The best way to Get Fantastic Results From a Plastic Surgeon

In case you are wondering why cosmetic surgery is called "plastic surgery," you're not alone. This is a rather interesting name for the surgical procedure that helps people defy the consequences of aging. This means to mold or to shape, which can be precisely what cosmetic surgery does. By eliminating imperfections it reshapes the face.

Believe it or not, cosmetic surgery goes back centuries. Skin grafts were used by the primeval Indians to rebuild a portion of the body. The Romans used cosmetic surgery to repair the damaged ears of their soldiers. Basically, the surgical procedure was inspired by war. Soldiers would become disfigured and cosmetic surgery was used to try and make them as ordinary as you can. The Canadian physician well known for plastic surgery procedures is Dr. E. Fulton Risdon, who continued to practice plastic surgery after helping soldiers during World War I. It was Archibald McIndoe who was a plastic surgery innovator in the Second World War when he began handling RAF air crews, Sir Gillie's cousin.

Doctors began getting the idea that they might perform plastic surgery on folks who wished to change something about their appearance, once it was discovered how successful plastic surgery was during wartime. This really is how a obsession with plastic surgery was born. Everyone needed to be molded into something different, particularly stars. The people needs them to remain timeless, which will be what they try to do.

Now a person might possess a plastic surgery procedure done and it does not even appear like they'd surgery. In the meantime, techniques are adopted that make the process easier. What this means is that something that cost $10, 000 $2,000 to $5,000. The difference is fairly essential. But, the difference in the entire sector is not quite insignificant. Regular individuals are now receiving plastic surgery. It is a thing that is becoming higher in demand. As a result of this demand, the plastic surgeon comes with a great occupation and does not have any problems with job security, especially if he or she understands what they're doing. The very best plastic surgeons live fairly complex lifestyles.

Who knew that cosmetic surgery would be something enjoyed by the masses? The procedure itself is not something that is appreciated, but the results are worth the amount of money paid. The healing time has additionally fell through the years. It used to be that breast augmentation Reno lots of time was needed in the therapeutic process. Now scarring and bruising is minimized considerably. It is because of the many revolutionary changes that have happened throughout recent years.

It simply has to do with the source of the word "plastic" and how it means to mold or form something. The only real plastic active in the procedure is plastic which makes up the utensils. It is basically only a nickname given to the surgeons who perform these surgeries and the operation.


Botched doctors reveal details of the plastic surgery failures featured in latest season

Dr Terry Dubrow and Dr Paul Nassif are the resident experts on the popular E! reality series 

Season two of Botched premieres tonight and features reality star Tiffany 'New York' Pollard, who is looking to have her breast augmentation fixed

The doctors will also take on a patient who had cement injected into her face and a man who wants to look like Kim Kardashian, among others 

By Erica Tempesta For

Published: 21:13 GMT, 14 April 2015 | Updated: 09:58 GMT, 15 April 2015

From a man obsessed with looking like Kim Kardashian to a woman who had cement injected into her face, reality TV's favorite doctors are back to taking on some of the world's most shocking plastic surgeries gone wrong.

Dr Terry Dubrow and Dr Paul Nassif, the resident experts on the popular E! series Botched, which is due to begin its second season tonight, spoke to about the 'jaw-dropping' cases they were faced with while filming the upcoming season of the show, explaining that many of the various cosmetic blunders featured go beyond anything either of them had ever been faced with before.

'These cases are not found in any textbook,' Dr Dubrow said. 'You can't call any surgeon and say, "Have you ever seen this?" because no one has ever seen this.'

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Dynamic duo: Dr Paul Nassif (L) and Dr Terry Dubrow (R) are back to taking on plastic surgery gone wrong on the second season of the E! reality show Botched, which premieres tonight 

Regrettable decision: One of their clients this season, Rajee Rajindra Narinesingh (pictured), had her face injected with 'cement' at an underground cosmetic filler party 

He added that, not only are these seemingly unrepairable surgeries shocking, but they are made even more astonishing by the fact that he and Dr Nassif 'have to do something' to help these patients - even it seems at times as though nothing can help to repair the damage that has been done.

During the interview, the duo, who have seen their fair share of cosmetic disasters, also stressed that cosmetic procedures are 'as serious as brain surgery' - which is one of the reasons why there are so many terrible outcomes.

Dr Dubrow, who said that he and Dr Nassif were 'floored' by 60per cent of the surgeries they had to fix this season, noted that the show's producers had to give them time to figure out what they were going to do before they proceeded with a client's surgery so that they could come up with an effective means of fixing the often horrifying mistakes made by other plastic surgeons.

He explained that he started this season by putting the cases in the photo section of his cell phone and every morning he would wake up, look at them and ask himself: 'How can I make this possible?'

He referred to this season as a 'David and Goliath' story because the problems they came across were so impossible to face.

Barbie world: Justin Jedlica, who is known as Human Ken, stops by the office to meet with Dr Dubrow 

Botched: Experts repair cosmetic surgery disasters

One of their patients this season, Rajee Rajindra Narinesingh, received black market injections from a self-proclaimed 'physician' who had her face filled with cement at a 'pumping party'. 

Dr Nassif said that Rajee, who is transgender, underwent the controversial - and incredibly dangerous - procedure 'an underground party where people get injections of black market product'. 

The unknown 'fillers' can be anything from non-medical grade silicone to food products to even caulking used for the bathtub, and Dr Nassif noted that people performing these risky procedures are not professionals - they are rarely even physicians. 

And the results are often disastrous. 

'Once you have something put in your body, you're screwed,' she said. 'I obviously don't want to use that word, "You're screwed," but you're permanently ruined.'

Reality star: Jordan James Parke (pictured) has spent more than $100,000 on plastic surgery to make him look more like his idol Kim Kardashian 

Jordan James Parke spent £100,000 to look like Kim Kardashian

Dr Nassif added: 'You can't reverse it most of the time. People say, "Oh, it's no big deal, go get some fillers!" Wrong. Incorrect. Be careful.'

Other times the outcomes can even be deadly.

'The chances that it could go south, that you could have a complication is real and it's more than one per cent,' he said.

The doctors also acknowledged that there is a 'circus act component' to the show, particularly when they are dealing with patients who are obsessed with looking like human dolls or their favorite celebrities, including Jordan James Parke, who has spent thousands to look like Kim Kardashian.

While they don't want to help people become 'famous internet freaks', Dr Dubrow explained that it is important for them to fix the patient's surgical problem because 'they still deserve the right to be back in society normally'. 

Costly obsession: This woman says she has had 300 cosmetic procedures 

Seeking perfection: This man said his nose has been 'chopped up more than ahi tuna' before he visited the show's doctors 

And giving people that opportunity is a part of what makes the show so rewarding.

According to Dr Dubrow, the patients featured on the series have often been 'turned down by every good plastic surgeon in the nation', so he and Dr Nassif are often their 'last hope'.

They even had patient this season who went homeless because of trying to correct a botched surgery.

'If we don't use our experience, our education, our training on them, some numbskull with no experience and no education or training is going to try and it's going to get worse,' he said.

On tonight's premiere of the show, the doctors are trying to help former reality star Tiffany 'New York' Pollard from VH1 series I Love New York fix her sagging breasts.

The doctors will also treat former Baywatch star Nicole Eggert and musician Guillermo Eiland from Bone Thugs-N-Harmony, among others, this season. 

Make it happen: Dr Dubrow shows a patient the leaches he has brought into while trying to fix a botched surgery 

Skilled hands: Dr Dubrow can be seen performing surgery on the show 

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Trouble brewing in South Korea's plastic surgery paradise

SEOUL Nov 2 (Reuters) - Kim Bok-soon disliked her nose and fantasised about getting it fixed after learning of the Korean superstition that an upturned nose makes it harder to hold on to riches.

While waiting in a hair salon, she saw a magazine advertisement for a plastic surgery clinic and decided to go for it, despite her family's objections.

In South Korea, where physical perfection is seen as a way to improve the quality of life, including job and marriage prospects, plastic surgery procedures can seem as commonplace as haircuts.

Kim's doctor said he could turn her into a celebrity lookalike, and Kim decided to take the plunge, taking loans and spending 30 million won ($28,000) for 15 surgeries on her face over the course of a day.

When the bandages came off and she looked in the mirror, she knew something had gone horribly wrong. Only later did Kim find out her doctor was not a plastic surgery specialist.

Five years later, Kim struggles with an array of medical problems, and is unable to close her eyes or stop her nose from running. The 49-year-old divorcee said she was unemployed and suffers from depression.

"It is so horrible that people can't look at my face," Kim, crying, said in her tiny one-room Seoul flat filled with photographs from before and after the surgeries.

"This is not a human face. It is more revolting than monsters or aliens."

A record from the Seoul central district court shows that Kim's doctor faces a pending criminal case on charges of violating medical law. The case began in 2009 after several patients including Kim reported him to the authorities. The doctor's lawyer turned down Reuters' request for an interview.

The boom in South Korea's $5 billion plastic surgery industry - that's a quarter of the global market according to the country's antitrust watchdog - is facing a backlash, with formal complaints about botched procedures and dodgy doctors doubling in 2013 from a year earlier.

Some plastic surgeons say safety fears could stifle the country's nascent but fast-growing market for medical tourism, especially from China.

Complaints range from unqualified doctors to overly aggressive marketing to "ghost doctors", who stand in for more qualified doctors and perform surgeries on unwitting, anaesthetized patients.

Cha Sang-myun, chairman of the Korean Association of Plastic Surgeons, which represents 1,500 plastic surgeons, is worried about their reputation. Cha and some lawmakers are among those calling for tighter supervision and stricter advertising rules.

"We've got to clean ourselves up," Cha said at his clinic in Seoul's high-end Gangnam district, which is filled with plastic surgery clinics.

"Now, patients from China are coming in the name of plastic surgery tourism but if things go on like this, I don't think they will come in the next few years," he said.


In a notorious case last December, a high school student ended up in a coma after surgeries to fix her nose and get a "double-eyelid", a procedure that makes the eyes look bigger.

Cha's group looked into the incident and found the hospital that performed the surgery hired such ghost doctors, and referred the case to prosecutors. It is still under investigation by prosecutors and nobody has been indicted, an official at the association said.

Critics blame lax regulation, excessive advertising and society's obsession with appearance for fuelling an industry run amok.

South Korea is home to more than 4,000 plastic surgery clinics and has the world's highest rate of cosmetic procedures - 13 for every 1,000 people in a population of 49 million - according to government data.

The boom is gaining steam, fuelled by tourism, with the number of visiting Chinese patients tripling between 2011 and 2013, government data shows.

"Advertising too much has made people think surgeries are a commodity. People now think plastic surgeries are like buying stuff somewhere," said Cha, who has performed plastic surgeries for more than two decades.

"But plastic surgery is a surgery too, which can risk your life," he said.

A Miss Korea contestant in the 1980s underwent breast augmentation in 2008 in the hope that it would boost her chances of finding a husband.

Park, 50, who is divorced and gave only her surname, ended up going to the same doctor as Kim. Due to a series of post-surgical infections, her right breast ended up half the size of the left.

"I regret it so much that I tried to kill myself twice," she said. "Plastic surgeries are like an addiction. If you do the eyes, you want to do the nose. And doctors don't say 'you are beautiful enough', but get people to do more." (Editing by Tony Munroe and Tony Tharakan)

Indians' Tomlin to miss 3-4 months due to shoulder surgery

Goodyear, AZ ( - Cleveland Indians pitcher Josh Tomlin will undergo arthroscopic debridement surgery due to chronic AC joint inflammation in his right shoulder, the team announced Friday.

The surgery will take place next Wednesday. Tomlin's timetable to return is 12-to-16 weeks.

Tomlin had been optioned to the minors. The move will be reversed and he will open the season on the major league disabled list.

The 30-year-old Tomlin went 6-9 with a 4.76 ERA in 25 games (16 starts) for the Indians last season.

The right-hander underwent Tommy John surgery in August 2012 and was expected to miss the entire 2013 season. However, he did pitch in one game in 2013.

Tenet, United Surgical Partners International and Welsh Carson to Create the Nation’s Largest Ambulatory Surgery Platform

DALLAS--(BUSINESS WIRE)--Tenet Healthcare Corporation (NYSE: THC) and Welsh, Carson, Anderson Stowe have signed a definitive agreement under which Tenet and United Surgical Partners International (USPI) will combine their short-stay surgery and imaging center assets into a new joint venture. The Tenet and USPI joint venture will be the largest provider of ambulatory surgery in the United States.

Under the terms of the agreement, Tenet will initially own 50.1% of the joint venture and will consolidate its financial results. Welsh Carson and the other existing investors in USPI will initially own the remaining 49.9%. Tenet will have a path to full ownership of USPI over the next five years through a put/call structure.

The joint venture will have ownership interests in 244 ambulatory surgery centers, 16 short-stay surgical hospitals and 20 imaging centers in 29 states. It will maintain the USPI brand, as well as USPI's innovative three-way partnership model with physicians and leading not-for-profit health systems. The combined operations will have partnerships with 50 health systems and more than 4,000 physicians at the facility level. Bill Wilcox will continue to lead USPI as chief executive officer, and Brett Brodnax, president and chief development officer of USPI, will lead the company's strategy and growth efforts. Kyle Burtnett, senior vice president for outpatient services at Tenet, will join USPI as president of ambulatory services and will take on the additional role of chief integration officer for the new venture.

"Through strong partnerships with physicians and leading health systems, USPI has built a network of relationships and facilities that are providing high quality surgical care across the United States," said Trevor Fetter, Tenet's president and chief executive officer. "Creating this joint venture with the premier operator of short-stay hospitals and surgery centers has strategic and financial benefits for both parties. The partnership accelerates Tenet's and USPI's shared strategy to expand our ambulatory service offerings to meet growing consumer demand for services that are provided in a lower cost, more convenient setting and that are aligned with the long-term transition to value-based care. In addition, together Tenet, USPI and Conifer Health Solutions will be even better positioned as a strategic and capital partner to not-for-profit health systems. Financially, this transaction is expected to be neutral to EPS this year and accretive to EPS in 2016, to sustainably increase our growth and profitability, and improve our cash flow profile."

Bill Wilcox, chief executive officer of USPI, said, "We share Tenet's vision and excitement with regard to the benefits of this transaction and look forward to working with Tenet to grow our ambulatory services platform. Tenet is committed to delivering high quality care and clearly values its partners, and together we will further establish USPI as the innovative leader in providing ambulatory solutions for healthcare systems. The growth potential of USPI is strengthened as a result of this partnership."

Tenet also has entered into a definitive agreement to acquire from Welsh Carson the operations of Aspen Healthcare Ltd., which operates nine private hospitals and clinics in the United Kingdom. Aspen began as a two hospital system that was acquired by USPI in April 2000 with backing from Welsh Carson. USPI grew the system before a restructuring of the USPI group in 2012, which resulted in it becoming an independent company majority owned by Welsh Carson.

"Aspen Healthcare has achieved a strong track record of performance under Welsh Carson's ownership, and their significant and smart capital investments in recent years have positioned the company to drive additional robust growth in the future," said Mr. Fetter.

Both transactions are subject to customary closing conditions, including in the case of USPI the receipt of regulatory approvals, and both are expected to close by the third quarter of 2015.

Strategic Benefits

Establishes the leading U.S. short-stay surgery platform. Combining Tenet's and USPI's ambulatory surgery facilities creates the leading ambulatory surgery business, with the largest portfolio, geographic footprint and scale in the sector. The three-way partnership model, strong reputation with not-for-profit health systems, and complementary expertise and experience of the combined management team will strongly position USPI for future growth. In addition, Tenet's imaging facilities will be included in the joint venture, and the companies anticipate adding other ambulatory services in the future as part of a strategy to offer a full range of ambulatory solutions for health system partners.

Advances Tenet's long-term strategic vision and significantly enhances earnings profile. This transaction significantly expands Tenet's portfolio of higher growth, higher margin, more capital-efficient ambulatory services and will enhance the company's position as a diversified healthcare services company. Following the completion of the transaction, Tenet will have solidly established positions in its traditional acute care business, its ambulatory business, and its services business, making the combined company an even stronger partner to not-for-profit health systems. Financially, the transaction is expected to be neutral to EPS this year and accretive to EPS in 2016, to sustainably increase EBITDA margins and EBITDA growth, and improve Tenet's cash flow profile. The company expects a minimal increase in its leverage ratio in the near term and to remain on a path to reduce leverage over time.

Aligns Tenet with key healthcare trends and growth drivers. The transaction increases Tenet's ability to participate in and benefit from the growing demand for lower-cost, more consumer-friendly services provided in freestanding ambulatory facilities. This demand is being driven by consumer and physician choice, payers and employers, and value-based payment models that create incentives for care to be delivered in lower-cost settings. In its acute care markets, the partnership with USPI will enhance Tenet's ability to develop and expand ambulatory services, build integrated networks, and participate in value-based and other risk-based models with payers. It also will drive growth by providing a platform that will enable Tenet to partner with additional not-for-profit health systems to expand ambulatory services in markets where the company does not own or operate acute care hospitals.

Highly-respected management team will continue to lead the business. The USPI management team has built the preeminent short-stay surgery business through its pioneering three-way partnership model. It has a strong track record of financial performance and growth. That management team will be joined by key members of Tenet's Outpatient Services Division, which has driven Tenet's successful multi-year initiative to increase outpatient revenue through organic growth, de novo development and acquisitions.

Entering the growing U.K. market through the acquisition of Aspen Healthcare. Aspen is a strong, growing network of well-capitalized private hospitals and clinics, with an established management team led by executive chairman Mark Kopser and chief executive officer Des Shiels. It offers Tenet an attractive opportunity to enter the U.K. market, where the demand for private healthcare services is steadily increasing due to demographic changes, growth in consumer healthcare spending, and increasing opportunities to work with and support the National Health Service.

Financial Terms

Under the terms of the agreement, Tenet will contribute 44 freestanding ambulatory surgery centers and 20 imaging centers. Welsh Carson will contribute USPI's 202 ambulatory surgery centers and 16 surgical hospitals. Tenet will pay approximately $425 million in cash to Welsh Carson and the other existing shareholders in USPI to align the respective valuations of the contributed assets. The venture expects to realize approximately $50 million of corporate and facility level synergies over the next three years.

At closing, Tenet will own 50.1% of the joint venture, with Welsh Carson and existing shareholders of USPI owning the remaining 49.9%. Based on the respective valuation multiples and the expected EBITDA less NCI at the joint venture over the next year, the enterprise value of the joint venture approximates 12.5x forward EBITDA less NCI, based on an equity value of approximately $2.6 billion. The agreement contains a put/call structure, under which Tenet can acquire the remaining Welsh Carson investment in USPI over the next five years at a fixed multiple of 9.5x forward EBITDA less NCI.

In a separate transaction, Tenet is buying Aspen Healthcare from Welsh Carson for approximately $215 million in cash. Aspen Healthcare will not be included in the new joint venture.

In total, Tenet expects to raise $2.2 billion of debt related to these transactions, to be used principally to refinance $1.5 billion in existing debt of USPI, make the $0.6 billion in cash payments to Welsh Carson for USPI and Aspen, and for related transaction expenses.

These transactions are expected to close by the third quarter of 2015, after which the company intends to update its 2015 guidance.

J.P. Morgan and Lazard acted as financial advisors to Tenet, and Gibson, Dunn Crutcher served as Tenet's legal counsel. Barclays acted as lead financial advisor to USPI, with Goldman Sachs also acting as financial advisor, and Ropes Gray LLP serving as legal counsel. For Aspen, Barclays and Goldman Sachs served as financial advisors. Barclays has provided committed financing to Tenet as part of the transaction.

Management's Webcast Discussion of Transaction

Tenet and USPI management will discuss this transaction on a webcast scheduled for 8:30 a.m. (ET) on March 23, 2015. Investors can access the webcast through Tenet's website at A set of slides, which will be referred to on the conference call, will be made available on the same section of the Company's website prior to the start of the call.

About Tenet

Tenet Healthcare Corporation is a national, diversified healthcare services company with 110,000 employees united around a common mission: to help people live happier, healthier lives. The company operates 80 hospitals, 214 outpatient centers, six health plans and Conifer Health Solutions, a leading provider of healthcare business process services in the areas of revenue cycle management, value-based care and patient communications. For more information, please visit

The terms "THC", "Tenet Healthcare Corporation", "the company", "we", "us" or "our" refer to Tenet Healthcare Corporation or one or more of its subsidiaries or affiliates as applicable.

About United Surgical Partners International

USPI, headquartered in Dallas, Texas, currently has ownership interests in or operates 218 facilities, of which 154 are jointly owned with not-for-profit healthcare systems. For more information, please visit

About Welsh, Carson, Anderson Stowe

Welsh, Carson, Anderson Stowe focuses its investment activity in two target industries, information/business services and healthcare. Since its founding in 1979, the Firm has organized 16 limited partnerships with total capital of over $21 billion. The Firm is currently investing an equity fund, Welsh, Carson, Anderson Stowe XI, L.P., and has a current portfolio of over 25 companies. WCAS's strategy is to partner with outstanding management teams and build value for the Firm's investors through a combination of operational improvements, internal growth initiatives and strategic acquisitions. See to learn more.

This release contains "forward-looking statements" - that is, statements that relate to future, not past, events. In this context, forward-looking statements often address our expected future business and financial performance and financial condition, and often contain words such as "expect," "assume," "anticipate," "intend," "plan," "believe," "seek," "see," or "will." Forward-looking statements by their nature address matters that are, to different degrees, uncertain. Particular uncertainties that could cause our actual results to be materially different than those expressed in our forward-looking statements include, but are not limited to, the occurrence of any event, change or other circumstances that could give rise to the termination of the acquisition agreements described herein; the failure to satisfy conditions to completion of the transactions, including receipt of regulatory approvals; our ability to fully realize the anticipated benefits and synergies of our acquisitions and to successfully complete the integration of businesses we acquire; and the factors disclosed under "Forward-Looking Statements" and "Risk Factors" in the Form 10-K for the year ended December 31, 2014 for each of Tenet and USPI, and in the quarterly reports on Form 10-Q, periodic reports on Form 8-K and other filings with the Securities and Exchange Commission made by each company. The information contained in this release is as of the date hereof. Neither Tenet nor USPI assumes any obligation to update forward-looking statements contained in this release as a result of new information or future events or developments.

Tenet and USPI use their company websites to provide important information to investors about the company including the posting of important announcements regarding financial performance and corporate developments.

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