Bolitho MD

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9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100

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17Aug, 2016

Changing the face of science

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Changing the face of science

Science continues to redefine itself in the area of facial rejuvenation. With an eye to the future, a recent article published in JAMA Facial Plastic Surgery has paved the way to new ideas and possibilities. And in the world of science, it’s all about new concepts.

While facial surgery such as facelifts, cosmetic injections, and even fat grafting have filled a vital niche for many patients opting for rejuvenation, researchers are testing to see if the human body can somehow perhaps be encouraged to stimulate facial tissue regrowth.

This area of science is called regenerative medicine.

In Vocativ, reporter Alexandra Ossola covers this recent article which was authored by Matthew Q. Miller, MD. Miller is a surgeon specializing in the head and neck regions from the University of Virginia Health System.

Ossola writes, “Though scientists’ interest in regenerative medicine has grown steadily since the early 2000s, interest in facial surgeries in particular isn’t reflected in the literature until 2010. Miller believes there are two reasons for this. Generally, facial surgeries have good outcomes—they heal quickly and have a low rate of infection, so there’s no need for dramatic improvement.”

Miller also shared that there is not “margin for error” in operative facial surgery.

“Even small imperfections can really stand out, as people’s eyes always focus on the faces of others in day-to-day interactions. Because of this, new techniques are a little slower to gain widespread acceptance among surgeons,” Miller said.

Also interviewed in the article was Richard D’ Amico who serves as the chair of the Regenerative Medicine Task Force which is a branch of the American Society of Plastic Surgeons.

D’Amico notes how hyaluronic acid fillers support facial structures. Fillers such as these are noted to add a more youthful appearance when volume or elasticity has dissipated due to age or premature aging. While injections of this type such as Juvederm offer a great outcome, the results are temporary lasting up to a couple of years.

While patient dependent, fat grafting is generally utilized during a facial surgery to add volume. Following liposuction of a small area such as the thighs, abdomen, or hips, the fat is then filtered via a centrifuge before the injections occur in the rejuvenation procedure

In the article, D’Amico described this process as labor intensive thus requiring it to be more expensive for the patient.

“If regenerative medicine works the way researchers think it could, patients could just get a quick injection, plus some localized anesthesia, to repair their facial tissues,” Miller writes. “And while it might not be able to repair tissues in a “Star Trek-like fashion” (that is, with a device that can heal wounds almost instantly), Miller and his co-authors write, these regenerative techniques could usher in a new age of plastic surgery for the face.”

The three levels scientists are currently focused on include the following:

  • Stem Cells
  • Platelet Rich Plasma (PRP)
  • Protein Matrix

While more research is underway and these above scientific avenues still require more answers, it’s interesting to know how science continues to play a role in facial rejuvenation in one form or another.

11Aug, 2016

The Cosmetic Injection Reputation

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The Cosmetic Injection Reputation

In a relatively short span of time, revolutionary cosmetic injections have come to the forefront enabling patients of varying ages an opportunity to undergo treatments with limited to no downtime. Cosmetic injections have grown in popularity for a variety of reasons. Mainly it has empowered men and women with the opportunity to enhance their youthful features who are not quite ready for surgical intervention. And the injections are well tolerated.

Botox continues to be a staple in the world of nonsurgical facial rejuvenation. It has done a splendid job in lessening the appearance of fine lines and wrinkles along the forehead, furrows between the brows, and lines around the outer corner of the eyes.

While Botox has helped individuals with the upper portion of the face, fillers such as Juvederm have enabled patients to address issues such as marionette lines and adding lip volume. And speaking of volume, as one ages, the fullness in their cheeks naturally dissipates over time and an injectable named Voluma can help restore this.

Be it maturity or heredity, some men and women want to turn back the submental fullness that has crept up over the years on the underside of their chin. A series of Kybella treatments destroys the fat cells in this area thereby minimizing the double chin appearance.

Cosmetic injections have been coined over the years as a liquid facelift. While of course they cannot produce the results of actual surgical facial rejuvenation, they have provided patients with a host of facial improvements. For many, cosmetic injections have been incorporated into an anti-aging skin care regimen along with chemical peels and micro-needling.

While cosmetic injections have undoubtedly created their own spectacular reputation, it only remains in this category when the individual delivering these injections is a medical professional with an education in facial anatomy. Over time, the offering of these cosmetic injections have emerged at different venues and concerns have mounted regarding the skill of the individual holding the needle as well as patient safety.

While cosmetic injections are considered minimally invasive, these treatments should always be done by a medical professional such as a plastic surgeon or a certified registered aesthetic nurse specialist. Top plastic surgeons handpick their own nurse injectors.

Prior to cosmetic injections, one should have a consultation with a medical professional to discuss their aesthetic goals. State-of-the-art plastic surgery centers will take photos of a potential patient at different facial angles. These photos are uploaded to a touch screen where a patient can point out the areas they would like to rejuvenate.

Medical professionals welcome this candidness as it helps them map out the right transformation treatment plan. When partnering with professionals of this caliber, patients can have peace of mind knowing that they are receiving these procedures in a safe medical setting, will be offered a topical numbing agent for a more comfortable injection series, and have an individual who is adept in the facial anatomy who will offer optimal and natural looking results.

Finding qualified medical professionals who deliver cosmetic injections provides patients with positive results.

 

 

5Aug, 2016

A Break Time Peel Awaits You

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For the entire month of August, please join us for our “End of Summer” Break Time Peel Special.

 

 

3Aug, 2016

End of Summer Special!

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End of Summer Special

For the entire month of August, let Elizabeth Reed, Dr. Bolitho’s aesthetic nurse, unleash a more youthful you with a “Break Time Peel.” In less than an hour, Elizabeth will provide a tailored facial rejuvenation treatment with gorgeous results.

A “Break Time Peel” includes the following:

STEP 1: Dermaplaning – Gentle exfoliation to remove dead layer of skin cells and peach fuzz

STEP 2: Light Chemical Peel – To treat superficial fine lines, sun spots, and even out skin tone

STEP 3: Luminous and renewed skin with no downtime

Regularly priced at $350, this “Break Time Peel” special is being offered at $250.

And during this tailored session with Elizabeth, she will perform a skin evaluation and provide helpful anti-aging tips.

Call 858-458-5100 or email info@bolithomd.com to book this incredible appointment today.

“End of Summer Special” expires on August 31, 2016.

 

27Jul, 2016

The Anti-Aging Skin Defense

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The Anti-Aging Skin Defense

For those who want to defy premature skin aging, there is an arsenal of tools which can help make that possible. From those twenty-something years and beyond, there is a youthful pathway for every age group.

Regardless of how ever old one is, there is a tried and true daily routine which consists of sunscreen. Apply a broad spectrum sunscreen of SPF 35 or more every single day and reapply throughout the day if spending time outdoors. Don’t neglect the neck and décolletage area.

And yes, take part in this daily routine even on overcast days.

For those in their late twenties and early thirties, aside from the above solar protection, many are seeking the help of a registered aesthetic nurse who can assist premature skin-aging prevention. While this includes finding the right skin care line, these skilled skin care professionals are also delivering Botox to future areas which could be prone to wrinkles. This type of strategy helps from having these wrinkles develop.

For those in their late thirties to early forties, additional skin changes may occur such as the following:

  • Decrease in elasticity
  • Wrinkles and fine lines
  • Uneven skin tone
  • Age spots
  • Uneven skin texture

While every person is different regarding their skin care type, an aesthetic registered nurse can help remedy these challenges in a variety of ways. As Botox helps smooth out fine lines and wrinkles along the forehead and around the eyes to treat crow’s feet, fillers such as Juvederm can help plump and diminish those marionette lines around the mouth.

When one reaches their mid to late forties and early fifties, they may begin to notice that there is a loss of volume in the cheek area which occurs with the natural aging process. Voluma is an injectable which affords patients with a wonderful option in restoring this volume.

Some nurses will recommend delivering Voluma prior to the Juvederm. The reason behind this is on occasion the Voluma can help remedy or lessen marionette lines by adding more volume and lift to the medial facial region. Again, this is all patient dependent.

While cosmetic injections continue to serve as a great anti-aging defense, there are other treatments that do an extraordinary job such as the following:

  • Dermaplaning as a way to exfoliate and remove vellus facial hair.
  • Chemical peels as a way to diminish fine lines, age spots, and even out skin tone.
  • Micro-Needling as a way to promote collagen and more youthful looking skin.

As one reaches their late forties and early fifties, they may implement the procedures just mentioned as well as a cosmetic injection named Kybella to help submental challenges otherwise known as a “double chin.” Kybella may take two to four sessions to complete, but the treatment destroys fat cells on the underside of the chin.

It’s important to note that while these nonsurgical treatments help a number of individuals, some patients prefer to have plastic surgery procedures such as a neck lift, lower limited facelift, or eyelid surgery for their aesthetic goals.

Despite whatever rejuvenation road one is on, there are a multitude of options to achieve youthful results.

20Jul, 2016

Dr. D. Glynn Bolitho Selected as 2016 Castle Connolly Top Doctor

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Dr. D. Glynn Bolitho Selected as 2016 Castle Connolly Top Doctor

The esteemed organization of Castle Connolly Medical Ltd., has named Dr. D. Glynn Bolitho for a third consecutive year as one of its top San Diego plastic surgeons. When Dr. Bolitho heard of the news, he was honored by this recognition and appreciative of being named with other regarded doctors in their respective fields.

Castle Connolly Medical Ltd., has a longstanding history dating back to 1991 for its esteemed “Top Doctor” guides. Its unwavering goal has been to classify the best doctors in their specialized field of medicine and hospitals around the nation.

The rigorous process includes peer nominations as well as a research team of physicians who implement professional evaluations. Described as an intensive exploration protocol, this system creation detects doctors who stand out in terms of all levels of their profession including best patient practices and optimal healthcare.

In recognizing these groups of medical professionals, in turn, individuals are provided with the tools they need to locate the finest healthcare. The goal of this organization is to help those in search of finding the medical care they need from exceptional doctors.

In 2014, 2015 and now 2016, Dr. Bolitho was chosen as one of the organization’s “Regional Top Doctors,” a designation which resulted from a nomination of his peers in his metropolitan area. According to Castle Connolly, even though Dr. Bolitho has been named top doctor in previous years, he is still subject to a rigorous screening and examination process. Previous distinctions are not a guarantee for future distinctions.

Serving his second consecutive year as Chief of Plastic Surgery at Scripps Memorial Hospital, La Jolla, Dr. Bolitho also fulfills a non-salaried appointment as Associate Professor of Plastic Surgery at the University of California in San Diego.

Highly regarded in the field of plastic and reconstructive surgery, Dr. Bolitho is quadrupled certified in the United States, Canada, Great Britain, and South Africa. Additionally, Dr. Bolitho pursued his plastic surgery fellowship training at Emory University in Atlanta. Following his appointment in a full-time faculty position, Dr. Bolitho established his La Jolla private practice in 2000.

Dr. Bolitho remains an active member of the American Society of Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, and the International Society of Aesthetic Plastic Surgeons.

In light of the recent Castle Connolly Top Doctor announcement, Dr. Bolitho feels fortunate to be in the company of such other talented and dedicated medical professionals who help enhance the field of medicine and patient care.

Dr. Bolitho and his team can be reached at (858) 458-5100, by e-mail at info@bolithomd.com or through his website at www.BolithoMd.com

13Jul, 2016

Online Consultations Garner Attention

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Online Consultations Garner Attention

A new online cosmetic consultation portal helps individuals connect with multiple plastic surgeons.

Plastic surgery is an evolving field of medicine affording patients with refined techniques, superior technology, and strides in science at every turn. While patients are benefiting from these numerous changes, pathways in learning more about procedures and board certified plastic surgeons are progressing, too.

A variety of internet platforms such as patient review sites have helped numerous individuals. However, there is a new site named Zwivel that has emerged addressing the needs of potential patients living in a fast-paced world. Described as an online cosmetic consultation portal, individuals can connect with multiple plastic surgeons learning about the procedures they are interested in, recovery information, surgery prices, and more.

Janet Morrissey of the New York Times wrote a comprehensive piece on Zwivel. While plastic surgery entails even nonsurgical treatments such as cosmetic injections, it’s an industry that is indeed becoming part of the American culture. And it’s available to everyone. 

Many who have used Zwivel are calling it the pre-step to a plastic surgery consultation. It’s a complimentary site for potential patients which can mean a cost and time savings of booking multiple consultations with plastic surgeons in the early stages of their research.

Founded by Dr. Gary Breslow and Dr. Craig Abramowitz, Zwivel was created to help make the introductory process with plastic surgeons and prospective patients more effective.

“Just as Match.com allows strangers to scroll through and evaluate potential dates, Zwivel allows patients and doctors to size up each other and ask questions before committing to surgery,” Morrissey reports. “The site allows patients to check out doctors’ credentials, send photos or videos of themselves to preferred doctors, and get those doctors to answer questions about cosmetic procedures and prices, all free.”

With a Zwivel connection, the same questions can be sent to multiple doctors allowing a person to decide which doctor is a better match.

According to Zwivel, numbers have swelled since 2015. Last year, 800 doctors were signed up and that has skyrocketed to 1,400. Patient numbers have jumped from 6,100 to over 28,000.

When interviewing co-founder Dr. Breslow, he conveyed to the New York Times that roughly 36 percent of individuals who book a consultation actually move forward in scheduling the surgery. Dr. Breslow believed that this ratio was a direct link to people having incorrect or insufficient facts prior to their appointment. 

“Patients who are severely overweight sometimes think liposuction is the answer, and I tell them, ‘You don’t need liposuction; you need to lose weight,’” Dr. Breslow told the New York Times in his article. “Or a patient may want $20,000 worth of surgery and thinks the whole thing is going to cost $200.”

For some, Zwivel is creating a window of opportunity to transform connections between individuals and doctors into formal consultations. It also affords people with the opportunity to be reminded of realistic expectations and to help do away with any misconceptions.

While Morrissey pointed out that not everyone is still convinced that a virtual consultation is their current way of doing things, it’s available. And at the end of the day, having options and being mindful is always a great thing when plastic surgery is up for consideration. 

 

8Jul, 2016

Facial rejuvenation for summer events

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Facial rejuvenation for summer events

Nonsurgical facial rejuvenation treatments provide a boost of youth before special events.

Summer is a popular time of year for hosting special events since the weather is perfect for outdoor venues. Be it a wedding or another type of gathering, many already have their invitations or know they are on the way. Some may wonder what types of nonsurgical facial rejuvenation procedures to consider before their event to provide them with a youthful boost.

And there are some excellent choices on the aesthetic menu.

Non-operative facial rejuvenation treatments can be quite appealing because they are cost effective and there is limited to no downtime. While these treatments are minimally invasive, it’s important to note that they are still considered medical treatments so it’s always recommended to seek these procedures in a medical setting. Many plastic surgery offices have their aesthetic nurses performing these treatments.

Registered nurses who are trained in aesthetics have comprehensive knowledge of the facial anatomy which is vital for optimal outcomes. They are also skilled in an array of areas for nonsurgical facial rejuvenation. It’s important to partner with a medical professional about the treatment(s) one is interested in a few weeks before an event for perfect timing.

Cosmetic Injections

Botox, Voluma, Juvederm, and Kybella have single handedly changed the world of aesthetics. While Botox smooths out fine lines and softens wrinkles, Voluma adds fullness to the cheek area which naturally diminishes with aging. While the effects of Botox last a few months or more, for some patients, Voluma can last up to two years.

For the lower portions of the facial canvas, Juvederm lessens the appearance of marionette lines, also known to many as parenthesis around the mouth. Juvederm can add volume, suppressing these lines for six months to a year.

Kybella addresses submental fullness, destroying fat cells located on the underside of the chin. As long as a patient maintains their weight the visual results are considered permanent.

There is little to no downtime with the above injections.

Chemical Peels 

While cosmetic injections offer excellent results, chemical peels address skin texture. A chemical peel can help with the following skin concerns:

  • Minimize fine lines and wrinkles
  • Lessen the appearance of age spots
  • Even out skin tone
  • Soften skin texture

A series of light chemical peels can provide optimal results.

Dermaplaning

This procedure also enhances the skin and is considered excellent for exfoliating the top layers of dead skin cells and removing vellus hair (peach fuzz). Dermaplaning can be a solo treatment or be done prior to a light chemical peel. If combined, the full treatment takes under an hour. And since there is no downtime, patients can resume their day.

When done in tandem, the chemical peel product will have deeper penetration.

Dermaplaning leaves facial skin baby soft and smooth for excellent makeup application. Dermaplaning has become so popular, patients receive a treatment on a monthly basis.

There are a host of nonsurgical treatments to help prepare individuals for a special occasion. And if there is none on the horizon, invest in oneself for a more youthful and luminous glow.

29Jun, 2016

Top Summer Skin Care Tips

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Top Summer Skin Care Tips
While we are saying goodbye to June and entering July, some people haven’t switched over to their summer skin care defense yet. Through the hustle and bustle of summer activity that’s perfectly understandable, but it’s highly recommended by skin care professionals to get on track as soon as possible.

A jump start to summer skin care can be done right now to avoid premature skin aging and even help ward off skin cancer.

Here is a glimpse into 5 top tips:

The Freckle Halt
It seems that during the summer months, those little freckles around the nose and cheek area really make their grand entrance. This very well could be a sign that not enough or the right sunscreen is being applied for skin care protection. Consider this as a “cue” for seeking the advice of an aesthetic nurse or skin care specialist who can help guide someone in utilizing the right solar protection. Not only will it lessen the appearance of age spots, but handpicked products chosen for one’s specific skin type can add a barrier to premature skin aging which also includes fine lines and wrinkles.

Youthful Eyes
The sun can zap skin hydration on every part of the body including around the eyes. Add a boost of youth with the right topical ingredients to reverse those fine lines. With the assistance of an aesthetic nurse, those with persistent fine lines around the eyes could be candidates for Botox. And always remember to wear sunglasses when outdoors for extra protection.

Lip Care
While so many people have a solar defense placed with their sunscreen application, more times than not, lip care may be overlooked. Ultra violet rays can damage one’s lips so it really is vital to blanket them with an SPF 30 or more lip balm.

Overall Skin Hydration
With fun in the sun comes skin dehydration. One may notice more flaky skin on their arms and legs. While showering, use a body exfoliator. A hot shower will cause further hydration so as tempting as it may be, bring down that water temperature. Following a shower, apply a body moisturizer. An ultra-rich body butter is always a top choice.

*It’s especially important to note that a body exfoliator should never be used on the face since it will be too harsh. Please seek the advice of an aesthetic nurse or skin care specialist to assist in choosing the right facial topical treatments.

Lovely Locks
While sunscreen can help keep skin youthful, there are tips to help hair from becoming dry, brittle and frizzy during the summer months. For starters, swim caps are making a comeback, and it’s the perfect retro look for protecting hair from chlorine and saltwater.

When outdoors, tuck those locks under a hat or wear a ponytail. A couple times a week, use a deep conditioner to promote hydration. And when possible, let hair dry naturally in lieu of using a hair dryer. For hair that’s drying naturally, spritz on a conditioner and scrunch for a beachy look.