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Thursday, December 29, 2005

CINCINNATI, Sept. 12 /PRNewswire/ -- The modern facelift tends to be more natural than facelifts 20 to 30 years ago and facelift techniques have evolved to the point where many patients can have long-lasting and predictable results with very little recovery time. Most patients can achieve a more defined jaw line, youthful-appearing neck and sculpting of those facial areas where fat (such as the jowls and cheeks) tends to accentuate signs of normal aging.

Most patients are between the ages of 45 and 65. Younger patients may be better suited for a mid-facelift, which addresses the changes of the eyelid- cheek junction and nasolabial folds, the deep creases that extend from the nose to the corner of the mouth. The technique of a mid-facelift can be accomplished through incisions placed below the eyelid margin of the lower lid or inside the mouth. Implants can also be placed through these hidden and well-disguised incisions to enhance bony features.

The position of the eyebrows is not affected by any facelift technique and this may need to be addressed to restore proper symmetry and balance when one has been performed. A low eyebrow position is a major contributor to excess skin above the upper eyelid and should not be ignored when considering facial rejuvenation.

The recovery process may take as little as a week or as long as three weeks depending on the amount of swelling and bruising. Most patients can resume their normal routine with camouflage make-up if bruising lasts longer than a week.

Newer so-called non-surgical facelift techniques do not actually achieve the desired effects of a properly and skillfully performed facelift. Subtle improvements with the "FeatherLift" have been documented but have not given patients sustained long-term results compared to modern surgical techniques.

Patients should explore all of their options before choosing a procedure and make sure that their physician is board certified by the American Board of Plastic Surgery.

Dr. Richard Williams is a board certified plastic surgeon with The Plastic Surgery Group, one of the largest non-academic cosmetic surgery practices in the nation, providing procedures including liposuction, tummy tucks, skin care, hair removal, face lifts and breast enhancement, allowing patients to look great at every age. More information can be accessed at

Available Topic Expert(s): For information on the listed expert(s), click appropriate link. Richard B. Williams, M.D., F.A.C.S.

CONTACT: Susan McDonald, +1-513-388-4700 ext. 3014, or , for The Plastic Surgery Group

Web site:

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By Joseph Barrios, The Arizona Daily Star, Tucson Knight Ridder/Tribune Business News

Dec. 15--Federal officials investigating four botulism infections in Florida seized more than 130 vials of botulinum neurotoxin during their search of a Tucson company suspected of illegally selling a Botox knockoff.

The materials were seized Dec. 4 from Toxin Research International Inc. at 3280 E. Hemisphere Loop, near East Valencia and South Palo Verde roads, according to documents filed in Tucson's U.S. District Court on Monday and last week in California. The U.S. Food and Drug Administration is trying to determine whether Toxin Research sold vials of illegal botulinum neurotoxin Type A to Advanced Integrated Medical Center in Fort Lauderdale, Fla.

Investigators believe the Tucson company shipped the drug to Bach McComb, a Fort Lauderdale physician believed to have injected himself and three others with the drug to smooth wrinkles. All four were infected with botulism and are hospitalized in a near-paralytic state.

According to the search-warrant documents, investigators are questioning whether Toxin Research sold off-brand botulinum neurotoxin for human use, even though the product contained a disclaimer that it was for research purposes only. Seized items include:

--A billing statement from Toxin Research to McComb.

--Marketing materials for seminars held by Toxin Research "suggesting for medical use on humans botulinum toxin not approved by the FDA" as well as liability waivers for seminar attendees.

--Contact information for doctors and facilities involved in plastic surgery, dermatology and laser treatments. Included was Toxin Research's price list for the drug and a handwritten note that reads "Botox for your wrinkles."

--134 vials marked as botulinum neurotoxin.

--Letters to doctors and a directory of customers.

In her application for the search warrant, FDA Special Agent Susan Leeds states there is probable cause to believe that Toxin Research had reason to believe that some buyers would use it on humans, thus introducing a "misbranded drug into interstate commerce" in violation of federal law.

Botulinum neurotoxin Type A is also the chemical name for the FDA-approved drugs Botox and Botox Cosmetic, manufactured by Allergan Inc. Myobloc, manufactured by Elan Pharmaceuticals, is made from botulinum neurotoxin Type B. The drugs are used to treat wrinkles and certain neuromuscular disorders, including eye muscle spasms and dysfunctional vocal cords.

Toxin Research is one of 19 companies and individuals who received subpoenas from the Florida Attorney General's Office, which is investigating the matter.

One of the subpoenaed companies, prescription-drug wholesaler Powderz Inc., surrendered its licenses to the state pharmacy board last week. Powderz Inc. is one of four businesses owned or operated by Chad Livdahl and Zahra Karim, Florida officials said. The two licensed naturopathic physicians also are being subpoenaed in the botulism investigation.

Robert Gehrke, an attorney representing Livdahl and Karim, did not return calls Tuesday to the Arizona Daily Star.

Craig Runbeck, executive director of the Naturopathic Physicians Board of Medical Examiners, said his agency is also pursuing an investigation. That board will discuss the matter at its January meeting.

To see more of The Arizona Daily Star, or to subscribe to the newspaper, go to

(c) 2004, The Arizona Daily Star. Distributed by Knight Ridder/Tribune Business News. For information on republishing this content, contact us at (800) 661-2511 (U.S.), (213) 237-4914 (worldwide), fax (213) 237-6515, or e-mail

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