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Seri, new breast implant technology

Seri is a silk derived mesh with potential to improve Breast Augmentation Outcomes

Breast Implants, especially large breast implants tend to move over time.  Skin alone doesn’t usually keep the breast implants in place.  Having a secondary breast lift procedure can be of help in the future.  However there is a potential new technology that can help:  Seri.  It is a bioengineered silk biodegradable mesh.

Seri is more completely known as SeriScaffold.  There is potential for this product to be used for other breast reconstructive surgery and perhaps in skin grafting.  There is also thoughts that Seri could reduce breast capsular contracture which is another potential problem with breast implant surgeries.  There are other products out there called Acellular Dermal Matrices out there, but Seri is not an animal product or derived from cadavers.

serica-logo

This silk based synthetic surgical scaffold got FDA approval in 2009.  It was originally made by Serica Technologies out of Massachusetts, which was later acquired by Allergan, based in Irvine, California.  Allergan also makes Botox and Juvederm.

Vegas Cosmetic Surgery and Aesthetic Dermatology 2013 Day 0

Day 0 of the Vegas Cosmetic Surgery and Aesthetic Dermatology Conference 2013

Date: June 25, 2013

Located at the Bellagio Resort Hotel, Las Vegas.  This is the 9th annual conference.  The 10th annual conference has already been set for June 18th-22nd, 2014.

Vegas Cosmetic Surgery at the Bellagio Hotel

Vegas Cosmetic Surgery at the Bellagio Hotel Picture by Dr. Calvin Lee.

My adventures on the day before the Vegas Cosmetic Surgery conference begins

Dr. Tammy Wu and I saw a very full day of office patients and ended at 5:15pm in our office, we were think that we would catch the 8:10pm flight out of a neighboring city: Stockton, and take the Allegiant Air flight to Las Vegas.  But it was delayed.  But because it was delayed.  I got some administrative paperwork done at the office.  I read some of the mail and paid some bills.  Dr. Tammy Wu got to inventory some of the Obagi that came to the office.  It was a massive order – I think it was about $16,000 worth of Obagi products that came in and we had to unpack these large Obagi Skin Care products and put them on our shelves.  Some of these were ordered specifically for patients.

Allegiant Air

  • Delayed 4 hours
  • Got my $2 water at the airport.
  • It was a packed waiting room at the Stockton, CA Airport.
  • The Allegiant Air plane didn’t take off till around 12:30pm.
  • Seating was quite uncomfortable for me – my neck just didn’t seem to fit the seats.
  • We arrived around 2:00am in Las Vegas
  • But good things:  Dr. Tammy Wu and I got to sit next to each other and Dr. Tammy Wu slept through most of that flight.  I was just too uncomfortable to sleep through the entire flight.  But it was a relatively short flight.

Strange Taxi Guy

  • Took us to an entrance of the Bellagio which was pretty far from the reception desk.  There was an entrance that was right by the reception desk, but I guess it would have taken the taxi driver longer to get out of that round about, etc.  We had to walk pretty far with our luggage.  At 2am, it just seems a little bit more confusing, and the Bellagio in Las Vegas is a pretty big hotel.
  • The trip from the Las Vegas Airport to the Bellagio hotel took about 10 minutes.
  • And the trip with tip was about $26.00 for us.  In retrospect, I wasn’t so sure the Taxi driver deserved any tip for dumping us off at a far entrance.

First thing we did in Las Vegas was check out the Bellagio Gym

We really came here for the conference.  Just a few months ago we were in Vegas already, so we weren’t all that motivated to check out all the sights of Vegas again.  But working out and and taking care of ourselves and preparing for our next half marathon (perhaps Santa Rosa Half Marathon?).  Dr. Tammy Wu hasn’t run in a long time, so she gave it a try today again at the treadmill.  I ran about 1 mile on the treadmill, and she ran about 2 miles.  One great thing about the gym was a cable weight machine where I was able to adjust the rotation and angle of the arm, and thus I was really able to stretch out my right shoulder which has been bothering me from some chronic over use with injecting, operating, inserting acupuncture needles, and worst of all, using a computer mouse to write blogs (ie. this one) / do social media, etc.

We ate at Noodles Restaurant in the Bellagio

We had to tell them about our Vegan and Gluten Free preferences.  They were very happy to accommodate.  I’m not Gluten sensitive, but Dr. Tammy Wu is.  So the dishes we got were:  Agadashi, Endamamme, steamed vegetables, soy flavored rice noodles stir fried with vegetables, and rice.  This was quite a good meal and we escaped with a $71 price tag.

Considered getting tickets to a Cirque du Soleil show.

O is showing at the Bellagio.  However we couldn’t decide quite yet.  The tickets ranged from $120 to $220 – I think.  Instead we looked at the sculpture gallery associated with the Cirque Du Soleil.  The sculptures were so artistic – they looked so anatomical – sort of like cosmetic surgery to us.  The artist was Richard Macdonald, and the sculptures were for sale.  They price tags for little sculptures were about $10,000 and the larger ones were around $150,000.  There were two sales associates which gave us info on the sculptures, but the price tag were a bit too expensive for me anyway.  One of them asked me about any other art pieces which I own.  I said that the closest thing I have to these things are my teddy bear “collection.”  They didn’t seem to understand.  Regarding the possibility of seeing a show, we wanted to see the schedule of the Vegas Cosmetic Surgery and Aesthetic Dermatology conference, but the registration desk for that event hasn’t been open yet.

Walked around the Vegas Strip and then went to Walgreens

It was a pretty hot day already today.  But I read in the weather forecast that it will be even hotter in the next few days, perhaps as high as 117 degrees F?  We shall see.  Good thing the air conditioners work well in the hotels.  At Walgreens, I got a quart of orange juice and a gallon of water to lug back to the Bellagio.  I considered taking the tram that connects the Aria hotel with the Bellagio, but we just walked around till the heat got too much.

Back to the Gym to stretch my shoulder.

By this time it was around 7:30pm.  The gym at the Bellagio is open from 6am to 8pm.  So it’s about to close.  I went back to the gym to use the Cybex Cable weight machine.  It wasn’t to lift weights, but I discovered that this was one of the best ways to stretch my shoulder joint.  So I was able to spend another 15 minutes with this type of stretching to help rehab my shoulder which is already getting much better with my own stretching.

Went to Jasmine Restaurant in Bellagio

The most fun thing about going on vacation for me is eating out.  So we tried the Jasmine Restaurant which was within the hotel grounds.  We’ve been sticking to restaurants which have an Asian flare because it seems easier for us to find gluten free vegan choices.  And they were happy to provide solutions for us.  We had two dishes the eggplant dish and the monkey mushroom dish – both were made gluten free and vegan.  We had two extra bowls of rice.  The price tag with tip came out to about $75.  Which we charged to our Bellagio room.

Early Registration at the Vegas Cosmetic Surgery and Aesthetic Dermatology conference

We finally got to pick up our materials and name tag.  We met Karen Miller who said she’d help us with our Vegan/Gluten free preferences – how nice!  The conference is 5 days long, and super packed with great cosmetic surgery information.  I am most interested in the cosmetic injectable portion of the course and there’s plenty of that information including demonstrations on the Botox and filler injections.

We spent the next hour picking out how we would spend our time at the Vegas Cosmetic Surgery and Aesthetic Dermatology Conference

It is somewhat complex with about 3 different activities going on at the same time.  There are also evening program going until 9:30pm.  I made sure to pack in as much Botox and Cosmetic Injectable info as I could get.  There is a whole bunch of stuff regarding social media, but I’m not sure I can get all that in.

Time flies when you’re having fun.  It’s about 12:10am now.

We’ll see how it goes!  Can’t wait to bring all this great information and education back to our plastic surgery practice in Modesto, California.

 

Date has been set for the 5th Surgical Artistry Modesto Marathon in 2014

The 2014 Date of the Surgical Artistry Modesto Marathon has been chosen

  • Sunday March 23, 2014

Meetings have started (its’ now middle of 2013) to plan for the 5th annual Surgical Artistry Modesto Marathon.  The organizational team is mobilizing into action to make this next event even better than ever.  The technology is at a high level with timing chips, multiple check points, killer website, blogs, email communications, surveys, and social media!  Even more importantly, a new race director has been chosen to direct the 6th marathon.  We are anticipating great things this year, but the team needs to work hard to bring it to life.

Next, Dr. Wu and Dr. Lee will be going to the Marathon Expo at the Santa Rosa Marathon to help promote the Surgical Artistry Modesto Marathon and to sell some compression socks (which are also great for varicose veins).

Dr. Wu and Dr. Lee at the Sacramento Marathon Expo promoting the Surgical Artistry Modesto Marathon

Dr. Wu and Dr. Lee at the Sacramento Marathon Expo promoting the Surgical Artistry Modesto Marathon

Stay tuned for more info about the Surgical Artistry Modesto Marathon.

Hot weather in Modesto and Solar Panels

Hot temperatures can decrease the efficiency of Solar panels.

Modesto gets really hot.  I initially thought the opposite.  I thought our hot temperatures were perfect for solar panels.  Not entirely so.

I have three days to compare:

6/7/13 – warm, 60.3 kWh made by our solar panels

6/8/13 – HOT over 100 F, 58.9 kWh

6/9/13 – warm, 58.3 kWh

I think it’s similar for other pieces of electronics.  I’ve noticed that if I leave my ipad out int he sun, it actually turns to a warning screen about the temperature and inactivates itself until the temperature is cooler.  I’ve had this happen when we’ve gone to marathon expo’s where we’ve been promoting the Surgical Artistry Modesto Marathon and selling running compression socks, sometimes the expo is out in the sun, and if I don’t keep the iPad in a shaded spot, it gets to a point with the temperature where it doesn’t work anymore, and shows a “face” on the screen.  The black cover that I have for the iPad doesn’t help either.

 

Explanation of spending $50 per day on FaceBook ads

 facebook

I was recently asked a question about FaceBook Ads:

I still am unclear about your $50/day you “allocation” to your marketing that you referred to. Does FB charge you by the day?

My answer about CPC and CPM daily budget for FaceBook Advertising:

Sorry… I didn’t explain well enough. Thank you for asking. You set how much you want to budget and Facebook charges you two ways (in general) – each time the ad shows, or each time the ad is clicked. Let’s say you click on my ad and it costs me $2. then $2 gets subtracted from the $50 per day limit until I don’t have any money left. Then it resets the next day. But you can set it to $15 per day or $100 per day. It eats up money fast though. It does take some time to set up, and FaceBook changes it’s policies and screens (select options) all the time. You can set a bid for how much you want to pay per click or right now you can just let FaceBook decide how much it wants to take from you – slightly adverturesome – but if you’re desperate for ads, you can do that too. I remember when I started with FaceBook ads several years ago, it was something like 25 cents per click, now it’s more like several dollars per click. The price has gone up significantly in my opinion

So if you hate someone’s ad (which I know you don’t but just in case), you can click on it several times and deplete their allocation – I think – I’m not sure if FaceBook has a mechanism for detecting this sort of behavior. Or you can do what I do, I split the ads up into two different types of ads, one per click (CPC) and one per impression (CPM). The impression type – it doesn’t charge you if a customer clicks on it. So if I get a “hater” – which of course I don’t have any… right? – then they can click a million times on my “impression” ad, and it just costs the same. The impression ads are called CPM (cost per thousand) not sure why it isn’t called CPT, but then it becomes some medical code I guess. But you just say how much you want to pay per thousand impressions.

In general I like CPC.  I think it gets me a better placement on the list of ads.

But I’m also unclear what happens on a mobile device.  They might not get ads at all?  I’m not sure right now.  I don’t really use mobile devices that much at this time.  Perhaps someone could comment.

One more twist, there are several options for payment and account allocation:  you could set it up per day or you could set it up per entire duration of the ad campaign, ie. 1 week, etc.  I like per day, because I could change the intensity of the advertising as we go along.

Hope that helps.

 dr-wu-and-dr-lee

Surgical Artistry - Calvin Lee, MD / Tammy Wu, MD

Surgical Artistry
Calvin Lee, MD
Tammy Wu, MD
209-551-1888
www.SurgeryToday.com
2336 Sylvan Ave. Suite C
Modesto, CA 95355
Next to Post office on Sylvan