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J-Plasma: For One Patient, Literally a Breath of Fresh Air · 2019-06-04 · J-Plasma: For One...

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============================================================================== J-Plasma: For One Patient, Literally a Breath of Fresh Air Andy Anderson recalls being nearly run off the road as he was driving down Highway 58 in Bakersfield because the two women in the car nudging him over desperately wanted to get a picture of him. The 54- year-old California transplant is not a celebrity of the Hollywood variety. But his nose had gained a certain notoriety: it was, as Andy freely admits, bigger than Jimmy Durante’s spectacular schnoz. So the fact that these two women wanted to snap a photo as they sped past him didn’t faze Andy. They were hardly the first to cut him off while gawking and driving. “My nose would drink my coffee before I would,” says Andy with a laugh. “My nose got everything before the rest of me did.” He would sometimes good-naturedly torment his kids by turning his head from side to side, the skin of his nose flopping crazily as he did. “Bet you can’t do that,” he would tease. But despite Andy’s good humor, Andy had a serious case of rhinophyma. The severity of it was no laughing matter. In fact, it was very much a breathing matter. “I would wake up out of a dead sleep because I couldn’t breathe,” Andy says. “It panicked me.” Uncontrolled growth Rhinophyma is a relatively rare skin disorder that results in an enlarged, bumpy, red nose. Severe rosacea can lead to it. Men are more prone to it than women. Andy says his nose was always a little “goofy,” having gotten broken several times during his stint in the military. But over the past four years, it had grown larger, and larger, and larger still. During the last year and a half, it grew so large that it closed his nostrils. “I didn’t know what was happening,” Andy says. Age, said the doctors when he went for his physical. It’s part of life, they shrugged. Some people’s noses grow as they get older. Just live with it. J-Plasma ® | Bovie Medical Corporation
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Page 1: J-Plasma: For One Patient, Literally a Breath of Fresh Air · 2019-06-04 · J-Plasma: For One Patient, Literally a Breath of Fresh Air Andy Anderson recalls being nearly run off

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J-Plasma:ForOnePatient,LiterallyaBreathofFreshAir

AndyAndersonrecallsbeingnearlyrunofftheroadashewasdrivingdownHighway58inBakersfieldbecausethetwowomeninthecarnudginghimoverdesperatelywantedtogetapictureofhim.The54-year-oldCaliforniatransplantisnotacelebrityoftheHollywoodvariety.Buthisnosehadgainedacertainnotoriety:itwas,asAndyfreelyadmits,biggerthanJimmyDurante’sspectacularschnoz.

Sothefactthatthesetwowomenwantedtosnapaphotoastheyspedpasthimdidn’tfazeAndy.Theywerehardlythefirsttocuthimoffwhilegawkinganddriving.

“MynosewoulddrinkmycoffeebeforeIwould,”saysAndywithalaugh.“Mynosegoteverythingbeforetherestofmedid.”

Hewouldsometimesgood-naturedlytormenthiskidsbyturninghisheadfromsidetoside,theskinofhisnosefloppingcrazilyashedid.“Betyoucan’tdothat,”hewouldtease.

ButdespiteAndy’sgoodhumor,Andyhadaseriouscaseofrhinophyma.Theseverityofitwasnolaughingmatter.Infact,itwasverymuchabreathingmatter.

“IwouldwakeupoutofadeadsleepbecauseIcouldn’tbreathe,”Andysays.“Itpanickedme.”

Uncontrolledgrowth

Rhinophymaisarelativelyrareskindisorderthatresultsinanenlarged,bumpy,rednose.Severerosaceacanleadtoit.Menaremorepronetoitthanwomen.

Andysayshisnosewasalwaysalittle“goofy,”havinggottenbrokenseveraltimesduringhisstintinthemilitary.Butoverthepastfouryears,ithadgrownlarger,andlarger,andlargerstill.Duringthelastyearandahalf,itgrewsolargethatitclosedhisnostrils.

“Ididn’tknowwhatwashappening,”Andysays.

Age,saidthedoctorswhenhewentforhisphysical.

It’spartoflife,theyshrugged.Somepeople’snosesgrowastheygetolder.Justlivewithit.

J-Plasma® | Bovie Medical Corporation

Page 2: J-Plasma: For One Patient, Literally a Breath of Fresh Air · 2019-06-04 · J-Plasma: For One Patient, Literally a Breath of Fresh Air Andy Anderson recalls being nearly run off

Remediationanddesperation

Andyworksonenvironmentalremediationprojectsatwatertreatmentplantsandotherfacilities—demanding,physicallaborthatputshimoutdoorsmostofthetime.

“Iwouldbetryingtopullpumpsoutoftheground,andtheexertionworemeout,”hesays.“Icouldn’tgetoxygen.”

Itwasgettingtothepointwhereheliterallycouldn’tliveanormallifewithsuchanenlargednose.

Stickastrawupmynostrils,heimploredonephysicianhesaw.Anythingtobeabletogetabreath.

ButtheENTsurgeonsAndysawfelthisskindisorderwassosevere,thattherewasnothingtheycoulddoforhim.

SoAndydidsomething:hecontactedDr.AliTehrani,whosepracticesarenearwhereAndylivesinAppleValley.

J-Plasma:surgicalprecisiongetsevenmoreprecise

WhenAliTehrani,M.D.,firstsawAndyashispatient,hewas,hesays,“surprised.”Aboard-certifiedPlasticandReconstructiveSurgeonwhoisalsolicensedinGeneralSurgery,Dr.TehraniisthefounderofHighDesertPlasticSurgeryandMontagePlasticSurgery,bothinsouthernCalifornia.

AlthoughitisnotcommonforDr.Tehranitoseerhinophymapatientsinhispractice,hehadtreatedahandfulofthemandwasfamiliarwiththecondition.WhenhesawAndy,“Iwassurprisedattheseverityofhiscondition,andalsothathewasn’tgivensurgicaloptionsbytheENTshe’dseen.”AsfarasDr.Tehraniwasconcerned,Andy’scondition,extremethoughitwas,“wasfixable.”

Surgically,itmeantusinganumberofdifferentmodalities—scalpel,Mayoscissors,aspinningburr.Andonemore:theJ-Plasma,theBovieMedicalCorporation’snewhelium-basedgasplasmasurgicaldevice.Itfeaturesanincrementalbladeextensionand,mostcritically,anadjustableflowofheliumwhosemicronlevelofcontrolgivesasharpnewedgetotheconceptofsurgicalprecision.

Dr.TehranihadusedtheJ-PlasmainsomewoundsurgeriespriortoAndy’soperation.Heknewthatthedevice’slowthermalspreadwouldreduceanypotentialnegativeimpactonthesurroundingtissue.

“Ifeltthatusingitwouldhavebothhemostaticandantibacterialbenefitsforthepatient,”hesays.Itwouldminimizebleedingduringsurgery.

DuringAndy’ssurgery,onceDr.Tehranicutthroughthedensesttissue,thingsgotsmoother—literally.UsingtheJ-Plasmaallowedforhealthytissuetobeblendedalmostseamlesslyintotheexcisedarea.

“TheJ-Plasmaeliminatedanyabrupttransitionwherethetissueintheresurfacingwouldnotbeassmooth,”hesays.

J-Plasma® | Bovie Medical Corporation

Page 3: J-Plasma: For One Patient, Literally a Breath of Fresh Air · 2019-06-04 · J-Plasma: For One Patient, Literally a Breath of Fresh Air Andy Anderson recalls being nearly run off

Painlesspost-op Andycameoutoftheprocedurefeeling,ashedescribesit,“greatrightaway.”That,andravenous.“Iwenthomeandgotahamburger,”hesays.Andnoticedsomethingwhenhetookthefirstbite:ittasteddifferent.Beingabletobreathethroughhisnoseaffectedhistastebuds.SomehowAndyhadalwayshadagoodsenseofsmell,butnowthiswasevenkeenerthanbefore.Hisnose,meanwhile,hadshrunk,andsignificantlyso.Andyfounditeasyandpainlesstochangethedressingshimselfasithealed—theJ-Plasmaatwork.Nowhebreathesinmoreoxygen.Hehasmoreenergy.Hesleepsbetter.There’sjustonethingthatAndymisses.“Mycelebritystatushasleftme,”hesaysjokingly.“ItoldDr.Tehranithathefixedmynosesowell,nobodypaysanyattentiontomeanymore.”Andthat,forAndyAnderson,islikeabreathoffreshair.

J-Plasma:onedevice,multipleapplications

Thehelium-basedgasplasmasurgicaltechnologythatpowersJ-Plasmatakesmuchoftheheatoutofsurgery.

WhileJ-Plasmaturnsdowntheheat,itupstheprecisiontomicronlevel.Itsafelyremovestissuecellslayerbylayer,allowingsurgeonstoablatetheaffectedtissueby“painting,”atechniquethatsparesthehealthytissuethatliesbeneath.

Dr.AliTehrani’suseoftheJ-PlasmainhisPlasticandReconstructiveSurgerypracticeisjustoneofmanysurgicaltheaterswhereJ-Plasmacanplayastarringrole.

Colorectal,GI,ENTandlaparoscopicsurgeriesareallcandidatesforJ-Plasma,asareGYNandurologyprocedures.

“Iwascomfortableusingit,”saysDr.Tehrani,referringtothesurgeryheperformedonapatientwithsevererhinophyma[SEEMAINSTORY],“andhaveuseditsincethen.ThemoreyouusetheJ-Plasma,thefasteryoubecomeathandlingit.”

J-Plasma® | Bovie Medical Corporation

Page 4: J-Plasma: For One Patient, Literally a Breath of Fresh Air · 2019-06-04 · J-Plasma: For One Patient, Literally a Breath of Fresh Air Andy Anderson recalls being nearly run off

BEFORE:AndyAnderson’srhinophymawassoextreme,hislackofoxygenintakewouldroutinelystartlehimawakeatnight.

AFTER:Just10weeksafterDr.TehraniperformedsurgeryusingtheJ-Plasma,Andy’snosehadsignificantlyshrunk—andhisbreathingcapacityhadmarkedlyincreased.

J-Plasma® | Bovie Medical Corporation


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