool it. It is believed that this can create death of the underlying fat cells, allowing them to be eventually cleared away through the lymphatics or blood stream. Clinical trials are currently underway. Click here for more information on cryolipolysis.

As of now, liposuction is the only proven treatment to permanently remove fat cells from the body. Although there are some alternatives being used, none have proven to be safe and effective...yet.

Thanks for reading.

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

Is the Dark Knight's Two-Face a Realistic Description of Third Degree Burns?

From the Kevin MD medical blog:

Patient-blogger Duncan Cross takes exception to the cavalier treatment director Christopher Nolan gives to third-degree burns in Aaron Eckhart's super-villain."There is no way that eye would have survived intact, much less be able to function without a lid and tear ducts," he writes. And his refusal of pain medications in the film? "The idea that someone could suffer Dent’s injuries, be in that kind of pain, and still be capable of coherent thought is just plain BS."

I spent a considerable amount of time during my plastic surgery residency working in a regional Burn Unit. Burn injuries are some of the most painful wounds we can suffer, and often need massive amounts of narcotics to control. I would have to agree with the statements above.

I haven't seen the Dark Knight yet, but currently have it on my Netflix queue. I was a bit of a comics geek when I was a kid, so I'm excited to see this one...

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

Has Kate Winslet Had Plastic Surgery?

I don't think so. Make Me Heal has a recent post that gives the opinions of two different plastic surgeons: one who believes she's had a rhinoplasty and another (myself) who thinks she's avoided going under the knife. She has gone on the record as being against plastic surgery. According to Starpulse:

The British actress admits to being tempted by the surgeon's knife but she's holding back for the sake of her marriage.
She reveals, "I am intrigued by surgery but Sam would leave me if I did anything like that."

She also responded with shock and disgust when finding out a person went on MTV's I Want a Famous Face and underwent multiple plastic surgeries in order to look like her. According to AskMen.com she reportedly broke into tears:

She told Britain's The Times newspaper: "I could not believe this girl was putting herself through this because she wanted to look like what she thought I looked like."Jeanette had her breasts increased from a B-cup to a D-cup and had 14lb of skin and fat cut out of her stomach. But Kate said: "I don't have breasts remotely like those. Trust me. She had slabs of her stomach taken out. What is going on?"

I really don't think she's had anything done, not even a rhinoplasty. But only Kate and her surgeon know for sure...

Photo credit: prphotos.com

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

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Who Has the Best Legs in the World?

According to a study by the International Society of Plastic Surgeons, the best legs in the world belong to Tina Turner, Cameron Diaz, and... Sharon Stone? It's a three way tie.

The best legs I've seen in person on a celebrity probably belong to either Kate Beckinsale or Brooke Burke. They are both stunning in person. Carmen Electra has a nice set of legs too...

For more, visit the In Your Face blog.

Photo credit: prphotos.com

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

Did Alicia Witt Have a Modest Breast Augmentation?

Good Plastic Surgery (a nice site from the makers of Awful Plastic Surgery) has a post on Two and a Half Men's Alicia Witt. There are before and after photos that may show a tasteful breast augmentation. IF she's had breast implants placed, it appears she's gone from an A to a B. I often have patients who ask for relatively small implants (less than 325cc) so that it's not obvious to others that breast augmentation has been done.

I've never watched Two and a Half Men, but I hear the show is pretty funny. She looks good.

Bring on LOST tomorrow night!

Photo credit: prphotos.com

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

Has Paula Abdul Had More Plastic Surgery?

Like millions of people, I watch American Idol. Like millions of people, I think that Paula Abdul has a screw loose. And, like millions of people, I also think she's had some plastic surgery.

I've commented in a previous post about her possible browlift and rhinoplasty (click here for the post) and in a separate post about her possible breast implants (click here for that post). Is it possible that she's had another rhinoplasty sometime during AI's hiatus? I think it is.

The photo above appears to show a nose that is a bit longer and thinner than she had last year. Cityrag has some before and after photos here. I think she may have had a slight tweak to her nose. Lengthening a nose isn't the easiest thing to do, and often requires moving a piece of cartilage from the ear, nasal septum, or rib to the nose.

Overall she looks as pretty as ever. At least her surgeon didn't make her nose go "Straight Up!"

Photo credit: prphotos.com

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

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