Bolitho MD

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


29Apr, 2016

When to begin exercising after breast augmentation surgery

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When to begin exercising after breast augmentation surgery

Plastic surgery is an exciting time to embark in one’s personal aesthetic goals. However, like with any surgery, the decision to undergo such a procedure takes much thought and consideration.

And that includes deciding to move forward with breast augmentation surgery.

Today is an era where a healthy diet and exercise are prominent in the culture. With that said, many women who have breast augmentation would like to know when they can resume their physical activity.

During a consultation with a board certified plastic surgeon, both the surgery and consultation phase will be reviewed. While this will be discussed, it’s important for patients to be empowered with knowledge including the realistic expectations of their recovery.

Spring boarding into a fitness routine needs a doctor’s approval, and one must not hurry back to resume those activities. And this is why.

The most important part of the healing process is to give one time to heal. And as a patient begins to become more active, they must avoid exercises or movements which could make them vulnerable in hindering recovery.

A routine method for breast augmentation is to place the breast implants under the pectoralis major muscle. While every plastic surgeon has their preference, those who opt for submuscular placement do so because the likelihood of a rippling effect from the implant is less likely to occur. Additionally, some surgeons also believe that implants placed under the muscle may also decrease the chances of capsular contracture.

Respectively, every plastic surgeon has their theory.

For patients who have undergone a submuscular breast implant placement, the healing portion of the surgery requires the pectoral muscle. Many doctors agree that the pectoral muscles should not be stressed for roughly a four-week period.

Activities to avoid include the following:

  • Avoid lifting anything that is more than 10 pounds
  • No upper body resistance training
  • Swimming moves that promote arm and chest strain
  • Avoiding sports such as tennis
  • Avoiding stretches for the chest area
  • Not attempting open chest positions in Yoga such as the Camel and Fish poses

And more….

In other words, it is advisable to avoid any workouts involving the upper body, including the arms and chest.

For exercise enthusiasts, they can most certainly resume a different level of activity such as walking, stationary bicycle, lunges, and any type of exercise equipment focusing on the lower half of the body.

And for those with small children, mothers need to confirm with their doctors as to when it is safe to lift them. For those with younger children, it may be advisable to have some assistance while one heals as well as with some help with any household chores which may impact the pectoral muscles.

Do remember that following a doctor’s guidelines on when to start incorporating exercises and certain activities is incredibly important in order to achieve optimal healing.

21Apr, 2016

How to get beautiful eyes

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How to get beautiful eyes

Even in the Old Hollywood era, beautiful eyes were an asset for the silver screen. Decades later, gorgeous eyes are still a sought after commodity. While many beauty experts have touted their own secrets, the truth of the matter is that there is a three-step protocol to rejuvenate the eye area. The burning question, “How to get beautiful eyes?” can be answered with these simple and valuable steps.


Fabulous Lashes with Latisse

According to Elizabeth Reed, an aesthetic nurse who works with board certified plastic surgeon Dr. D. Glynn Bolitho in San Diego, lashes are the first ingredient to beautiful eyes.

“Latisse can help lengthen, strengthen, and achieve darker eyelashes. Long, healthy lashes frame the eye area better and attract attention to the eyes,” she said. “I use Latisse, and a lot of the ladies here in the office use it, too. We just love the results.”

According to Reed, users will start to see lash improvement within the first month. However, the incredible results will start to grow in within two to three months.

Applied on the upper lashes every evening, Latisse is incorporated into a nighttime skin care regimen.


The Wonders of Botox

Over time and with repeated muscle movements, fine lines begin to emerge around the outer corners of the eyes. Some call these lines crow’s feet while others describe them as squint lines. But one thing that can be agreed upon is that most women would prefer them to disappear.

And that aesthetic wish can be achieved with Botox.

Reed delivers small amounts of Botox into these facial crevices to help smooth out those lines. She was also quick to point out that Botox for this very reason is not meant to change the shape of the eye nor should it. The goal is to minimize the appearance of fine lines around the eyes.

“I believe less is more and I am definitely a more conservative injector because I really don’t want someone to know that you’ve had Botox,” she said. Reed continued, “I want patients to look refreshed.”

Reed wants people to know that the amount of Botox used is dependent upon a person’s muscle movement. In other words, there is not a standard amount for everyone – instead it’s an incredibly tailored procedure.


SkinMedica TNS Eye Repair

While Latisse can help create gorgeous lashes and Botox can erase squint lines around the eyes, a daily topical skin care treatment can help rejuvenate this fragile skin area with complete hydration. The goal is to locate a topical which can gently help erase imperfections while improving the quality of one’s skin.

Reed describes SkinMedica TNS Eye Repair as an amazing product offering an anti-aging component to achieve the three-step process to attain beautiful eyes.

“This product is really great in minimizing those fine lines and wrinkles around the eyes,” Reed said. She added, “It has a high concentration of Vitamin C and E and hyaluronic acid to increase the hydration.”

A results-driven formula used on a daily basis can offer maximum benefits which help create and maintain healthy and beautiful looking eyes.


13Apr, 2016

Facial Rejuvenation Through Dermaplaning

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Facial rejuvenation through dermaplaning

For those who are looking for a safe and optimal way to exfoliate their skin, dermaplaning is an excellent pathway toward facial rejuvenation. Aesthetic nurses with a skilled hand in cosmetic injections and chemical peels are excellent choices for this treatment.

Elizabeth Reed, an aesthetic nurse for chief of plastic surgery Dr. D. Glynn Bolitho at Scripps Memorial Hospital in La Jolla, performs dermaplaning regularly. Describing it as a safe procedure, a stainless steel tool gently glides across the facial canvas, exfoliating dead skin cells along the top layer of skin. In tandem, it also removes vellus hair, also known to many as peach fuzz.

According to Reed, any age group can benefit from dermaplaning. Women ranging from their twenties into their sixties and above enjoy the rejuvenating results. Ladies who are getting ready for a special event find that dermaplaning helps them look refreshed allowing their makeup to look incredibly smooth.

And the ridding of this vellus hair helps achieve the aesthetic goal.

The reason why the removal of vellus hair is so important for rejuvenation is because dirt and oil have a natural tendency to adhere to these hairs. When eliminated, the results are healthier and more radiant looking skin.

And it’s not just brides undergoing this treatment. Those who have tried it actually continue with the regimen because the results are that fantastic. Many share that it is also quite relaxing, too.

For a first visit, Reed generally likes to take more time talking with her patients regarding their skin care routine and their skin care goals. From there, the treatment begins.

“Basically, I’m just removing the hair and the top few dead layers of skin so that the skin can just glow and makeup can go on easier,” she said.

The treatment lasts under 30 minutes. However, the best news of all is that there is little to no downtime. Women who are pregnant or plan to become pregnant may be wary about chemical peels. If that is the case, they invite dermaplaning into their monthly beauty routine.

According to Reed, many of her patients like to book their appointments for a treatment every month.

It’s also important to note that there is no relationship between dermaplaning and dermabrasion. While the words may seem relatable, they are entirely two different procedures with a dermabrasion being defined more as a medical treatment.

Reed did admit to a myth about dermaplaning that she quickly debunked. While the stainless steel tool removes vellus hair, by no means does it trigger more aggressive regrowth with darker hair. Vellus hair is considered by medical aesthetic professional experts as superficial.

“I’m doing nothing to increase the rate of growth with dermaplaning. I’m just taking away the hair that will return to how it was originally in time,” she said.

Reed shared that the hair will not grow in thicker or darker. However, it will grow back.

A few times a year, Reed said, patients might like to incorporate a light chemical peel with the dermaplaning for optimal results. However, some patients may prefer just the dermaplaning.

Every patient is unique as are their skin care needs.

6Apr, 2016

Millennials Considering Botox

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Millennials Considering Botox

It seems that ever since the American Society of Plastic Surgeons released its impressive numbers regarding Botox recipients, various articles following the announcement have highlighted the procedure. While the majority views Botox as a procedure for those in their late thirties, forties, and fifties, it appears that millennials are considering and undergoing the injections.

However, their reasoning behind it is different among millennials. Yes, while ASPS reports that over 6.7 million treatments were performed in 2015, a percentage of those patients were those in their mid to late twenties. And that percentage appears to be increasing.

This raises the question if one in their twenties is too young for Botox? And that’s a reasonable query.

For the most part aesthetic nurses certified in delivering Botox, as well as plastic surgeons, look at this age range undergoing Botox treatments as preventative measures. So the delivery of Botox units will be lower, and the goal is to minimize wrinkles in the future. Some professionals agree that wrinkles along the forehead, in between the brows, and crow’s feet will be oppressed if the Botox delivery is done correctly and at a younger age.

While following the manufacturer’s directions is always the protocol, the individual performing the cosmetic injections must be skilled and medically trained in the anatomy of the face. As many know, Botox injections can be offered in an array of facilities, but the one which is highly recommended is in a medical setting.

While Botox is minimally invasive, it should not be overlooked that it is still a medical procedure. And viewing it as such will help ensure that individuals receive the right dosage amount and in the right area. Professionals agree that when someone in their younger years decides on a Botox regimen, if they receive too many units in various areas of the face, it may cause someone to appear older than they are in done incorrectly. The goal is to achieve a youthful and natural looking result, and the outcome should be a soft facial canvas.

For those in their twenties, utilizing Botox can help in their future anti-aging goals. It can be viewed as an excellent head start in stopping those wrinkles before they surface. And studies have been underway for a decade or more releasing promising results.

But as always, the recommendation is never to “overdo” the injections and to follow the “less is more” theory.

A slow, methodical delivery is what’s needed for people of all ages, including those in their twenties. When partnered with an aesthetic nurse or plastic surgeon, the anti-aging goal is to map out a regimen. For example, a patient may not need Botox every three months. Instead, they may respond well to only two to three treatments per year.

Moreover, this anti-aging partnership will not only work well with cosmetic injections for wrinkle protection but will also serve as a great skin care educational platform which will include in-depth knowledge about the following:

  • Sunscreen application and reapplication
  • At home skin care routines
  • Chemical peels

And more…

As with any medical procedure, do view Botox as a medical one and find the right doctor or aesthetic nurse who knows every layer of the facial anatomy so an outstanding aesthetic outcome can be achieved.

29Mar, 2016

Chemical Peels for Skin Rejuvenation

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Chemical Peels for Skin Rejuvenation

Implementing a skin care routine is imperative if one wants to maintain and promote healthy skin. While sunscreen is at the very top of the list, the application of Retinol is also on the aesthetic checklist. It should be noted that Retinol should be prescription strength based on percentages and issued by a healthcare professional. Based on one’s skin care needs, a professional will choose the right percentage for the patient.

With a skin care regimen in place, another treatment for consideration is a chemical peel. Once again, this treatment should be done in a medical facility performed by an aesthetic nurse.

Nicole Dowler, who is an aesthetic nurse who works with plastic surgeon Dr. Glynn Bolitho in La Jolla, is a major proponent of chemical peels.

“It’s really important to have cellular turnover with your skin,” she said, adding how a chemical peel can promote this.

Dowler also went on to say that if one is not exfoliating or doing peels on a regular basis, dead skin cells build up on the facial canvas and naturally slough off at a slower pace.

A routine exfoliation helps encourage cellular turnover and recommended at least twice a year.

However, each individual is unique with their skin care goals so an individual plan needs to be mapped out. If one is doing light chemical peels then they may be able to have a few or more per year. Again, it all depends on the patient.

According to Dowler, chemical peels can help with the following:

  • Diminish the appearance of wrinkles
  • Balance skin tone
  • Lessen the appearance of brown spots
  • Lessen the appearance of sun damage

“Each person is going to have an individualized treatment plan, and that’s the beauty of all these different options,” she said. “If somebody is not ready for cosmetic injections, they may opt to do a couple chemical peels.”

When Dowler consults with a new patient for the very first time, she assesses their skin for the most optimal peel. For example, if an individual has never had a chemical peel or has used Retinol, she will start the regimen with a really light peel.

For a more seasoned patient who has undergone previous peels and a daily use of Retinol, then pursuing a more potent chemical peel may be a consideration.

Dowler mentioned that some patients who may want to want a chemical peel the day of their consultation do need to be advised to stop their Retinol regimen 72 hours in advance especially if the percentage of Retinol being used is a higher percentage, such as 2 percent.

Dowler also noted how patients do need to be prepared for chemical peel aftercare in terms of what to expect.

“Right after a peel, your skin looks really great for about two to three days, and then it starts to peel. Peeling is a side effect and it may not affect everybody,” she said. “If someone doesn’t peel, it doesn’t mean that the peel’s not working – it’s just individualized.”

However, if one does experience peeling it will begin a few days after the peel and ends about a week later.

Dowler said on a personal level, it takes her up to two weeks for all the flakiness to disappear.

“If someone is doing a peel before a big event like a wedding, I recommend the treatment at least four to six weeks before,” she said.

22Mar, 2016

Americans increase the price tag of plastic surgery

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Americans increase the price tag of plastic surgery

Over the years, plastic surgery has been fueled by several factors, but the leading demand stems from individuals who want to look as good as they feel. With that being said, the American Society for Aesthetic Plastic Surgery (ASAPS) recently released some data indicating the amount of money that Americans spent on plastic surgery procedures in 2015 reached an unparalleled all-inclusive price tag: $13 million.

Since ASAPS released this information, a handful of articles have followed highlighting different portions of the study. The data was incredibly concise, revealing the top-tier body and facial rejuvenation procedures that both men and women seek; however, women comprised 90 percent of the procedures underwent in 2015.

In 2015, a total of female Americans had 11.5 million plastic surgery procedures. And men tallied 1.5 million procedures.

Plastic surgery has become an important part of American culture, not to mention around the globe. But here in the states, many have suspected that Corporate America has fueled the desire to seek facial rejuvenation. For many individuals who have worked so hard to achieve their career status, a number of them want to retain their position and not retire. A group in this category view plastic surgery as an asset toward their extended career investment.

In the Washington Times, Jennifer Harper wrote a follow-up piece to the ASAPS data. In her article was a statement by president of ASAPS, Dr. James C. Grotting.

“I personally believe the motivating factors for that are varied, but remaining competitive in the workforce is certainly a common factor. Youth is a commodity, and people are investing in themselves to maintain a younger, healthier appearance,” Dr. Grotting said.

While different age ranges were assessed, 40 percent of patients between the ages of 30 to 50 took part in cosmetic procedures. For women, the top procedure in 2015 was liposuction. Following close behind was breast augmentation, tummy tuck, breast lift and eyelid surgery.

The procedures men sought differed; however, their number one procedure was also liposuction. Next was nose reshaping surgery, eyelid surgery, male breast reduction and facelift.

Although not in the top five for women, buttock augmentation and buttock lifts increased quite quickly in numbers, as well. And the demand is increasing.

Harper wrote, “The surgeons note that fat transfer to the face – a new category – ‘instantly’ landed in the top-10 list, as did nonsurgical skin tightening, a procedure particularly popular among men.”

Fat transfer in the face can be considered by many as being done in lieu of fillers. As one ages, they begin to lose volume in their face, particularly around the nasolabial folds and cheek area. While fillers can last up to a year or more, some patients are welcoming a fat transfer. Fat is extracted from a person’s body and then utilized to add youthful fullness to facial features.

In the non-operative sector, Botox led the way at 4.2 million procedures last year. Fillers trailed close behind as did other minimally invasive procedures such as chemical peels.

Be it operative or non-operative procedures, plastic surgery is filling an aesthetic niche for people of all ages.

17Mar, 2016

Breast Revisionary Surgery Transforms and Corrects

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Breast Revisionary Surgery Transforms and Corrects

Breast surgery is a personal decision which should be made mindfully and thoughtfully. While moving forward with the best of intentions, sometimes a patient’s surgical outcome is not to her satisfaction. Be it a breast reduction, breast augmentation, or breast lift with augmentation, a situation may arise which triggers a patient to consider a revision.

There is an array of issues which may occur following the primary operation.

“There is one issue that we call symmastia in where the skin in between the breasts actually lifts off the sternum and can be challenging to correct,” said patient concierge Karen Martindale, who works alongside renowned plastic surgeon Dr. D. Glynn Bolitho. “And another issue a patient may experience is capsular contracture.”

Other matters patients experience may include symmetry challenges, downsizing or replacing breast implants, and more. Martindale explained that some patients after their childbearing years may have had implants to improve volume without a lift. Patients who want a revision in this case are generally not content with the descension.

Martindale explained that when a woman comes in for a consultation, it is most optimal if they have on hand their previous operative notes and what type of implants they currently have so the doctor can review the material.

“Following this, Dr. Bolitho will perform an examination and will be able to show patients a before-and-after gallery of those who underwent the same type of procedures with outstanding results.”

Martindale attributes Dr. Bolitho’s expertise from years of experience in performing breast reconstruction surgeries for women who had lost one or both breasts to cancer.

And each person is different in terms of how long they will wait until they seek a revision. In addition, they may undergo more than one revision.

“Some patients will travel long distances to find the right surgeon to help them with their issue. We’ve had patients in our practice who find Dr. Bolitho after undergoing several revisions,” she said.

According to Martindale, Dr. Bolitho has helped women achieve the aesthetic symmetry they desired, avoid another capsular contracture, and reverse a host of other issues.

“Many women we see in consultations are so close to taking out their implants completely due to the frustration levels,” she said. “I personally have a friend who had eight procedures before she came here to see Dr. Bolitho.”

Martindale shared how her friend was told by one surgeon that she had to have her implants removed because she was prone to capsular contracture. She would encapsulate weeks after surgery, and her implants would be hard again.

And then she went to Dr. Bolitho for a revision.

“My friend is so happy and there has been no evidence of a repeat capsular contracture,” she said.

Martindale’s friend is one of many patients who has sought Dr. Bolitho for help. Breast revisionary surgery can truly transform a woman’s desired aesthetics.

7Mar, 2016

ASPS Unveils Data

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ASPS Unveils Data

The American Society of Plastic Surgeons (ASPS) is an authority when it comes to collecting information from its elite circle of plastic surgeons so it can generate statistical data. Every year both medical professionals and laypeople are quite interested in the results for their own personal reasons.

For plastic surgeons, they can gauge trends as well as the changes in their own practice. And for non-medical individuals, they have the opportunity to see what is deemed “popular and trendy” in the world of plastic surgery.

According to the press release issued by ASPS, procedures have switched gears in relation to cosmetic procedures since the start of the millennium. And these procedures fall into the categories of operative and other treatments described as minimally-invasive.

The survey revealed a robust total of 15.9 million procedures in both categories. From the data collected in 2015, there was a 2 percent procedure spike in the United States.

In the press release, ASPS president David H. Song, MD, MBA, FACS provided his viewpoint.

“While more traditional facial procedures and breast augmentations are still among the most popular, we’re seeing much more diversity in the areas of the body patients are choosing to address,” he said. Dr. Song added, “Patients have more options than ever, and working closely with their surgeon, they’re able to focus on specific target areas of the body to achieve the look they desire.”

While the press release was indeed filled with statistics, on the other hand, it provided an educational outlet. Interestingly the organization pointed out how in the past “plastic surgery” used to be tantamount facelift procedures. Yes, while facial rejuvenation is still a sought after procedure among certain demographics, other aesthetic procedures have made their own significant mark included the following:

  • Brachioplasty (arm lift)
  • Mastopexy (breast lift)
  • Gluteal Augmentation (buttock lift)
  • Lower Body Lift

According to ASPS, they compared patient stats from 2000. The numbers of arm lifts increased 4,959 percent with 17,099 procedures performed in 2015. Breast lifts increased 89 percent with 99,614 procedures performed in 2015, buttock lifts increased 252 percent with 4,767 procedures performed in 2015, and lower body lifts increased 3,973 percent with 8,431 procedures performed in 2015.

In 2015, the top surgical procedures in the lead were breast augmentation, liposuction, rhinoplasty, eyelid surgery and tummy tucks.

In the minimally-invasive category, it’s not surprising to discover that Botox was at the top of the list with 6.7 million treatments performed in 2015. The other procedures that followed were fillers, chemical peels, laser hair removal, and microdermabrasion.

Dr. Song made another critical statement regarding minimally-invasive procedures.

“The number of available providers, lower costs and the less-invasive nature of these procedures obviously appeal to a much broader range of patients,” said Dr. Song. “However, we urge anyone who is considering a minimally-invasive procedure to consult with a board-certified, ASPS-member surgeon.”

While these procedures are not deemed surgical, they are still considered medical procedures and should be carried out in a medical setting.

Like all ASPS members, Dr. Song encouraged patients to seek only the most “qualified and highly trained” medical professionals for these procedures. And of course, this holds true for all plastic surgeries.

As many begin to digest the newest data from ASPS, it will be interesting to see what 2016 brings.

3Mar, 2016

Spring Into Beautiful Skin

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Spring Into Beautiful Skin

Let our aesthetic nurses, Nicole and Elizabeth, put the “Spring back in your skin,” for the entire month of March. Celebrate a flawless springtime facial canvas at our new aesthetic department nestled inside our consultation suite.

Leading the way toward spring fresh skin is our SkinMedica Chemical Peels. Receive a series package of 3 peels for only $285 which is regularly prices at $585. It’s our special gift to you.

During your tailored 30-45 minute session with Nicole or Elizabeth, they will evaluate your skin and select the right chemical peel for your specific needs. A leader in skin care, SkinMedica peels rejuvenates premature skin aging in the following ways:

  • Minimizes the appearance of fine lines
  • Helps restore uneven skin texture
  • Diminishes the appearance of age spots
  • Renews acne-prone skin

And more….

And to keep the springtime momentum moving forward, there’s another special bonus gift. The first 25 patients who book their appointment will receive $50 off their next Botox treatment (offer expires on March 31, 2016).

We look forward to helping you get your skin “springtime ready.”

Call (858) 458-5100 or email us at to book your special aesthetic appointment.

27Feb, 2016

New Consulting Suite Increases Service

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New Consulting Suite Increases Service

The Clifton Room offers patient care in a warm setting.

Recently Dr. D. Glynn Bolitho opened his new consulting suite adjacent to his operating suite. The new addition truly exceeds the expectations of his patients in an effort to ensure that each individual receives genuine care and comfort. This has always been the cornerstone of this compassionate practice.

Tucked away in the new consulting suite is the Clifton Room. The finest of patient care begins here in a warm setting, punctuated with a memorable ambience. The room exudes comfort allowing a patient the time they need to chat with their patient concierge, Karen Martindale, and ultimately their plastic surgeon, Dr. Bolitho.

Before visiting with this dynamic duo, patients can enjoy the privacy of this sitting room while being afforded the opportunity to view the “before and after” photo gallery on a flat screen television.

In many respects, the Clifton Room satisfies the unexpressed personalized desires of their patients, and the move into a larger suite made the Clifton Room possible.

The visionary behind the Clifton Room was Karen Martindale.

“Having been in the field of plastic surgery for the past 30 years, it was my dream to do something special like this for our patients,” she said. “While working at different practices over the decades, I have met with thousands of patients. Firsthand, I noticed the anticipation one feels when they are about to meet with a plastic surgeon.”

Martindale added how disrobing for a potential body contouring procedure may sometimes elevate this anticipation. And at many plastic surgery centers, patients are automatically escorted into an examining room which can be stressful.

“We wanted to take that anxious feeling away and instead create an atmosphere where the patient has the opportunity to get to know us before going into the examining room. We wanted to create a living room environment where one could sit down, relax, and be greeted in a proper fashion,” Martindale said.

And in this setting, one can unveil their aesthetic desires in the most comfortable way possible.

In many respects, the Clifton Room allows patients the ample time they need to spend with Dr. Bolitho and his medical team. Even with a demanding practice, Dr. Bolitho welcomed this new opportunity making certain his patients were indeed receiving the attention they deserved.

“Dr. Bolitho is not the type of doctor that only spends 15 minutes with a new patient,” Martindale said. “Dr. Bolitho’s different in that he really likes to visit with his patients. It’s something that he enjoys.”

Martindale also shared that since the Clifton Room was created, the patient flow at the practice is notably smoother. Following their visit, Martindale then escorts them to the consultation exam room.

However, the most wonderful part of the Clifton Room has been the client feedback. Many patients agree that they have never experienced a room such as this before in a doctor’s office.

“I’ve been personally told by patients how quickly they are put at ease and don’t feel as anxious as they once thought they would be,” she said.

And that was the mission all along: enhanced patient care, memorable comfort, and a polished ambience.