Health
Plastic surgery deaths have spiked among US patients who traveled to Dominican Republic: CDC report
For a growing number of people, “medical tourism” can be dangerous — even fatal.
Twenty-nine U.S. citizens have died after they had cosmetic surgery in the Dominican Republic between 2009 and 2018, according to a Jan. 25 report from the Centers for Disease Control and Prevention (CDC).
More alarming is that the deaths have spiked in recent years. Between 2009 and 2018, there were an average of 4.1 deaths per year. Between 2019 and 2022, that average rose to 13 per year — peaking at 17 deaths in 2020.
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The deaths were linked to “fat or venous thromboembolism,” which is when a blood clot forms in a vein, the CDC reported.
Most of the patients had risk factors for the condition, such as obesity, diabetes, tobacco use and multiple surgical procedures being performed at once.
To ensure a safe procedure, the surgeon — as well as the entire surgical team, including the anesthesiologists, nurses and surgical techs — should be adequately trained in the specific procedures, a doctor noted. (iStock)
The Consular Section of the U.S. Embassy in the Dominican Republic has recorded cosmetic surgery-associated deaths among U.S. citizens since 2009.
The embassy contacted the CDC upon noticing the uptick in deaths — which sparked an investigation.
All but one of the deaths involved women, the report stated. The average age of the patients at the time of death was 40.
TOP PLASTIC SURGERIES: THESE WERE THE MOST IN-DEMAND PROCEDURES IN 2022
For the 24 deaths that occurred between 2019 and 2020, liposuction was performed on all of the patients, usually along with other procedures, including gluteal fat transfer, abdominoplasty and breast augmentation.
Fat embolism was the cause of death in 55% of the cases and pulmonary venous thromboembolism was the determining cause in 35% of the cases, the report said.
Plastic surgeons’ reactions
Josef Hadeed, M.D., chair of the Patient Safety Committee for the American Society of Plastic Surgeons (ASPS), who was not involved in the CDC investigation, noted that the CDC’s report highlights the dangers associated with destination procedures.
For the 24 deaths that occurred between 2019 and 2020, liposuction was performed in all of the patients, usually along with other procedures. (Fox News Digital)
“Too often, patients will travel to other countries as the procedures are cheaper there,” Hadeed, who is also a plastic surgeon with practices in Beverly Hills, California, and Miami, Florida, told Fox News Digital in an interview.
“However, there are a lot of risks associated with traveling to other countries for cosmetic procedures.”
He added, “All surgery carries risk, but there are excessive deaths outlined in the report, most of which were presumably avoidable.”
“Just because something is cheaper doesn’t mean it is better for you.”
When it comes to the price of surgery, Hadeed advised patients that “you get what you pay for. Just because something is cheaper doesn’t mean it is better for you.”
He also said, “The most important issue in plastic surgery is patient safety.”
It is critical to find a plastic surgeon who is board-certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons, experts agreed. (iStock)
Jonathan Kaplan, M.D., a board-certified plastic surgeon who practices at Pacific Heights Plastic Surgery in San Francisco, who was also not involved in the report, said the CDC’s latest findings are “sad but true.”
“There are risks with any surgery, but in the U.S., you have a better sense of whether doctors are board-certified in the specialty they’re practicing in,” he told Fox News Digital in an email.
“There is also the added risk of going to a facility in a foreign country that has no quality assurance or safety protocols as required by law in the U.S.,” Kaplan added.
Heightened risks
International travel automatically puts patients at a higher risk for thromboembolic events, where they can develop potentially fatal blood clots, Hadeed said.
Another consideration is that those having surgery outside the U.S. won’t be able to get any assistance from the doctor if any complications arise, Kaplan warned.
BBL NOT ALWAYS A-OK: WHY THE BRAZILIAN BUTT LIFT IS ONE OF THE DEADLIEST PLASTIC SURGERIES EVER
“Then you’ll have to find a doctor locally who will charge you an exorbitant amount to fix the problem and you’ll end up spending more than what you saved initially,” he said.
While all surgeries carry some element of risk, the “Brazilian Butt Lift” (BBL) has been associated with the highest risk of death in plastic surgery, which is corroborated by the report, noted Hadeed.
Twenty-nine U.S. citizens have died after having cosmetic surgery in the Dominican Republic between 2009 and 2018, according to a Jan. 25 report from the Centers for Disease Control and Prevention (CDC). (REUTERS/Tami Chappell/File Photo)
“While I cannot specifically comment on what led to the deaths in the Dominican Republic, I can say that using an ultrasound is essential while performing a Brazilian Butt Lift,” he told Fox News Digital.
When the fat is injected into one of the blood vessels within the gluteal muscle, it can enter the bloodstream and make its way to the blood vessels of the lungs, blocking off circulation and leading to immediate death — which constitutes a fat embolism, the doctor said.
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This can be prevented by using an ultrasound, he noted, which allows the plastic surgeon to visualize the gluteal muscle and ensure that the fat is placed above, and not within, the muscle.
“This has already become state law in Florida as of 2023,” said Hadeed.
Safety tips
While Hadeed said it’s “better” to look for plastic surgeons within the U.S., if patients do decide to travel outside the country, they should carefully research a provider.
It is critical to find a plastic surgeon who is board-certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons, Hadeed emphasized.
The surgeon — as well as the entire surgical team, including the anesthesiologists, nurses and surgical techs — should be adequately trained in the specific procedures, the doctor added.
The “Brazilian Butt Lift” (BBL) has been associated with the highest risk of death in plastic surgery, the report stated. (iStock)
“It is equally important to ensure that the facility in which the procedure is being performed is fully accredited to the same standards that are found in the United States and has the proper safety measures in place,” said Hadeed.
“The money you save is not worth it if you have a complication, which is a very real possibility.”
“Also remember that longer flights increase the risk of venous thromboembolism, and it is advised to wait several days after travel before undergoing a surgical procedure, which can add to the cost of the travel when you factor in additional days of staying in a hotel,” he pointed out.
When asked for his advice on international surgery, Kaplan said simply, “Don’t do it.”
Those having surgery outside the U.S. won’t be able to get any assistance from the doctor if any complications arise, an expert warned. (iStock)
“The money you save is not worth it if you have a complication, which is a very real possibility,” he said.
“And remember, complications don’t have to be major — they can be minor, but still a nuisance if you don’t have a doctor locally to take care of it,” he went on. “And even the smallest complication will be much more expensive to take care of in the U.S. if your original surgery was outside the country.”
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For those who are considering having an elective surgical procedure outside the U.S., the CDC recommends discussing the risks with a doctor here first.
The agency also emphasized the importance of surgeons conducting proper preoperative exams and only performing one procedure for each operation.
Potential limitations
The study did have some limitations, the CDC acknowledged.
All but one of the deaths involved women, the report stated. The average age of the patients at the time of death was 40. (iStock)
“No reliable statistics on the number of U.S. citizens who receive cosmetic surgery in the Dominican Republic each year are available, precluding calculation of the risk for perioperative death,” the report stated.
Also, the data only included deaths that were reported to the U.S. Embassy — which means the actual number could be higher.
The mortality count also does not include deaths resulting from post-surgical infections, the CDC noted.
Fox News Digital reached out to the CDC requesting comment on the report.
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Health
Alzheimer’s prevention breakthrough found in decades-old seizure drug
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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.
The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.
Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.
The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)
“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release.
“Our new results uncovered new biology while also opening doors for new drug targets.”
HIDDEN BRAIN CONDITION MAY QUADRUPLE DEMENTIA RISK IN OLDER ADULTS, STUDY SUGGESTS
The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted.
“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said.
The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)
That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.
In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.
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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.
The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.
“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)
“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.
Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.
Limitations and caveats
The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.
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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.
Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.
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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”
“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”
The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.
It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.
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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.
Fox News Digital reached out to the drug manufacturer and the researchers for comment.
Health
Seniors over 80 who eat specific diet may be less likely to reach 100 years old
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Older adults who avoid meat in their golden years may be less likely to reach age 100 than their meat-eating counterparts, new research suggests.
Researchers tracked more than 5,000 adults aged 80 or older who were enrolled in the Chinese Longitudinal Healthy Longevity Survey.
Between 1998 and 2018, data showed that those who did not eat meat were less likely to reach their 100th birthday than those who consumed animal products regularly.
The findings seem to contradict previous studies that have linked vegetarianism and plant-based diets to lower risks of heart disease, stroke, diabetes and obesity.
Most evidence supporting the benefits of plant-based diets comes from studies tracking younger populations, the researchers noted.
The findings contrast with previous research praising plant-based diets for their positive influence on heart health. (iStock)
The study, published in The American Journal of Clinical Nutrition, points to losses in muscle mass and bone density with age, shifts that can increase the risk of malnutrition and frailty in the “oldest old.”
As people enter their 80s and 90s, the nutritional priority often shifts from preventing long-term chronic diseases to maintaining day-to-day physical function, experts say.
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“The headline ‘vegetarians over 80 less likely to reach 100’ sounds surprising, because it contrasts with decades of data linking plant‑forward diets to lower chronic disease risk earlier in life,” Erin Palinski-Wade, a New Jersey-based registered dietitian, told Fox News Digital.
“However, once you see that this research is limited to adults over the age of 80 who are also underweight — and that this link disappears with the consumption of eggs, dairy and fish — the results are less surprising.”
While diets earlier in life tend to emphasize avoiding long-term disease, older age necessitates nutrients and weight maintenance, experts say. (iStock)
In those over 80, restricting animal proteins may be less likely to promote longevity, according to Palinski-Wade, who was not involved in the study.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies, the nutritionist said.
ALZHEIMER’S SYMPTOMS COULD BE PREDICTED YEARS IN ADVANCE THROUGH ONE SIMPLE TEST
In addition to a higher tendency to be underweight, older populations also face a greater risk of bone fractures due to lower calcium and protein intake.
Potential limitations
The lower rate of vegetarians reaching 100 was only observed in participants identified as underweight, the researchers noted. No such association was found in people who maintained a healthy weight.
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Because being underweight is already linked to greater frailty and mortality risk, the researchers noted that body weight may partly explain the findings, making it difficult to determine whether diet itself played a direct role.
Those incorporating animal-sourced products other than meat were just as likely to live to 100. (iStock)
Additionally, the shortened lifespans were not found in people who continued to eat non-meat animal products, such as fish, dairy and eggs.
Older adults with these more flexible diets were just as likely to live to 100 as those eating meat, as these foods may provide the nutrients necessary for maintaining muscle and bone health, the researchers noted.
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“This is an observational study, so it can only show associations, and does not prove that avoiding meat directly reduces the odds of reaching 100,” Palinski-Wade added.
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The researchers suggested that including small amounts of animal-sourced foods could help older seniors maintain essential nutrients and avoid the muscle loss often seen in those who stick strictly to plants.
Eliminating all animal protein — particularly in a population that may already experience diminished hunger cues — can make it more difficult to meet adequate protein needs, potentially increasing the risk of nutrient deficiencies. (iStock)
Palinski-Wade offered some guidance for those looking to optimize nutrition later in life.
“For adults in their 80s and beyond, especially anyone losing weight or muscle, the priority should be maintaining a healthy weight and meeting protein and micronutrient needs — even if that means adding or increasing fish, eggs, dairy or well‑planned, fortified plant proteins and supplements.”
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Strict vegan or very low‑protein patterns at that age should be carefully monitored by a dietitian or clinician, with attention to B12, vitamin D, calcium and total protein, according to Palinski-Wade.
“Younger and healthier adults can still confidently use plant‑forward or vegetarian patterns to lower long‑term chronic disease risk,” she added.
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