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  #141  
Old 21.01.2012, 21:32
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Re: any recommendations for botox in Zurich or surrounds?

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My point with these examples is that it is often family members who say hurtful things. And they don't let off. I know it's a weakness in them that causes them to do this but it still hurts.
I understood that, but maybe expressed it in a wrong way. The English language..

The fault is on them when they make such ridiculous and hurtful comments and that it's sometimes the best to block this negative energy out (if possible). That the ugly thing, is not a deficit in your but their "beauty".

At some point some people should be cut off (hence this surgery example) when they misuse trust.
Quite cheap example I know.

With family it's not that easy but one shouldn't be surrounded by such comments and believe in the end, there's much truth in it.
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  #142  
Old 22.01.2012, 09:07
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Re: any recommendations for botox in Zurich or surrounds?

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Yes it is good to discuss, but some in here are indeed condescending on the motives behind it. And discussing it is totally find, which we could leave judgement on those who do it on the side.
Totally agree. What's interesting is that some of those claiming these women need to fix their heads are not so different from the women who think they need to fix their faces/bodies. Difference is that they're trying to fix someone other than themself. You can't throw a beauty-obsessed world around a woman and then act with disdain when she responds accordingly. Hence why most people who suffer from eating disorders are women. And why most plastic surgery is on women.

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Now the exemple of the Girl with the nose is one of my student. She was shy, hidden behind others, always in th back of the class, etc. She wasn't having great marks at school either.

She went to have her nose done. It was a totally different girl who came back in my class. She smilled, she talked, got involved in school projects and got better marks. She felt good and confident in herself. The change was instantly and everyone was happy for her.

What is bad about it?

Same about someone who use Botox to get rid of the line in the forehead who give people's idea that she is 24/7 enrage with the whole world. Or someone who is young but look 15 years older because of very deep expression lines.

It is their rights and choices. Not everybody are risking their life for beauty! Sometimes it is that little push that will make someone more confident and happier in his body.
Of the three friends I have who got nose jobs (that I know of!), all are really happy with the results. One did it for professional reasons, another for personal ones and the third to correct a nose broken from abuse (it was improved beyond their original nose though). Only one of the three continues to get anything done (Botox) and she's a happy, successful physician.
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  #143  
Old 22.01.2012, 09:16
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Re: any recommendations for botox in Zurich or surrounds?

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There will always be something not good enough, but I think that if it really is just one thing and you just can't sort it out in your head, then do what you need to do. And if you can't do it, then maybe the problem really is somewhere else.
Perfect summary of how I personally feel about plastic surgery. I might even copy this to re-quote you one day.
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  #144  
Old 22.01.2012, 09:32
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Re: any recommendations for botox in Zurich or surrounds?

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Hence why most people who suffer from eating disorders are women. And why most plastic surgery is on women.
.
Although.....
Eating disorders such as anorexia and bulimia nervosa are increasing in men, and binge eating disorder is equally distributed between men and women. And, the number of men having dermotologic and plastic surgery procedures is increasing.
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  #145  
Old 22.01.2012, 09:42
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Re: any recommendations for botox in Zurich or surrounds?

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Although.....
Eating disorders such as anorexia and bulimia nervosa are increasing in men, and binge eating disorder is equally distributed between men and women. And, the number of men having dermotologic and plastic surgery procedures is increasing.
Sure, but the gap is still enormous and no surprise there with the standards for size experienced by women. Not to mention, beauty and youth when it comes to plastic surgery.

Where's your reference on binge-eating disorder? I ask because every stat I've seen is to the contrary. Also, it just doesn't make sense. The reason being that binge-eating disorder can go hand-in-hand with anorexia and bulimia, which are far more dominant in women. Binge-eating can be a part of the cycle with other eds. So, one would expect there to always be a difference on that alone.
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  #146  
Old 22.01.2012, 11:35
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Re: any recommendations for botox in Zurich or surrounds?

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Sure, but the gap is still enormous and no surprise there with the standards for size experienced by women. Not to mention, beauty and youth when it comes to plastic surgery.

Where's your reference on binge-eating disorder? I ask because every stat I've seen is to the contrary. Also, it just doesn't make sense. The reason being that binge-eating disorder can go hand-in-hand with anorexia and bulimia, which are far more dominant in women. Binge-eating can be a part of the cycle with other eds. So, one would expect there to always be a difference on that alone.

I was talking about Binge Eating (BED) as the primary diagnosis. One of the big issues in treating Anorexia and Bulimia is that there is a lot of crossover between Anorexia, Bulimia and BED. Lot of semantics here though, because not all eating disorders fall into these categories, and because there's also a distinction between and Eating Disorder and Disordered Eating (the more prevalent, less serious obsession with diet, exercise, weight). But anyway........................

For BED, here is one souce, although it says that the ratio of women to men is 1.5 to 1, so it would be like, 150 women to 100 men. (So 50% more women).
http://www.anad.org/get-information/...ting-disorder/

I've also seen 1 to 1 and 3.5 to 2, I just don't have it at my fingertips.

But this is going OT, sorry.

Here are some general stats
http://www.anad.org/get-information/...rs-statistics/
from canada
http://www.nedic.ca/knowthefacts/statistics.shtml
from the UK
http://www.disordered-eating.co.uk/e...tatistics.html
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  #147  
Old 22.01.2012, 14:18
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Re: any recommendations for botox in Zurich or surrounds?

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I was talking about Binge Eating (BED) as the primary diagnosis. One of the big issues in treating Anorexia and Bulimia is that there is a lot of crossover between Anorexia, Bulimia and BED. Lot of semantics here though, because not all eating disorders fall into these categories, and because there's also a distinction between and Eating Disorder and Disordered Eating (the more prevalent, less serious obsession with diet, exercise, weight). But anyway........................
Thanks for clarifying. Yep, I believe the new term is "EDNOS" for eating disorder not otherwise specified. Agreed that it's really complex to treat. I've dealt with all three of the above but it started out with anorexia.
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  #148  
Old 24.01.2012, 13:10
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Re: any recommendations for botox in Zurich or surrounds?

The British Association of Aesthetic Plastic Surgeons - BAAPS (lol!) - issued a press release yesterday. It makes interesting reading. Don't know how well the following points are covered in Switzerland.

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London – 23 January, 2012 – The British Association of Aesthetic Plastic Surgeons (www.baaps.org.uk) is delighted with the news of an enquiry by MPs to examine lax regulations which have allowed a ‘cowboy’ market to flourish in the UK. The BAAPS, which is the only organisation based at the Royal College of Surgeons solely dedicated to promoting education and patient safety in cosmetic surgery, today proposes a straightforward, six-point plan which if followed will instil tighter controls in the sector.
According to consultant plastic surgeon and BAAPS President Fazel Fatah;

“Despite the unfortunate scandal which has brought this issue onto the agenda, it is an absolute joy for us at the BAAPS to hear that this year, the Government will be examining the lax regulations in our sector. We understand MPs will review areas such as psychological counselling for cosmetic surgery patients and the unscrupulous marketing activities of many firms which take advantage of the young and the vulnerable. These are problems that we have been highlighting for many years. We would like to offer the Commons select committee a simple, six-point plan that will not only aid their investigations but offer a straightforward solution moving forward that will help safeguard the public.”

Consultant plastic surgeon and former BAAPS President Nigel Mercer has been involved in drafting EU-wide standards currently being circulated to National Standards Bodies. He says;

“The EU draft proposals – CEN403 – are designed to improve aesthetic surgery and medical services to enhance patient safety and promote consistently high standards for providers across Europe. Their scope includes the banning of cosmetic surgery being offered as a prize or via financial inducements, and allows only physicians with proven track records to perform specialist procedures. In addition to this framework, our tailored six-point plan will go a long way towards establishing the strict controls that are urgently needed in the UK.”

The plan consists of six main points:
  1. Ban all advertising of cosmetic surgery: as medical procedures, they should not be publicised – the same way that prescription medicines are not allowed to advertise
  2. Re-establish an implant register: for all sites, not just the breast – including all types if silicone implants including buttocks, pectoral, calves and others
  3. Re-classify dermal fillers as medicines: At the moment, these popular injectables just require a CE mark (the same as with a teddy bear or washing machine), which has allowed over a hundred to be marketed in the UK, when there are less than a dozen in the US as they require FDA clearance
  4. Compulsory registration of practitioners in aesthetic medicine and lasers: Currently, there is only a voluntary database for clinics, rather than the actual practitioners. Registration should be mandatory and management by an independent entity such as the Care Quality Commission
  5. Mandatory (BAAPS-style) Safety Audit: BAAPS surgeons are audited on an annual basis as a membership requirement. This should be established for all practitioners in the UK and a part of their revalidation to continue practicing
  6. Revalidation and Mystery Shopping in CE marking
Fazel Fatah adds;

“Over the last decade the BAAPS has worked tirelessly to educate the public on the many aggressive marketing gimmicks that not only trivialise surgery but endanger the patient. We have warned against the unrealistic expectations set by reality ‘makeover’ shows and against crass competition prizes promising ‘mummy makeovers’ and body overhauls. In no other area of surgery would one encounter Christmas vouchers and two-for-one offers - the pendulum has swung too far, and it is time for change. Thus we are delighted with the upcoming enquiry and put forward our realistic and achievable proposals for consideration by the Government.”


Cosmetic Surgery’s Wild West: A Timeline
  • 2004: BAAPS warn the public against unrealistic expectations set by new trend of ‘makeover’ TV shows, as well as against cosmetic surgery “vacations” increasingly advertised in magazines. BAAPS issues safety guidelines for people considering cosmetic surgery
  • 2005: The BAAPS caution teenagers considering cosmetic surgery, warn against multiple surgeries being touted as ‘total body overhauls’ and surgical procedures offered as competition prizes by magazines and radio stations - also marketed via loyalty cards, discount and Christmas vouchers.
  • 2006: Scheme offering travel vouchers in exchange for booking ‘summer body’ surgical procedures is launched, as well as a 'Divorce feel-good' package. BAAPS holds Annual Meeting on the theme of psychological readiness for surgery, highlighting top warning signs in patients
  • 2007: A lottery is launched for people to win surgery abroad if they ‘text in’. The BAAPS cautions the public against this as well as the growing number of ‘medi-spas’ (Non-surgical does not mean non-medical). Website launches for women to post suggestive photos in exchange for donations for a boob job, and Botox is sold via clothing catalogue Grattan.
  • 2008: Plans for deregulating lasers and intense pulsed light (IPL) treatments are announced. The BAAPS holds a press conference naming-and-shaming inappropriate advertising in cosmetic surgery. The BAAPS also publish the UK’s largest-ever breast augmentation survey.
  • 2009: The BAAPS warns against growing complications from inexpert use of dermal fillers, with one in four surgeons having to correct problems, and injectables being bought off the Internet. BAAPS demands for regulation published in the British Medical Journal. Medical journal Clinical Risk publishes a special issue with articles by BAAPS surgeons, calling for tighter controls including banning advertising.
  • 2010: PIP implant scandal breaks. BAAPS demand unenforceable voluntary register for injectables be shelved until EU standards become official. NCEPOD reveals 70% of clinics effectively unregulated.
  • 2011: Injectables offered to passersby at consumer trade show. Breast augmentation and Botox offered as raffle prizes at a nightclub. Unproven procedures touted as ‘non-surgical’ ‘lunchtime’ treatments on morning chat show. Cut-price surgery offered via group discount websites such as Groupon. Magazine readers vote on which competition hopeful is ‘most worthy’ of winning surgery each week.
ENDS
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  #149  
Old 24.01.2012, 14:05
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Re: any recommendations for botox in Zurich or surrounds?

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Perhaps the saddest part of this entire discussion to me is that fact that we live in a society where women are valued by their youth and beauty. But when they take action to achieve these attributes, they're then seen as mad, silly things who ignore all internal/intellectual pursuits. And, looked down upon as weak for actually caring about something that gets coveted over and over again around them.
There's some truth to what you say but I think it depends on the type of intervention really - in both men and women. There's a girl who goes to Davidgym - I wouldn't say that facially she's insanely hot but she has a body that leaves more or less every guy in there - and quite a few girls - gasping for air. If you watch her train she pours herself into it and I don't know a person alive who would not salute her - in particular as there is no artificial intervention involved.
My missus is starting to get back into the gym now - and it's made a very positive contribution towards our relationship - and her self confidence - but that's borne out of painful effort and not something purchaseable.
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Old 24.01.2012, 14:05
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Re: any recommendations for botox in Zurich or surrounds?

I like most of the British recommendations. However, I'm not so sure if you can say "no advertising" by comparing them to prescription medicines.

First, you must explicitly define "cosmetic surgery." For instance, what about dental cosmetic surgeries? What about laser treatments? Something as simple as mole removal surgery, which is still considered cosmetic? Can these all be advertised? To what extent can they not advertise? What about telephone book listings? Can they even state they do "breast augmentation," for instance. If not, then how will patients discover who to see for treatment?

Whilst the UK (unlike the US) doesn't allow prescription medicines advertising, it's a straightforward process of a patient seeing their doctor, being evaluated and receiving the most appropriate prescription (not at their request). They won't have this option for cosmetic surgery. So, must they see a doctor who will then refer them to a cosmetic surgeon(s) based on their "list" of approved cosmetic surgeons? And then is it not the NHS bearing the cost of the doctor's visit, which we all want to avoid, I think?

Cosmetic surgeries are largely elective ones unlike prescription medicines, which are mostly covered/subsidized and considered necessary. I see a lot of problems with a vague statement like "no advertising." Mainly, that it will make access more difficult. And whilst those against it may rejoice at that, those who can't access it may choose to go to other countries where surgeries are advertised and accessible but not safely done under comparable clinical settings.

Here's a personal example that's current for me and on my mind. I have a horrendously perforated septum due to pregnancy. It was recently diagnosed. I started getting pregnancy nosebleeds, which have progressed and left me with a gaping hole in my septum. I can't get surgery until after childbirth. But it's a complex, lengthy, delicate one. If done wrong, not only will the hole remain or come back, but I could suffer structural/esthetic damage (I happen to like my natural nose a lot!). Based on my own research, I don't want to settle for the referral. I want to pay out of pocket and choose a plastic surgeon, as these are the physicians who tend to specialize in this type of surgery - reason being that they are often highly qualified in cartilage and tissue grafting. I need the advertising to identify who does this kind of surgery and then contact them accordingly.

There's a lot to consider when you think of why people get cosmetic surgery. It's not all esthetics for those "grow old gracefully" arguments. And I want to be sure that when changes are introduced, those who want cosmetic surgery can access information about each surgeon and make the best choice, especially since they are paying directly for it.

So my initial (subject to more clarity/elaboration on the proposal) stance is nay on point 1 but to replace it with rules comparable to OTC medicines regulations for advertising. Allow it but ensure a set of standards and accountability for claims made.
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Old 24.01.2012, 14:06
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Re: any recommendations for botox in Zurich or surrounds?

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If you watch her train she pours herself into it and I don't know a person alive who would not salute her - in particular as there is no artificial intervention involved.
How do you know?
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  #152  
Old 24.01.2012, 14:12
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Re: any recommendations for botox in Zurich or surrounds?

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How do you know?
The same way you know many things - combination of 20 years of experience at the top levels of amateur and professional sport , plenty of contacts and getting to know the people themselves.
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Old 24.01.2012, 14:26
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Re: any recommendations for botox in Zurich or surrounds?

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The same way you know many things - combination of 20 years of experience at the top levels of amateur and professional sport , plenty of contacts and getting to know the people themselves.
Ah, methinks we're talking about different things here. =) You're talking athletic performance interventions?
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Old 24.01.2012, 14:34
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Re: any recommendations for botox in Zurich or surrounds?

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Ah, methinks we're talking about different things here. =) You're talking athletic performance interventions?
I'm talking about what it takes to drop bodyfat & water ,increase lean muscle mass and to attain a fitness or figure model shape. The lady in question does not have obvious cosmetic surgery of any kind.
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