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Bordering the Future Window on State Government Bordering the Future A Tale of La Crema de Belleza Back to Bordering the Future At first, the boy just felt fatigued. Then he reported severe headaches andtingling in his hands and feet. For an otherwise healthy 15-year-old from Eagle Pass, the symptoms shakingthrough his body during September 1995 made no sense.1 A physician in borderingPiedras Negras prescribed treatment for the aches, but a week later, the boyfelt worse. His worried mother gave him both a traditional Mexican herbalremedy and injections of B-complex vitamins. The boy rebounded--but onlybriefly.2 Then, he weakened again, rapidly losing 10 to 15 pounds.3 His condition led his mother to seek a specialist's attention in San Antonio.There, in November 1995, tests revealed the mercury level in the boy's urine tobe at least 20 times the normal range for his age and weight.4 The young man,it seemed, was suffering from acute mercury poisoning. Even after appropriate treatment, however, the mercury persisted. An Eagle Pass nurse checked the boy a month after the San Antonio visit, onlyto find his mercury level had not gone down. Concerned about the source of themercury exposure, the nurse requested an investigation from the TexasDepartment of Health (TDH) Office of Border Health. TDH staff soon searched theboy's house, and a mercury vapor detector device picked up a reading frompillows and sheets on the boy's bed. Next to the bed, the detector swished overa jar of acne cream prescribed for the 15-year-old. The detector's needle wentoff the scale. Investigators learned that the boy had been mixing the acne cream with apopular Mexican beauty cream called Crema de Belleza-Manning to lessenskin irritation from the acne cream. The state health laboratory in Austinfound the imported mixture to contain at least 6 percent mercury--enough toinduce poisoning in any adult. Indeed, the Crema de Belleza's listedingredients included calomel, otherwise known as mercurous chloride. TDH investigators fanned along the border to find out more about the prevalenceof the beauty cream by visiting pharmacies in Mexican border towns. They wantedto see how many carried the product. They also wanted to inspect flea marketsand ethnic stores in Texas to determine its availability. State healthofficials issued warnings to physicians and beauty salon owners. They alsobegan to work with Mexican officials to halt the product's productionand sale. As Texas and U.S. health officials have no jurisdiction over Mexicanlaws and regulations governing health and safety, cooperation was key. As news of the possible exposure spread, state and local health departmentsbegan to hear from dozens of individuals who had tried la crema. Some330 individuals, mostly Hispanic women from California, Arizona, New Mexico,and Texas, contacted local and state health departments and said they had usedthe cream. Calls came from as far away as Chicago, where a woman said arelative regularly mailed her the cream. Women in Houston and Dallas said they,too, routinely applied the cream. Some women had been using the cream for morethan 20 years. All the callers were urged to see a physician and take a urinetest to check for mercury poisoning. Investigators found the cream on sale at flea markets and ethnic grocerystores, but it was not on the U.S. Food and Drug Administration's (FDA) list ofapproved imports. With so much of la crema available on the open market,the only way to stem exposures would be to stop production in Mexico. Expandingits investigation, TDHjoined forces with other border state health departmentsin the U.S. and Mexico, the federal Centers for Disease Control and Prevention,the FDA, and Mexican federal health officials at the Secretaría deSalud (SALUD). SALUD notified TDH that the laboratories where the beautycream was manufactured in Tampico had been shut down and the remaining productconfiscated. Mexico issued an alert to all six Mexican states bordering theU.S. and asked Mexican pharmacies in the states to remove the productfrom their shelves. The cream immediately disappeared. But within weeks of the Mexican efforts,spot checks of border pharmacies still found a few bottles of the cream onshelves. Other pharmacies did not have it on their shelves, but would provideit upon request. More disturbing, not long after Mexico announced its ban onthe manufacture of Crema de Belleza-Manning , other beauty creams weresprouting up--all with similar-looking labels and names and all containingdangerous levels of mercury. A 1997 TDH environmental health survey of morethan 2,000 households along the Texas border found 7.5 percent of respondentssaying they had used Crema de Belleza-Manning within the past year. The boy from Eagle Pass fully recovered. But the risks of poisoning fromproducts of unknown origin have likely persisted, possibly extending wellbeyond the Rio Grande. ENDNOTES 1J.F. Villanacci, Ph.D., et al, "Mercury Poisoning Associated with BeautyCream--Texas, New Mexico, and California, 1995-1996," Morbidity andMortality Weekly Report , Centers for Disease Control and Prevention (May17, 1996), Vol. 45, No. 19, p. 401. 2The use of injections is much more common in Mexico, as it is thought that aninjection brings quicker relief. Injections can be purchased and oftenadministered over-the-counter at pharmacies throughout Mexico. 3Texas Department of Health, "The Hottest Zone: Mercury Poisoning," Disease Prevention News , Vol. 56, No. 10, May 13, 1996, p. 9. 4The mercury level in his urine was 178 grams/liter where the normal range forsomeone of his age and weight should be 0-20 grams/liter. Back to Bordering the Future Carole Keeton Strayhorn Texas Comptroller of Public Accounts Window on State Government Contact Us Privacy and Security Policy



facial surgery... Plastic surgeons

Facial Implants About ASPS | Contact Us Home : Learn About Procedures : Procedures Print This Page Cosmetic Procedures: Botox® Breast Augmentation Breast Lift Browlift Camouflage Cosmetics Chemical Peel Chin Surgery Computer Imaging Cosmetic Surgery at a Glance Dermabrasion Ear Surgery Endoscopic Plastic Surgery Eyelids Face Lift Hair Replacement Indications for Men Injectable Fillers Laser Skin Resurfacing Lipoplasty or Liposuction Microdermabrasion Nose Surgery Permanent Eyeliner Skin Management Spider Veins Tumescent Technique Tummy Tuck Upper Arm Lift If you're considering facial surgery... Plastic surgeons use facial implants to improve and enhance facial contours. Frequently, these implants will help provide a more harmonious balance to your face and features so that you feel better about the way you look. There are many implants available, manufactured from a variety of materials. They may help strengthen a jawline or bring the chin or cheekbones into balance with the rest of the face. This brochure describes some of the facial implants currently available as well as the techniques for their use. It will familiarize you with these procedures but cannot provide all the details which may be relevant to your particular needs. If you feel that one or more of the procedures described in this brochure may be of benefit, be sure to ask your plastic surgeon for more information. WHAT TO EXPECT FROM A FACIAL IMPLANT Facial implants can enhance your appearance and bolster your self esteem. If you are looking for improvement, not perfection, in your appearance and are realistic in your expectations, you may find that a facial implant is the right choice for you. Plastic surgeons will frequently use such implants to bring better balance to the features of a younger patient. For instance, a teenage girl may want her nose reshaped or her chin brought forward so that these traits are better proportioned. The more mature patient may choose to have an implant placed in conjunction with another cosmetic procedure. For example, during a facelift, a patient may wish to have implants placed over the cheekbones to help restore a more youthful appearance. Implants may also be selected to fill out a face that appears "sunken" or tired. ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK Facial implants can produce some remarkable changes. Problems rarely occur, but you need to be informed about such possibilities. This brochure will touch upon a few, but is not intended to provide a detailed or complete inventory of potential risks. A facial implant can shift slightly out of alignment and a second operation my be necessary to replace it in its proper position. Infection can occur with any operation. If infection were to occur around a facial implant and did not clear up after treatment with antibiotics, the implant might have to be temporarily removed and replaced at a later time. Other, less-frequent risks may be associated with certain implants. Be sure to ask your plastic surgeon for a description of the risks associated with the procedure in which you are interested. Some of the implant materials are made of a solid silicone. Currently, there is no scientific evidence that this is a harmful substance. Your plastic surgeon will be happy to discuss any current scientific findings concerning the type of implant you're considering. PLANNING YOUR SURGERY When you discuss your surgery with your plastic surgeon, be certain that you clearly express your expectations. Your plastic surgeon will help you determine what it is possible to achieve. It may be helpful to provide your surgeon with photos of people who have facial features similar to those you would like to have. Be sure you understand the details of the proposed surgery, including the cost and what to expect during your recovery. If the surgery will entail an incision inside your mouth, it is important that you inform your physician if you smoke or if you have any dental or gum problems. Your plastic surgeon will advise you on these matters. In preparing for your surgery, be sure to find out if you'll be able to drive home afterward or will require transportation. You should also ask if you'll need to refrain from eating or drinking the night before your surgery, and if you should stop taking any medications, including aspirin and similar drugs. You may be instructed to take oral antibiotics both before and after the procedure to help guard against infection. Your plastic surgeon will provide information about these important matters during your pre-operative consultation. WHERE YOUR SURGERY WILL BE PERFORMED Your operation may take place in an office-based facility, a freestanding surgical center or a hospital outpatient facility. Sometimes, your plastic surgeon may require that you stay overnight. Your doctor will make such a recommendation based on your overall medical condition and whether another cosmetic procedure was performed simultaneously with the facial implant surgery. TYPES OF ANESTHESIA In some cases, facial implant surgery may require only local anesthesia combined with a sedative. However, more frequently, a general anesthesia may be recommended. CHIN SURGERY Insertion of a chin implant may take anywhere from 30 minutes to an hour. During the procedure, the surgeon selects the proper size and shape implant to enhance your appearance and inserts it into a pocket over the front of the jawbone. The small incision to create the pocket and insert the implant is placed inside the mouth (along the lower lip) or in the skin just under the chin area. Usually, the chin is taped after surgery to minimize swelling and discomfort. Sutures in the skin will be removed in five to seven days. If an intra-oral incision is used, the sutures will dissolve. RECOVERING FROM CHIN SURGERY You will experience some discomfort and swelling in the affected area for several days. It's normal to experience some temporary difficulty with smiling and talking. Black and blue marks may be visible around the chin and neck. Your plastic surgeon will instruct you about dental hygiene, eating and any restrictions to your activities after surgery. CHEEK SURGERY Cheek implant surgery usually takes about 30 to 45 minutes. When cheek implants are being placed in conjunction with another cosmetic procedure, such as a facelift, forehead lift or eyelid surgery, the implants may be inserted through the incisions made for those procedures. Otherwise, an incision will be made either inside your upper lip or your lower eyelid. A pocket is then formed and an implant is inserted. After surgery, a dressing will be applied to minimize discomfort and swelling. The severity and duration of such side effects may vary, especially if another cosmetic procedure was performed at the same time. RECOVERING FROM CHEEK SURGERY Your plastic surgeon will provide you with instructions about post-operative care. There will be dietary restrictions as well as limitations to your activities. Again, these instructions will vary, especially if another procedure was performed along with your implant surgery. However, you should be aware that your ability to move your mouth and lips may be diminished temporarily. Stitches used to close the incisions inside your mouth usually dissolve within about 10 days. LOWER-JAW SURGERY Insertion of a jaw implant usually takes about one to two hours. Internal incisions are made on either side of the lower lip to provide access for creating a pocket into which the lower-jaw implant can be inserted. Dissolving sutures are used to close the incisions. RECOVERING FROM JAW SURGERY Swelling is sometimes significant immediately following surgery, usually peaking 24 to 48 hours afterward. Although most of the significant swelling will subside over a period of several days, prolonged mild swelling may prevent your final facial contour from becoming apparent for several months. During the healing phase, your activities and diet will be restricted. Your ability to smile, talk or move your mouth in any way may be limited for several days to weeks following surgery. Your plastic surgeon will instruct you about dental and oral hygiene during your recovery. GETTING BACK TO NORMAL Remember, with any facial surgery, you may feel and look better in a short period of time. However, it may not be advisable to participate in certain activities -- especially activity that may result in the face being jarred or bumped -- for several weeks. It's best to check with your plastic surgeon about such matters. YOUR NEW LOOK You may not be able to accurately evaluate your appearance for weeks, or perhaps even months. Give yourself plenty of time to get used to your new look. You may be surprised to find that most people won't recognize that you've had facial implant surgery -- only that you look better. To find a plastic surgeon who performs this procedure, visit the online referral service of the American Society of Plastic Surgeons (ASPS). ASPS, founded in 1931, is the largest plastic surgery organization in the world and the foremost authority on cosmetic and reconstructive plastic surgery. All ASPS physician members are certified by the American Board of Plastic Surgery (ABPS) or the Royal College of Physicians and Surgeons of Canada. Index What to expect from a facial implant All surgery carries some risk Planning your surgery Where the surgery will be performed Types of anesthesia Chin surgery Recovering from chin surgery Cheek surgery Recovering from cheek surgery Lower-jaw surgery Recovering from jaw surgery Getting back to normal Your new look Facial surgery is most often done to bring the face into balance by building up the chin, the cheeks, or the jaw. A short incision under the chin or inside the mouth allows the surgeon to place a chin implant directyly on the bone. Cheek implants are usually inserted through an incision in the mouth and placed directly on (or even below) the cheekbone. These implants can vary in size and shape. Jaw implants are placed directly on the jawbone to create a stronger, more defined jawline. Facial implants help change the basic structure of the face to give a fuller, more balanced look. Contact Us | Privacy | Disclaimer Surgeon Referral Service 1.888.4 PLASTIC All Materials 2005 ASPS/PSEF



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