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With a name like Love, how could you not be a hopeless
romantic? As a child, Jennifer Love Hewitt — born a week after Valentine's Day
– says she refused to believe that the day wasn't created just for her. But as
an adult who's been both lucky and unlucky in love, most of it on the front
page of the tabloids, the star and co-producer of the CBS series Ghost
Whisperer says she's traded in her rose-colored glasses for a more
clear-eyed look at modern
romance. It's a view she shares in her new book, The Day I Shot Cupid:
Hello, My Name Is Jennifer Love Hewitt and I'm a Love-aholic. Hewitt says
she envisioned the book as a “mate and a friend in the dating process, the good
angel on your shoulder.”

Cupid covers everything from being comfortable going out
to eat solo, to recovering from a breakup, to what guys really think of our
butts (you'd be pleasantly surprised), to “vagazzling your vajayjay.” (Yes, she
really did it.) What it's not, Hewitt says, is The Rules for the
2010s.

“I read The Rules and all those other dating books and
loved them, and I took little bits from each,” she says. “But to remember 15
rules of what to say and what not to say, how to do it and how not to do it,
that doesn't work. Once you're in a relationship, you can't wake up every day
with a checklist of 15 things you have to do to make a man happy. Why are we
the ones
walking around with the checklists? They're allowed to read interesting
books, and we read How to Make Yourself Better So a Man Will Love
You.”

So although Cupid offers plenty of romantic and sexual advice (our
favorite: “Your body is a temple, not a 7-Eleven: You decide when it's open and
who gets to come in”), at its
heart, says Hewitt, it has one message: “You're great. You're fine. Believe
that the universe has something better for you and it will come to you. We're
all going to get the chance to have the great love of our life. I really
believe that. But you won't do it by spending time trying to change yourself
into someone you're not.”

Get the Party Started

Hewitt entered the limelight young, catapulting to fame as
Bailey's girlfriend, Sarah, on Fox's Party of Five series when she was
just 16. Then she cemented her place in the teen-idol constellation two years
later in the film I Know What You Did Last Summer. By 2000, when she was
just 21, Hewitt was playing Audrey Hepburn in a TV biography and had become the
most popular actor on television, according to the often-cited “Q ratings” of
celebrity popularity.

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The Association for Aesthetic Plastic Surgery (ASAPS) today released their 2009 cosmetic surgery statistics. Not surprisingly, business is down. Again, not surprisingly, non-surgical (less expensive) procedures like Botox and dermal fillers rose slightly while surgical (more expensive) procedures declined. The top five surgical procedures in 2009 were:

breast augmentation
liposuction
cosmetic eyelid surgery (blepharoplasty / eye lifts)
rhinoplasty
tummy tucks (abdominoplasty)

Though all of the top five surgical procedures saw a decline in 2009, the overall decrease in cosmetic procedures was a less-than-expected 2%. One might assume that this was thanks to an increase in non-surgical procedures. Though these procedures did rise slightly, 2009's big surprise was a significant increase in cosmetic procedures meant to improve the look of one's backside. Butt lifts and buttocks augmentation surgeries were up 25% and 37%, respectively. Experts say this was due to people wanting to improve the shape of rear-views left sagging after weight loss.

More surgical procedures to deal with cosmetic issues arising from massive weight loss:

Arm Lift
Body Lift
Breast Lift
Face Lift
Neck Lift

See plastic surgery before and after photos.

=======================

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I've written before about how important it is to practice full disclosure with your doctor, although these days it seems people are more willing to tell the truth to strangers in chat rooms and forums. The internet ostensibly offers a sense of anonymity, along with a sense of community and shared struggles. But are we really thinking about the potential consequences of sharing so much? Today I came across a post by Trisha Torrey, About.com's Guide to Patient Empowerment. In a nutshell, it seems that doctors may be turning the tables on prospective patients: Does Your Doctor Google You?

To quote my all-time favorite TV-doctor, Gregory House, MD, “Patients lie.” Perhaps your doctor just wants to see if he or she can unearth any information you may have omitted in your visit. Or perhaps he or she just wishes to ferret out any potentially mentally/emotionally unstable patients (patients who are more likely to file lawsuits, perhaps?). One would assume this is especially true when the surgery is elective. One could also make the argument that plastic surgeons have even more of a right (and responsibility) to carefully select patients.

What do you think of this? As a patient, is this something you would take into consideration before posting your own medical information online? If you're a doctor, have you done this (or would you now) when a patient seems a little “iffy” in a consultation? Is this an ethical problem in regard to privacy standards? Do the privacy laws need to catch up with the culture of technology, or do people need to take more personal responsibility and be careful what they put out there on the net for the world to see?

Weigh in on this issue by leaving a comment below.

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Q: I’m a little wary of the new no-period birth control pills on the
market. Are they safe?

A: The FDA approved the first no-period pill (brand name Lybrel) in
2007. And, yes, this new pill is safe. It isn’t that different from other
low-dose birth control pills that use estrogen and progestin to stop ovulation.
Instead of taking four to seven days of placebo pills, however, women take
Lybrel continuously, with no breaks and no period. Seasonale, another
extended-use oral contraceptive, limits menstrual cycles to four per year.

The FDA approved Lybrel based on two clinical trials, each lasting one year,
of more than 2,400 women ages 18 to 49. The trials showed Lybrel to be a safe
and effective contraceptive when used as directed.

Not having to worry about a monthly menstrual period is liberating, but
there are downsides. Side effects of Lybrel include breakthrough bleeding or
spotting. Many women also rely on their monthly period — even when they’re on
the pill — to ensure they’re not pregnant. Some researchers do question the
long-term safety of how continuous-use hormones may affect the risk of breast
and other hormone-fueled cancers. Ask your doctor if the no-period pill is
right for you.

Brunilda Nazario, MD, WebMD Medical Editor

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A recent study led by Peter A. D. Rubin, MD, of the University of Tennessee Health Science Center, used eye-tracking methodology to determine how signs of age or fatigue are assessed. Based on their experiences with patients, the researchers hypothesized that the eye area would be especially important. Social psychology research confirms that an attractive appearance enhances everything from a person's self-esteem to job prospects, and Dr. Rubin's group wanted to learn which facial features are key to a youthful, lively appearance. They assumed this information would be useful to people considering plastic surgery.

Forty-seven young adults (15 males, 32 females) were recruited from student populations in the Boston area; all passed vision screening tests. In each of two sessions a participant viewed photo images of 48 older individuals on a computer monitor equipped with a camera that analyzed infrared reflection from the eye's pupil and cornea to determine duration and direction of the gaze. This device, located in the Brandeis University Emotion Laboratory of Derek Issacowitz, PhD, allowed Dr. Rubin's group to quantitatively measure gaze patterns related to subjective judgments about age and fatigue. The images showed individuals' faces in neutral expressions, photographed under standardized conditions; the faces were divided into “LookZones” for data analysis. After viewing the image for five seconds, the participant clicked a selection on a rating scale. Age was assessed in the first session and tiredness in the second.

In rating age, participants most often looked at the eye region (46%), the nose (19.2%), the forehead (13.3%), and the region between the eyebrows (10.6%). The eye region was also most frequently selected in rating fatigue (44.7%), followed by the nose (18%), forehead (13.7%) and area between the brows (12.3%). Participants also looked longest at the eye region in both assessment sessions, concentrating on the brow and lower lids. Since the eye region represents just 21% of the area of the face, clearly this area is disproportionately important to such judgments. Overall, results indicated a strong relationship between the way facial regions were used in assessments of age and of fatigue. Because static rather than video images were used, the study did not determine whether attention would be drawn toward the mouth during speech. The researchers note that people from age groups other than young adult might assess facial features differently than this study's participant group.

“Our results raise the possibility that aesthetic surgery to the eye region may be an efficient, effective intervention to enhance an individual's attractiveness by reducing how old or tired one appears,” Dr. Rubin said. “Apparently, beauty is not only in the eye of the beholder, but also in the eye of the beholdee,” he quipped. American Society of Plastic Surgery 2007 statistics list eyelid surgery as the fourth most common procedure performed in the United States. Dr. Rubin's next study will rate age and fatigue perceptions using images of patients before and after cosmetic surgery.

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April 7, 2010 — The FDA today scolded six U.S. spas and one Brazilian
company for making false and misleading claims about fat-melting injections
known as mesotherapy, lipodissolve, lipozap, lipotherapy, or injection
lipolysis.

“They make it sound so good and so safe,” said Kathleen Anderson, the deputy
director of the FDA's Division of New Drugs and Labeling Compliance, during a
news conference.  “[They claim] it dissolves fat — melts it away with no
side effects — and they have done thousands of procedures, and it really sells
well,” she says. “We are really concerned because we have had reports of
complications, and we have no good data that say this is safe and this is
effective.”

Side effects reported to the FDA include permanent scarring and deep,
painful knots under the skin in areas where the lipodissolve cocktail has been
injected, she says.

The new warning went out to six U.S companies:

Monarch Medspa in King of Prussia, Pa.
Spa 35 in Boise, Idaho
Medical Cosmetic Enhancements in Chevy Chase, Md.
Innovative Directions in Health in Edina, Minn.
PURE Med Spa in Boca Raton, Fla.
All About You Med Spa in Madison, Ind.

The FDA also admonished a Brazilian company for hawking lipodissolve
products on two web sites: zipmed.net and mesoone.com. The agency has issued an
import alert to prevent the importation and distribution of unapproved
lipodissolve drug products into the United States.

The hope is that the new warning will have a chilling effect on other
medical spas and web sites that may also be guilty of touting the benefits of
this unproven treatment. “If other firms that didn’t get letters are making
false and misleading claims, they should also stop doing it,” she says.

If the companies do not take steps to correct the violations within 15 days,
the FDA can seize the products or order an injunction to legally stop the
company from continuing to make these false and misleading claims.

What Is Lipodissolve?

Lipodissolve or mesotherapy involves a series of injections of medications
that are purported to melt away localized fat deposits. The drugs most
regularly used in are phosphatidylcholine and deoxycholate (commonly called PC
and DC, respectively). Other drugs or products such as vitamins, minerals, and
herbal extracts may also be used. Phosphatidylcholine is not approved for
injection.

There is no evidence that this procedure works despite the claims made by
the medical spas cited by the FDA. Some even claim that lipodissolve can treat
male breast enlargement, benign fatty growths (lipomas), excess fat deposits,
and surgical deformities. “The FDA is not aware of any credible evidence to
support these claims,” Anderson says.

Buyer Beware

“This is a great day for patient safety. The FDA is sending a strong
message,” says Renato Saltz, MD, president of the American Society for
Aesthetic Plastic Surgery (ASAPS) and a plastic surgeon  in Salt Lake
City.

Saltz tells WebMD that he has seen some bad complications in people who have
tried the procedure.

The ASAPS is conducting a study of lipodissolve, the preliminary results of
which are slated to be presented at the annual ASAPS meeting in Washington,
D.C., later this month.

 “At this point, there is no indication for this procedure based
on  what we know today,” Saltz says. “We are working on the science and
perhaps we will find some application for lipodissolve or mesotherapy in the
future.”

This issue highlighted by the new FDA warnings is part of a larger problem
in cosmetic surgery, says Felmont F. Eaves III, MD, the ASAPS president-elect
and a plastic surgeon in Charlotte, N.C. 

“Right now, a lot of companies are pushing treatments with no data and no
proof of safety, and devices approved by FDA are being used for other things.
It’s a Wild West out there,” he tells WebMD. “Don’t be lured by fancy
marketing, have a big dose of skepticism when you see ads, and ask someone
qualified what the real scoop is.”

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