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Castle Connolly’s 2019 “TOP DOCS” Award

Once again, I am honored to be selected as Castle Connolly’s “Top Doctors” in Plastic Surgery for 2019, as published in the Gulfstream Media Group’s publications (Jupiter Magazine, The Palm Beacher, Boca Life). Castle Connolly Medical Ltd. is a health care research and information company recognized for their established survey and research process.  Their team of researchers follow a rigorous screening process of doctors’ educational and professional experience to make selections.  Doctors do not and cannot pay to be selected and profiled as “Top Doctors”. This is my 10th consecutive year for this selection and I am humbled to be recognized. My goal has always been to provide exceptional, individualized care to improve the health and well being of my patients, both reconstructive and cosmetic.

Castle Connolly’s 2018 “TOP DOCS” Award

Once again, I am honored to be selected as Castle Connolly’s “Top Doctors” in Plastic Surgery for 2018, as published in the Gulfstream Media Group’s publications (Jupiter Magazine, The Palm Beacher, Boca Life). Castle Connolly Medical Ltd. is a health care research and information company recognized for their established survey and research process.  Their team of researchers follow a rigorous screening process of doctors’ educational and professional experience to make selections.  Doctors do not and cannot pay to be selected and profiled as “Top Doctors”. This is my ninth consecutive year for this selection and I am humbled to be recognized. My goal has always been to provide exceptional, individualized care to improve the health and well being of my patients, both reconstructive and cosmetic.

Castle Connolly’s 2017 “Top Docs” Recognition

Once again, I am honored to be selected as Castle Connolly’s “Top Doctors” in Plastic Surgery for 2017, as published in the Gulfstream Media Group’s publications (Jupiter Magazine, The Palm Beacher). Castle Connolly Medical Ltd. is a health care research and information company recognized for their established survey and research process.  Their team of researchers follow a rigorous screening process of doctors’ educational and professional experience to make selections.  Doctors do not and cannot pay to be selected and profiled as “Top Doctors”. This is my eighth  consecutive year for this selection and I am humbled to be recognized. My goal has always been to provide exceptional, individualized care to improve the health and well being of my patients, both reconstructive and cosmetic.

FDA Update on Breast Implants

You may have heard recent media reports regarding breast implants and a rare form of cancer.  The FDA recently updated information regarding this disease (Breast Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL)). My specialty societies, The American Society of Plastic Surgery and the American Society for Aesthetic Plastic Surgery, are working closely with the FDA in monitoring the disease.

BIA-ALCL is not a breast cancer, but a rare and treatable T-cell lymphoma (a type of non-Hodgkins lymphoma) that involves the scar tissue around the implant (capsule) and usually develops as a fluid accumulation (non-traumatic seroma) around a breast implant.

The lifetime risk for this disease appears to be about 1 case for every 30,000 textured implants.  This equates to a 0.003 percent risk.  Thus far, there have been no confirmed cases of BIA-ALCL in women who have had only “smooth surface” breast implants.

The FDA is not recommending prophylactic removal of textured implants.  Rather, the FDA recommends, as do I, that every woman conduct regular self breast examination.  If you develop a seroma or a lump in your breast and do not have a doctor familiar with BIA-ALCL, contact my office right away.  I will comprehensively evaluate you and order the appropriate tests to determine if any treatment is indicated.

Women who develop BIA-ALCL can often be cured by simply removing the implant and the capsule around the implant (capsulectomy).  Some patients may require additional treatment (such as radiation or chemotherapy).  Following removal and capsulectomy, replacement with a smooth surface  implant may be an option.

For additional information about BIA-ALCL, I am happy to answer your questions or you may consult the following websites/links:  The American Society of Plastic Surgery website at  www.plasticsurgery.org/alcl or the FDA updated website at

https://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/ImplantsandProsthetics/BreastImplants/ucm239995.htm

 

KYBELLA® Now Available In Our Office!

KYBELLA® is the first and only injectable drug approved by the FDA (in 2015) “for the treatment of moderate to severe convexity or fullness associated with submental fat in adults”.  In lay terms, this drug improves the appearance and profile of moderate to severe fat below the chin, or “the double chin”.  KYBELLA® is deoxycholic acid (DOCA), a cytolytic drug, which, when injected into the tissue,  physically destroys the cell membrane causing lysis, i.e., permanent death to the fat cell so it can no longer store or accumulate fat, regardless if the origin of fat is genetic, weight gain or aging.

This is an office procedure involving multiple injections with a very tiny needle into the fatty area below the chin.  A topical anesthetic is applied beforehand for comfort.  Afterwards, an ice pack is placed to reduce swelling.  While normal activities may be resumed, because of the likelihood of swelling, social downtime for a few days is recommended.  The average treatment uses 2 to 4 vials, and the average patient requires 2-4 treatments at monthly intervals.  Once the result is achieved, further treatment is not necessary. This is a non-surgical alternative to liposuction in this area of the body!

The most common adverse reactions (>20%) include injection site edema/swelling, bruising/hematoma, pain, numbness, erythema/redness and induration/firmness.  Edema/swelling was reported as mild in 79.5%, moderate in 19%, and severe in 1.5%.  Ice packs, head elevation and time resolve this reaction.  Risks include frequent bruising/hematoma reported in 72%.  Marginal mandibular nerve injury resulting in an asymmetric smile was reported in 4%; spontaneous resolution occurred in a range of 1-298 days, median 44 days.  Dysphagia (difficulty swallowing) was reported in 2%; spontaneous resolution occurred in a range of 1-81 days, median 3 days.

Deoxycholic acid (DOCA) is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat.  Endogenous DOCA (that which normally circulates in the body) is a product of cholesterol metabolism and is excreted intact in the feces.  DOCA from KYBELLA® joins the endogenous bile acid pool in the liver circulation and is excreted along with the endogenous DOCA.

Before and after photos can be viewed at MyKybella.com .

Castle Connolly’s “Top Docs” 2016 Recognition

Once again, I am honored to be selected as Castle Connolly’s “Top Doctors” in Plastic Surgery for 2016, as published in the Gulfstream Media Group’s publications (Jupiter Magazine, The Palm Beacher). Castle Connolly Medical Ltd. is a health care research and information company recognized for their established survey and research process.  Their team of researchers follow a rigorous screening process of doctors’ educational and professional experience to make selections.  Doctors do not and cannot pay to be selected and profiled as “Top Doctors”. This is my seventh consecutive year for this selection and I am humbled to be recognized. My goal has always been to provide exceptional, individualized care to improve the health and well being of my patients, both reconstructive and cosmetic.

“Top Doctors” Recognition By Castle Connolly!

Once again, I am honored to be selected as Castle Connolly’s “Top Doctors” in Plastic Surgery for 2015, as published in the Gulfstream Media Group’s publications (Gold Coast Magazine, Jupiter Magazine, The Palm Beacher, Boca Life Magazine). Castle Connolly Medical Ltd. is a health care research and information company recognized for their established survey and research process.  Their team of researchers follow a rigorous screening process of doctors’ educational and professional experience to make selections.  Doctors do not and cannot pay to be selected and profiled as “Top Doctors”. This is my sixth consecutive year for this selection and I am humbled to be recognized. My goal has always been to provide exceptional, individualized care to improve the health and well being of my patients, both reconstructive and cosmetic.

Castle Connolly “Top Doctors” Recognition

I am honored to be selected, once again, as a Castle Connolly “Top Doctors” in Plastic Surgery for 2013. Castle Connolly Medical Ltd. is a health care research and information company recognized for their established survey and research process.  Their team of researchers follow a rigorous screening process of doctors’ educational and professional experience to make selections.  Doctors do not and cannot pay to be selected and profiled as “Top Doctors”. This is my fourth consecutive year for this selection and I am humbled to be recognized.

Look Your Best This Holiday And In 2013!

It’s the Holidays…that time of year when you want to look your best! We offer a variety of Aesthetician Services that can provide you that “radiant skin” for the Holiday Season and into the New Year. One of the more effective skin treatments with growing national popularity is the VI Peel™, now offered at a reduced price as a Holiday Promotion!

The VI Peel™ reverses the effects of sun damage by reducing age spots, freckles and pigmentation irregularities.  It also softens fine lines and wrinkles; and it is highly effective in clearing acne.  The VI Peel™ is painless and takes only a few minutes to apply.  In about 3 to 5 days there is noticeable skin peeling, but by the 7th day, most patients report an obvious improvement to tone, texture and clarity of the skin, and diminished uneven pigmentation.  In some cases, a series of the VI Peel™ may be recommended to achieve optimal results, and maintenance can be achieved with treatments every 3 to 6 months.

While the VI Peel™ is more expensive than traditional aesthetician peels, it is a less expensive alternative to deeper resurfacing procedures. I like to call it a “poor man’s FRAXEL™”, especially when used in a series of treatments!  And for the Holidays and New Year, our office is having a promotion for significant savings…if not for you, consider a gift certificate for someone you care about!  Contact us via email http://www.janakrasmussenmdfacs.com/contact-us/ or call 561-833-6688 for more information.  Click on the following link to hear an NBC affiliate news report about the VI Peel™ http://www.youtube.com/watch?v=aIcq26xEc4Y.  And for more detailed information and a patient demonstration, follow this link (note, the patient is not mine on this demo….I do not inject lips this big!) http://www.youtube.com/watch?v=92EzUQIerFs.

Have a Safe and Happy Holiday Season!

 

Put On Your Pink Bra

In recognition of October as Breast Cancer Awareness month,  the American Cancer Society is hosting the annual “Making Strides Against Breast Cancer” fundraising event. Locally, it includes a walk along the Intracoastal Waterway in Downtown West Palm Beach on Saturday, October 13th. Last year, the themed event was “Put On Your Pink Bra” and  because it was so successful, it continues to be the theme this year. I have been a team captain of  “Rasmussen’s Rum Runners” for many years, and would love for you to either participate on my team, or donate to my team. Please go to the link below for more information.  And if you want more information about how I incentivize my team members, contact me via my website or Facebook page, and I’ll email you specifics.  I hope to see your name on my list of team members/donors!

http://main.acsevents.org/site/TR/MakingStridesAgainstBreastCancer/MSABCFY13FL?team_id=1226552&pg=team&fr_id=47376