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The Vogue 100

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I am excited to report that Vogue Magazine has asked me to be one of their Vogue 100. This is a group of 100 women around the country selected by Vogue to serve as editors, tastemakers, and ambassadors in the world of fashion and beauty. Stay tuned for the inside scoop – I’ll keep you posted!

Dr. Carolyn Chang, San Francisco Plastic Surgeon


Star Gazing…

We can’t help but read the gossip magazines, or at least flip through them – our secret guilty pleasure.  And even the ones we don’t read, we sneak a peek at when leaving the grocery checkout counter…

So what’s the latest gossip coming from the celebrity plastic surgery world?  Victoria Beckham’s breast reduction!  Rumor has it that she is so intent to be on the cover of Vogue magazine that she had her breasts downsized to increase her odds of landing the cover. Vogue’s editor, Anna Wintour, said she would consider putting Victoria on the cover, but told her she had to get her breasts looking better.  Beckham recently had her surgery in France to downgrade from a 34DD cup to a B cup.

Victoria Beckham prior to her capsulectomy

Victoria Beckham prior to her capsulectomy

So what’s the real scoop?
Victoria likely had a procedure called a capsulectomy, or a removal of the scar tissue surrounding the implants, with an implant exchanged to a smaller size.  Victoria’s breasts were not only larger before, but they were also encapsulated, or hardened.  This hardening occurs when the natural scar tissue that forms around any breast implant in the body thickens and contracts.  The result is that the breasts look high, round, and unnatural.  We’ve definitely seen plenty of evidence of this phenomenon in the pages of US Weekly.

Capsular contracture can occur in various degrees, from mild to severe.  Mild encapsulation may be evident only as a slight firmness in the feeling of the implants, with minimal cosmetic consequence.  More severe degrees can result in distortion of the breasts, and even pain in some cases.  Long term untreated severe encapsulation is associated with a higher rate of implant rupture, and mammography in these patients is less reliable.  For these health reasons, in addition to the undesirable cosmetic consequences, many patients may want to replace their encapsulated implants.

Luckily, most breast implants do not encapsulate to a severe degree, and there are various preventative measures that one can take, such as breast implant massage.  Your surgeon should provide you with instruction as to how to best prevent encapsulation.

In the meantime, Victoria looks great.  Her breasts are much more natural looking.  I think they complement her figure nicely.  Ms. Wintour should take note – only time will tell…

Dr. Carolyn Chang, San Francisco Plastic Surgeon


Plastic Surgery is the Latest Accessory for Job Seekers

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I thought that it was interesting that MSNBC was reporting that some surgeons and patients are now citing increased interest in surgery among people wanting to look younger and “fresher” for the ever-competitive job market.  This is a trend that I too am seeing in my office.

• The American Society of Plastic Surgeons released a recent survey showing that American women were looking at cosmetic surgery to get a competitive edge in the workplace.
• About 13 percent of the 756 women surveyed, between the ages of 18 and 64, say they would consider having a cosmetic medical procedure to make them more confident and more competitive in the job market.
• About 3 percent said they already had a cosmetic procedure to increase their perceived value in the workplace, and 73 percent said they believed that appearance and youthful looks play a part in getting hired, a promotion, or getting new clients, particularly in these challenging economic times.

You can read the article in its entirety at http://www.msnbc.msn.com/id/30112465/

Copyright 2009 Reuters.

Dr. Carolyn Chang, San Francisco Plastic Surgeon