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Anyone who drives and lives in California remembers a few years ago when the hands-free law went into effect. For most of us it meant buying a Bluetooth or the more popular brand Jawbone so that we could be hands-free yet talk freely on our smart phones. Now, according to USA Today Jawbone Up is a new device using Bluetooth technology and a wristband that claims to help you monitor all of your activities including eating, sleeping, and exercising. It’s designed for you to wear comfortably around your wrist and is synced to work with your iPhone. Using location-based software it can track your steps made in the day and using real-time it can act as an alarm as well. The device can be programmed to vibrate if you perform an activity that is contrary to what has been programmed into the personal program that you created. The app does not give you calorie information on food or for that matter track exercise to the point of intensity. Based on the information from the article it would be a stretch to call this new device a fitness device. A more appropriate description would be a monitor. As more and more apps enter the App Store, there appears to be an abundance of apps created around appearance and beauty. There are plastic surgery simulators, beauty makeovers and other novelties and gimmicks that simulate cosmetic surgery results. Dr. O’Toole reminded patients that these apps are for entertainment purposes only, and should never be a  substitute for the advice of an experienced ASPS  board-certified plastic surgeon. It is understandable that patients may be curious about what they would look like with a breast augmentation or a rhinoplasty. The reality is taking a picture on your iPhone and having it morphed into a before and after surgery result is not likely to be similar to the results at the hands of a skilled surgeon like Dr. O’Toole. There are  many factors to consider when thinking about the size and shape desired for breast implants.Patients could be greatly misled if they were to believe only the results given to them by an iPhone app. The same philosophy applies to rhinoplasty patients. It is difficult to appreciate facial asymmetries that could affect a rhinoplasty result when viewing a photo. Since the plastic surgery simulators are photo based  it is very sensitive only  to the information it is provided via photo. Dr. O’Toole reminds patients that  consultations are complimentary and  there is no reason for patients to fear having a thorough discussion with him concerning their specific desires and expectations.


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