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The March Issue of Elevate Magazine Featuring Dr. Lista

Dr. Lista on Skin Care Through the Years 104.5 CHUM FM

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Dr. Ahmad Publishes Two New Articles on the Topic of Rhinoplasty

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Not Just Vanity: Tummy Tucks That Heal

Dr. Lista discusses celebrity treatments on Chatelaine Radio with Taylor Kaye

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Breast Reduction Surgery Found to Improve Physical, Mental Well-Being

For Men, A Gluteus More Maximus

Breaking Down the Stigma Around Plastic Surgery

Arm Plastic Surgery on the Rise

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Plastic Surgery Makes Us Happier. Seriously.

Study Examines Combo Chin, Nose Plastic Surgery

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Cosmetic surgery is on the rise AGAIN

The Plastic Surgery Clinic Announces new Director of Research and Education

Generation Y And Plastic Surgery: The Rise Of Cosmetic Procedures Among Canada's Millennial Generation

Dr. Lista featured in the Winter 2012 Issue of Fashion Magazine

Read Dr. Lista's paper on The Impact of Perioperative Warming in an Outpatient Aesthetic Surgery Setting

'I feel a little hotter': Bethenny Frankel says her breast implants gave her a confidence boost in the bedroom

Miracle 10 was featured in The Kit Magazine May 2012

Miracle 10 Body was featured in Elevate Magazine Summer 2012

Miracle 10 Body was featured in More Magazine Summer 2012

Dr. Lista is featured in Cosmetiques Magazine Spring 2012 Issue

Miracle 10 was featured in the May 2012 Issue of Fashion Magazine

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Dr.Frank Lista was featured in the April 2012 Issue of Chatelaine Magazine

The Marilyn Denis Show features Dr. Lista on Eterna & Miracle 10

Dr.Frank Lista was featured in the May 2012 Issue of Elevate Magazine

Miracle 10 is featured in MORE Magazine, April 2012 Issue

Dr. Lista contributes to MORE Magazine, Dec. 2011

Dr. Lista is featured in Cosmetics Magazine December 2011 Issue

Miracle 10 has been nominated for the World Architecture News (WAN) Retail Interiors Award 2011.

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Toronto Star interviews Dr. Lista on Skin Care

CHCH Interview of Dr. Lista on Looking Your Best on the Red Carpet

Miracle 10 was featured in the recent publication of Toronto Star

Miracle 10 was featured in the September 2011 Issue of Fashion Magazine

Dr. Ahmad coauthors article on state of the art rhinoplasty in the August 2011 issue of Plastic and Reconstructive Surgery.

Dr. Ahmad Leads Survey on Surgeons Liposuction Procedures

Dr. Lista Featured on Slice.ca

 

 

Plastic Cosmetic Surgery May Also Ease Migraines

THE NEW YORK TIMES

Catherine Saint Louis - September 2nd, 2009


MANY of the nearly 30 million Americans who suffer from migraines end up feeling like guinea pigs. Chronic patients — those who are laid low 15 or more days a month — often cycle through drug after drug in search of relief. They also contend with side effects like mental sluggishness and stomach upset. Treatment involves guesswork because doctors have not pinpointed what causes migraines, nor do they know which drugs will best help which patients.

“It can be a merry-go-round going from medication to medication in pursuit of control,” said Dr. Roger K. Cady, the vice president of the board for the National Headache Foundation, a nonprofit organization devoted to patient education.

No wonder that earlier last month, news of a surgical “cure” that touts a high success rate ricocheted worldwide. The double-blind study, published in the journal Plastic and Reconstructive Surgery, found that more than 80 percent of patients who underwent surgery in one of three “trigger sites” significantly reduced their number of headaches compared with more than 55 percent of the group who had sham surgery. More than half of the patients with the real surgery reported a “complete elimination” of headaches compared with about 4 percent of the placebo group.


Forehead lifts are cosmetic procedures that plastic surgeons typically perform to smooth furrowed brows. But a decade ago, after some of his patients reported that their migraines improved post-operation, Dr. Bahman Guyuron, a plastic surgeon and the lead author of the study, began to search for a surgical solution that could address migraine trigger points — which he defines as where the headache begins and settles — in the forehead, temples and the back of the head.

Headache specialists tend to be neurologists or internists, so Dr. Guyuron's work has not always been taken seriously. “If I had a neurologist tell me there's a new way of doing a facelift, I would have been very skeptical about it also,” said Dr. Guyuron, the chairman of the plastic surgery department at University Hospitals Case Medical Center in Cleveland. “But honestly I would have had an open mind.”

In the last month, the press has made much of the fact that a single operation could relieve migraines and turn back the clock in one fell swoop. But it is the potential that surgery for migraines may offer a viable alternative to drugs that has migraine specialists intrigued. “A very large subset became headache-free and remained headache-free for a year — that is a fantastic result,” said Dr. Richard B. Lipton, the director of the Montefiore Headache Center in the Bronx.

Especially considering that in the field of migraines, success is defined “as a reduction of 50 percent of attacks,” Dr. Cady said. Going from 10 episodes monthly to 5 is a welcome change, he added, but “it's still a lot of migraines.”

The theory behind the surgery is that because some migraines are caused when sensitive nerve branches are squeezed and irritated by muscles, deactivating those muscles could bring prolonged relief. In the off-label use of Botox for migraines, those same muscles — when paralyzed with Botox injections — have eased headaches in some patients for roughly three months. Forehead lifts, Dr. Guyuron reasoned, might result in a longer-lasting, perhaps permanent, alleviation of pain. Only study participants who responded positively to Botox were offered the surgery.

(Dr. Cady cautioned that the research on Botox as a treatment for chronic headaches is not yet ironclad. Allergan, Botox's maker, is pursuing the approval of Botox as a treatment for chronic migraines by the Food and Drug Administration.)

Many headache specialists, Dr. Lipton and Dr. Cady included, emphasize that this migraine surgery isn't applicable to most sufferers. “Folks who are appropriate for this procedure — they are the tip of the iceberg, not the vast majority,” said Dr. Jennifer S. Kriegler, a neurologist who is one of the study's authors and who works at the Cleveland Clinic's headache center.

At this stage, suitable candidates are those who endure frequent migraines and have failed more tried-and-true methods of controlling their headaches, several doctors said. The bottom line, Dr. Lipton explained, is if you can't identify a point of irritation and “if you don't respond to Botox, we don't know if this treatment works for you.”

Some doctors fear that the surgery may be offered to inappropriate patients before further research confirms its efficacy for a broader group of patients. “I don't want us to overshoot and start doing widespread surgeries in not very well selected patients until we are convinced this is broadly effective,” said Dr. F. Michael Cutrer, the chief of the headache division in the neurology department at the Mayo Clinic in Rochester, Minn. “You can always stop a medication but you can't reverse a surgery.”

As word of the surgery spreads, Dr. Cutrer said that he anticipated pleas for referrals to the few plastic surgeons nationwide who offer the operations, but that “until we maybe have studies that are a bit larger, and some longer follow-up I'm going to be very cautious.”

So far, Dr. Guyuron has trained roughly 150 doctors, and other plastic surgeons are refining their own migraine operations, even though they barely advertise.

Two years ago, an aunt told Shannon Byrne, from Mayfield Heights, Ohio, about Dr. Guyuron's migraine surgery. Ms. Byrne said that she had already spent a decade on “every single medication you can think of.” Still, pain hammered her head more days than not. “You're willing to try anything,” she said. Dr. Guyuron's surgery, which she had 18 months ago, was a godsend. The migraines that led to her dropping out of college and to a stroke at 20 are gone. “My dad told me not to worry about the money,” Ms. Byrne, now 22, said of the thousands paid out of pocket.

A classic forehead lift for cosmetic effect differs significantly from surgery for migraine sufferers. The latter removes frown muscles more thoroughly and entails padding nerves with fatty tissue, said Dr. David A. Branch, a plastic surgeon in Bangor, Me., who performs migraine operations.

Sometimes, migraine surgery doesn't involve the forehead at all. It varies according to where the patient's trigger sites are: forehead, temples or back of the head. If Dr. Guyuron operates on the temples, the eyebrows are rejuvenated, he said. It is only the surgery at the back of the head that has no added perk, he said.

It's unclear whether or not the migraine sufferers whose pain had disappeared a year post-operation will remain headache-free for life.

“My goal is zero headaches,” said Dr. Jeffrey E. Janis, a plastic surgeon in Dallas, who has performed roughly 100 operations in the last five years after training with Dr. Guyuron. “I might be able to achieve that in some, not in all.”

Complete elimination is “a pretty strong claim after one year of follow-up,” Dr. Cutrer said.

As a way of dampening expectations, Dr. Kriegler, who has referred patients to Dr. Guyuron, frequently tells them: “Once a migraineur, always a migraineur.”

 

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Dr. Lista's POV on:

 

Plastic Cosmetic Surgery May Also Ease Migraines

We've known for a long time that Botox can relieve migraine headaches in some patients. The mechanism of action appears to be the relaxation of muscles that stimulate nerves which trigger migraines. This works best for
the frown muscles of the forehead above the nose between the eyebrows. Browlift surgery appears to have the same action. During a browlift we usually weaken these muscles which improves the appearance in this area and has the added benefit of reducing migraine headaches in some patients.

A browlift significantly improves the appearance of the forhead, eyebrow and upper eyelids. The improvement of migraines is an added bonus making this a
procedure that gives patients a very pleasant result. Click here to learn more about browlift surgery at The Plastic Surgery Clinic.