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Dr. Mentz chosen as one of the best in Texas by the American Registry.

Henry Mentz — Wed, 11 Nov 2009 19:00:00 GMT

Aesthetic Center For Surgery

Location:: TX
Individuals:: Henry Mentz

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Business Name:	Aesthetic Center For Surgery
Recognition Name:	Patients' Choice 6
Recognized By:	Vitals Patients Choice
Publication Date:	June 2009
Honoree:	Henry Mentz

If you are the honoree or would like to purchase this plaque, please provide the information below.

11-Nov-09 1:00 PM

Dr. Mentz chosen as one of the best in Texas by the American Registry.

Henry Mentz — Wed, 11 Nov 2009 19:00:00 GMT

Henry A. Mentz, MD, FACS, FICS

Aesthetic Center For Surgery

Location:: Texas
Individuals:: Henry Mentz, MD, FACS

http://www.americanregistry.com/individual/henry-mentz/3460938

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11-Nov-09 1:00 PM

Dr. Mentz listed among "America's Top Plastic Surgeons".

Henry Mentz — Wed, 10 Sep 2008 17:45:00 GMT

Consumers' Research Council of America, a Washington, D.C. based research organization, provides consumers' information guis for professional services throughout America. It is their purpose to help educate and assist consumers in obtaining the finest professional services. Their guides are easy to read and contain a wealth of information and tips for the consumer.

How Plastic Surgeons Were Selected

Consumers' Research Council of America has compiled a list of Top Plastic Surgeons throughout the United States by utilizing a point value system. This method uses a point value for criteria that we deemed valuable in determining Top Plastic Surgeons.

The criteria that was used and assessed a point value is as follows:

Experience:	Each year the Plastic Surgeon has been in practice
Training:	Education and Continuing Education
Professional Associations:	Member of Professional Medical Associations
Board Certification:	Completing an approved residency program and passing a rigid examination on that specialty

Simply put, Plastic Surgeons that have accumulated a certain amount of points qualified for the list. This does not mean that Surgeons that did not accumulate enough points are not good health care professionals; they merely did not qualify for this list because of the points needed for qualification.

Similar studies have been done with other professions using a survey system. This type of study would ask fellow professionals on who they would recommend. We found this method to be more of a popularity contest, for instance; professionals who work in a large office have much more of a chance of being mentioned as opposed to a professional who has a small private practice. In addition many professionals have a financial arrangement for back-and-forth referrals. For these reasons, we developed the point value system.

Since this is a subjective call, there is no study that is 100% accurate. As with any profession, there will be some degree of variance in opinion. If you survey 100 patients from a particular physician on their satisfaction, you will undoubtedly hear that some are very satisfied, some moderately satisfied and some dissatisfied. This is really quite normal.

We feel that a point value system takes out the personal and emotional factor and deals with factual criteria. We have made certain assumptions. For example, we feel that the more years in practice is better than less years in practice; more education is better than less education, etc.

The Top Plastic Surgeon list that we have compiled is current as of a certain date and other Surgeons may have qualified since that date. Nonetheless, we feel that the list of Top Plastic Surgeons is a good starting point for you to find a qualified specialist.

No fees, donations, sponsorships or advertising are accepted from any individuals, professionals, corporations or associations. This policy is strictly adhered to insure an unbiased selection.

10-Sep-08 12:45 PM

Dr. Mentz presents newest techniques for Abdominal Etching and review of 512 Ab Etch patients

Henry Mentz — Sat, 16 Aug 2008 15:00:00 GMT

Abdominal Etching: Achieving Athletic Contours in Male Liposuction, Refining the Technique, and a Review of Cases 512 cases over 4 Years

Henry A. Mentz, III, MD, FACS, FICS

Abdominal etching[1] was introduced in 1993 by the lead author as a liposuction technique used to improve the abdominal contour of the abdomen in male body builders. Since then, this procedure has gained popularity in the U.S. and is now commonly used in some form for male torso contouring. This presentation reviews the original technique and many refinements that have been added through 15 years of experience with this process. Of the over 1600 male liposuctions we have performed, we will examine the results of 512 male patients in the last four years, some of whom chose to have some form of abdominal etching in combination with other cosmetic procedures, and others who elected to have only abdominal etching. Abdominal etching enhances muscle contour through graduated liposuction of fat at specific levels and in specific areas, enhancing the natural landmarks. Simply, more fat is left over the muscle belly and less fat over the tendonous portions, thus enhancing natural contours. Refinements in technique have improved results and safety. Patients with adequately developed musculature chose full abdominal etching to enhance their “six pack,” i.e. etching of the linea alba, linea semilunaris, and transverse inscriptions. Patients with softer contours and less generous musculature chose modified etching, introduced in 1995 [2], which only contours the linea alba and semilunaris. Improvements in technique have included modifications in preoperative markings, strategies for reduced number of incisions, power assisted liposuction for more aggressive etching, options for canula choices, postoperative bandages and garments, early and frequent massage, and appropriate patient selection. Improvements in safety include preoperative warming garments, incremental compression garments, preoperative IV hydration, and postoperative blood thinners.

The 512 patients were treated over a four-year and three-month period. The age of patients ranged from 18 to 71 years, with the average age being 39 years. Total fat removed ranged from 100 cc’s to 10,200cc’s, and averaged 3325cc’s of supranatant fat. Infranatant fluid averaged 1671cc’s. Tumescent fluid given ranged from 300 cc’s to 15,700 cc’s, with an average of 4681 cc’s. Of the 512 men liposuctioned, 160 received full abdominal etching; 352 received modified etching; 273 men also had chest liposuction or pectoral etching[3] with or without puncture glandular removal[4]; and 119 had other cosmetic procedures concomitant with some form of abdominal etching. Complication rates were low with no infections, and only three contour defects required revisions. After 15 years of utilization and more that 1600 male contouring cases, we feel that the procedure is well-established and useful for enhancing male torso contours with a very limited rate of complications. Improvements in our technique have resulted in improved results, providing a more natural and athletic contour.

[1] Mentz HA, Gilliland MD, and Patronella CK: "Abdominal Etching: Differential Liposuction to Detail Abdominal Musculature" Aesthetic Plastic Surgery 17:287-290, 1993.

[2] Mentz H: Abdominal Etching: Achieving Muscular Definition Through Liposuction. International Society of Aesthetic Plastic Surgery in New York City, New York. Oct 1995.

[3] Henry A. Mentz, Amado Ruiz-Razura, German Newall, Christopher K. Patronella, and Laura A. Miniel^:Correction of Gynecomastia Through a Single Puncture Incision. Aesthetic Plastic Surgery, 3:244-249, 2007

16-Aug-08 10:00 AM

Dr. Mentz and Dr. Patronella work to improve safety and results with combined breast implant and breast lifts.

Henry Mentz — Sat, 16 Aug 2008 15:00:00 GMT

Salvage Strategy of Delayed Implant Inflation for a Compromised Nipple Areolar Complex During Augmentation Mastopexy.

Henry A. Mentz, III, MD, FACS, FICS, Christopher K. Patronella, MD, FACS, Amado Ruiz-Razura, MD, FACS, German Newall, MD, FACS, James F. Boynton, MD, Janna Siarski, BS

Abstract

Augmentation mastopexy is an operation frequently sought after but fraught with complications. Delayed implant inflation is a surgical strategy which may reduce these complications and allow for a single intraoperative session. Over a two year period, 1840 breast cases were performed by our group, 1444 (78%) were breast augmentation and 396 (22%) were mastopexy. In the 396 mastopexy were performed, 236 (60%) of these were augmentation mastopexy. Twelve (5.1%) of these patients experienced various forms of intraoperative ischemia including venous congestion, arterial inflow, or simply areolar increased tension. In these selected cases the implants were left partially deflated with the ports externalized. Implants were later inflated in the clinic under local anesthesia without further circulation compromise (except for one). In retrospect, most of these cases had additional risks which were identified as underlying systemic disease (82%), previous breast surgery (73%), history of smoking (25%), and use of hormones or birth control pills (33%). Other identified risks include patients who require substantial areolar reduction, patients choosing larger implants (greater than 300 cc), and patients who exhibit substantial asymmetry. Patients with impaired blood supply include patients with previously placed subglandular implants, an old wide implant pocket, required capsulectomy, previous mastopexy or reduction, and thinned breast parenchymal atrophy. Follow up ranged from 8 to 30 months. Within the 12 patients who received this salvage maneuver, seven (58%) had complications. Four (30%) patients had revision surgery for asymmetry, one (5%) patient had postoperative hematoma, one (5%) patient with subsequent ischemia and necrosis, and one (5%) patient with local infection not requiring implant removal. There were no instances of capsular contracture or seroma. Although the complication rate was high for these selected patients, these were high risk patients with impending nipple necrosis which was salvaged with this strategy of late implant inflation. Presently, we recommend this strategy of delayed inflation in cases where there is any risk of nipple areolar complex circulation compromise and in cases with systemic disease, history of smoking, hormone use, substantial asymmetry, large areola, previous breast surgery, and choice of a large implant. Further studies are underway to evaluate this format for all augmentation mastopexy procedures.

Introduction

Augmentation mastopexy has been reviewed in recent years. In an article by Dr. Spear published in PRS in 2003 [[1]], he suggested surgeons beware of this operation because of increased complications and litigation as a result of this combination. Three years later in 2006, Dr. Spear reviewed three years of mastopexy cases [[2]]. Of these 78 mastopexies, 53 were combination augmentation mastopexies, representing 68% of his total mastopexies; 23 were primary and 30 were secondary procedures. The complication rate was 8.8% and revision rate 14% [2]. Dr. Handle in 2006 reviewed mastopexy in the augmented patient and suggested it was a recipe for disaster [[3]]. He acknowledged higher risks and recommended proper planning and attention to detail. Our two year experience represents 1840 breast cases. Of these, 1444 (78%) were augmentation cases and 396 (22%) were mastopexy cases. In the 396 mastopexies, 236 (60%) were augmentation mastopexies. This was a smaller percentage than Dr. Spear's paper [2]. Problems surrounding augmentation mastopexies include hematoma, infection, implant extrusion, loss of sensation, visible or poor scars, malposition of the nipple, malposition of the breast implant, a high rate of revision surgery, and most significantly vascular compromise leading to loss of the nipple areolar complex. [1-15]

The safest strategy in augmentation mastopexy is sequential surgery. However, combination surgery is often undertaken when patients and plastic surgeons have a preference for a single event, in patients with previous breast augmentations wishing for mastopexy, and in patients with previous mastopexies or reductions requesting breast augmentation and revision surgery. Generally combination procedures of augmentation mastopexy can be satisfying because of the improvement in contour that the mastopexy provides and the increase in upper pole fullness that the augmentation provides.

It is most important is to recognize patients who are at high risks. The circulation risks are higher in combination surgery because of increased skin tension and impaired blood supply. Skin tension is increased in patients who require substantial areolar reduction, patients who choose larger implants (greater than 300 cc), and patients who exhibit substantial asymmetry. Patients with impaired blood supply include patients with previously placed subglandular implants, an old large or wide implant pocket, required capsulectomy, previous mastopexy or reduction, thinned breast because of parenchymal atrophy, history of smoking, and systemic disease. [2-3]

Occasionally after augmentation with mastopexy, there is intraoperative evidence of vascular compromise to the nipple areolar complex. It may manifest itself by the presence of cyanosis, congestion, swelling, increase or decrease in capillary perfusion, and excess skin tension. Traditional salvage strategies have included surgical and nonsurgical maneuvers. Surgical strategies include suture removal and implant removal. These strategies also result in delayed closure and delayed implant placement. There are times however when suture release is a necessary part of release of surgical tension. Nonsurgical maneuvers include the use of vasodilators like nitro-paste, the use of leeches for venous congestion, the use of hyperbaric oxygen [3], use of steroids, and blood thinners.

The most important objective is to reduce surgical risks and avoid disasters [1]. Several ways to reduce risks include careful planning, staging the mastopexy and augmentation, limiting the implant size, limiting the undermining, performing more superficial undermining, allowing more generous flaps so that there is less tension on the closure, and finally the use of saline implants to provide salvage strategy.

We present a new and simple "Salvage Maneuver" to release excess tension and vascular compromise without the need for secondary surgery.

Materials and Methods

236 patients received combination surgery in the last two years. Twelve (5.1%) had progressive intraoperative ischemia which included darker color and venous congestion, lighter color and arterial inflow insufficiency, or simply increased tension on the areolar. The implants were deflated during surgery and normal color returned. The implant tubing and port were shortened and externalized. Reinflation of the implant was performed between 4 and 18 days after surgery and the tubing was removed. The patients with intraoperative ischemia exhibited higher than average preoperative risks. Nine (82%) had systemic diseases, eight (73%) had previous breast surgery, three (25%) had a history of smoking, and four (33%) had taken hormones or birth control pills. Of the eight who had had previous breast surgery, all of these patients (eight) had previous breast augmentation. Two of these patients had multiple breast augmentations, three had previous mastopexies or reductions, and three had previous combination mastopexy augmentation surgeries. The operative technique utilized was a Wise keyhole pattern surgery with minimal dissection and no dermal excision in order to preserve subdermal vasculature. After the implants had been filled, these 12 ischemic patients exhibited signs of vascular compromise. Since viability was challenged the "Salvage Maneuver" was executed.

Saline implants are built with adequate valve technology so that ports can be removed postoperatively. The port tubing may be shortened so that one or two inches of port excess are necessary to come out of the wound. Later strategies have included buried ports with suture leaders. Exteriorized injection ports have been used for some time. Dr. Becker in PRS 2004 published a series of 33 patients with exteriorized tubing used from one to five days without incidents of infection or capsular contracture [15]. Jackson in 2004 utilized externalized ports from 10-76 days with no evidence of infection. [ Reference?]

The average implant utilized was 300 cc. The average salvage fill was 131 cc and more recently 100cc have been used. The average final implant fill was 385 cc. All salvage patients utilized saline implants with externalized ports and the secondary inflation was performed between 4 and 18 days postoperatively in the clinic without difficulty.

Implants were refilled in the clinic after revascularization had occurred and inflammation subsided. The desired volume of the implant was reinjected with a closed system and patients were encouraged to participate in choosing the final fill volume. Implants were adjusted for symmetry and projection. After observation of more than one hour, the tubing and valves were removed and the port defects were closed. Patients received oral antibiotics for five days postoperatively and dressing changes were performed three times per day. Incisions and injection ports were carefully monitored for signs of infection, capsular contracture, or leak. Flap vasculature was also monitored carefully with home healthcare nursing and frequent office visits.

Results

Twelve of 236 augmentation mastopexies were treated with this salvage maneuver in the last 24 months. All 12 patients exhibited compromise to the nipple areolar circulation at the time of surgery. Followup ranged from 8 to 30 months. Within the 12 patients who received the salvage maneuver, seven had complications. Four patients had revision surgery, one patient had postoperative hematoma, one patient with subsequent ischemia and necrosis, one patient with local infection not requiring implant removal. There were no instances of capsular contracture or seroma.

Conclusion

Breast augmentation and mastopexy are common operations and often patients seek combination surgery [1-15]. The safest strategy is for sequential surgery, generally performing the mastopexy first, with later augmentation. However, many patients who seek this combination have had previous surgery making it difficult to segregate the operations. Furthermore, most patients who have not had previous surgery generally prefer the convenience of a single surgical event. Most importantly, every patient carries with them a specific set of preoperative risks. It is most important to identify high risk patients and discuss both sequential surgery and the salvage option before surgery. The circulation risks are higher in combination surgery because of increased skin tension and impaired blood supply. Additional risks include patients with systemic disease, previous breast surgery, history of smoking, use of hormones or birth control pills, patients who require substantial areolar reduction, patients choosing larger implants (greater than 300 cc), patients who exhibit substantial asymmetry, patients with previously placed subglandular implants, an old wide implant pocket, required capsulectomy, previous mastopexy or reduction, and thinned breast parenchymal atrophy [2-3]. When in the operating room, when vascular compromise is evident, we believe this "Salvage Maneuver" can help avoid serious complications, specifically nipple areolar complex necrosis. Because of the catastrophic impact of a necrotic pedicle, we feel that this salvage maneuver may allow plastic surgeons to avoid this disaster in high risk patients. Furthermore, in patients with any compromise whatsoever including venous congestion, arterial inflow, or simply increased tension, we believe that this option allows for reduced risk of vascular insult in the postoperative period and should be used when necessary. Since risks of capsular contracture and infection are relatively low compared to a necrosis event, this salvage strategy allows for a reduction in substantial risks with very little postoperative compromise. Further studies will be necessary and are underway to evaluate this strategy further and to evaluate this strategy for all augmentation mastopexy procedures.

Bibliography:

[1] Spear, S. L. (2003) Augmentation/Mastopexy: “Surgeon, beware”. Plast Reconstr Surg 112: 905-906

[2] Spear, S. L., Boehmler J.H., Clemens M.W. (2006) Augmentation/Mastopexy: A 3-year review of a single surgeon’s practice. Plast Reconstr Surg 118(7): 136-151

[3] Handel, N. (2006) Secondary mastopexy in the augmented patient: A recipe for disaster. Plast Reconstr Surg 118(7): 152-167

⁴ Davison, S. P., Spear, S. L. (2004) Simultaneous breast augmentation with periareolar Mastopexy. Semin. Plast. Surg. 18: 189-202

⁵De la Fuente, A., Martin del Yerrol, J. L. (1990) Periareolar mastopexy with mammary implant. Aesthetic Plast. Surg. 16: 337-341

⁶Hammond, D. C. (2006) Augmentation Mastopexy: General considerations. In: Spear SL (ed) Surgery of the Breast: Principles and Art. Vol 2, 2^nd Ed. Lippincott Williams & Wilkins, Philadelphia, pp 1403-1416

⁷ Karnes, J., Morrison, W., Salisbury, M, et al. (2000) Simultaneous breast augmentation and lift. Aesthetic Plast. Surg. 24: 148- 154

⁸Owsley, J. Q. (1975) Simultaneous Mastopexy and augmentation for correction of the small, ptotic breast. Ann. Plast. Surg. 2: 195-201

⁹ Persoff, M. M. (2003) Vertical Mastopexy with expansion augmentation. Aesthetic Plast. Surg. 27: 13-19

¹⁰Spear, S. L., Davison, S. P. (2000) Breast augmentation with periareolar mastopexy. Oper. Tech. Plast. Reconstr. Surg. 7: 131-136

¹¹ Spear, S. L., Giese, S. Y. (2000) Simultaneous breast augmentation and Mastopexy. Aesthetic Plast Surg. J 20: 155-165

¹² Spear, S. L., Low, M., Ducic, I. (2003) Revision augmentation mastopexy: Indications, operations, and outcomes. Ann. Plast. Surg. 51: 540-546

¹³ Spear, S. L., Pelletiere, C. V., Menon, N. (2004) One-stage augmentation combined with Mastopexy: Aesthetic results and patient satisfaction. Plast Reconstr Surg 28: 259-267

¹⁴ Spear, S. L., Venturi, M. L. (2006) Augmentation with periareolar mastopexy. In: Spear SL (ed) Surgery of the Breast: Principles and Art. Vol 2, 2^nd Ed. Lippincott Williams & Wilkins, Philadelphia, pp 1393-1402

15 Becker, H. (2004) Breast Augmentation Using the Spectrum Implant with Exteriorized Injection Domes. Plast Recontr Surg 114(6) 1617-1620

16-Aug-08 10:00 AM

ASPS Published first article on Pectoral Etching by Dr. Mentz

Hal Mentz — Sun, 09 Dec 2007 01:00:00 GMT

News release on Pectoral Etching

For men with mild gynecomastia or excess breast tissue, the shame of their pecs can be paralyzing. Pectoral etching is proving to be a viable option for men who do not want pectoral implants but want to feel more comfortable with their chest, according to a study in December’s Plastic and Reconstructive Surgery(R) (PRS), the official medical journal of the American Society of Plastic Surgeons (ASPS).

“Although not common, requests for pectoral etching are increasing slowly,” said Henry Mentz, MD, ASPS Member Surgeon and study co-author. “Many men simply don’t know the procedure is even out there let alone that it’s a safe, effective option for them.”

During pectoral etching, targeted liposuction is used along the lower and outer edges of the chest muscles. A modest fat pad is left over the pecs, creating a noticeable contrast outlining the muscle.

Many patients who want the procedure suffer from minor gynecomastia or have lost weight but still have a more feminine-looking chest. Other patients are serious athletes that, despite working out and eating right, cannot develop the masculine, muscular chest they desire. To get a balanced look, these patients often have both abdominal and pectoral etching.

Unlike pectoral implants, etching leaves virtually undetectable scars, has no potential rejection issues and offers permanent results. Of the more than 200 men who had pectoral etching, only four experienced minor complications, according to the study.

“Pectoral etching can be a life-altering experience for patients,” said Dr. Mentz. “For 74 years, one patient wouldn’t remove his shirt in public. Last year he proudly spent his vacation on the beach in Hawaii.”

ASPS Published first article on Pectoral Etching by Dr. Mentz

Hal Mentz — Sun, 09 Dec 2007 01:00:00 GMT

News release on Pectoral Etching

Carefare.com news release

YouTube Video

8-Dec-07 7:00 PM

ASPS Published first article on Pectoral Etching by Dr. Mentz

Hal Mentz — Sun, 09 Dec 2007 01:00:00 GMT

News release on Pectoral Etching

Carefare.com news release

YouTube Video

8-Dec-07 7:00 PM

Dr. Mentz 2007 Newsletter

Jeremy Hartling — Fri, 18 May 2007 21:00:00 GMT


RENEW	www.DrMentz.com
An informative e-newsletter compliments of The Aesthetic Center for Plastic Surgery	Volume 1 - Summer 2007

What’s new in Cosmetic Surgery?

The big story in cosmetic surgery today is the FDA’s approval of Silicone Breast Implants after they were pulled from the market 14 years ago. Both the American Society for Aesthetic Plastic Surgery (ASAPS) and The American Society of Plastic Surgeons (ASPS), the two largest and most respected plastic surgery membership organizations, applauded the FDA’s decision.

There are two manufacturers who received an “approval by conditions” letter by the FDA, Allergan Corporation and Mentor Corporation. Both companies have been conducting long-term trials to prove the safety and effectiveness of silicone gel-filled implants. The “approval by conditions” means the implants were FDA approved on the condition that Allergan and Mentor meet several requirements including continuing their implant study through the next 10 years (see www.breastimplantsafety.org/ImplantOptions/trials.php for more about these and other FDA conditions).

ASPS statistics page shows 383,886 women elected to have a breast augmentation procedure in 2006. The addition of silicone implants will give women more choices over what goes into their body. When considering the Breast Augmentation or Breast Reconstruction procedures, be sure to ask you surgeon about the differences between saline and silicone so that you may make a well informed decision. ASPS and ASAPS have set up a joint website to help the public understand their choices and make a better informed decision, www.breastimplantsafety.org.

Body Liposculpture with Tummy Tuck as an Alternative to Fully Body Lift.

A full body lift is the procedure of removing excess skin and fat from the belly, hips, buttocks and thighs. This procedure requires an incision around the entire waist and the removal of a “belt” of skin. Then the skin is pull and sutured together. This may be the best choice for some patients but many patients are finding that a combination of the procedures Liposculpture and Tummy Tuck are a better alternative.

Liposculpture is liposuction of specific areas to create a desired look. A tummy tuck (abdominoplasty) is the procedure of tightening the muscles of the abdominal wall and the removal of excess skin and fat from the middle to lower abdomen. For the right candidate, this combination of procedures can achieve a better final appearance with half the scarring.

Dr. Mentz has spent years perfecting this technique and is a recognized authority in the plastic surgery community. Recently Dr. Mentz has presented this hot topic at national and international plastic surgery meetings. According to Dr. Mentz, “This innovative technique achieves great retraction of skin without such invasive techniques as circumferential body lifts therefore cutting recovery time and reducing scarring as well as making it more accessible to the general population.”

Not everybody is a candidate but certainly many people will benefit from it. To learn more or to view before and after photos visit www.drmentz.com.

Face Lift or Soft Tissue Fillers?

The effects of aging occur gradually and many who suffer from the effects of age on the face find themselves in the position where they are not quite ready for a facelift but desire some improvement. Modern medicine has responded with several non-surgical answers to this dilemma. For over 20 years women and men alike have relied on BOTOX to reduce facial wrinkles, one of the most common signs of age. Today there are a range of what are called soft tissue fillers that are injected into wrinkles and/or hollow areas of the face to give it back the fullness it once had.

As the years have passed, new and better fillers have hit the market. Some of the more popular ones today include:

Hyaluronic acid which included Restylane® and Juvéderm™.
Collagen
Calcium hydroxylapatite (Radiesse®)
Polyactate (Sculptra®)
In addition to BOTOX® and the soft tissue fillers mentioned above fat grafting is another great way of restoring a smoother, more youthful-looking face. Fat grafting is the process of harvesting your own fat cells from one area of your body and transplanting those cells to another. Although this process is very safe and there is no risk of an allergic reaction, the number of fat cell that survives the transplant can be a bit unpredictable. However, for many the use of one’s own tissue is an appealing alternative to the fillers listed above.

When considering any of the procedures listed above remember that each product is different in its chemical make-up, longevity and cost. Your surgeon can educate you on their differences and help you make the best choice.

These fillers are the simplest and least expensive method of re-contouring the face but are not a replacement for a facelift. These fillers can be used for smoothing out wrinkles, giving you fuller lips, correcting hollowness around the eyes or cheeks, smoothing out the jaw line, and correcting a deep furrow.

ACPS’s Medical Spa Spot:
Laser Hair Reduction is now for Everyone:

Laser hair reduction has been around for over 30 years. Laser hair removal works by causing localized damage to dark target matter. Basically the dark matter (or melanin in the hair follicle) absorbs the light energy better then the lighter matter. Early lasers worked best when there was a large differentiation between the skin tone and the hair color. Pale individuals with light hair and dark skinned individuals were not good candidates for laser hair reduction.
The introduction of the long pulse Nd:YAG lasers with its longer pulsewidths and wavelengths have made it possible to treat patients with darker skin tones and those who have but a small differentiation in skin tone to hair color. Please note that hair with no melanin is still not treatable nor does the Nd:YAG technology offer “permanent hair removal”.

Lasers built for the purpose of hair reduction can only penetrate 2 millimeters deep into the skin. The majority of the dermal papilla, the only structure of the hair that can reproduce a new root system, is found approximately 4-7 millimeters deep. Therefore, given enough time most if not all hair will return. The Food and Drug Administration acknowledges that there is currently no hair removal procedure that is permanent and will not permit the use of the term “permanent removal”. Anyone claiming otherwise should be approached with skepticism. The FDA has approved a few lasers to claim “permanent reduction”. These few lasers have proven their superior hair reduction efficacy to the FDA and have been certified to make that claim.

At ACPS we are proud to own two Nd:YAG lasers approved by the FDA to claim “permanent reduction”. The Candela corporation’s Gentle:YAG is among the safest and most efficacious lasers on the market. Whether you are fair skinned, dark skinned or well tanned, the GentleYAG can eliminate your need for shaving or waxing. It’s suitable for the delicate small areas like the upper lip and the large areas of a man’s back.

Swimsuit weather is approaching fast. The time is now to begin your treatments. Download and print the coupon below to receive $300 off your next treatment or package. We have two locations to serve you. One coupon per patient. To make an appointment call (713) 799-9999.

Greetings to everyone and thank you for taking the time to read this first addition of my newsletter. These email newsletters are designed to keep you informed of what’s going on in the field of plastic surgery and what’s new in my practice. It is my hope that you find these newsletters valuable.

The Surgeon

Patient Coordinator

The Philosophy

Credentials

Consultation

Added Touch

Don't Settle for Less

Before & Afters

My MediSpa

Please visit Dr. Henry Mentz's website or The Aesthetic Center For Plastic Surgery website for further information.

For additional information on this Newsletter article, please contact:

Jeremy Hartling
(713) 799-9999
jhartling@iapc.net

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18-May-07 4:00 PM

MyBeautifulBody.com Newsletter 8-May-07

Jeremy Hartling — Mon, 14 May 2007 21:00:00 GMT

Greetings to everyone and thank you for taking the time to read this first addition of the ACPS newsletter. These email newsletters are designed to keep you informed of what’s going on in the field of plastic surgery, what’s new in my practice and most importantly, strengthen the bond between myself and my patients. It is my hope that you find these newsletters valuable.

What’s new in Cosmetic Surgery?

The big story in cosmetic surgery today is the FDA’s approval of Silicone Breast Implants after they were pulled from the market 14 years ago. Both the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS), the two largest and most respected plastic surgery membership organizations, applauded the FDA’s decision.

There are two manufactures who received an “approval by conditions” letter by the FDA, Allergan Corporation and Mentor Corporation. Both companies have been conducting long-term trials to prove the safety and effectiveness of silicone gel-filled implants. The “approval by conditions” means the implants were FDA approved on the condition that Allergan and Mentor meet several requirements including continuing their implant study through the next 10 years (see www.breastimplantsafety.org/ImplantOptions/trials.php for more about these and other FDA conditions).

ASPS statistics page shows 383,886 women elected to have a breast augmentation procedure 2006. The addition of silicon implants will give women more choices over what goes into their body. When considering the Breast Augmentation or Breast Reconstruction procedures, be sure to ask you surgeon about the differences between saline and silicone so that you may make a well informed decision. ASPS and ASAPS have set up a joint website to help the public understand their choices and make a better informed decision, www.breastimplantsafety.org.

The Liquid Facelift – As reported by Houston’s Channel 2 news.

See the full story at: www.click2houston.com/health/7333385/detail.html

Dr. Mentz has been making news lately with what he calls the Liquid Facelift. Many find the proposition of surgery scary or would just rather stave off surgery for one reason or another. If you are one of these people a liquid facelift may be the answer.

A Liquid Facelift is the technique of using the different injectable pharmaceuticals and devices on the market to achieve a more youthful appearance. Nothing can achieve the same results as a facelift but the proper use of these products in combination can provide many with the youthful appearance they were looking for.

So what exactly is an injectable pharmaceutical or device? The most recognizable name on the market today is BOTOX Cosmetic®. This highly purified protein is skillfully injected into the facial muscles that cause fine lines and wrinkles. The protein reduces those muscles’ mobility, thereby reducing the fine lines. The American Society of Aesthetic Plastic Surgery (ASAPS) recently reported 3,181,592 BOTOX® treatments were performed last year.

In contrast, 1,593,554 injections of hylaronic acid were performed in 2006. Don’t let the name scare you. Hylaronic acid is a naturally occurring substance found the human body. As you age your skin’s ability to produce hylaronic acid is reduced. Restylane® and Juvederm® are the two leading hularonic acid products on the market. Both are injected into the skin in the area of wrinkles giving new volume to the skin thereby reducing the appearance of the facial lines.

The down side of BOTOX®, Restylane® and Juvederm® is there temporary nature. All last anywhere from two months to nine months. How long they last depends on your unique anatomy and metabolism. Those wishing a more permanent result may decide to go with another filler not classified as a hylaronic acid but rather a synthetic collagen type substance called calcium hydroxylapatite. The FDA has approved this product for use as a dermal filler of certain facial lines. Studies show this product may last anywhere from six months to three years.

The Liquid Facelift is the use of one or all of these products to give a patient a more youthful look. The best results are achieved by those practitioners that have not only been highly trained but who perform these injections daily. Dr. Mentz has hand picked and trained his nurse practitioner, Renée Arriaga, FNP, to perform these injections as well as other services within his clinic at The Aesthetic Center for Plastic Surgery. To learn more about the Liquid Facelift, these injectables, Renée’s education and qualifications go to http://www.mymedispa.com/. Renee has performed thousands of injections and has made hundreds of patients very happy people.

Face Lift or Soft Tissue Fillers?

The effects of aging occur gradually and many who suffer from the effects of age on the face find themselves in the position where they are not quite ready for a facelift but desire some improvement. Modern medicine has responded with several non-surgical answers to this dilemma. For over 20 years women and men alike have relied on BOTOX® to reduce facial wrinkles, one of the most common signs of age. Today there are a range of what are called soft tissue fillers that are injected into wrinkles and/or hallow areas of the face to give it back the fullness it once had.

As the years have passed, new and better fillers have hit the market. Some of the more popular ones today include:

Hyaluronic acid which included Restylane® and Juvéderm™
Collagen
Calcium hydroxylapatite (Radiesse®)
Polyactate (Sculptra®)

In addition to BOTOX® and the soft tissue fillers mentioned above fat grafting is another great way of restoring a smoother, more youthful-looking face. Fat grafting is the process of harvesting your own fat cells from one area of your body and transplanting those cells to another. Although this process is very safe and there is no risk of an allergic reaction, the number of fat cell that survives the transplant can be a bit unpredictable. However, for many the use of one’s own tissue is an appealing alternative to the fillers listed above.

ACPS’s Medical Spa Spot:

Laser Hair Reduction is now for Everyone

The introduction of the long pulse Nd:YAG lasers with its longer pulsewidths and wavelengths have made it possible to treat patients with darker skin tones and those who have but a small differentiation in skin tone to hair color. Please not that hair with no melanin is still not treatable nor does the Nd:YAG technology offer “permanent hair removal”.

14-May-07 4:00 PM

ACPS Surgeons Report on Latest Developments in Ultrasonic Lipo

Dr Henry Mentz — Wed, 08 Mar 2006 19:00:00 GMT

Read Dr. Henry Mentz's comments on the latest developments in ultrasonic liposcution here.

8-Mar-06 1:00 PM

Your Nose: Nobody Does It Better Than Texas Docs - Texas Woman magazine

Dr. Henry Mentz — Wed, 08 Mar 2006 18:30:00 GMT

Learn more about what women want in a nose and what doctors encourage potential patients to think and learn about.

Read the Texas Woman 'Your Nose: Nobody Does it Better Than Texas Docs' article here.

8-Mar-06 12:30 PM

Liquid Facelift Used to Remove Wrinkles -- Channel 2 KPRC Coverage

Thu, 23 Feb 2006 01:00:00 GMT

Dr. Mentz administers a liquid face lift using a combination of Botox, Restylane and Radiesse.

Results Last Differently For Different Patients

HOUSTON -- Do you want to get rid of wrinkles, but surgery seems scary? A liquid facelift may be the answer, KPRC Local 2 reported Wednesday.

Doctors said a few injections could take years away.Wrinkle fillers are starting to catch up to Botox, which was the most popular cosmetic procedure in 2004.There are different products for different situations.

"These liquid facelifts generally are soft-tissue fillers. There are some that you inject deep, like for cheek fullness, and there are others that you inject just under the skin for lines around the mouth," said Dr. Henry Mentz, a Houston plastic surgeon.Mentz said it's a good product for younger patients who are not ready for a surgical facelift.

"I always wanted to do something about these lines in my face," said Shelley Schefler, a patient. A few injections in some key areas filled in the wrinkles.

But how long will it last? "Some patients, for example, with Restylane -- after two or three months it seems like it's all gone. And there's some patients that seem like they get eight to 12 months out of it. It has something to do with the immune system and maybe their health as well," Mentz said.

Some still worry about what is being injected into their faces.So, Mentz is involved in studies to get a new procedure approved by the Food and Drug Administration called Isolagen.

"It's a process by which you can take some skin, from let's say behind a patient's ear and you extract the fiber blasts. Now the fiber blasts are the cells that make collagen," Mentz said. Then, they are harvested in a lab and used as a concentration of a patient's own collagen-producing cells to inject in the wrinkle.

On The Net:

22-Feb-06 7:00 PM

Use of a Regional Infusion Pump to Control Postoperative Pain After an Abdominoplasty

Henry Mentz — Wed, 05 Oct 2005 23:00:00 GMT

Article

Aesthetic Plastic Surgery

Publisher: Springer-Verlag New York, LLC

ISSN: 0364-216X (Paper) 1432-5241 (Online)

DOI: 10.1007/s00266-005-0062-8

Issue: Online First

Use of a Regional Infusion Pump to Control Postoperative Pain After an Abdominoplasty

Henry A. Mentz¹, Amado Ruiz-Razura¹, German Newall¹ and Christopher K. Patronella¹

(1)	The Aesthetic Center for Plastic Surgery, 12727 Kimberley Lane, Suite #300, Houston, Texas, 77024

Published online: 19 September 2005

Abstract This study presents the clinical results for 20 patients who underwent abdominoplasty. A subset of these patients were given a pain relief system that provides continuous infusion of a nonnarcotic medication directly into the surgical wound to reduce postoperative pain. Whereas patients received a pain pump in addition to standard oral/intramuscular pain medication, 10 patients received only the standard oral and intramuscular postoperative pain medications. All 20 patients then were asked to complete an evaluation of their postoperative discomfort and pain. The findings show a significant reduction in postoperative pain with the use of the ambulatory pain pump. The simplicity of installing and running the pump and the benefits obtained, including early ambulation and less pain as well as reduced need and strength of narcotic medications lead the authors to believe that the implementation of this pain control technology soon will become widespread in their specialty. The study indicates that patients require less sedation and get out of bed sooner with this device, thereby reducing the incidence of deep venous thrombosis, pulmonary emboli, and narcoticdependency.

Keywords Regional infusion - Pain pump - Abdominoplasty

Presented at the annual meeting of the ASAPS (American Society of Aesthetic Plastic Surgery) and ASERF, The Aesthetic Meeting 2004, Vancouver, BC, April, 2004, and The Annual Meeting of the American Society of Plastic Surgeons, Philadelphia, PA, USA 9–13 October 2004.

Dr. Mentz is a clinical assistant professor in the Department of Plastic Surgery at Baylor College of Medicine in Houston, TX, Dr. Ruiz-Razura is a professor in the Division of Plastic & Reconstructive Surgery at the University of Texas Medical School, Health Science Center in Houston.

Henry A. Mentz
Email: amadoruizmd@yahoo.com

view article in Aesthetic Plastic Surgery Journal

5-Oct-05 6:00 PM

Facelift: Measurement of Superficial Muscular Aponeurotic System Advancement With and Without Zygomaticus Major Muscle Release

Henry Mentz — Wed, 05 Oct 2005 23:00:00 GMT

Article

Aesthetic Plastic Surgery

Publisher: Springer-Verlag New York, LLC

ISSN: 0364-216X (Paper) 1432-5241 (Online)

DOI: 10.1007/s00266-005-0005-4

Issue: Online First

Facelift: Measurement of Superficial Muscular Aponeurotic System Advancement With and Without Zygomaticus Major Muscle Release

Henry A. Mentz III¹, Amado Ruiz-Razura¹, Christopher K. Patronella¹ and German Newall¹

(1)	The Aesthetic Center for Plastic Surgery, 12727 Kimberley Lane, Suite 300, Houston, TX 77024, USA

Published online: 19 September 2005

Abstract Multiple authors have sought ways to improve nasolabial folds, jowls, and jaw lines with face-lifting procedures. The retaining ligaments of the face support facial soft tissue in the normal anatomic position. However, with age, gravitational changes occur, and fat descends into the plane between the superficial and deep facial fascia. Face-lift procedures are designed to lift these sagging tissues. To date, the authors have not found a study that quantifies the amount of vertical advancement gain when a face-lift operation is performed with elevation of the superficial muscular aponeurotic system (SMAS). The movement was studied in 22 rhytidectomy SMAS flaps, and measurements of the vertical advancement were compared using two different SMAS patterns. Elevation and fixation of the SMAS was accomplished under the same conditions, and by the same surgeon. A high SMAS elevation was performed after skin and retaining ligaments were released. Precise measurements were obtained at the medial and lateral edges of the SMAS and before and after a backcut release from the zygomaticus major muscle. The results demonstrated an average improvement in medial flap shift gain of 14.04 mm after the release. There were no complications from these measurements during a 16-month follow-up period. The authors believe this is a particularly interesting finding because it demonstrates and quantifies an increased medial SMAS advancement shift with this maneuver, and therefore improves the cosmetic appearance of the jowls and the midface. Excellent aesthetic results were obtained with a high level of patient satisfaction.

Keywords Face-lift - SMAS, Superficial muscular aponeurotic system - Zygomaticus major

Henry A. Mentz III
Email: Dr.RUIZ@mybeautifulbody.com

Amado Ruiz-Razura
Email: Dr.RUIZ@mybeautifulbody.com

5-Oct-05 6:00 PM

The Beauty of Fat

Dr. Henry A. Mentz III MD, FACS, FICS — Wed, 17 Aug 2005 20:00:00 GMT

0ver the past l0 years, the popularity of fat grafting has increased substantially, but this is not a new surgical technique– it began as early as 1893 with free fat auto grafts that were used to fill soft-tissue defects. "Throughout the, 20th century, physicians used fat grafts to correct many conditions, including hemi facial atrophy and other soft-tissue defects. Because of recent advances in technique to improve graft "take:' along with -rowing media attention, fat, rafting is more popular that ever.

Before 1981, physicians used excised fat, minced into very small pieces, for grafts. That year, Gerard Illouz, MD, fir used liposuction aspirate for autogenous fat, rafts. Techniques have been refined, and now the fat to be used for -grafting is carefully removed with itsyringe and is processed minimally with a centrifuge to concentrate it. The fat is then grafted in thin strands, and itlattice is constructed to correct a wrinkle or restore volume to a specific area. As a result of’ the success of modern fat grafting, its application has broadened to include lip augmentation, facial hyoids, facial-volume restoration, soft-tissue scar-ring, soft-tissue defects from injury or disease, liposuction defects, and many other new and original procedures and treatment areas. Fat-handling techniques have improved, but multiple or staged procedures are still the norm. Despite the possibility of requiring retreatment, fat grafting compares well to other soft-tissue fillers.

Early soft-tissue fillers included silicone, collagen, hyaluronic acid products, calcium hydroxyapatite, cyanoacrylatc, and autogenous fibroblasts, and they all had benefits and risks. Many new sub-stances for soft-tissue augmentation are in the pipeline, but each has some side effect or disadvantage. Substances that do not react well with tissues have limited effectiveness and wear off in months. Substances that last lower tend to have more problems with lumping, hardness, and foreign-body reactions like granulomas. A product that uses autogenous fibroblasts for augmentation is still awaiting approval from the Food and Drug Administration. It is natural, and it appears to be long-lasting. The ideal soft-tissue‑ augmentation material is inexpensive and durable, feels natural, and has a low risk of adverse reactions. Autologous fat grafts meet these requirements. The procedure can be per-formed on an outpatient basis with local anesthesia, or can be combined with other plastic surgery procedures that are performed under general anesthesia. Preoperative consultation and evaluation are important to identify the areas to he treated.

The procedure preoperative and postoperative care, expectations, and possible adverse reactions should be carefully reviewed and discussed with the patient. Patients must be educated about the effects of weight gain on their grafts. It is easier to perform secondary grafting than to remove fat grafts injected into normal tissues. Photographic documentation is important for planning and follow up.

17-Aug-05 3:00 PM

Plastic Surgery Safety

Dianne Taylor — Wed, 17 Aug 2005 19:00:00 GMT

Are Your Cosmetic Surgery Procedures As Safe As They Can Be ?

As consumers push hard for fast and fabulous results, have cosmetic surgeons become overly evasive in their approach to reshaping bodies and faces' ' the experts we talked to antithesis we, combed certainly suggest so.

The risks

Today's most popular cosmetic surgical procedure is liposuction, with breast augmentation running a pretty close second. Demand for abdominoplasty has grown by 71 percent in, just four years, according to the American Society of Plastic Surgeons. Liposuction and abdominoplasty pose the most life-threatening clinical risks and stacking these procedures makes the risk 14 times greater, according to one study. NN~Yrile no one knows exactly how often liposuction and/or abdominoplasty results in death, recent, research suggests it may happen as often as once every: 5,000 cases or even once every 1,000 cases. In contrast, according to a report cited by Rudolph de Jong, AID, of the Thomas Jefferson Medical College in Philadelphia , the death rate for elective hernia procedures is just three in 100,000. The most common fatal complication of abdominoplasty or liposuction is pulmonary embolism. Researchers say pulmonary thromboembolisrn, in particular, is the direct cause of one-quarter of cosmetic surgery-related deaths. "Deep vein thrombosis with pulmonary embolism is probably the most fearful situation for plastic surgeons, more so than cardiac arrest," says Henry Mentz, III, MD, FACS, FIGS, a surgeon with the Aesthetic Center for Plastic Surgery in Houston . "This call come on very quickly, and W is something that can and sloes happen in every plastic surgery practice." To put this in perspective, during the past five yews, office physicians in Florida have reported 25 cosmetic surgery-related deaths, six of which were directly attributed to pulmonary embolism after abdominoplasty, liposuction or combined abdominoplasty-liposuction, according to Brett. M. Coldiron, NID, FRCP, clinical assistant professor with the University of Cincinnati College of Medicines Department of Dermatology. Other documented complications leading to death after cosmetic surgery, according to a report by a group of forensic pathologists, include fluid overload and lidocaine and epinephrine toxicity. Fatal perforations of the abdominal cavity have also been reported, and clinicians say hypothermia is a significant concern. Temperature is of critical importance," says M. Dean Vistnes, NID, FAGS, of Vistnes Plastic Surgery in Palo Alto, Calif. , and tile Stanford University Hospital Department of Surgery. "Typically, these patients are largely exposed, and liposuction patients are injected with large amounts of sometimes cool fluids. Loss of body heat can alter the clotting mechanism and the response to anesthesia, and generally make it a lot harder for the physician to treat other complications that may arise.

Controversial causes

There are inherent risks to surgery no matter how, you slice it, but in the realm of major cosmetic surgery, there is st_ibstantial confusion and finger pointing over the additional causes of fatal complications. Clinicians point to three reasons grave problems develop in other %%rise healthy patients.

• Procedure stacking.
Research clearly shows that performing multiple cosmetic procedures in one operation, especially when one procedure is abdominoplasty, increases the risk of grave complications no matter how good the quality of care. In two Florida cases that resulted in death from pulmonary emboli, a board of medicine reviewer found no evidence of inadequate care. Rather, say experts, this increased risk is likely due to their physiologic insult combined with the inherent risk of general anesthesia and post-op immobility.

"When you perform abdominoplasty you are essentially tightening the abdominal wall and darn create considerable internal compression which, along with post-op pain, inhibits the patient's pulmonary compliance," explains Dr.Vistnes. "Add to this insult from the liposuction, such as possible fluid overload, and you can see how you're just adding one thing on top of another." Notes Dr. Mentz: "Abdominoplasty can also put back pressure on the versa Cava so the deep veins don't strain as well, and this pushes blood back into the legs. Combine this with the post-op immobilization that occurs due to pain — and tine fact that anyone who is asleep on the table for any procedure has a risk of DVT to begin with— and you can see why this can trigger clot formation in the large femoral vein, which acts like an interstate highway directly through the heart and into the lung. This can kill.’’

Observers cite two motives for procedure stacking: economics and patient demand. The financial lure of these popular, out-of-pocket procedures is real, with patients paying an average $6,500 for abdominoplastyand between $1,500 and $3,000 per liposuction site. And TV shows like "Extreme Makeover" have prompted patients to seek out fast and aggressive cosmetic surgery solutions.

• Liposuction approach
Although physicians’ can combine various techniques and anesthesia approaches, there are two basic ways they perform liposuction, and proponents of each approach target the other° as riskier for the patient, especially When the procedure involves rotating lots of fat. The first approach is the surest technique, during which the surgeon infuses epinepluine-containing aline subcutaneously and aspirates the infiltrate and fat in, ideally, a one-to-one ratio with the patient under general, anesthesia. The epi-infiltrate constricts blood vessels and minimizes blood loss. The second is the tumescent technique, which does not, require general anesthesia. Rather, the infiltrate also contains lidocaine for local anesthesia, and physicians pre-inject larger volumes of it in an approximate three-to-one ratio. This causes the fatty tissue to become swollen and firm, or tumescent, so the fatty area becomes easier to identify ruin remove. While proponents of the super wet approach agree that tumescent liposuction often makes sense for small-volume procedures, they say general anesthesia provides a safety measure during higher-volume procedures. "Airway control is a very good reason to use general anesthesia, especially when the patient is prone," says Dr. Vistnes. Higher-volume procedures take longer using the tumescent technique and, he says, after several hours patients can get fidgety, start to feel pain and require narcotics. "If the prone patient experiences pain and you give more narcotics or sedation intraoperatively, you can lose control of the airway," he says. Dr. Vistnes also notes that higher volume procedures require such large amounts of infiltrate when using tumescent technique that this approach can place the patient at Undue risk for fluid overload and lidocaine/epitteptirine toxicity -- both fatal complications that have been documented after tumescent technique.

When Henry Mentz, III, MD, FACS, FICS, and his colleagues at The Aesthetic Center for Plastic Surgery in Houston, Texas , did an internal risk analysis and decided to continue performing combination abdominoplasty-liposuction procedures, they also decided that they needed to institute every safety measure they felt they possibly could. One of those measures was to ensure that they could monitor patients overnight when need-ed. Being that their facility was licensed as an ASC in Texas, however, they were not allowed — until, that is, they banded together and lobbied their state Department of Health Services for a rule change. They got it, and although the pro-posed rule change is not final as of this writing, Dr. Mentz is decidedly optimistic. The rule change allows for °extended observation" after PACK discharge and applies to patients who do not require overnight "hospitalization" or "extensive recovery, convalescent time or observation."

Dr. Mentz plans to keep patients meeting any two of the following criteria overnight: over 50 years of age, smoking history, surgery longer than two hours to three hours, abdominoplasty, face liftand large-volume liposuction. hands.

"Under general anesthesia, there is no feed-back, and doctors make mistakes when there is no feedback," he says. "With liposuction, all we have is our sense of touch and without it as our guide, doc‑contributor to liposuction-related complications. Dr. de Jong reported that liposuction can cause extensive subsurface trawna comparable in many ways to the "massive injury" of an internal burn, tear feedors can inject too much fluid without realizing it, they can take out too much fat, and they can get reckless with the cannula and create lots of trauma, including abdominal perforation

Researchers have implicated surgical trauma as are vessels, mobilize fat globules and create pro-found metabolic changes. And although tumescent technique can take significantly longer, it once took Dr. Lack three-and-a-half hours to remove 10 liters of fat, its proponents say it's not traumatic when performed with the necessary skill. Besides letting the physician "feel," involves microcannulas that users say are easier to navigate through tissue. "There is endoscopic evidence that blood supply remains intact after properly performed tumescent anesthesia," claims Dr. Lack. "Doing liposuction any other way is doing a disservice to the patient." To be fair, however, the dividing line between the two approaches is not always so tidy. Tumescent practitioners often sedate patients, sometimes deeply, with medications, and extensive IV sedation has led to fatal anesthesia-related complications according to one Tampa, Fla-based anesthesiologist who has worked with the Florida Board of Medicine. "B' sedation is supposed to be conscious sedation," adds Dr. Lack, who sometimes uses a cocktail of propofol, versed and fentanyl during his tumescent liposuction procedures. "But some are using it as 'unconscious' sedation and are pretending otherwise." One key to minimizing the need for deep IV sedation, he adds, is to inject the lidocaine-containing infiltrate about one hour before surgery so it can take full effect.

• Inadequate patient management
Many say another cause of potentially fatal complications is a pattern of poor patient management that includes lax patient selection, insufficient attention to fluid management and a general lack of emergency preparedness.

While the physiologic demands of modern cosmetic procedures grow- exponentially as the procedures become more traumatic, the understanding of these demands hasn't kept pace. There remains, as Dr. de Jong puts it, an "illusion of technical simplicity in pockets of the medical community when it comes to cosmetic surgery, because the procedures au-e elective, patients aren't ill and it wasn't that long ago that most cosmetic procedures were much less benign than they our today. As Dr. Vistnes puts it, some physicians who started out performing small volume liposuction M11) good results advanced too quickly into larger-volume liposuction .raid began containing them with other procedures, without. attempting to learn less-traumatic techniques or even realizing they were crossing an important tissue-trauma threshold. Some argue there isn't enough regulatory over-sight of the office selling, where many of these procedures are performed. Since offices are generally subject to less regulatory oversight than ASCs and hospitals, detractors say- they offer a venue for aggressive, ill-prepared practitioners who don't have privileges to perform these procedures in hospitals. Yet, no one is certain if any one setting is safer than another.

17-Aug-05 2:00 PM

MOST RECENT PRESENTATIONS & PUBLICATIONS (2004-05)

Henry Mentz — Sat, 13 Aug 2005 15:00:00 GMT

MOST RECENT PRESENTATIONS & PUBLICATIONS (2004-05)

The following is a list of the most recent papers, scientific posters and panel participations in which Dr. Mentz, ACPS, and research chief Dr. Amado Ruiz-Razura presented at the different aesthetic plastic surgery meetings worldwide. In addition you will find their most recent publications:

A) Papers, posters and panel participation:

1.- “Results with the Use of Reconstituted Botox in the Face: A Clinical and Research Correlation.” Ruiz-Razura A., Mentz H., Patronella C., Newall, G. Chilean Society of Plastic, Reconstructive and Aesthetic Surgery. LXXVI Annual International Meeting. November 23-25, 2003. Vina del Mar, Chile .

2.- “Endoscopic Brow Lift for Facial Rejuvenation” Mentz H., Ruiz-Razura A., Newall G., and Patronella C. Mexican Association of Plastic, Reconstructive and Aesthetic Surgery. XXXV National Congress and International Course. February 18-21, 2004. Monterrey, Mexico .

3.- “Surgical Considerations in the Mid Face Lift” Mentz H., Ruiz-Razura A., Patronella G. and Newall G. Mexican Association of Plastic, Reconstructive and Aesthetic Surgery. XXXV National Congress and International Course. February 18-21, 2004. Monterrey, Mexico .

4.- “Experience with Added Procedures in Combination with an Abdominoplasty and or Body Lift” Patronella,C., Ruiz-Razura A., Newall,G., and Mentz, H. American Society of Aesthetic Plastic Surgery (ASAPS). The Aesthetic Annual Meeting 2004. April 15-21, 2004. Vancouver, Canada .

5.- “Measurements of SMAS Movement with and without Zigomaticus Major Muscle Release” Mentz, H., Ruiz-Razura A., Patronella C., Newall,G., American Society of Aesthetic Plastic Surgery (ASAPS). The Aesthetic Annual Meeting 2004. April 15-21, 2004. Vancouver, Canada

6.- “The Use of a Marcaine Pump for the Control of Postoperative Pain in Abdominal Wall Reconstruction.” Mentz, H., Ruiz-Razura A., Newall, G., and Patronella C. American Society of Aesthetic Plastic Surgery (ASAPS). The Aesthetic Annual Meeting 2004. April 15-21, 2004. Vancouver, Canada

7.- “ High Risk Liposuction: Preoperative Considerations and Management”.
Newall G., Ruiz-Razura A., Patronella C., Mentz H. The American Society of Aesthetic Plastic Surgery (ASAPS). The Aesthetic Annual Meeting 2004. April 15-21, 2004. Vancouver, Canada

8.- “Gynecomastia: Breast Tissue Removal Through a Single Puncture Incision”
Mentz H., Ruiz-Razura A., Newall, G., and Patronella C. The American Society of Aesthetic Plastic Surgery (ASAPS). The Aesthetic Annual Meeting 2004. April 15-21, 2004. Vancouver, Canada .

9.- “Minimal Invasive Treatment for Gynecomastia” Mentz H., Ruiz-Razura A., Newall G., Patronella, C. International Symposium on Breast Surgery. Argentinan Society of Plastic, Reconstructive and Aesthetic Surgery & The Plastic Surgery Society of Buenos Aires . June 25-26, 2004. Buenos Aires, Argentina .

10.- "Considerations in Breast Augmentation with the use of saline filled Implants: Advantages and Disadvantages” Ruiz-Razura A., Mentz H, Newall G., Patronella, C. International Symposium on Breast Surgery. Society of Plastic, Reconstructive and Aesthetic Surgery of Argentina & The Plastic Surgery Society of Buenos Aires . June 25-26, 2004. Buenos Aires, Argentina .

11.- “The Group Practice of Aesthetic Plastic Surgery in the New Millenium” Patronella C., Ruiz-Razura A., Mentz H., Newall, G. 50th Anniversary Celebration of the Plastic Surgery Service in Honor of Dr Fernando Ortiz Monasterio. Hospital General de Mexico and the Mexican Association of Plastic , Reconstructive and Aesthetic Surgery. August 5-7, 2004. Mexico City, Mexico.

12.- “Accreditation and Safety Guidelines for Ambulatory Aesthetic Surgery: The ACPS Experience”. Patronella C., Ruiz-Razura A., Mentz H., Newall, G. 50th Anniversary Celebration of the Plastic Surgery Service in Honor of Dr Fernando Ortiz Monasterio. Hospital General de Mexico and the Mexican Association of Plastic , Reconstructive and Aesthetic Surgery. August 5-7, 2004. Mexico City, Mexico.

13.- “Current concepts in Breast Augmentation : Saline vs Silicone Gel Filled Implants”. Ruiz-Razura A., Mentz, H., Newall, G.,Patronella C.International Course in Breast Surgery. Hospital Angeles Metropolitano. Mexican Association of Plastic, Reconstructive and Aesthetic Surgery. August 9-11, 2004. Mexico City, Mexico .

14.-“Minimal Invasive Technique for the Correction of Gynecomastia.” Mentz, H., Ruiz-Razura A., Newall, G. and Patronella C. International Course in Breast Surgery. Hospital Angeles Metropolitano.Mexican Association of Plastic, Reconstructive and Aesthetic Surgery.August 9-11, 2004. Mexico City, Mexico .

15.-“Guidelines for the Creation and Organization of an Aesthetic Surgery Center Group Practice” Ruiz-Razura A., Patronella C.., Mentz A., Newall, A. XIII International Annual Course. Colombian Society of Aesthetic Plastic Surgery . August 11-14, 2004. Santa Marta, Colombia .

16.- “Suction Assisted Lipectomy: The high risk patient” Newall G., Ruiz-Razura A., Patronella C., Mentz H. XIII International Annual Meeting. Colombian Society of Aesthetic Plastic Surgery . August 11-14, 2004. Santa Marta, Colombia .

17.- “ Gynecomastia: A new approach to an old problem” Mentz H., Ruiz-Razura A., Patronella C., Newall, G.XIII International Annual Meeting. Colombian Society of Aesthetic Plastic Surgery . August 11-14, 2004. Santa Marta, Colombia .

18.- “The Use of Regional Infusion Pumps for Pain Management in Abdominoplasty”. Mentz, H., Ruiz-Razura A., Patronella C., Newall, G.XIII International Annual Meeting. Colombian Society of Aesthetic Plastic Surgery . August 11-14, 2004. Santa Marta, Colombia .

19.- “Surgical Rejuvenation of the Middle Third of the Face” Mentz, H., Ruiz-Razura, A., Newall, G., Patronella C. XIII International Annual Meeting. Colombian Society of Aesthetic Plastic Surgery . August 11-14, 2004. Santa Marta, Colombia .

20.- “Measuring the SMAS Movement in Vertical Face Lifts”. Mentz, H., Ruiz-Razura A., Patronella C. Newall, G.XIII International Annual Meeting. Colombian Society of Aesthetic Plastic Surgery . August 11-14, 2004. Santa Marta, Colombia .

21.- “Experience with Multiple Added Procedures in Combination with an Abdominoplasty and or Body Lift” Patronella C., Ruiz-Razura A., Newall, G., Mentz H. The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston,Texas .

22.- “ Experience with High Risk Liposuction: Preoperative Considerations and Management” Newall, G., Ruiz-Razura A., Mentz, H., Patronella, C.The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

23.- “ Use of a Marcaine Pump for the Control of Postoperative Pain in Abdominal Wall Reconstruction”. Mentz H., Ruiz-Razura A., Newall, G., and Patronella C.The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

24.- “ Gynecomastia: Breast Tissue Removal Through a Single Puncture Incision”. Mentz H., Ruiz-Razura A., Newall, G. and Patronella C. The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

25.- “The Use of Cultured Fibroblasts for Facial Rejuvenation” Mentz H., Ruiz-Razura A., Newall, G. and Patronella C. The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas.

26.- “Measurement of SMAS Movement with and without Zigomaticus Major Muscle Release”.Mentz H., Ruiz-Razura A., Newall, G. and Patronella C. The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

27.- Panel: Breakfast with the experts: “ Facial Rejuvenation: Results of measuring SMAS movements before and after Zigomaticus Mayor Muscle Release” Ruiz-Razura A., Mentz H., Newall, G., and Patronella C. The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

28.- Panel: Breakfast with the experts: “Facial Rejuvenation: Surgical Approach to the Aging mMid Face” Mentz H., Ruiz-Razura A., Newall G., and Patronella C. The 17th Congress of the International Society of Aesthetic. Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

29.- Panel –Breakfast with the experts: “ Body Contouring: The Athletic Abdomen” Newall G., Ruiz-Razura A., Mentz H., Patronella C. The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

30.- Panel- Breakfast with the experts: “ Body Contouring: Advantages of Combining Liposuction with Abdominal and Body Lifting Procedures” Patronella C., Ruiz-Razura A., Mentz A., Newall, G. The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas .

31.- “Evaluating two methods of SMAS release during Rhytidectomy” Mentz H., Ruiz-Razura A., Newall, G., and Patronella C. Annual Meeting of the Texas Society of Plastic Surgeons. Barton Creek Resort. September 10-12, 2004. Austin, TX .

32.- "Clinical Pearls Panel: Regional Infusion Pumps for Post Abdominoplasty Pain". Ruiz-Razura A., Mentz H., Newall G. and Patronella C. Annual Meeting of the Texas Society of Plastic Surgeons. Barton Creek Resort. September 10-12, 2004. Austin, TX .

33.- “Soft Tissue Fillers: Cultured Fibroblasts for Facial Rejuvenation” Mentz H, Ruiz-Razura A, Newall, G. and Patronella C. American Society of Plastic Surgeons. Annual Meeting. Plastic Surgery 2004. October 9-13, 2004. Philadelphia , PA.

34.- “Use of an Infusion Pump for the Control of Postoperative Pain in Abdominal Reconstruction". Mentz H., Ruiz-Razura A., Newall G., Patronella C. American Society of Plastic Surgeons. Annual Meeting. Plastic Surgery 2004. October 9-13, 2004. Philadelphia , PA.

35.- “Liposculpturing the Athletic Abdomen: The Six Pack Procedure” - Key note address. Newall G., Ruiz-Razura A., Mentz H., and Patronella C. Society of Latin American Plastic Surgeons of the United States and Canada . American Society of Plastic Surgeons Annual Meeting. October 11, 2004. Philadelphia, PA.

36.- “Clinical Experience with Autologous Cultured Fibroblasts to Correct Soft Tissue Defects”. Mentz, H., Ruiz-Razura A., Newall G. and Patronella C.Third International Congress of the Spanish Society for Antiaging Medicine and Surgery. November 5-7, 2004. Valencia , Spain .

37.- “Aesthetic Surgery Group Practice in the United States: The ACPS Experience” Patronella, C., Ruiz-Razura A., Mentz H., and Newall G . Third International Congress of the Spanish Society for Antiaging Medicine and Surgery. November 5-7, 2004. Valencia , Spain .

38.- “Surgical Considerations to Body Contouring: The Athletic Abdomen” Newall, G., Ruiz-Razura A., Mentz H., and Patronella C. Third International Congress of the Spanish Society for Antiaging Medicine and Surgery. November 5-7, 2004.Valencia, Spain.

39.- "Clinical Experience with Autologous Fibrobalsts for the Correction of Facial Soft Tissue Defects". Mentz, H., Ruiz-Razura A., Newall,G., Patronella C.The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

40.- "Liposculpture for the Athletic Male " . Newall G., Ruiz-Razura A., Mentz H., Patronella C.The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

41.- "Facial Soft Tissue Filling with Autologous Fibroblasts".Mentz, H., Ruiz-Razura A., Newall,G., Patronella C.The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

42.- "A Five Year Experience with Added Procedures in Conjunction with an Abdominal Wall Reconstruction and Body Lift" Patronella C., Ruiz-Razura A., Mentz H, Newall G. The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

43.- "Long Term Use of Calcium Hydroxyapatite for Facial Skeletal Defects". Mentz, H., Ruiz-Razura A., Newall,G., Patronella C.The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

44.-"Phase Two Results after 12 months with Cultured Fibroblasts for Facial Rejuvenation" Mentz, H., Ruiz-Razura A., Newall,G., Patronella C.The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

45.- "Myths and Reality of Todays Aesthetic Surgery Group Practice: Personal Considerations". Keynote Lecture . Ruiz-Razura A., Patronella C., Mentz H, and Newall, G. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

46.-"Clinical Results After 12 months of Cultured Fibroblasts Injections to Treat the Aging Face". Mentz, H., Ruiz-Razura A., Newall,G., Patronella C. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

47.- "Calcium Hydrxyapatite as a Facial Soft Tissue Filler " Mentz, H., Ruiz-Razura A., Newall,G., Patronella C. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

48.- "Pain Management in Body Contouring Surgery: Regional Infusion Pumps" Mentz, H., Ruiz-Razura A., Newall,G., Patronella C. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

49.- "State of the Art in Liposculpture: Abdominal Etching" Newall G., Ruiz-Razura A., Mentz H. and Patronella C.National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

50.-"In Search of Excellence in Aesthetic Plastic Surgery" Key Note Address.
Ruiz-Razura, A., Commencement Ceremony. The 2002-2005 Graduating Class of Plastic Surgeons from the Dr Jose Guerrerosantos Institute of Reconstructive Surgery of the University of Guadalajara. March 4-5, 2005. Guadalajara, Mexico.

51.- "Soft Tissue Fillers for Facial Rejuvenation: What's Best and How long it lasts?" Ruiz-Razura, A., Mentz A., Newall, G., Patronella C., Commencement Ceremony. The 2002-2005 Graduating Class of Plastic Surgeons from the Dr Jose Guerrerosantos Institute of Reconstructive Surgery of the University of Guadalajara. March 4-5, 2005. Guadalajara, Mexico.

52.- "Comparative Analysis of Regional Infusion Pain Pumps for Body Contouring Surgery". Mentz H, Ruiz-Razura A., Newall, G and Patronella C. Commencement Ceremony. The 2002-2005 Graduating Class of Plastic Surgeons from the Dr Jose Guerrerosantos Institute of Reconstructive Surgery of the University of Guadalajara. March 4-5, 2005. Guadalajara, Mexico.

53.- "New Frontiers in Liposuction: The Pectoral Etching " Mentz, Ruiz-Razura, A., Newall, G and Patronella C., Commencement Ceremony. The 2002-2005 Graduating Class of Plastic Surgeons from the Dr Jose Guerrerosantos Institute of Reconstructive Surgery of the University of Guadalajara. March 4-5, 2005. Guadalajara, Mexico.

54.-"Panel Discussion on Aesthetic Surgery of the Breast". Ruiz-Razura A., The 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

55.- "Refinements in Liposuction and Body Contouring Surgery ". Patronella, C., Ruiz-Razura A., Newall G and Mentz H., the 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

56.- "Microspheres of Calcium Hydroxylapatite for the Correction of Facial Defects" Mentz H A, Ruiz-Razura A., Newall, G and Patronella C. The 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

57.- "A Non Narcotic Post Operative Pain Management for Abdominoplasty". Mentz H., Ruiz-Razura A., Newall G and Patronella C. The 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

58.- " A Comprehensive Program to Enhance Surgical Education in Cleft Lip and Palate Surgery". Boynton J., Ruiz-Razura A., Cronin E., 62nd Annual Meeting of the American Cleft Lip and Palate-Craniofacial Association. April 4-9, 2005 . Myrtle Beach, South Carolina.

59.-"One Year Follow Up with the Use of Cultured Fibroblasts for Facial Rejuvenation" . Mentz H. ,Ruiz-Razura A., Newall G., Patronella C., The Aesthetic Meeting 2005. Annual Meeting of the American Society of Aesthetic Plastic Surgery. April 28-May 4, 2005. New Orleans, LA.

60.- "Regional Infusion Pumps in Aesthetic Surgery: Pain Management After Abdominoplasty". Mentz H., Ruiz-Razura A., Newall G., Patronella C.,The Aesthetic Meeting 2005. Annual Meeting of the American Society of Aesthetic Plastic Surgery. April 28-May 4, 2005. New Orleans, LA.

61.- " Facial Rejuvenation: Surgical Considerations with Soft Tissue Fillers". Mentz H.A, Ruiz-Razura A., Newall G. and Patronella C. XXXVI International Congress. Mexican Asociation of Plastic, Reconstructive and Aesthetic Surgery. May 17-21, 2005. Veracruz, Mexico

62.- "Pectoabdominal Refinements in Liposculpture" Mentz H.A, Ruiz-Razura A., Newall G. and Patronella C. XXXVI International Congress. Mexican Asociation of Plastic, Reconstructive and Aesthetic Surgery. May 17-21, 2005. Veracruz, Mexico.

63.- "Post Abdominal Pain Management with Different Regional Infusion Pumps ". Mentz H.A, Ruiz-Razura A., Newall G. and Patronella C. XXXVI International Congress. Mexican Asociation of Plastic, Reconstructive and Aesthetic Surgery. May 17-21, 2005. Veracruz, Mexico

64.- "Panel on Current Trends in Aesthetic Surgery of the Face". Ruiz-Razura A., First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

65.- "Long Term Results with the Use of Autologous Fibrobalsts for Soft Tissue Augmentation in Facial Rejuvenation". Mentz H., Ruiz-Razura A., Newall, G., and Patronella C., First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

66.- "The Six Pak abdominal etching Technique (Video)" .Newall G., Ruiz-Razura A., Mentz H., and Patronella C. First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

67.- "Improvements in Managing Post Operative Pain in Body Contouring Surgery". Mentz, H., Ruiz-Razura A., Newall G., Patronella C. First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

68.- "Panel on Liposuction and Body Contouring Surgery". Ruiz-Razura A., First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

69.-"Cacium Hydroxylapatite for Fine Facial and Cranial Defects".Mentz H., Ruiz-Razura A., Patronella C., and Newall G. First Plastic and Reconstructive Surgery Symposium. Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

70.- "Technical Considerations Between Power Assisted and Conventional Liposuction Hand Held Devices" . Mentz,H., Ruiz-Razura A., Patronella C. and Newall G., 10th Congress of the European Society of Plastic Reconstructive and Aesthetic Surgery (ESPRAS). August 30th-September 3rd, 2005. Vienna, Austria.

71.- " Refinements in Liposculpturing: The Athletic Chest" . Mentz H., Ruiz-Razura A., Newall, G., and Patronella C. 10th Congress of the European Society of Plastic Reconstructive and Aesthetic Surgery (ESPRAS). August 30th-September 3rd, 2005. Vienna, Austria.

72.-" The Need for a Structured Clinical Research Unit Within a Large Aesthetic Surgery Group Practice". Ruiz-Razura A., 10th Congress of the European Society of Plastic Reconstructive and Aesthetic Surgery (ESPRAS). August 30th-September 3rd, 2005. Vienna, Austria.

73.-" Improved Pain Management with Regional Infusion Pumps for Body Contouring Surgery". Mentz,H., Ruiz-Razura A., Newall C. and Patronella C., 10th Congress of the European Society of Plastic Reconstructive and Aesthetic Surgery (ESPRAS). August 30th-September 3rd, 2005. Vienna, Austria.

B) MOST RECENT PUBLICATIONS:

1.-" Action Packed-For Men Only: body contouring for the athlete". Mentz H.A., Ruiz-Razura A., Newall G., and Patronella C. Plastic Surgery Products. 26-32, December 2004.

2.-"The Beauty of Fat". Mentz H.A, Ruiz-Razura A., Plastic Surgery Products. 32-37, June 2005.

3.- "Measurements of SMAS Advancement With and Without Zigomaticus Major Muscle Release".
Mentz H.A., Ruiz-Razura A., Newal G., and Patronella C. (In press) Aesthetic Plastic Surgery Journal
May 2005.

4.- "The Use of a Regional Infusion Pump for the Control of Postoperative Pain After an Abdominoplasty" Mentz H.A., Ruiz-Razura A., Newall G., and Patronella C. (In press) Aesthetic Plastic Surgery Journal.
June 2005.

5.- "Are Cosmetic Surgery Procedures as Safe as they Can Be ? by Dianne Taylor- editor with collaboration and contribution by Drs H. A. Mentz and Amado Ruiz-Razura. Outpatient Surgery Magazine . June 2005.

6.- A Retrospective Study with the Use of a Low Molecular Weight Heparin for Thromboembolism Prophylaxis in Large Volume Liposuction and Body Contouring Procedures". Newall G., Ruiz-Razura A., Patronella C., Mentz H.A. and Zarak A., Aesthetic Plastic Surgery Journal. Submitted July 2005.

13-Aug-05 10:00 AM

Dr. Mentz's extensive list of ideas and innovations, over 110

Henry Mentz — Fri, 12 Aug 2005 15:00:00 GMT

Henry A. Mentz, MD, FACS, FICS

Houston, Texas

111 SCIENTIFIC PAPERS, PRESENTATIONS, EXHIBITS AND DISTINGUISHED LECTURES (present to past)

111. "Refinements in Liposculpture: Pectoral Etching". Mentz H.A., and Ruiz-Razura A., Texas Society of Plastic Surgeons. 2005 Annual Scientific Meeting. October 21-23,2005. Westin La Cantera. San Antonio, TX.

110. " Refinements in Liposculpturing: The Athletic Chest" . Mentz H., Ruiz-Razura A., Newall, G., and Patronella C. 10th Congress of the European Society of Plastic Reconstructive and Aesthetic Surgery (ESPRAS). August 30th-September 3rd, 2005. Vienna, Austria.

109."The Use of a Regional Infusion Pump for the Control of Postoperative Pain After an Abdominoplasty" Mentz H.A., Ruiz-Razura A., Newall G., and Patronella C. (In press) Aesthetic Plastic Surgery Journal.
June 2005.

108."Measurements of SMAS Advancement With and Without Zigomaticus Major Muscle Release".
Mentz H.A., Ruiz-Razura A., Newall G., and Patronella C. (In press) Aesthetic Plastic Surgery Journal, May 2005.

107."The Beauty of Fat". Mentz H.A, Ruiz-Razura A., Plastic Surgery Products. 32-37, June 2005.

106." Action Packed-For Men Only: body contouring for the athlete". Mentz H.A., Ruiz-Razura A., Newall G., and Patronella C. Plastic Surgery Products. 26-32, December 2004.

105."Are Cosmetic Surgery Procedures as Safe as they Can Be ? by Dianne Taylor- editor with collaboration and contribution by Drs H. A. Mentz and Amado Ruiz-Razura. Outpatient Surgery Magazine . June 2005.

104." Improved Pain Management with Regional Infusion Pumps for Body Contouring Surgery". Mentz,H., Ruiz-Razura A., Newall C. and Patronella C., 10th Congress of the European Society of Plastic Reconstructive and Aesthetic Surgery (ESPRAS). August 30th-September 3rd, 2005. Vienna, Austria.

103. "A Retrospective Study with the Use of a Low Molecular Weight Heparin for Thromboembolism Prophylaxis in Large Volume Liposuction and Body Contouring Procedures". Newall G., Ruiz-Razura A., Patronella C., Mentz H.A. and Zarak A., Aesthetic Plastic Surgery Journal. Submitted July 2005.

102."Technical Considerations Between Power Assisted and Conventional Liposuction Hand Held Devices" . Mentz,H., Ruiz-Razura A., Patronella C. and Newall G., 10th Congress of the European Society of Plastic Reconstructive and Aesthetic Surgery (ESPRAS). August 30th-September 3rd, 2005. Vienna, Austria.

101."Cacium Hydroxylapatite for Fine Facial and Cranial Defects".Mentz H., Ruiz-Razura A., Patronella C., and Newall G. First Plastic and Reconstructive Surgery Symposium. Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

100."Improvements in Managing Post Operative Pain in Body Contouring Surgery". Mentz, H., Ruiz-Razura A., Newall G., Patronella C. First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

99."The Six Pak abdominal etching Technique (Video)" .Newall G., Ruiz-Razura A., Mentz H., and Patronella C. First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

98."Long Term Results with the Use of Autologous Fibrobalsts for Soft Tissue Augmentation in Facial Rejuvenation". Mentz H., Ruiz-Razura A., Newall, G., and Patronella C., First International Symposium on Plastic and Reconstructive Surgery . Saudi German Hospitals Group. June 1-2, 2005. Jeddah, Kingdom of Saudi Arabia.

97."Post Abdominal Pain Management with Different Regional Infusion Pumps ". Mentz H.A, Ruiz-Razura A., Newall G. and Patronella C. XXXVI International Congress. Mexican Asociation of Plastic, Reconstructive and Aesthetic Surgery. May 17-21, 2005. Veracruz, Mexico.

96."Pectoabdominal Refinements in Liposculpture" Mentz H.A, Ruiz-Razura A., Newall G. and Patronella C. XXXVI International Congress. Mexican Asociation of Plastic, Reconstructive and Aesthetic Surgery. May 17-21, 2005. Veracruz, Mexico.

95." Facial Rejuvenation: Surgical Considerations with Soft Tissue Fillers". Mentz H.A, Ruiz-Razura A., Newall G. and Patronella C. XXXVI International Congress. Mexican Asociation of Plastic, Reconstructive and Aesthetic Surgery. May 17-21, 2005. Veracruz, Mexico.

94."Regional Infusion Pumps in Aesthetic Surgery: Pain Management After Abdominoplasty". Mentz H., Ruiz-Razura A., Newall G., Patronella C.,The Aesthetic Meeting 2005. Annual Meeting of the American Society of Aesthetic Plastic Surgery. April 28-May 4, 2005. New Orleans, LA.

93."One Year Follow Up with the Use of Cultured Fibroblasts for Facial Rejuvenation" . Mentz H. ,Ruiz-Razura A., Newall G., Patronella C., The Aesthetic Meeting 2005. Annual Meeting of the American Society of Aesthetic Plastic Surgery. April 28-May 4, 2005. New Orleans, LA.

92."A Non Narcotic Post Operative Pain Management for Abdominoplasty". Mentz H., Ruiz-Razura A., Newall G and Patronella C. The 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

91."Microspheres of Calcium Hydroxylapatite for the Correction of Facial Defects" Mentz H A, Ruiz-Razura A., Newall, G and Patronella C. The 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

90."Refinements in Liposuction and Body Contouring Surgery ". Patronella, C., Ruiz-Razura A., Newall G and Mentz H., the 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

89..-"Panel Discussion on Aesthetic Surgery of the Breast". Ruiz-Razura A., The 9th Asian Congress of the International Confederation of Plastic, Reconstructive and Aesthetic Surgery. March 19-23,2005. Mumbai, India.

88. "New Frontiers in Liposuction: The Pectoral Etching " Mentz, Ruiz-Razura, A., Newall, G and Patronella C., Commencement Ceremony. The 2002-2005 Graduating Class of Plastic Surgeons from the Dr Jose Guerrerosantos Institute of Reconstructive Surgery of the University of Guadalajara. March 4-5, 2005. Guadalajara, Mexico.

87."Comparative Analysis of Regional Infusion Pain Pumps for Body Contouring Surgery". Mentz H, Ruiz-Razura A., Newall, G and Patronella C. Commencement Ceremony. The 2002-2005 Graduating Class of Plastic Surgeons from the Dr Jose Guerrerosantos Institute of Reconstructive Surgery of the University of Guadalajara. March 4-5, 2005. Guadalajara, Mexico.

86."Soft Tissue Fillers for Facial Rejuvenation: What's Best and How long it lasts?" Ruiz-Razura, A., Mentz A., Newall, G., Patronella C., Commencement Ceremony. The 2002-2005 Graduating Class of Plastic Surgeons from the Dr Jose Guerrerosantos Institute of Reconstructive Surgery of the University of Guadalajara. March 4-5, 2005. Guadalajara, Mexico.

85. "State of the Art in Liposculpture: Abdominal Etching" Newall G., Ruiz-Razura A., Mentz H. and Patronella C.National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

84."Pain Management in Body Contouring Surgery: Regional Infusion Pumps" Mentz, H., Ruiz-Razura A., Newall,G., Patronella C. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

83."Calcium Hydrxyapatite as a Facial Soft Tissue Filler " Mentz, H., Ruiz-Razura A., Newall,G., Patronella C. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

82."Clinical Results After 12 months of Cultured Fibroblasts Injections to Treat the Aging Face". Mentz, H., Ruiz-Razura A., Newall,G., Patronella C. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

81."Myths and Reality of Todays Aesthetic Surgery Group Practice: Personal Considerations". Keynote Lecture . Ruiz-Razura A., Patronella C., Mentz H, and Newall, G. National Symposium of the Guatemalan Society of Plastic Reconstructive and Aesthetic Surgery. February 24-26, 2005. Guatemala, Guatemala.

80."Phase Two Results after 12 months with Cultured Fibroblasts for Facial Rejuvenation" Mentz, H., Ruiz-Razura A., Newall,G., Patronella C.The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

79. Mentz, H., Ruiz-Razura A., Newall,G., Patronella C.Long Term Use of Calcium Hydroxyapatite for Facial Skeletal Defects. The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

78. Patronella C., Ruiz-Razura A., Mentz H, Newall G. A Five Year Experience with Added Procedures in Conjunction with an Abdominal Wall Reconstruction and Body Lift The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

77. Mentz, H., Ruiz-Razura A., Newall,G., Patronella C Facial Soft Tissue Filling with Autologous Fibroblasts.The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

76. Mentz, H., Ruiz-Razura A., Newall,G., Patronella C. Clinical Experience with Autologous Fibrobalsts for the Correction of Facial Soft Tissue Defects. The 9th Congress of the Oriental Society of Aesthetic Plastic Surgery. December 6-10, 2004. Bangkok, Thailand.

75 Newall, G., Ruiz-Razura A., Mentz H., and Patronella C. Surgical Considerations to Body Contouring: The Athletic Abdomen Third International Congress of the Spanish Society for Antiaging Medicine and Surgery. November 5-7, 2004.Valencia, Spain.

74. Patronella, C., Ruiz-Razura A., Mentz H., and Newall G . Aesthetic Surgery Group Practice in the United States: The ACPS Experience Third International Congress of the Spanish Society for Antiaging Medicine and Surgery. November 5-7, 2004. Valencia , Spain .

73. Mentz, H., Ruiz-Razura A., Newall G. and Patronella C. Clinical Experience with Autologous Cultured Fibroblasts to Correct Soft Tissue Defects
Third International Congress of the Spanish Society for Antiaging Medicine and Surgery. November 5-7, 2004. Valencia , Spain .

72. Newall G., Ruiz-Razura A., Mentz H., and Patronella C Liposculpturing the Athletic Abdomen: The Six Pack Procedure - Key note address. Society of Latin American Plastic Surgeons of the United States and Canada . American Society of Plastic Surgeons Annual Meeting. October 11, 2004. Philadelphia, PA.

The first plastic surgeon to present data on Isolagen (the use of a patient’s own fibroblast cells for wrinkle reduction and acne scar improvement. Dr. Mentz was the only US plastic surgeon to host the phase 2 and 3 FDA studies for design and safety), presented at America’s most prestigious plastic surgery society.

71. Mentz H, Ruiz A, Mentz G, Clift V, Isolagen, Cultured Autologenous Fibroblasts for Wrinkle Reduction. Podium presentation. Annual Meeting, American Society of Plastic Surgeons, Philadelphia, Pennsylvania October 12, 2004.

An exhibit at the Annual meeting for the American Society of Plastic Surgeons demonstrating new techniques for reducing pain after abdominoplasty.

70. Mentz H, Ruiz A, Patronella, C Newall G, Reducing Pain after Abdominoplasty using Marcaine Pumps. American Society of Plastic Surgeons, Philadelphia, Pennsylvania October 12, 2004.

Presentation on facelift and facial rejuvenation techniques to the Annual Texas Society of Plastic Surgeons, and a review of Dr. Mentz’s recent research.

69. Mentz H, Ruiz A. Which SMAS Facelift’s provide the best advantages? Texas Society of Plastic Surgeons, Austin, Texas, September 11, 2004

Presentation on abdominoplasty research and effective techniques for reducing pain after surgery, given at the Annual Texas Society for Plastic Surgery Meeting.

68. Ruiz A, Mentz H, Reducing Pain after Abdominoplasty using Marcaine Pumps. Texas Society of Plastic Surgeons, Austin, Texas, September 11, 2004

67. Patronella C., Ruiz-Razura A., Mentz A., Newall, G. Panel- Breakfast with the experts: “ Body Contouring: Advantages of Combining Liposuction with Abdominal and Body Lifting Procedures The 17th Congress of the International Society of Aesthetic Plastic Surgery (ISAPS-2004 Houston ) August 28-31, 2004. Houston, Texas

A one hour expert instructional course given to the world’s best plastic surgeons reviewing advanced techniques for improving facelift results, presented at the world’s most prestigious aesthetic surgery society. Dr. Mentz was an invited faculty member.

66. Mentz H, Ruiz A, Expert Course on New Facelift Techniques, International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

65. Newall G, Mentz H. Abdominal Etching, review and instructional video. . International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

The first scientific exhibit for Isolagen in plastic surgery. Dr. Mentz was the only US plastic surgeon to participate in the phase 2 and 3 FDA studies for design and safety, presented at the world’s most prestigious aesthetic surgery society as a scientific exhibit.

The use of a patients own fibroblast cells for wrinkle reduction and acne scar improvement. Dr. Mentz was an invited faculty member.

64. Mentz H, Ruiz A, Patronella C, Newall G, Mentz G., Clift V., Isolagen, Cultured Autologenous Fibroblasts for Wrinkle Reduction. Poster presentation. International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

The first plastic surgeon to show measured advantages of specific SMAS techniques that can improve facelift results, presented at the world’s most prestigious aesthetic surgery society. Dr. Mentz was an invited faculty member.

63. Mentz H, Ruiz A, Patronella C, Newall G, Measurement of SMAS movement with and without Zygomaticus Major muscle release. Poster presentation. International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

The first plastic surgeon to use local anesthetic pain pumps to improve recovery and reduce pain after abdominoplasty (tummy tuck), presented at the world’s most prestigious aesthetic surgery society. Dr. Mentz was an invited faculty member.

62. Mentz H, Ruiz A, Patronella C, Newall G, The use of Marcaine Pump for the control of postoperative pain in abdominal reconstruction (abdominoplasty). Poster presentation. International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

Scientific Exhibit on male breast contouring through tiny puncture incisions improving male breast contour (previously accomplished through larger semicircular incisions), presented at the International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004. Dr. Mentz was an invited faculty member.

61. Mentz H, Ruiz A, Newall G, Patronella C, Gynacomastia, Removal of Male Breast Tissue Through a Puncture Incision. . International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

Participated in the study to reduce risk in abdominoplasty (tummy tuck) and liposuction combination procedures. Dr. Mentz was an invited faculty member.

60. Newall G, Ruiz A, Mentz H Patronella C, High risk Abdominoplasty and Liposuction: Preoperative considerations and management. Poster presentation. International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

Participated in the study to reduce risk in body lift and liposuction combination procedures. Dr. Mentz was an invited faculty member.

59. Patronella C, Ruiz A, Mentz H, Newall G, Experience with added procedures in combination with an Abdominoplasty and/or Body Lift. Poster presentation. International Society of Aesthetic Plastic Surgeons, Houston, Texas, August 28-31, 2004.

Presentation given as an honored guest at the 50^th anniversary of the General Hospital of Mexico as a tribute to Dr. Ortiz Monasterio on improved facelift techniques.

58. Mentz H, Ruiz A, New Techniques for Improved Results in Facelifts, Celebration of the 50^th Anniversary of Mexico’s General Hospital, Mexico City, Mexico. August 6, 2004.

57. Mentz, H., Ruiz-Razura A., Newall, G. and Patronella C. Minimal Invasive Technique for the Correction of Gynecomastia. International Course in Breast Surgery. Hospital Angeles Metropolitano.Mexican Association of Plastic, Reconstructive and Aesthetic Surgery.August 9-11, 2004. Mexico City, Mexico .

56.Ruiz-Razura A., Mentz, H., Newall, G.,Patronella C.I Current concepts in Breast Augmentation : Saline vs Silicone Gel Filled Implants. International Course in Breast Surgery. Hospital Angeles Metropolitano. Mexican Association of Plastic, Reconstructive and Aesthetic Surgery. August 9-11, 2004. Mexico City, Mexico .

55. Patronella C., Ruiz-Razura A., Mentz H., Newall, G. Accreditation and Safety Guidelines for Ambulatory Aesthetic Surgery: The ACPS Experience. 50th Anniversary Celebration of the Plastic Surgery Service in Honor of Dr Fernando Ortiz Monasterio. Hospital General de Mexico and the Mexican Association of Plastic , Reconstructive and Aesthetic Surgery. August 5-7, 2004. Mexico City, Mexico.

54. Patronella C., Ruiz-Razura A., Mentz H., Newall, G. The Group Practice of Aesthetic Plastic Surgery in the New Millenium. 50th Anniversary Celebration of the Plastic Surgery Service in Honor of Dr Fernando Ortiz Monasterio. Hospital General de Mexico and the Mexican Association of Plastic , Reconstructive and Aesthetic Surgery. August 5-7, 2004. Mexico City, Mexico.

Presentation given at the Annual Meeting of Plastic Surgeons in Colombia on improving facelifts with new techniques.

53. Mentz H, Ruiz A, Newall G, Patronella, Improving Results in Facelifts with Advanced Techniques, Annual Meeting Colombian Society of Aesthetic Surgery, Santa Marta, Colombia, August 11-13, 2004.

Presentation given at the Annual Meeting of Plastic Surgeons in Colombia on the contouring of the male chest with liposuction.

52. Mentz H, Ruiz A, Newall G, Patronella, Gynacomastia, Removal of Male Breast Tissue Through a Puncture Incision. ., Annual Meeting Colombian Society of Aesthetic Surgery, Santa Marta, Colombia, August 11-13, 2004.

Presentation given at the Annual Meeting of Plastic Surgeons in Colombia on reducing post operative pain in liposuction and abdominoplasty (tummy tucks).

51. Mentz H, Ruiz A, Newall G, Patronella, Marcaine Pain Pumps Reduce Postoperative Pain After Abdominoplasty, Annual Meeting Colombian Society of Aesthetic Surgery, Santa Marta, Colombia, August 11-13, 2004.

Presentation given at the Annual Meeting of Plastic Surgeons in Colombia on safely combining liposuction with other procedures.

50. Newall G, Ruiz A, Mentz H, Patronella, Liposuction in Combination with Other Procedures, Annual Meeting Colombian Society of Aesthetic Surgery, Santa Marta, Colombia, August 11-13, 2004.

Presentation given at the Annual Meeting of Plastic Surgeons in Colombia on safety in body lifts.

49. Mentz, H., Ruiz-Razura A., Patronella C. Newall, G. Measuring the SMAS Movement in Vertical Face Lifts. XIII International Annual Meeting. Colombian Society of Aesthetic Plastic Surgery . August 11-14, 2004. Santa Marta, Colombia .

48. Patronella C, Ruiz A, Mentz H, Newall G, Safety Liposuction in Combination with Other Procedures, Annual Meeting Colombian Society of Aesthetic Surgery, Santa Marta, Colombia, August 11-13, 2004.

The first plastic surgeon to introduce male breast contouring through tiny puncture incisions improving male breast contour (previously accomplished through larger semicircular incisions), presented as guest speaker at South America’s most prestigious plastic surgery conference.

47. Mentz H, Ruiz A, Gynacomastia, Removal of Male Breast Tissue Through a Puncture Incision. Guest Speaker at Buenos Aires XV Congress of The Iberolatin American Federation of Plastic Surgery, June 24, 2004

Dr. Ruiz was invited as Guest Speaker to the Annual South American Plastic Surgery Conference to present new techniques for enhancing results with saline breast implants, presented at South America’s most prestigious plastic surgery conference.

46. Mentz H, Ruiz A, Breast Augmentation, New Techniques for Saline Implants. Guest Speaker at Buenos Aires XV Congress of The Iberolatin American Federation of Plastic Surgery, June 24, 2004.

The first plastic surgeon to measure advantages of special techniques that can improve facelift results, presented at America’s most prestigious Aesthetic Society.

45. Mentz H, Ruiz A, Patronella C, Newall G, Measurement of SMAS movement with and without Zygomaticus Major muscle release. Poster presentation. American Society of Aesthetic Plastic Surgery, Vancouver, Canada, April 15-21, 2004.

The first plastic surgeon to use local anesthetic pain pumps to improve recovery and reduce pain after abdominoplasty (tummy tuck), presented at America’s most prestigious Aesthetic Society

44. Mentz H, Ruiz A, Patronella C, Newall G, The use of Marcaine Pump for the control of postoperative pain in abdominal reconstruction (abdominoplasty). Poster presentation. American Society of Aesthetic Plastic Surgery, Vancouver, Canada, April 15-21, 2004.

43. Mentz H, Ruiz A, Patronella C, Newall G, Gynecomastia: Breast tissue removal through a single puncture incision. Poster presentation. American Society of Aesthetic Plastic Surgery, Vancouver, Canada, April 15-21, 2004.

Dr. Mentz participated in study to reduce risk in abdominoplasty (tummy tuck) and liposuction combination procedures.

42. Newall G, Ruiz A, Mentz H Patronella C, , High risk Abdominoplasty and Liposuction: Preoperative considerations and management. Poster presentation. American Society of Aesthetic Plastic Surgery, Vancouver, Canada, April 15-21, 2004.

Dr. Mentz participated in the study to reduce risk in body lift and liposuction combination procedures.

41. Patronella C, Ruiz A, Mentz H, Newall G, Experience with added procedures in combination with an Abdominoplasty and/or Body Lift. Poster presentation. American Society of Aesthetic Plastic Surgery, Vancouver, Canada, April 15-21, 2004.

Presentation for Dr. Mentz on new endoscopic facial refinement procedures to Mexico’s most prestigious plastic surgery society delivered in Spanish by Dr. Ruiz.

40. Mentz H., Ruiz A., Endoscopic Brow Lift for Facial Rejuvenation. Mentz H., Ruiz-Razura A., Newall G., and Patronella C. Mexican Association of Plastic, Reconstructive and Aesthetic Surgery. XXXV National Congress and International Course. February 18-21, 2004. Monterrey, Mexico .

Presentation for Dr. Mentz on new facelift procedures rejuvenating cheeks and jowls to Mexico’s most prestigious plastic surgery society delivered in Spanish by Dr. Ruiz.

39. Mentz H., Ruiz A., Midface Rejuvenation with New Facelift Techniques. Mexican Association of Plastic, Reconstructive and Aesthetic Surgery. XXXV National Congress and International Course. February 18-21, 2004. Monterrey, Mexico

Presentation for Dr. Mentz on new necklifting procedures for improving the neckline, presented to Mexico’s most prestigious plastic surgery society delivered in Spanish by Dr. Ruiz.

38. Mentz H., Ruiz A., Necklifts and Platysmaplasty. Mexican Association of Plastic, Reconstructive and Aesthetic Surgery. XXXV National Congress and International Course. February 18-21, 2004. Monterrey, Mexico

Perspectives and advances of brow lifting procedures for the plastic surgeons in Texas and participation on a panel of expert facelifting surgeons.

37. Ruiz-Razura A., Mentz H., Patronella C., Newall, G. Results with the Use of Reconstituted Botox in the Face: A Clinical and Research Correlation. Chilean Society of Plastic, Reconstructive and Aesthetic Surgery. LXXVI Annual International Meeting. November 23-25, 2003. Vina del Mar, Chile .

36. Mentz H. New Techniques for Brow and Eyelid Rejuvenation. Presentation on the Expert Facelift Panel, Annual Texas Society of Plastic Surgeons, Houston, Sept. 2002.

Perspectives and advances of cheek rejuvenation procedures for the plastic surgeons in Texas and participation on a panel of expert facelifting surgeons.

35. Mentz H. Balance in Rejuvenation of the Aging Cheek, a Unified Approach. Presentation on the Expert Facelift Panel, Annual Texas Society of Plastic Surgeons, Houston, Sept. 2002.

Perspectives and advances of neck lifting procedures for the plastic surgeons in Texas and participation on a panel of expert facelifting surgeons.

34. Mentz H. Rejuvenation of the Aging Neck. Presentation on the Expert Facelift Panel, Annual Texas Society of Plastic Surgeons, Houston, Sept. 2002.

Publication describing metabolic changes that happen after liposuction and a review of the material presented as the first American plastic surgeon to measure metabolic changes after liposuction.

33. Mentz H. Changes in Diet, Exercise, Weight, and Lipids Following Liposuction. Seminars in Plastic Surgery, Lipogenesis and Lipoplasty Issue. April, 2002.

Publication regarding safety and effectiveness in private plastic surgery centers(The ACPS Surgicenter is one of the busiest and best qualified private cosmetic surgery centers in Texas).

32. Mentz H. To Build or Not To Build a Surgicenter. Texas Plastic Surgery Perspectives, Jan 2002.

Presentation to the Texas Society of Plastic Surgeons regarding safety and effectiveness in private plastic surgery centers(The ACPS Surgicenter is one of the busiest and best qualified private cosmetic surgery centers in Texas).

31. Mentz H. Safety in Private Certified Surgicenters. Annual Texas Society of Plastic Surgeons, San Antonio, Nov 2001.

Presentation to plastic surgeons at a regional conference on abdominal contouring with liposuction in males and females encouraging natural and athletic detailing.

30. Mentz H. Abdominal Liposuction. Lipogenesis and Lipoplasty Meeting Hosted at Baylor Department of Plastic Surgery, June 16, 2001.

Presentation to plastic surgeons at a regional conference on safety and long term benefits of liposuction.

29. Mentz H. Serum Lipid Changes Following Liposuction. Lipogenesis and Lipoplasty Meeting Hosted at Baylor Department of Plastic Surgery, June 16, 2001.

A one hour instructional presentation on facelifting strategies given to Baylor and its’ plastic surgery staff and residents.

28. Mentz H. New Techniques in Facelifting. Baylor Grand Rounds in Plastic Surgery, Houston, Texas. March 31, 2000.

Dr. Mentz authored the facelift textbook outlining the latest techniques in comprehensive facial rejuvenation written for a textbook on plastic surgery procedures. The chapter describes techniques for planning, preparing, operating, and recovering from facelifts, written for plastic surgeons. Techniques for suspension lifting (feather lift), SMAS lifting, subperiosteal lifting, and endoscopic lifting were demonstrated.

27. Mentz H. Multilayer Rhytidectomy, Chapter 15 of Operative Plastic Surgery, 143-162.
Clarinda Publications, Spring 2000.

Presentation on special rhinoplasty techniques given to plastic surgeons at an international conference in Mexico.

26. Mentz H, Newall G. Three Dimentional Shaping of the Lower Lateral Cartilages in Open Structure Rhinoplasty. 36th North American Federal Congress of the International College of Surgeons, Cancun, Mexico. June 23, 1999.

Presentation on new endoscopic techniques for lifting the brows and cheeks. Techniques for suspension lifting (feather lift) were introduced. This presentation given to plastic surgeons at an international conference in Mexico.

25. Mentz H, Newall G. Endoscopic Forehead and Facelift Techniques. 36th North American Federal Congress of the International College of Surgeons, Cancun, Mexico. June 23, 1999.

Presentation given by Dr. Newall on lifting the brow without an endoscope.

24. Newall G, Mentz H. Lateral Browlift. 36th North American Federal Congress of the International College of Surgeons, Cancun, Mexico. June 23, 1999.

Presentation given by Dr. Newall on safety in large reduction liposuction. The largest volume reduction was presented.

23. Newall G, Mentz H. Safety in Large Volume Liposuction. 36th North American Federal Congress of the International College of Surgeons, Cancun, Mexico. June 23, 1999.

Presentation given to the plastic surgery staff and residents on safety and long term effects of large volume liposuction.

22. Mentz H: Lipid Profile Changes Following Liposuction. St. Joseph Plastic Surgery Grand Rounds, 1997.

Presentation given to Houston’s society of plastic surgeons on the future of plastic surgery, changes in practice philosophy and direction.

21. Mentz H: The Future of Plastic Surgery. Presented to Houston Society of Plastic Surgeons, Nov 1996.

The first American plastic surgeon to measure metabolic changes after liposuction (following one European article) and the first presentation in America describing metabolic changes that happen after liposuction given at the most prestigious american aesthetic society meeting.

20. Mentz H: Lipid Profile Changes Following Liposuction. 29th Annual American Society for Aesthetic Plastic Surgery (ASAPS), Orlando, Florida. May 1996

Presentation to plastic surgery staff and residents on abdominal etching and modified etching for achieving an athletic abdomen with liposuction.

19. Mentz H: Review of Torso Contouring With Liposuction. St. Joseph Plastic Surgery Residency Program, Houston, Texas. Nov 1995.

Presentation on Modified Abdominal Etching, a strategy for improving liposuction contour and enhance athletic contours in the abdomen.

18. Mentz H: Abdominal Etching: Achieving Muscular Definition Through Liposuction. International Society of Aesthetic Plastic Surgery in New York City, New York. Oct 1995

Presentation on Modified Abdominal Etching, a strategy for improving liposuction contour and enhance athletic contours in the abdomen.

17. Mentz H: Abdominal Etching - Presentation to the Texas Society of Plastic Surgeons, Grand Cayman Islands January 1995.

Presentation on Abdominal Etching, a technique for enhancing muscular definition.

16. Mentz H, Gilliland M, Patronella C, Newall G: Muscular Etching - Enhancing Muscular Contour Through Differential Liposuction. Presentation by Dr. Mentz at the Lipoplasty Society of North America, San Diego, California. September 1994.

Presentation given to plastic surgery residents on reviewing and preparing for plastic surgery board certification.

15. Mentz H. Tips on Review for Your Plastic Surgery Board Certification. St. Joseph Plastic Surgery Program. Jan 1993.

The first world publication on Abdominal Etching defining the specific technique and patient selection.

14. Mentz H, Gilliland M, Patronella C: Abdominal Etching: Differential Liposuction to Detail Abdominal Musculature. Aesth. Plast. Surg. 17:287-290, 1993.

The second presentation on Abdominal Etching, a technique for enhancing muscular definition. Presentation to the most prestigious American aesthetic surgery society introducing the technique of Abdominal Etching.

13. Mentz H, Gilliland M, Patronella C: Abdominal Etching: Utilizing Differential Liposuction for Detailed Skin Retraction. Paper presented to the 11th Annual Meeting of the Lipoplasty Society of North America. New Orleans, Louisiana. September 1993.

The first world presentation on Abdominal Etching, a technique for enhancing muscular definition. Presentation to the most prestigious world aesthetic surgery society introducing the technique of Abdominal Etching.

12. Mentz H, Gilliland M, Patronella C: Abdominal Etching: Differential Liposuction Details Abdominal Musculature. Paper presented to the 12th Congress of the International Society of Aesthetic Plastic Surgeons. Paris, France. August 1993.

Presentation given at the most prestigious world aesthetic surgery society on the the most extensive review of large volume liposuction patients, (at that time), outlining safety and effectiveness.

11. Gilliland M, Mentz H, Patronella C: Major Liposuction Without Blood Transfusion: A Prospective Study in 167 Patients. Paper presented by Dr. Gilliland to the 12th Congress of the International Society of Aesthetic Plastic Surgery. Paris, France. August 1993.

Presentation given at the most prestigious American aesthetic surgery society on the the most extensive review of large volume liposuction patients, (at that time), outlining safety and effectiveness.

10. Gilliland M, Mentz H, Patronella C: Major Liposuction Without Blood Transfusion: A Prospective Study in 122 Patients. Paper presented by Dr. Gilliland at the 26th Annual Meeting of the American Society of Aesthetic Plastic Surgery. Boston, Massachusetts. April 1993.

12-Aug-05 10:00 AM

STOMACH by design Houston hard bodies turn to Dr. Mentz for abdominal etching and that washboard look

Clifford Pugh — Mon, 25 Jul 2005 22:00:00 GMT

When Tim Harmon was younger, he had a trim, flat stomach. As he got older, things changed. The 32-year-old Houston car salesman works out regularly to stay in shape. But he couldn't seem to do much to reduce his protruding mid-section, no matter how hard he exercised.

"It got to the point that I was embarrassed to take my shirt off (in the locker room) when I went to the health club," he recalls. So Harmon did what a number of Houston men are doing — he decided to have his stomach "etched." "Now it's flat and it looks good," he says proudly. "I'm looking for-ward to going to the beach."

What price is vanity? That's the question that may be surrounding the latest cosmetic surgery for Houston men. It's called "abdominal etching," a form of liposuction surgery in which excess fat in the stomach area is re-moved so that it may be possible to have close to a "washboard stomach" again.

The new technique is causing some debate. It's costly ($3,600 to $4,000 for the 1-hour-and-20-minute procedure that takes place in a doctor's office) and some believe it doesn't look natural. Even its proponents agree it works well only with those who are very fit. Houston plastic surgeon Henry Mentz pioneered the procedure after a 27-year-old bodybuilder came to see him with a problem 1½ year ago.

The bodybuilder, who worked out regularly, had great muscle definition everywhere but his stomach area. No matter how many abdominal crunches he did, he couldn't get rid of pockets of fat along his stomach. Mentz says such a problem is not uncommon among people who work out regularly.

"The abdomen typically is an easy place to develop muscle in, but the catch is the fat in the male abdomen is extremely resistant to weight loss," he says.

The procedure involves taking out teaspoons of fat lodged here and there in the stomach area in order to give that "rippled" look that many men aim for.

"It's not that much fat, but you have to be careful how you do it," says Mentz, who has written what is believed to be the only re-search paper on the procedure.

Mentz published the results of "abdominal etching" on eight male athletes in the Aesthetic Plastic Surgery Journal late last year. In addition, he has per-formed the modified abdominal etching procedure on 20 patients (all but two were male) who wanted to look more athletic without the "washboard" effect.

Ted Lockwood, a Kansas City plastic surgeon who is an expert on body contouring for the American Society of Aesthetic Plastic Surgery, said the technique is not new but its specific adaptation to the stomach area is.

"A lot of us have used that technique for fine finesse areas," says Lockwood. "He (Mentz) went a step further to enhance or produce a more muscular look than the patient really has."

Lockwood calls the procedure "an interesting concept" but warns it is not for someone who doesn't exercise and simply wants to look like he's been working out.

"Fat still looks like fat," he says. "So the bulges in between where (the stomach) dips in are going to look more fatty than muscular. And it will probably sag a little bit with time." Gerald Pittman, a New York plastic surgeon and author of Liposuction & Aesthetic Surgery, says the new technique is "creative" but says he would not use it on his patients because it looks artificial.

"To me, the patients don't look attractive," Pittman said, after reviewing pictures of the technique. "I don't think it looks normal."

The surgery is not for the squeamish. We recently sat in as a 35-year-old Houston firefighter underwent the procedure in an operating room in Mentz's office. First, Mentz made tracings along the patient's stomach area to pinpoint where to remove fat. After the patient was anesthetized, Mentz injected a saline solution with a mix of steroid and epinephrine into the patient's stomach area to "sort of blow him up like a frog."

He then "etched" the stomach area by selectively removing fat with a long metal device, known as a canula that sucks out excess fat and liquid somewhat like a vacuum cleaner through a tiny incision in the belly button and on both sides of the stomach. The surgery leaves a lot of stiffness. "A lot of football players say it's twice the pain of their hardest workout," Mentz says.

On the day after the surgery, the firefighter said his midsection was tender, but he felt well enough to resume a modified workout program within a few days and seemed pleased with the results.

Mentz will not perform the surgery on just anyone. He will not "etch" the stomach of some-one who is in poor physical condition because the end result does not look natural.

"Most of our patients are working out and have thought about it for a while. They're more educated and have some idea of what they can expect. Impulse buyers in cosmetic surgery are dangerous," he says.

Because the surgery is new, it is unclear if the results last. "It's an unanswered question, but for the most part, fat cells don't migrate," Mentz says. However, he counsels patients on the importance of maintaining a low-fat diet and exercise program to keep the stomach area trim.

BY CLIFFORD PUGH
Of the Houston Post staff

25-Jul-05 5:00 PM