Monthly Archives: March 2016



A recent survey of facial cosmetic surgeons found that 64% of reporting surgeons found an increase in the number of injectables in patients younger than 30.  Why?  Social media and reality TV shows are a big reason.  83% of responding facial plastic surgeons said Hollywood celebrities were a big reason behind the surge.

Another driver is the Groupon craze sweeping the nation with all of their “special deals”.  We certainly are dealing with a more informed consumer due to the internet.  The primary focus of potential patients is finding a qualified practitioner, followed by cost and visible results.  Young millennials need to be cautious in going forward as do practitioners.




Silicone implants have certainly been popular and over the course of time somewhat controversial.  There have been reports that breast cancer rates in women WITH silicone implants is LESS.

I recently came across a synopsis of an article that appeared in The Journal of Environmental International.  The study was done by scientists at Oregon State University.  They studied removed silicone implants from patients bodies and found they contained in 5 out of 8 implants P.P. DDE a carcinogenic by product from the banned insecticide DDT.  They then placed silicone discs in some mice and found some sequestration of toxins in that silicone.  Perhaps this is why in part women with silicone implants have a lower incidence of breast cancer.  The researchers have suggested perhaps doing more toxicology studies.



The onslaught of new technology in cosmetic medicine just keeps coming.  Many of the machines cost in excess of $100,000 and promise new and exciting results only to fall short of anticipated expectations.  One that has not is MiraDry for excessive underarm sweating.  It is a home run – it delivers great results.  So a big part of what I need to do is to sift through all the “new” devices to see what may offer good results for my patients.  New technology will fuse 2 modalities together.  Micro needling with PRP is becoming more popular due to good success.  There are a couple of new devices that build on the concept of micro needling and combine it with radio frequency.  Two such devices are Profound and Infini.  I  always wonder where they get these names.

Jason Pozner, a plastic surgeon in Boca Raton predicts SculpSure will be a big hit and winner in 2016.  This device will melt fat with a laser and takes only 23 minutes and is done as an outpatient with NO sedation.  We plan to incorporate SculpSure into our practice some time in February!  Also popular and moving up the chart is vaginal rejuvenation with new laser technology.  One thing to keep in mind is that many of these “new devices” are long on promise and fall way  short of expectations.  They cost patients thousands of dollars but only deliver disappointment.  So again, buyer/consumer beware.

Hear What Your Colleagues Are Saying About MiraDry

As Cynthia Diehl, M.D., a plastic surgeon based in Raleigh, N.C., said, “miraDry is my favorite machine. I’m so glad I bought it. Initially I hesitated because I’d heard that the numbing injections were very painful, but this has since been resolved with the OTP.”

According to Rosalyn George, M.D., a dermatologist in Wilmington, N.C., the response after implementing OTP in her practice has been completely different. “The procedure is more comfortable, and there’s much less postoperative discomfort, numbness and tingling.”

The original miraDry protocol usually required two treatments for optimum results. However, with the OTP, Dr. Diehl pointed out that no patient has requested a second treatment. Similarly, Dr. Nazarian reported that 90% to 95% of her patients require only one treatment, which they find more cost-effective. In Dr. George’s experience, only patients with true hyperhidrosis require two treatments.

“For many people this is a life-changer,” said Dr. Diehl. “My patients are incredibly happy. What more can I want than for people to leave my office with a home run?”

Dr. Robert Brueck Wins RealSelf 500 Award

Fort Myers Plastic Surgeon Recognized as Top Social Influencer in Cosmetic Medicine

Fort Myers, FL – March 4, 2016 – Local physician Dr. Robert Brueck is one of 500 doctors in the nation to receive the prestigious RealSelf 500 Award, out of nearly 13,000 board certified specialists with a presence on RealSelf—the leading online community helping people make confident choices in elective cosmetic procedures.

In a time when 1 in 4 U.S. adults share their health experiences on social media channels, the medical professionals that made the 2015 RealSelf 500 are recognized both for having an outstanding record of consumer feedback and for providing credible, valuable insights in response to consumer questions about elective cosmetic treatments, plastic surgery, dentistry and more.

Dr. Brueck is a Board Certified and fellowship-trained plastic surgeon in Fort Myers and Southwest Florida, dedicated to beautiful results in plastic surgery and cosmetic surgery. Dr. Brueck has over 33 years of experience in performing facelift, rhinoplasty, breast augmentations, tummy tuck, and liposuction procedures. The combination of rigorous training and more than three decades of experience assures you Dr. Brueck is the best choice in Southwest Florida.

“In 2015, these 500 doctors collectively impacted tens of millions of consumers, with nearly 30% of our total doctor content posted by this relatively small group,” said Tom Seery, RealSelf founder and CEO. “When I started RealSelf, many doctors questioned why they should ‘give away’ their expertise ‘for free’ on the web. Now, eight years later — and with over one million doctor answers on our platform — we are proud of the standard this select group has set. They’re leading the way by empowering millions of consumers to gain access to the information they need to make smart and confident health and beauty decisions.”

Dr. Robert Brueck is an expert contributor to RealSelf, and to date has posted over 1K answers to questions on RealSelf. Each month people from all over world ask important aesthetic-related questions, such as Depression/Moodiness After Tummy Tuck. Dr. Brueck also maintains a patient star rating of five out of five stars in RealSelf reviews. For more information on Dr. Robert Brueck, please visit, and for the full list of RealSelf 500 Award winners, visit

About RealSelf

Since its founding in 2006, RealSelf has created the world’s largest community for learning and sharing information about cosmetic surgery, dermatology, dentistry, and other elective treatments. Our extensive collections of reviews, photos, videos and doctor Q&A make RealSelf the most trusted resource for those who are looking for help beyond the beauty counter.