Prosecutor Tom Snyden hired Dr. Richard Strick from June 5 to February 5, 1993/KLOC-0 to conduct a physical examination of MJ and check his medical records according to the requirements of the court. This man is hired by TS, so there is no reason to speak for MJ.
He said: "Lupus is also an autoimmune disease. It only involves his skin. The disease destroyed some skin tissues of his nose. His nose surgery is to repair it so that it looks normal. "
Reporter: "Dr. Strick finally quelled the rumor that Jackson was addicted to plastic surgery."
Reporter: "So you say these nose operations are all to treat his lupus?"
Strick: "The first time was to repair scar tissue and skin tissue damage. Its effect is not very good, and later attempts are all to correct it. "
Dr Klein insisted that he didn't overtreate Jackson. He is treating the star's lupus, a degenerative skin disease.
Strick "I think he (Jackson) tried to look as normal as possible."
"What's your general impression of Arnold Klein during the inspection?"
Arnold is very helpful. He can help control Michael's emotions. He is the only one who can get Michael to cooperate and calm him down.
Moderator: The evolution of Michael Jackson's face has fascinated fans for many years. I wonder if the reasons behind these changes have been fully examined. Kristen Perrotta (KP) is the editor of the September issue of Allure magazine. Christian, nice to meet you.
KP: Thank you!
Moderator: I think many people pointed out that I guess it was at 198 1, which was the beginning of Michael Jackson's change. 198 1 What happened?
KP: 198 … 1979, Michael Jackson suffered a serious fall and a broken nose during the concert, which was the beginning of plastic surgery. When we read those magazines, his appearance was discussed a lot. His appearance is as important as his performance and music. However, people always classify the artist's appearance as "physical deformation disorder". We want to see if there are other factors and find that serious medical factors (injuries) really affect his style, his clothes and his appearance. As you can see, at 198 1, he had his first nose operation. 1983 He had a nose repair, which is very common. In this photo, his cheeks showed the typical butterfly erythema of lupus erythematosus, but at this time he didn't know that he had lupus.
Moderator: What did they do?
KP: They mainly narrowed the nose a little, and 20% of the patients are like this (meaning that many rhinoplasty operations can't be done at one time, and they need to be performed in two stages). I've talked to his doctor and the people in the clinic. You know, there is a lot of speculation about how many nose operations he has had. ...
Moderator: He only admitted it twice.
KP: That's right. No one knows how many times the doctor is interested in what caused his nose to change. We will see the photos.
Moderator: 1984, another change, this time the hair, which is a well-known reason.
KP: Jackson's hair caught fire while shooting a Pepsi advertisement on 1984. People didn't realize that he had lost a lot of hair, and there was a serious scar on his scalp, so he had to wear a wig and a hat (note: according to MJ's hair stylist, he covered the burned area with a local wig for a while after the burn until he grew new hair), and you can see that his image began to change. In the next few years, he had to undergo many very painful scalp operations.
Moderator: Is this the real reason for his change? That sounds painful. I saw the video recently, which may be very traumatic.
KP: Yes, the person who gave us the information mentioned it clearly. This is very painful for anyone who has experienced such a thing, let alone someone who lives in the spotlight.
Moderator: You mentioned scar repair. It must be very painful.
KP: Yes, very painful. It takes several years for a series of operations.
Moderator: In 1986, it is a very obvious change.
KP: Yes, at 1986, you began to see his eyebrows tattooed, his eyeliner tattooed and his hairline tattooed. The doctor explained to us what had happened. Michael was not only burned, but also diagnosed with lupus, a disease that can lead to hair loss. Vitiligo can lead to uneven skin color. Of course, one of the treatments is to use tattoos to cover up hair loss and use hydroquinone, a decoloring agent, to even out skin color. (This is not accurate. According to Dr. Arnold Klein, he only started using decolorant in 1990s, and he was still trying to restore the color of diseased skin in 1980s. The tattoo seems to be later. In the 1980 s, makeup was mainly used to cover up.
Compere: In order to even the skin color, so his pale skin color may be the result of the combination of this drug and makeup?
KP: Yes, it may be the result of combination. There are many possibilities. You know, neither you nor I need to deal with these things.
Moderator: You mentioned talking to the doctor. Are they really doctors in Michael Jackson?
KP: Yes, we talked with his long-term plastic surgeons Steven Heflin, Arnold Klein, nurses, clinic staff and other doctors.
Moderator: 1987, there is another change.
KP: 1987, you begin to see that his nose has changed, narrowed and the tip of his nose has been raised. Some people may think that he has had more operations, but doctors say that they suspect that he actually received an injection of Kenalog (triamcinolone acetonide acetate), a corticosteroid that can be used to reduce scar tissue on the nose (combined with Dr. Strick's testimony, these scar hyperplasia may be related to lupus). In addition, it is clearly recorded that his scalp also has lupus lesions. The existence of lupus makes the repair of burns more complicated and difficult. No wonder 1993 he is still repairing scalp scars.
Moderator: Is this a very painful process?
KP: Yes, it's extremely painful. Patients usually have to be anesthetized with propofol. This is a very, very painful injection. If you want to use it several times a year, most people are unwilling to accept it. It can shrink your nose and make your skin thinner.
Moderator: As for the controversy about his skin color, his skin turned white from 1990 to 1996.
KP: Yes, these doctors ... Our sources say that this may be the result of the combination of cosmetics and decoloring drugs used for vitiligo. As his friend said, if you know this, Michael always wears a long-sleeved shirt and a high collar, which may be because he has spots after suffering from vitiligo.
Moderator: There is a photo in 2002. Many people think that his nose has fallen off, which is similar to a fake nose or something.
KP: Our source said that his nose didn't fall off. In this famous photo, he actually put paper tape on his nose, which the patient used a week after nose surgery. He may have had his nose repaired.
Moderator: In 2009, he was very thin.
KP: Yes, it may be because of losing weight, and facial fat will decrease with age. Dr. Klein said that he injected Michael Restylane with a filler that could help him fill his face. It seems that some unevenness is caused by the thinning of the skin caused by Kanelog. As such a public figure, it is difficult for anyone to have so many things to deal with and so many medical problems to deal with.
Moderator: It's very difficult. Christian Plata, thank you very much.
KP: Thank you!
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Based on the above information, it is not wrong for MJ to say that he has only had two nose plastic surgery. Doctors and patients usually don't regard prosthesis as a new operation. The narrowing of his nose is actually due to the side effect of Kanelog, which is not what he wants. All he did was try his best to restore his nose to its original appearance and look normal, which was also a last resort. He did a good job.