By Caitlin McGarry Tue, Apr 07, 2009
Human beings are perfectionists. As life has evolved, we have moved toward better medicine, education, nutrition, transportation and a myriad of other important facets of civilization. And then, of course, we looked to ourselves.
Some scientists tie the desire for physical perfection to the biological instinct to procreate, an argument that altogether ignores sociological factors. But regardless of the reasons behind our collective quest to appear thin, young and gorgeous, the fact remains that cosmetic procedures play an integral role in that journey toward “perfection.”
According to a report released by the American Society for Aesthetic Plastic Surgery last month, more than 10.2 million surgical and non-surgical cosmetic procedures were performed in 2008. That statistic has jumped 162 percent since the organization began collecting statistics in 1997, though the number of cosmetic procedures performed has dropped by 12 percent since 2007.
Tricks of the Trade
Nevada doctors are contributing to the overall rise in cosmetic procedures, crafting techniques that enable patients to become newer versions of themselves.
Dr. Steven Kozmary of Kozmary Center Medical Spa has developed one such cosmetic procedure, called LipoDissolve Ultra. Kozmary’s technique is non-surgical—rather than invasively remove fat from a patient, he injects medications that dissolve fat cells. The LipDissolve treatment requires no anesthesia and is much less expensive than standard liposuction. The cost of the procedure begins at $250 for an area the size of two hands.
Kozmary said LipoDissolve exemplifies his philosophy, which is providing effective, non-invasive treatments in a relaxing environment. His medical spa is the antithesis of a busy doctor’s office—peaceful and quiet with little to no waiting for attention.
“We didn’t want people to think they were in a busy doctor’s office,” Kozmary said. “We want it to be very personalized, individualized attention to what each person needs. You can only do that in an environment where you have plenty of time to care for the patient.”
Kozmary’s office is not the site of drastic surgical procedures like breast augmentation. Instead, he offers small treatments such as Botox, facials and laser wrinkle removal.
“There’s a need for people that want to look better but aren’t ready for the plastic surgeon,” Kozmary said. “There are relatively conservative measures that people can take. They’re readily affordable. They’re very low-risk.”
Dr. Bernie Hanna of General Surgery Solutions also performs minimally invasive, low-risk treatments along with drastic surgeries. Hanna focuses on weight loss procedures, ranging from the smaller Smartlipo treatment to lap band and gastric bypass procedures.
Hanna’s weight loss surgery procedures are designed for those who are morbidly obese, which is typically determined by a person’s body mass index. Hanna said he treats patients who have tried to live healthy lifestyles but are in danger of falling victim to diseases like diabetes. Weight loss surgeries are far more drastic than smaller treatments and require strict adherence to a diet and exercise regimen to keep the weight off.
For patients who choose a less drastic procedure like Smartlipo, Hanna makes a small incision in the area of choice and then uses a laser wand to rupture fat cells and cauterize blood vessels to ensure minimal bleeding and bruising. He said Smartlipo patients are typically those who are within 10 pounds of their ideal weight range but are having difficulty losing a few pounds. And these patients are, of course, usually women.
What Women Want
According to the American Society for Aesthetic Plastic Surgery, women had more than 9.3 million cosmetic procedures in 2008—almost 92 percent of the total performed over the course of the year.
Critics of plastic surgery say the societal pressures on women to maintain their looks as they grow older and have children is directly responsible for women going under the knife. The number of women who received cosmetic procedures dropped by more than 11 percent last year, but so did the number of men who received surgical and non-surgical treatments.
Both Kozmary and Hanna said the bulk of their non-surgical cosmetic treatments are performed on women (though both men and women comprise the client base of Hanna’s surgical bariatric practice).
“My Smartlipo client is the average individual, mostly female…a young mom in her 30s who had a baby and they have a little pooch after pregnancy,” Hanna said. “They’ve been in the gym working out and they just can’t get rid of the tummy.”
Kozmary’s typical client is also a woman in her 30s, though he was inspired to start his medical spa over a crisis with his own appearance.
“I was in my mid-40s and I thought, ‘I need to start working on myself. What’s out there to improve appearance?’ It was kind of self-motivated. That’s when I started getting interested in it,” Kozmary said.
Square One
For those interested in the variety of cosmetic treatments available, many doctors, including Kozmary and Hanna, offer free advice to potential patients. Hanna hosts free weight loss information seminars at Mountain View Hospital in northwest Las Vegas once a month, while Kozmary schedules free consultations for those with questions.
“Most people come in and say, ‘What do you think?’” Kozmary said. “We give them a consultation and evaluate them and say, ‘Here are the options. This is what you need; this is what I think you don’t need. To accomplish what you need to accomplish, you need to go to a plastic surgeon.’
“I try to give them a realistic assessment of what they need. If it’s something they need to be referred out for, we’re happy to refer them out. That’s really what I think our value is. We give them an honest appraisal of where they’re at.”
Both doctors enjoy seeing patients’ satisfaction when the procedures are complete—whether the changes are small or large.
“It’s very gratifying,” Hanna said. “I’ve been doing general surgery for awhile, and weight loss surgery is very satisfying because patients are very happy. ‘I lost 20 pounds, 40 pounds, 50 pounds!’ It’s life changing. It’s much more rewarding for me to see stuff like that.”