Bolitho MD

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29Jul, 2015

Plastic Surgeons Redefine Hand Rejuvenation

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Hands

There is an array of minimally noninvasive procedures which do a tremendous job in restoring a more youthful appearance. On this aesthetic roster are liquid facelifts, commonly referred to as cosmetic injections.

While Botox® smooths out fine lines along the forehead area and lines around the eyes, fillers such as Juvederm®, can help erase nasolabial folds. And one would be remiss if they did not mention Voluma® which is an outstanding filler created by the makers of Juvederm® which adds volume to the cheek area.

Over the years, one area where women have wanted to revitalize is their hands. Environmental factors, such as ultraviolet rays, impact the hands which can spur premature aging. Signs of this may include one or more of the following:

  • Slack skin and wrinkles
  • A crepe-like appearance and texture
  • Dull skin tone
  • Dehydrated skin

Due to this natural aging process, tendons and veins on the tops of hands are more visible. Many women who undergo facial rejuvenation and live a healthy lifestyle also yearn to have younger looking hands.

While lotions can hydrate, it cannot add fullness.

Meeting the needs of these patients, many board certified plastic surgeons are now offering a minimally invasive procedure which lasts under 20 minutes called the “hand lift.”

The goal of the procedure is to rejuvenate the hands by adding volume. Doctors utilize the precise same fillers as they do for liquid facelifts.

Radiesse® was recently approved by the FDA for this procedure. It’s also important to note that this manufacturer is the first of its kind which is approved for this treatment.

Facial fat grafting, a procedure where a plastic surgeon harvests fat via liposuction from a patient’s body to add volume to the face, has also been used for hand augmentation. However, some doctors noticed once the fat was delivered, there was sometimes a bumpy appearance.

Radiesse® was decided among doctors to be an optimal choice since its compound ingredients are from calcium. Conversely, Juvederm ®has been a consideration, but it appeared that its hyaluronic acid components did not last longer than Radiesse®.

Plastic surgeons estimate that a hand augmentation with Radiesse® lasts up to a year. Some patients contend the newfound appearance lasts 24 months.

It seems that “hand lifts” are not only geared toward more mature women. Even younger women are undergoing the procedure so their hands have an additional boost of youth when uploading photos of their hands on social media sites. For example, women donning a new engagement ring or piece of jewelry want to share this with their friends but are unhappy with the way their hands appear.

New reports indicate that mature brides, mother of the brides, and mother of the grooms are also booking their hand augmentations. They want youthful appearing hands for those posterity photos.

While the side effects of this procedure are minimal, it’s still highly recommended to speak with a board certified surgeon about any potential risks or complications.

Hand lifts are indeed a growing trend and those in the cosmetic industry expect to see a higher demand for this procedure within the next few years.

22Jul, 2015

The Mommy Makeover Rejuvenation Appeal

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Mom bubbles

For many women, motherhood is one of the most rewarding things they may experience. While a day at the spa can be a relaxing experience with a facial and massage on the menu, those afternoon perks may not address the true rejuvenation a woman is seeking.

Some ladies may desire an extra renewal boost called a “Mommy Makeover.” An operative procedure, this skilled comprehensive surgery generally includes a trifecta of the following:

  • Tummy Tuck
  • Breast Lift (with or without implants)
  • Liposuction

Pregnancy and breastfeeding may take a physical toll on a woman and these above procedures have the ability to reverse a woman’s body back to her hourglass figure. One woman may want all three procedures, while another may only want one. It’s a personal decision.

At a consultation with a board certified plastic surgeon, they will assess what’s called “skin redundancy” and either lift or excise it. Especially for the abdomen region, a tummy tuck can dramatically reduce the appearance of stretch marks and any stubborn post-pregnancy areas which seem to be immune to diet and exercise.

A couple decades ago, mothers were not afforded the opportunity to undergo a transformative surgery after their childbearing years. They had to resign themselves to the fact that their bodies would not return to their pre-pregnancy days despite their diligent healthy lifestyle.

But times have changed. There are operative prospects with optimal results.

The surgical techniques which have emerged are utterly profound for women who are candidates for one or more of these procedures. With that said, it’s important to interject how necessary it is for mothers interested in this surgery to consider the following perspectives:

  • They are done bearing children
  • They have maintained a stable weight for six or more months
  • They implement a healthy lifestyle and diet

As mentioned earlier, candidates for Mommy Makeovers have indeed tried diet and exercise to reverse their post pregnancy shape but sometimes to no avail. And this is precisely where operative intervention may be the right course to consider.

The breast lift (with or without implants) can replenish the volume a woman once had before having children.

As for the abdominal area, a tummy tuck will remove excess skin and fat deposits, lessen the appearance of stretch marks and tighten the abdominal muscles which may have separated during the pregnancy.

Liposuction is an excellent tool to help sculpt the body for a slimmer waistline, shapely hips, and more.

Women are delighted that in one rejuvenation surgery all these areas of the body can be redefined. Leading plastic surgeons also take into consideration that each patient is unique as are her needs. While the term “Mommy Makeover” has become branded, quite frankly, it is a tailored procedure to meet the individual aesthetic requirements of each woman.

Plastic surgeons would be remiss if they did not mention how women who undergo this special procedure also inquire about cosmetic injections, frequently referred to as the liquid facelift. Botox to erase frown lines, Juvederm to plump up smile lines, and Voluma to add more cheek volume is indeed in demand.

Mothers work hard, and in return, they deserve to redefine themselves through youthful beauty.

 

13Jul, 2015

Dr. D. Glynn Bolitho Chosen As 2015 Castle Connolly Top Doctor

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Dr.-Bolitho

For the second consecutive year, San Diego plastic surgeon, Dr. D. Glynn Bolitho, was chosen for the 2015 regional Top Doctor List by the highly regarded organization of Castle Connolly Medical Ltd. Once again, Dr. Bolitho is both honored and delighted to be recognized by this elite organization.

According to Maria Salvador, the director of corporate resources at Castle Connolly Medical Ltd., they take the challenge of identifying “Top Doctors” very seriously.

“Since the company’s founding in 1991, our ‘Top Doctors’ guides have been identifying the nation’s best doctors and hospitals in every part of the country and in every medical specialty. Our lists are based on peer nominations and professional assessments by our physician-led research team and not on hype, advertising, or third parties that have something to gain by recommending a particular provider,” she said. “Castle Connolly’s Top Doctors are rigorously selected from among hundreds of thousands of physicians. Our intensive research methodology is designed to identify doctors that will speed patients’ healing, minimize pain and discomfort, shorten recovery periods and enhance and lengthen lives – in other words, achieve the best possible health outcomes.”

The goal for Castle Connolly Medical Ltd., is to help individuals locate the best healthcare in all fields of medicine. Salvador pointed out they have published a variety of books including the “Top Doctors” series, the most popular of which is America’s Top Doctors® for over two decades. Now in the Internet Age, they are dedicating their resources to online and digital distribution.

Salvador also wants people to know that anyone can draw up a “Top” or “Best” list and many do.

“Pharmaceutical companies favor those physicians who are high prescribers of their drugs,” she said, adding how other mentions may be paid listings. Salvador continued, “But Castle Connolly has no such conflicts of interest. Our sole purpose is to help patients, their families, and their employers find health care providers who deliver superior results. Doctors do not and cannot pay to be included in any Castle Connolly Guide or online directory.”

Championed by a Castle Connolly physician team, this group prudently assesses and analyzes the credentials of every nominated physician. They peruse the following:

  • Magazine Articles
  • Website
  • Medical Education and Training
  • Board Certifications
  • Hospital Affiliations and Appointments
  • Professional Achievements

And more….

In 2014 and 2015, Dr. Bolitho was selected as “Regional Top Doctors” which is typically done by nomination of his peers in the metropolitan area. “These doctors are considered to be the physician leaders in their community,” Salvador said, “and attract majority of their patient base from the local population.”

Dr. Bolitho is quadrupled certified in the United States of America, Canada, Great Britain and South Africa. He is serving his second term as Chief of Plastic Surgery at Scripps Memorial Hospital, La Jolla. At the University of California in San Diego, Dr. Bolitho fulfills a non-salaried appointment as Associate Professor of Plastic Surgery.

Dr. Bolitho’s plastic surgery fellowship training was at the prestigious Emory University in Atlanta. Following a full-time faculty position there, he founded his La Jolla private practice in 2000.

For decades, Dr. Bolitho has been 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.

While providing extraordinary care for his patients is his ongoing mission, he feels privileged to be recognized by Castle Connolly as one of their Regional Top Doctors.

6Jul, 2015

How Fat Grafting Enhances Facelift Surgery

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middle age woman

Plastic surgeons have discovered the benefits of incorporating fat grafting methods as part of the protocol for operative facial rejuvenation surgery. In a recent issue of Plastic and Reconstructive Surgery, a medical journal published by the American Society of Plastic Surgeons (ASPS), they revealed some interesting data in how this technique is enhancing the world of facelift surgery.

In fact, it has swiftly become a common component to the surgery be it a limited incision facelift or a more comprehensive procedure.

The study which unveiled this information was championed by Dr. Sammy Sinno, a board certified plastic surgeon at New York University, along with the assistance of his colleagues.

Wolters Kluwer of Medical Xpress cited, “The researchers surveyed a random sample of ASPS members regarding their use of fat grafting for facelift procedures. In this technique, the surgeon performs liposuction to obtain fat cells from another part of the body—such as the abdomen or thighs—and carefully injects them to provide additional volume in selected areas of the face.”

More than 300 ASPS member surgeons took part in the survey.

Leaning on ASPS member surgeons provides an accurate base point. Those who are part of this organization are highly regarded for their education and expertise in their field of medicine.

The response from the study revealed that 85 percent of the respondents stated that they indeed utilize fat grafting during operative facial rejuvenation procedures, otherwise known as facelifts. It was suggested that the increase of this particular technique occurred within the last decade.

While operative facial rejuvenation addresses wrinkles, facial fat grafting is an excellent modality in addressing the loss of facial volume such as in the cheek area. This modality can be of great benefit to reverse this.

Leading up to fat grafting, the following occurs:

  • The collection of fat via gentle hand-harvesting (i.e., liposuction tool)
  • Process of purification
  • Delivery and transfer techniques

The study indicated that the common site where fat was harvested was the abdominal area. The amount of fat transferred into the facial area varied. The survey revealed that this small amount gathered ranged from 11 to 25 cubic centimeters, also known as cc’s.

While a degree of some fat from the transfer does have the potential to reabsorb, ASPS member surgeons agreed that the majority of the transfer was still visibly present one year postoperatively.

The common areas of fat grafting include the following:

  • Cheeks
  • Lower eyelids
  • Nasolabial Folds

In some instances, the study pointed out that fat grafting follow-up treatments were sometimes performed again four to six months after surgery to redefine specific areas. Nonetheless, both patients and their doctors were pleased with the aesthetic outcome.

Toward the end of the study, Dr. Sinno surmised, “The results of our survey demonstrate most surgeons currently believe that facial fat repositioning in combination with volume addition increases the ability to utilize these two complementary techniques to restore the volumetric highlights noted in youth, thereby enhancing facial shape.”

Frankly, volume restoration by way of fat grafting has added another level to facial rejuvenation and has invariably improved a youthful appearance for many patients. This additional phase has transformed into a more prominent role in facial rejuvenation surgery.

29Jun, 2015

Breast Reconstruction Awareness Campaign Magnifies

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breast-cancer-awareness-month-1

In a recent edition of Plastic Surgery News, published by the American Society of Plastic Surgeons (ASPS), many of its esteemed doctor members that perform reconstruction surgeries for breast cancer patients were delighted to read how the Breast Reconstruction Awareness Campaign is indeed increasing.

The campaign was founded by Mitchell Brown, M.D., a plastic surgeon based in Canada. In 2011, his vision came to fruition. And it has done a world of good for countless women. Brown’s foresight has helped empower women to learn about their options regarding different components of breast reconstruction surgery.

When a woman is diagnosed with breast cancer and requires a mastectomy or bilateral mastectomy, through a haze of personal turmoil and confusion, navigation is essential to her well-being by understanding that she does have breast reconstruction choices.

This also holds true for women who undergo a bilateral mastectomy due to a strong family history of breast cancer or being told she tested positive for the BRCA1 and BRCA2 genes.

The ability to give women surgical possibilities to rebuild their breasts can give them a sense of control.

While some women choose not to have the reconstruction, others want to undergo the procedure; nevertheless, being afforded the option is the cornerstone of the campaign.

In a recent piece written by Rosie Marszalek, “Breast Reconstruction Awareness Campaign Expands,” she reminded readers that Breast Reconstruction Awareness Day is on October 21, 2015. She went on to cite that in 2014, ASPS members throughout 44 states took part in this campaign. Among these states, a tally of 160 plastic surgery practices joined together in hopes to help women learn about their reconstruction options after having lost either one or both breasts due to cancer.

“Recognizing that women are fighting breast cancer every day, however, this year the Society is encouraging all ASPS members who perform breast reconstruction procedures to host a Breast Reconstruction Awareness event on any day throughout the entire year as part of the new ‘BRAve Face” campaign,” Marszalek writes. She continues, “In addition to local events, the BRAve Face campaign also features Patti LaBelle as its national spokesperson.”

Many have described the acclaimed singer as an ardent supporter of women who have undergone breast cancer.

In a statement, LaBelle told ASPS, “Women battling this disease need to have access to information about their rights and options to make informed choices about what’s best for them and their life following breast cancer treatment.”

As mentioned before, it is a time not only on October 21, but throughout the year, to provide resources and access to women so they can become educated. It’s the hope of ASPS that members will join together by championing events in an effort to raise this awareness.

In the past, an array of events has taken place such as:

  • Educational Receptions and Seminars
  • Art Exhibits and Contests
  • Luncheons and Galas
  • Sporting Activities and Contests
  • Flash Mobs
  • Dance Contests
  • And more….

ASPS members are encouraged to think “outside the box” and champion an event large or small. It is an opportunity for a community of like-minded and dedicated people to join together for a special cause.

Helping women who are “fighting the fight” and arming them with knowledge on breast reconstruction is a powerful movement for all involved.

19Jun, 2015

Sizzling Summer Special

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MD Solar SciencesAs we get ready for summer, receive 10% off Dr. Bolitho’s inventory of MD SolarSciences™ for the entire month of June! MD SolarSciences™, a lightweight product, is the leading sun protection manufacturer with active ingredients of titanium dioxide and zinc oxide. While it shields, it promotes healthy skin.

We have an array of sunscreen products to protect the whole family.

Call the office at (858) 458-5100 or email us at info@bolithomd.com to place your order.

This summer special ends on June 30, 2015. And if you’re in the area, please stop by for a visit!

16Jun, 2015

Changing the Face of Facial Rejuvenation

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woman middle ageThe world of cosmetic surgery is growing more popular, and with it, new technology to help promote a more youthful appearance continues to emerge. Many companies are pioneering technology to help reduce fine lines and wrinkles.

While new technology continues to appear on the horizon, it’s critical that consumers do their due diligence while leaning on a plastic surgeon for their honest point of view regarding a novel noninvasive treatment.

The advent of these new treatments is highly popular to patients because in essence they require no downtime. The idea of reversing facial aging with the aid of ultrasound or radiofrequency is incredibly attractive. The thought of lifting and tightening the brow, chin and neck area can naturally spark a great deal of interest. Yet, one must not forget to do their homework.

Following research, one is encouraged to team up with their plastic surgeon in looking at the new technologies that have come along while judging them against what the industry already has. Quite frankly, the field of facial rejuvenation already has a significant arsenal of techniques and modalities to treat different patients in various areas.

As new technology comes forth, in tandem with being FDA approved, it’s important to note that it may not necessarily be better than what is currently being used. And this is where research comes in.

It’s the responsibility of a board certified plastic surgeon to be cautious with new technology and use it appropriately, only when there is sufficient data.

For example, statistical data for newer technology needs to be balanced with the reality of sound research versus what is being driven by the industry. At the end of the day, it’s the responsibility of a doctor to make a truly objective assessment.

The one thing a plastic surgeon does not want on their menu of services is to offer a patient a modality or technique that they do not have the greatest confidence in – even if it is being touted as the next “big” thing.

Conversely, many of these treatments are costly and may require more than one session to receive the full benefit. While these noninvasive treatments may offer a youthful change, one needs to address if they provide more than just a subtle transformation.

Also, some treatments may not be as benign as one thought. Once again, lean on a plastic surgeon for guidance as well as seeking a second opinion. Inquire about any side effects in terms of the underlying tissue.

Some plastic surgeons who perform facial surgery are noticing a variance in the tissue where some of this new technology has been utilized. While it won’t affect the outcome of a facial rejuvenation surgery, there may be changes to the tissue.

For those patients wanting more than an understated aesthetic enhancement, they may very well consider that investing in a limited operative facial rejuvenation procedure to be ideal. When calculating costs and final results, this would provide an immediate and a longstanding outcome.

Cosmetic treatments are a personal decision. When one is ready to embark on a particular modality, please peruse the research data, independent patient reviews and team up with a board certified plastic surgeon for guidance.

 

9Jun, 2015

Sun Safety Tips For Healthy Skin

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woman outdoor by pixomar

Summertime is almost here and the countdown for summer break is on the way. While the outdoors will certainly beckon many, always remember the first step in summertime fun is keeping skin sun safe.

As many have sunscreen on their shopping list, what’s even more important is knowing how and when to apply it for optimal protection. According to the Skin Cancer Foundation, it’s estimated that more than 3 million Americans are diagnosed with skin cancer so a quick sunscreen tutorial is vital.

While solar protection can help ward off cancer, it can also prevent premature skin damage such as:

  • Wrinkles and fine lines
  • Age spots
  • Broken blood vessels
  • Freckles
  • Solar elastosis (saggy skin, rough patches and grainy facade)

Here are some tips for healthier skin during the summer months:

Sunscreen: Purchase a water resistant sunscreen which has a broad spectrum of SPF 30 or more. Even if one doesn’t partake in water sports, sweating is still an issue so please toss a water resistant product in your shopping cart.

More Than Once A Day: Applying sunscreen is not just a once-a-day affair. It must be applied roughly 20 minutes before going outdoors. And once “fun in the sun” begins, it must be applied every couple of hours. Following a dip in the pool or ocean, it must be reapplied immediately.

Apply More Than Normal: Studies are suggesting that people are not applying enough sunscreen and being quite frugal. On average, one ounce of sunscreen provides good solar protection.

The Neglected Areas: While applying and reapplying don’t overlook areas such as the back of legs, tops of feet and hands, and receding hairlines.

Summertime Drives: It’s a myth thinking one is protected from the sun’s rays while in the car. While one is protected from UVB light, they will succumb to UVA light.

Remaining “sun safe” will encourage healthier and younger looking skin. Here’s to a fun, healthy and memorable summer season!

2Jun, 2015

Study Reveals The Benefits of Botox May Exceed Expectations

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Happy Attractive Woman and Man Couple In Sunglasses At Beach

Botox remains a staple in facial rejuvenation. As it hinders muscles to contract, any wrinkles which are treated around the eyes or forehead area are lessened considerably. Indeed, Botox has been one of the leading cosmetic injections over the years which enhance a youthful canvas which many seek.

At the University of Ottowa, Canada, plastic and reconstructive surgeon, Dr. James Bonaparte, conducted a study which revealed interesting data regarding Botox. In a recent edition of JAMA Facial Plastic Surgery, it was irrefutably suggested that this cosmetic injection may deliver another aesthetically pleasing pathway for many patients.

According to the study, skin endures stretching and receding with a Botox treatment. Moreover, it was indicated that on a whole, this anti-aging treatment encouraged collagen and elastin.

The road to younger looking skin is elastin and collagen. A depletion of these proteins cause slack and lackluster skin in tandem with wrinkles.

In his report Bonaparte cited, “We found if we treat people with Botox using standard techniques, we see an increase in elasticity, which is what you’d see in people with more youthful skin.” He continued, “We’re actually seeing evidence that we, for some reason, are getting more elastin and collagen in the skin.”

A total of 48 women, around the median age of 55 took part in the study. All of the participants never underwent a Botox treatment before. Areas treated were around the eye contours and in the middle of the brows.

Afterward, the women were monitored for a total of four months.

An enhanced appearance of elasticity and younger looking skin was discovered. Researchers compared the changes to a skin tightening procedure via radiofrequency.

Also disregarded during the course of the study was the concept of inflammation from the injections. According to Bonaparte, this did not cause the new tautness to the skin. Moreover, these youthful skin changes were bracketed around the same timeframe as the Botox effectiveness results: which was a few months.

It’s important to note that other plastic surgeons may have their own theories as to why elastin and collagen are promoted. Nevertheless, there is no clear cut theory as to what prompts Botox recipients to have their skin undergo a surge of youth

Bonaparte did indicate a hypothesis that elastin and collagen cells may have a receptor which reacts to Botox in this manner.

This notion has some wondering if anti-aging skin manufacturers may be inclined to produce a product(s) which hones in on these receptors.

And Bonaparte believes this is so.

“We may be able to develop some medications that don’t require injection, that you can apply topically and get the same skin rejuvenation effect as Botox,” he said.

While this study has come to a close, Bonaparte and his team will be branching off in a different direction but now with a focus on the long-term use of Botox.

27May, 2015

Plastic Surgery Popularity Worldwide

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women worldwide

Photo Credit: Women’s Health Magazine

While the USA leads in plastic surgery around the globe, when compared to other countries and matched up against their own population numbers, it rates at number four. It’s an interesting twist.

Before sharing who the top five countries are, it’s fascinating to note how plastic surgery is becoming so well accepted in the world. What was once a surgery for only the “rich and famous” has indeed transcended to others not in this category.

People who consider plastic surgery come from all backgrounds. For example, those who are working later in life are considering it so they can look more youthful in the corporate world.

While these top five countries are the most popular in plastic surgery, if one is considering surgery outside of their country, it’s important to do all the necessary research as one would embark on here in the states. Double checking that a surgeon is board certified, qualified, and has hospital privileges truly transcend to other countries.

Some patients are tying in a surgery with a vacation beforehand. However, always remember that safety is a priority and should always trump any other decisions.

Starting from the fifth ranking country and working upward, here are the countries which made the cut:

 

  1. Colombia

 It’s estimated that more than 90,000 plastic surgery procedures were performed in Colombia. The leading surgery performed is liposuction.

 

  1. USA

In 2014, the USA performed 10,663,607 cosmetic surgeries. Like Colombia, liposuction was the most popular. Other treatments in the country included nose surgery, eyelid surgery, and the cosmetic injection, Botox. From 2013-2014, it was estimated that Americans spent nearly $12 billion in this area of medicine.

 

  1. Italy

Botox has been incredibly widespread in Italy for non-operative procedures. For surgical procedures, liposuction once again was the most popular with an estimated 69,000 surgeries performed in 2010.

 

  1. Greece

For many, learning that Greece is rated second is quite a surprise. The most popular procedure in this country is breast augmentations.

 

  1. South Korea

Where beauty is held in high regard in South Korea, it’s estimated that 1 out of 5 individuals have undergone cosmetic surgery. While all procedures are in demand, the one that leads the way is upper and lower eyelid surgeries.

So many countries around the world have adopted cosmetic surgery into their culture. The trends have clearly branched from the Western culture into a variety of others. Plastic surgery is no longer the exception but becoming more common in everyday life.