30Jan, 2015

New Study Reveals Thigh Lift Complications Are Minor

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Woman  federico stevaninThigh lift surgery is a procedure highly sought after from those who have lost a significant amount of weight. The surgery removes redundant skin making a patient’s thighs firmer and shapely.

Also called a medial thigh lift surgery, this procedure is under the body contouring surgical umbrella. A study recently revealed while some complications do exist, they are minor.

The research was performed by ASPS member surgeon, Dr. Jeffrey Adam Gusenoff and his colleagues at the University of Pittsburgh. Their findings were published in the January issue of Plastic and Reconstructive Surgery®. This publication is the official medical journal of the (ASPS), also known as the American Society of Plastic Surgeons.

The beginning of the report stated, “Wound complications in medial thighplasty are common, but most are minor and can be managed without reoperation.”

The study included 106 patients who underwent a medial thigh lift. From these patients, 90 were female and the remainder patients were male. Their median age was 45. The report indicated that these post-bariatric surgery patients had saggy and excess skin.

“Overall, 68 percent of patients experienced some type of complication after thigh lift surgery. The complication rate varied with the extensiveness of surgery: from 43 percent for patients undergoing the least-extensive ‘horizontal thighplasty,’ to 64 percent with an intermediate ‘short-scar thighplasty,’ to 74 percent with the most-extensive ‘full-length vertical thighplasty,’”

the authors wrote. They continued, “But while complications were frequent, they usually weren’t serious. The most common issues were minor wound healing problems: problems with wound closure (dehiscence) and fluid collections (seromas). Most of these were managed without any further surgery.”

It was estimated that in this study only 6 percent of these patients required another surgery. Additionally, more than 10 percent of patients elected to have additional surgery to enhance their aesthetic goals.

Body Contouring After Weight Loss Surgery is a popular procedure given the fact that medical science has introduced a variety of procedures to help individuals lose excess weight of 100 pounds or more. For many, this surgery is indeed the last part of their weight loss journey. With that said, many have done their research along with taking part in online forums for support, encouragement and education.

The report also clearly points out, “With the increased use of bariatric surgery, the numbers of patients seeking body contouring surgery after massive weight loss have increased sharply.”

When consulting with a board certified plastic surgeon, one will not only receive a better understanding of the surgery but will also be more informed of any possible side-effects. Every surgery has its own set of risks. With that said, when a patient follows their postoperative guidelines, such risks may be minimized.

“Despite these considerable challenges, massive weight loss patients also stand to benefit immensely from contouring procedures,” Dr. Gusenoff and colleagues conclude.

Nevertheless, this report was outstanding in terms of the research and indicating while complications may be present, they are minor.

26Jan, 2015

The Benefits of Breast Reduction Surgery

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legs by marin While one group of women may seek breast enhancement surgery, another may find that a breast reduction surgery is what they truly need. Women who seek breast reduction are those who have large breasts which invariably cause shoulder and neck pain. The weight of their breasts may be so significant that their bra straps cause pain throughout the day, leaving severe red marks. While exercising and shopping for clothing may be easy for some, but other ladies may find these tasks quite difficult due to their size. A woman may decide to undergo breast reduction surgery for medical reasons, aesthetic wishes, or both. If she decides to have the surgery, the goal is for a board certified plastic surgeon to reduce them to a size which is a better proportion for her body. Many women who undergo this procedure are thrilled with the results. Not only do clothes fit and look better, but these women are in less discomfort and pain. They wonder why, like most women, they waited so long before having the surgery. Also called a reduction mammoplasty, this surgery removes excess fat, skin and glandular tissue which allows for breasts to become smaller, lighter and firmer. Even the size of the areola may be reduced. There are a variety of reductions a woman can have. During a consultation, a board certified San Diego plastic surgeon can assess which technique is best by the size and skin redundancy. The best surgical candidates are women who have realistic expectations and those who do not smoke since this can impede healing. It’s also advised that women finish having their babies before a breast reduction. While every patient differs, women are up and around in a day or two. But complete healing time may take up to a week or more. For the first few days, a woman may need some extra help and assistance, especially if she has small children. A breast reduction surgery truly transforms a woman both physically and aesthetically.

24Jan, 2015

Recent report shows positive liposuction safety and results

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A recent Science Daily article highlighted a medical paper authored by two seasoned plastic surgeons who claimed that “liposculpture,” also referred to as body contouring liposuction, showed optimal cosmetic results in tandem with minimal complications for patients.

The areas of the body discussed were the thighs, flanks and hips.

This paper was published in the, “Plastic and Reconstructive Surgery — Global Open®. It also offers “open-access” to the medical journal published by the American Society of Plastic Surgeons (ASPS).

The plastic surgeons that authored and took part in this study included Yixin Zhang, MD, PhD from Shanghai JiaoTong University and Manuel Francesco Castello, MD, from Clinica Villa Salaria in Rome, Italy. Both discussed their viewpoints in the world of modern liposuction techniques.

Both doctors concluded in their report, “Based on our 20 years of experience and observations on three-dimensional liposuction, we can suggest it a reliable method with proven results.”

The doctors used the term, “liposculpture,” because it was in their experience that the procedure is far more refined than what it used to be in the past.

“It’s a very sophisticated method that goes beyond the simple aspiration of adipose tissue [fat] and allows the surgeon to modify the shape of the body and recontour the profile,” they wrote. The doctors continued, “The skin should no longer be considered a passive element during superficial liposuction, but instead as an active, structural and dynamic constituent.”

This excellent viewpoint only reinforces the goal of plastic surgeons performing body contouring procedures.

Many San Diego plastic surgeons agree that liposuction is indeed sculpturing the body for a more defined silhouette by removing unwanted fat deposits.

It’s also important to note that postoperative care is another level for an optimal outcome by following postsurgical guidelines and of course wearing a compressive garment for a few weeks. As well, when maintaining one’s weight patients encounter long-term aesthetic goals.

The authors of this paper addressed recovery and noted how complication issues were quite rare.

“Complications rates were low, with only one serious complication — an infection that responded to antibiotics — in more than 4,000 patients. Fifty patients had postoperative seromas (fluid collections) which resolved after repeated drainage. Other patients had minor cosmetic issues that were later ‘touched up’ with simple procedures,” they wrote.

When patients have realistic expectations and know that cosmetic surgery is indeed a journey, body contouring through liposuction is exceptionally gratifying.

Please visit this click here to read the complete article in Science Daily.

20Jan, 2015

The best way to rejuvenate eyelids

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With age, upper eyelids naturally begin to sag with excess skin. What was once a youthful upper lid contour begins to transform. It’s all part of the aging process.

In the beginning stages, many men and women may not want to take the surgical rejuvenation route. They may try other avenues in hopes it produces an optimal outcome.

One of the most sought after nonsurgical options may be Botox. While this treatment helps smooth away wrinkles along the forehead and around the eyes, a plastic surgeon can also adeptly deliver it for a subtle shift in the facial area.

For example, this cosmetic injection has the ability to improve the positioning of the brow. In turn, it may lessen the appearance of excess skin on the upper lid. It’s not removing the excess skin but merely giving the illusion of doing so.

Botox, however, generally lasts a few months and will require further treatments to maintain this aesthetic goal.

Over time, if Botox becomes unsatisfactory with the ongoing aging process, generally the next step is rejuvenation surgery called eyelid surgery.

Before delving into this surgery, a board certified plastic surgeon must address the position of the brow first. If it’s lower than it ideally should be, one may consider repositioning that with an operation called the brow lift.

This may resolve the eyelid issue.

If the brow is in a correct position, then removing excess skin and fat in the upper eyelid will be the surgical route.

Conversely, some patients may choose to have both a brow lift and eyelift. This is a personal decision and one which requires an in-depth consultation with a plastic surgeon.

Many plastic surgeons agree that eyelid lifts are incredibly gratifying for their patients. The benefits can be seen immediately.

An eyelift can be performed either under local or general anesthesia.

Either way, the results produce a youthful eye contour.

12Jan, 2015

A patient’s experience with Voluma™

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waterfall-markuso by Markuso

We are so delighted when our patients take out the time to share their kind feedback with us. Recently, our patient, Christina, had a Voluma™ treatment and is delighted with the aesthetic outcome.

We invite you to read what she had to say about her experience.

“It was time to schedule an appointment with Dr. Bolitho. My 49th birthday was approaching, and like other parts of my body, things on my face where shifting and changing, too. Sharon, who is the best medical assistant ever, seated me in one of the examining rooms and then took some close-up snapshots of my face which were uploaded on a touchscreen in the room.

Dr. Bolitho came in a few minutes later and we chatted about my aesthetic goals. I’m already undergoing Botox for migraines so there was no need to go down that road since I have injections in my forehead and around my eyes.

It was apparent that I had definitely lost volume in my cheeks and was beginning to notice wrinkles around my mouth, also known as nasolabial folds, because of this.

It appeared that Juvederm was the answer. What I liked most about Dr. Bolitho’s approach was that he listened and wasn’t overly enthusiastic about doing a variety of cosmetic injections. His approach to a liquid facelift was one which would have natural looking results.

We first started with Juvederm’s Voluma. After a lidocaine topical numbed the area, Dr. Bolitho delivered a series of injections to the cheekbone area, slowly and methodically. Immediately, there was a visual difference.

Volume was added to my cheek area, and this lift, also minimized the appearance of my nasolabial folds.

I am so happy with the results, and even more so, that they are expected to last up to two years.

Afterward, I had minimal bruising on the left side of my cheek which could easily be camouflaged with concealer. Minimal soreness lasted a few days, at most.

I am a huge proponent of Voluma and would highly recommend it. Thanks to Dr. Bolitho for doing such a great job!” – Christina

9Jan, 2015

Raising awareness about healthy pregnancies

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pregnant-pregnancy-bellyMany women who have completed their families come to Dr. Bolitho for a mommy makeover. This female rejuvenation procedure helps restore their bodies back to their pre-pregnancy days.

For Dr. Bolitho and his team, it’s an absolute pleasure to help these mothers who work so hard achieve their aesthetic goals.

The essence of family is also a cornerstone at this office so recognizing particular health awareness months is essential. And even more so, if the awareness month focuses on mothers, their children, and healthy pregnancies.

While January marks the New Year, it also highlights some important health awareness months, including National Birth Defects Prevention Month.

There are so many wonderful awareness months throughout the year and National Birth Defects Prevention Month (NBDPN) is at the top of the list. It’s educational and outreach committees have updated information to help moms-to-be have healthy pregnancies and babies.

And that is the ultimate goal for every woman and her child.

This year, the 2015 awareness theme is “Making Healthy Choices to Prevent Birth Defects – Make a PACT for Prevention.” The rally behind this awareness campaign is to let people know that birth defects are “common, costly and critical.”

By getting imperative information out to healthcare professionals and the community, this will empower pregnant women to make the right choices. Such valuable material, both written and verbal, is utterly priceless.

Its mission is to be involved in surveillance of birth defects, research and prevention steps.

Let’s all work together for the advancement of healthy babies – they deserve the very best.

For more information, please visit:

6Jan, 2015

A Skin Care Resolution

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Photo-ASTAIt’s the season to make New Year Resolutions. While so many individuals resolve to make healthier habits a priority, one item to put on the list is skin care health. Skin cancer remains a threat and with the right solar protection, the risk of this disease along with premature skin aging can be reduced.

Yes, skin aging. Solar protection with a broad spectrum sunscreen can lessen skin aging by almost 25 percent.

According to numbers from the Skin Cancer Foundation, ultraviolet rays are responsible for 90 percent of non-melanoma and 86 percent of melanoma skin cancer cases. Those numbers are rather staggering.

Here are some tips to help make that “Skin Care Resolution” a reality.

Daily Regimen
Solar protection should be done daily, even on overcast days. Make sunscreen part of a daily regimen by applying it 30 minutes before heading outdoors. If one is having fun outdoors being it on the ski slopes or the beach, reapply it every couple of hours. Seek a broad spectrum sunscreen for maximum protection.

The sun is most powerful between 11 a.m. and 3 p.m. If possible, retreating indoors or seeking shade is optimal during this timeframe.

Say “No” To Tans
Be it traditional tanning outdoors or artificial tanning beds, this activity can harm the skin. UV penetration can cause the following:

• Skin cancer
• Age spots
• Loss of collagen
• Wrinkles and fine lines
• Uneven skin tone

And more…

For those who want to change their natural hue, rather than going the UV route, find a sunless tanning product instead.

Routine Skin Exams
A routine exam can help detect a questionable area. When detected early, skin cancer is treatable. An annual skin exam either by a dermatologist or plastic surgeon is essential.

While a self-exam is never a substitute for a physician’s appointment, a monthly self-check is advisable. Being familiar with one’s skin is important. If something changes on the skin, it will create an immediate alert.

Also, doctors want to educate their patients on skin care health and will help guide patients on what to look for.

While ringing in the New Year, let’s make it a healthier one for skin care health.

29Dec, 2014

Year in Review

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Dr.-BolithoOnce again, the year has flown by. Left in its pathway is a trail of memories. Our most cherished ones are of you, our patients, who continue to leave an indelible imprint. We cannot thank you enough for the care and trust you gave us not only in 2014, but for all the years which have come and gone.

As we all take a deep breath diving into 2015, we’d like to review 2014 with boundless gratitude.

While we reflect on the happenings of this year, we’d be remiss if we didn’t congratulate Dr. Bolitho for some astounding achievements.

For a third consecutive year in a row, Dr. Bolitho was voted by his peers and chosen as “Top Doctor” by the San Diego County Medical Society. This announcement was made in San Diego Magazine’s annual special edition.

As 2014 came to a close, Dr. Bolitho received word he was selected into the esteemed 2014 Castle Connolly Top Doctor List as a regional pick. In San Diego County, only eight plastic surgeons were recognized this year by Castle Connolly Medical Ltd.

With a demanding schedule, Dr. Bolitho was honored to accept his second term as Chief of Plastic Surgery at Scripps Memorial Hospital La Jolla.

During 2014, Dr. Bolitho journeyed to San Francisco, “The City by the Bay,” to attend the Annual Aesthetic Meeting hosted by the American Society for Aesthetic Plastic Surgery (ASAPS). Dr. Bolitho described the five-day event as inspirational, particularly with facial rejuvenation procedures.

As Dr. Bolitho’s portion of his cosmetic practice continues to blossom and meeting the expectations of his patients, he brought on his new Patient Concierge, Karen Martindale. Having worked in the cosmetic industry for the past 25 years, Karen brings a wealth of knowledge and impeccable patient care.

With 2015 on the horizon, Dr. Bolitho and his team wish you and yours a healthy and wonderful New Year. Remember, he and his dedicated team are here for you.

Happy New Year!

23Dec, 2014

Dr. D. Glynn Bolitho Chosen as 2014 Castle Connolly Top Doctor

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Dr.-BolithoSan Diego Plastic Surgeon, Dr. D. Glynn Bolitho, was selected to be part of the esteemed 2014 Castle Connolly Top Doctor List. Doctors were chosen in October and Dr. Bolitho just received word of this exceptional news.

The Castle Connolly Top Doctor List is a branch of Castle Connolly Medical Ltd. Dr. Bolitho’s recognition was entitled regional Castle Connolly Top Doctor. In San Diego County, Castle Connolly listed eight plastic surgeons in San Diego County for 2014.

Dr. Bolitho, Chief of Plastic Surgery at Scripps Memorial Hospital La Jolla and also voted as top doctor in 2012, 2013, and 2014 by the San Diego Medical Society, was honored and humbled by the Castle Connolly acknowledgment.

“For more than two decades, Castle Connolly Medical Ltd. has based its selection process on the foundation of peer nominations. All licensed physicians, MDs and DOs (Doctor of Osteopathic Medicine) are invited to participate in this online process. Our physician-led research team also makes tens of thousands of phone calls each year, talking with leading specialists, chairs of clinical departments and vice presidents of medical affairs, seeking to gather further information regarding the top specialists for most diseases and procedures,” said Adam Akmal-Gonzalez, manager of client relations at Castle Connolly Medical Ltd.

Akmal-Gonzalez pointed out that doctors do not and cannot pay to be included in its listings.

Unbeknownst to Dr. Bolitho, he underwent a comprehensive screening in order to receive this honor.

“Following receipt of peer nominations, the Castle Connolly physician-led research team carefully reviews the credentials of every physician being considered for inclusion in Castle Connolly Guides®, magazine articles and on our website. The review includes, among other factors, scrutiny of medical education, training, board certifications, hospital appointments, administrative posts, professional achievements and malpractice and disciplinary history,” Akmal-Gonzalez said. “After this careful review of credentials, nominated physicians may be chosen to be listed as a regional Castle Connolly Top Doctor or a nationally outstanding America’s Top Doctor.”

Akmal-Gonzalez went on to say that its online database of Top Doctors contains more than 40,000 medical doctor profiles representing 65 medical specialties across the country.

“Physicians are selected and listed based on their board certifications using the ABMS standard,” he said.

Dr. Bolitho is quadrupled board certified in the Unites States of America, United Kingdom, Canada and South Africa.

Dr. Bolitho completed his plastic surgery fellowship training at Emory University in Atlanta. After leaving his full time faculty position at Emory, he opened the doors to his La Jolla private practice in 2000.

Dr. Bolitho is 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.

Dr. Bolitho and his team can be reached at (866) 738-9360, by e-mail at or through his website at

19Dec, 2014

Wintertime Sunscreen Helps Keep Skin Healthy

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By Franky242

By Franky242

Many times we think using sunscreen is something to do during the summer, but think again. Just because we are not involved in activities associated with sunny days around water, we do have a tendency to partake in activities around the slopes and snow.

According to experts, snow and sun exposure can greatly increase ultraviolet ray contact. The higher altitude at which we ski, snowboard and hike can greatly increase the risk of too much sun exposure.

Although it may feel like it, this is not the time to tuck away the sunscreen. Instead, it’s a solar defense phase to lay in a new supply because winter changes nothing. Be aware that the very same rays that rain down on us in the summer do so in the winter.

The UVB rays, the rays that burn, can do as much damage in the winter because they reflect off snow and ice and are the origin of painful sunburns. UVA rays can weaken the skin’s collagen and are ever present even on overcast days.

Throughout the year, solar protection is superlative to fight off premature aging brought on by the sun.

Top San Diego board certified plastic surgeons offer wonderful sun care products which include top-of-the-line sunscreens. They can also determine the best type of sunscreen needed to best protect your specific skin type in association with your favorite outdoor winter activity.

For most people, the ideal broad spectrum UVA and UVB level is SPF 30 or more. Even those with sensitive skin or who have acne can be steered to a sunscreen that will work for them.

A plastic surgeon can even make non-operative treatment recommendations to reverse the signs of premature sun damage.

It is important to remember that using sunscreen provides protection against premature aging and even skin cancer. It is recommended that people reapply sunscreen throughout day while having fun in the outdoors.