Bolitho MD

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

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19Jan, 2017

Plastic Surgery Consultation: Plan Ahead

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Plastic Surgery Consultation: Plan Ahead

For some individuals, a new year means new possibilities. One pathway of possibilities may be aesthetics by way of plastic surgery. When one has located a board-certified plastic surgeon, the next step is scheduling a plastic surgery consultation.

It’s completely normal for a patient to feel a blend of excitement and nervousness at this appointment. Nevertheless, there are some things that a patient can do ahead of time to make the most of their consultation.

Karen Martindale is a patient concierge for San Diego plastic surgeon Dr. D. Glynn Bolitho. Dedicating more than 25 years in the cosmetic surgery industry, Ms. Martindale brings a wealth of knowledge to patients preparing for a consultation.

Ms. Martindale’s sage advice is to plan ahead.

Top plastic surgeons like Dr. Bolitho are going to be booked about four to six weeks in advance. So most of the time, a patient will not be able to walk in and request surgery the very next week,” Ms. Martindale said. “With that said, it’s never too soon to come in for a consultation.”

According to Ms. Martindale, some patients who want to learn more about liposuction or tummy tuck may think that they need to be at their ideal weight before their consultation. Ms. Martindale shared that potential patients do not need to wait.

“It’s always a great idea to come in for your consultation three or four months ahead of time so future plans can be made. Even though you may not be at your ideal weight, coming in and having your consultation is a great start,” Ms. Martindale said. “Many patients have also explained how the consultation served as a great incentive to help them achieve their weight loss goal.”

In other instances, achieving a certain weight loss for a particular procedure may not be necessary. Ms. Martindale shared an example such as for those wanting a neck lift or surgical facial rejuvenation procedure.

“If you’re within 10 to 15 pounds of your ideal weight, having a facelift may not make that much difference,” Ms. Martindale said.

Planning ahead is also needed if one is smoking traditional cigarettes or inhaling e-liquid nicotine while vaping.  Ms. Martindale wants potential patients to know that they need to stop smoking four weeks before and after surgery. And on a side note, Ms. Martindale happily reported how many of their patients never returned to their cigarette use.

Writing down questions ahead of time was also mentioned by Ms. Martindale.

“These questions can vary, but generally they range from recovery, when they can resume their exercise routines, and when they can fly,” she said.

For marathon runners readying for a future event, planning ahead on the opportune timeframe for surgery is important to address.

“Busy moms also need to coordinate their surgery time with their children’s schedules and possible childcare assistance,” Ms. Martindale said. “Another thing a patient will want to inquire is if their plastic surgeon will be out of town during the time they are interested in having surgery.”

In many respects, a plastic surgery consultation can help turn a possibility into a reality.

13Jan, 2017

Breast reduction recovery expectations

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Breast reduction recovery expectations

When women decide to undergo a breast reduction, more times than not, they have done their due diligence about the procedure. Even prior to their consultation with a board-certified plastic surgeon that specializes in breast surgery, they have put a great deal of consideration and thought into the procedure.

While this surgical decision is a personal one, women who choose to embark on this procedure do so for a variety of reasons. However, the one goal most agree upon is decreasing the size and weight of their naturally large size so they can achieve the following:

  • More balanced proportions
  • Lessen discomfort such as neck, shoulder, and back pain
  • Improve symmetry
  • Achieve aesthetic goals

A breast reduction surgery involves the removal of redundant skin, excess tissue, and fat. Also patient dependent is the repositioning of the nipple-areola complex to a more youthful position.

Typically done under general anesthesia, a breast reduction procedure is performed as an outpatient surgery. While most patients return home the very same day of their surgery, in some instances, it may be recommended for others to stay overnight at the hospital for extensive reductions or a medical condition that may need monitoring following surgery.

While patients will be mobile the same day of their surgery, it’s highly advised that they have assistance for the first 24 to 48 hours following their procedure. They may also need someone on hand to help them dress or assist them in caring for younger children for a few days.

Patients who have a desk job can expect to return to work in about a week whereas someone with more laborious responsibilities such as nursing may require a couple of weeks.

A breast reduction surgery is considered a common procedure, and patients are generally quite happy with their surgical outcome. It renews a person’s comfort level be it aesthetically or even physically.

Another postoperative guideline is to avoid heavy lifting which includes not taking on more than 10 pounds within the first couple of weeks. Aside from walking, most patients are required to wait four to six weeks before returning back to their normal exercise regimen. Between this time-frame, patients can gradually increase their activity levels. At six weeks following a breast reduction surgery, patients generally return back to their full and normal activities.

It’s important to stop a specific movement if there is any discomfort and relay this to your plastic surgeon. Following postoperative guidelines and having clear communication with a patient’s plastic surgeon is extremely advantageous.

While swelling generally decreases a couple weeks following surgery, it completely recedes in about two to three months. This is when a patient is able to visibly notice the final results of their procedure.

6Jan, 2017

A New Year of Youthful Possibilities

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A New Year of Youthful Possibilities

A new year is upon us and filled with possibilities. As many welcome 2017, some have undoubtedly either physically or mentally jotted down their goals for the new year. While a popular resolution is becoming healthier by way of diet and exercise, many are realizing how this is transcending to skin care health goals as well.

Here is a springboard of ideas for more luminous and younger looking skin in 2017.

It’s A Partnership

The first step in achieving skin care goals is teaming up with the right medical professional.  A partnership with a board-certified plastic surgeon or their aesthetic nurse specialist is an essential component for a variety of reasons. Not only will they be on the cutting-edge of new technologies, but they are incredibly adept and trained in the facial anatomy.

Ongoing education for these medical professionals is also at the forefront.

Patients can have peace of mind knowing that these experts will deliver cosmetic injections such as Botox, Kybella, or Juvederm, as intended with natural-looking results.

Patients will also be afforded with pharmaceutical grade skincare products which deliver results as well as top solar protection via sunscreen.

Laser Treatments

Teaming up with a plastic surgery office also means having access to top treatment such as Smart Xide Dot Laser. This type of laser procedure is considered by many to be in the lead since it offers optimal facial rejuvenation with a short recovery timeframe, typically lasting five days.

Top plastic surgeons seek lasers which have similar results to CO2 lasers but with less downtime. Lasers such as Smart Xide Dot Laser, which lasts about an hour, can promote a youthful canvas by the following:

  • Significantly reducing wrinkles
  • Removing pigmentation challenges
  • Stimulating new collagen
  • Eliminating sun damage

In the world of aesthetics, laser treatments can now be customized for a patient’s wishes and needs for their rejuvenation goals.

Endless Possibilities

The skin care treatments that patients are afforded at a plastic surgeon’s office are vast. While there is a variety to choose from, a consultation with either a plastic surgeon or their aesthetic nurse specialist is the first exciting step.

As briefly mentioned, these medical professionals realize that everyone has their own unique facial rejuvenation goals. With that in mind, each patient pathway must be tailored to ensure that these goals are met.

While cosmetic injections have proven to be excellent in terms of rejuvenation, the concept of skin rejuvenation must also be addressed to achieve youthful luminosity.  The types of nonsurgical treatments available to patients include the following:

When under the care of a plastic surgeon or aesthetic nurse specialist, patients feel assured that their skin care goals will be monitored on a regular basis as well as making certain that the right skin care products are being used at home.

After all, achieving gorgeous skin takes teamwork.

 

 

 

1Jan, 2017

New Year. New You.

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San Diego  plastic surgeon, Dr. D. Glynn Bolitho, recently announced his New Year “Smart Xide Dot Laser” treatment special for the entire month of January in 2017. Regularly priced at $3,200, patients can unleash younger looking skin for $2,500. This special ends on January 31, 2017. Please click on the below video to learn more.

29Dec, 2016

Following through with Kybella treatments

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Following through with Kybella treatments

A cosmetic injection by the name of Kybella has made an impressive entrance into the world of aesthetics. This new nonsurgical treatment, which is considered minimally invasive, addresses submental fullness with minimal downtime. For the right candidate, Kybella can very well be their solution to eliminating the appearance of their double chin.

Kybella is performed in a series and delivered by either a plastic surgeon or their aesthetic nurse specialist. A series may range anywhere from two to five visits and are based on the patient’s aesthetic goals. According to medical professionals, the amount of visits are patient dependent and do vary.

Fifty-year-old Christina G., is one patient who is currently undergoing a series at the San Diego plastic surgery offices of Dr. D. Glynn Bolitho with his aesthetic nurse specialist, Elizabeth Reed. She was candid about her hesitation to follow through with her second visit because her results were excellent after the first series.

“I obviously didn’t know what to expect after my first Kybella treatment. I did have fullness which was visible the first few days, and then it receded about a week or so later,” she said. “My second series was scheduled seven weeks out, and I could not believe the dramatic improvement after six weeks. It was incredible. So much in fact, that I questioned whether or not I should go.”

The thoughts that Christina G. had were quite normal. Many patients do notice a visual improvement after their first session and contemplate going to their next visit.

“I ended up going because I trust Elizabeth, and she knows better than I do how the treatment works. Elizabeth was thrilled with my results, too but believed that a second series was important so I followed through with it,” she said. “And I’m so glad I did. Now, I’m six out since my last treatment and my results from this round are better than after my first series. Quite honestly, I didn’t think it could get any better.”

The active ingredient in Kybella is deoxycholic acid. A natural occurring molecule in the body, deoxycholic acid permanently dissolves fat thereby creating new chin definition. Many patients have welcomed a nonsurgical solution to address their submental fullness, including Christina G., after her 30-pound weight loss. Despite diet and exercise, her double chin remained. Now, with the help of Kybella, it’s gone.

“So now I need to book my third appointment with Elizabeth. I have no idea if I will need a final series for a touchup, but I’ll know soon enough,” Christina said. “My best advice for those having a Kybella treatment is to stick with it. Even though you’re tempted not to go to your next visit, just go because more improvement is on the way.”

21Dec, 2016

Plastic surgeons recommend cessation of e-cigs prior to surgery

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Plastic surgeons recommend cessation of e-cigs prior to surgery

In a recent December publication of United Press International, Health Day News reported how two plastic surgeons stated in the Plastic and Reconstructive Surgery December issue how stopping the use of e-cigarettes prior to surgery was highly advised. The doctors highlighted in the piece included Dr. Alan Matarasso of Albert Einstein College of Medicine and Dr. Peter Taub of Mount Sinai Medical Center.

According to Health Day News, the doctors stated, “Based on our current best knowledge, it seems reasonable to advise plastic surgery candidates to cease e-cigarette use,” they said. The doctors continued, “Refraining from [e-cigarette] use four weeks before surgery is a prudent course of action, despite the fact that it has yet to be determined if the effects are similar to traditional cigarettes.”

While the health impacts of “nicotine vapor” continue to be researched, it appears the reason for this medical recommendation underscores patient care. The doctors referred to a study which revealed how stopping traditional smoking three to four weeks prior to a procedure could significantly decrease the risk of postoperative complications.

Blood flow and blood supply is essential following plastic surgery procedures, such as breast surgeries and abdominoplasties. Tissue healing following surgery requires this blood flow.

Erring on the side of caution, it’s believed that e-cigarette users should follow the same protocol as those who use traditional tobacco products. The reason behind this cautionary advice stems from the fact that the side effect of nicotine is best described as a vasoconstrictor.

According to the American College of Surgeons, traditional cigarette smoking does increase complications both during and following surgery. It’s their estimation that following the “no smoking rule” a few weeks prior and after surgery lessens the risk of wound healing by nearly half.

Many plastic surgeons also encompass the cessation of nicotine patches and gum in this medical protocol.

In addition to nicotine, carbon monoxide is also another concern.

While carbon monoxide withdraws oxygen away from the tissue area, as mentioned earlier, nicotine constricts blood vessels which deliver oxygen and nutrients to tissues. Again, this blood flow is vital to the healing process.

If the percentages in oxygen and nutrients drop during the recovery process, there is a risk factor following surgery in areas such as infection, increased chance of scarring, and additional complications.

While some plastic surgeons follow a smoking cessation of four weeks prior and after surgery, others have a more conservative approach of six weeks. A large gap of time is highly recommended and encouraged.

During a patient’s consultation with their plastic surgeon, it’s imperative to be candid regarding any smoking history. And this includes vaping. A surgeon’s top priority is the care of his/her patients and making certain, as a doctor-patient team moving forward, all can be done for an outstanding surgical outcome.

14Dec, 2016

San Diego Plastic Surgeon Introduces Smart Xide Dot Laser

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San Diego Plastic Surgeon Introduces Smart Xide Dot Laser

Dr. D. Glynn Bolitho, a board-certified plastic surgeon in San Diego, has added an advanced fractional CO2 technology to his menu of services at his private practice located at the Scripps Memorial Hospital La Jolla Campus.

Smart Xide Dot Laser offers leading results for facial rejuvenation with minimal recovery, usually lasting five days.

Results from Smart Xide Dot Laser are similar to CO2 lasers but with one-third of the downtime. In one hour, patients can erase 10 years from their facial canvas including:

  • Significantly reducing wrinkles
  • Eliminating pigmentation challenges
  • Stimulating new collagen
  • Reversing sun damage

From December 10, 2016 to January 31, 2017, Dr. Bolitho is offering a Smart Xide Dot Laser holiday introductory special of $2,500 (regularly priced at $3,200 per treatment).

Dr. Bolitho or his aesthetic nurse specialist, Elizabeth Reed, will customize a treatment for each patient’s specific aesthetic needs.

While under anesthesia, Dr. Bolitho’s patients have the opportunity to add a Smart Xide Dot Laser treatment to their surgical rejuvenation procedure. For those not undergoing surgery, they can have their treatment with Elizabeth who will apply a topical numbing agent before the procedure begins.

DOT Therapy has revolutionized CO2 laser resurfacing treatments. It paves the way towards rejuvenation in about an hour as thousands of tiny microscopic facial skin perforations leave the immediate surrounding skin intact for faster healing. This sought after laser treatment was intended for the body to naturally stimulate new collagen during the healing process from these perforations, unleashing more youthful looking skin.

Dr. Bolitho is delighted about the addition of the Smart Xide Dot Laser treatment to his practice due to its higher precision and power, thereby creating exceptional results for his patients. This advanced fractional CO2 technology renews the skin for youthful and natural looking results.

To learn more about the Smart Xide Dot Laser treatment and how it unveils a more youthful appearance, please contact Dr. Bolitho’s office at 858-458-5100 or email them at info@bolithomd.com to schedule a consultation.

 

About D. Glynn Bolitho, MD, PhD, FACS, FRCSC, FCS (SA)

San Diego Plastic Surgeon, Dr. D. Glynn Bolitho, is serving his second consecutive term as Chief of Plastic Surgery at Scripps Memorial Hospital, La Jolla. He is quadrupled certified in the United States of America, Canada, Great Britain, and South Africa.

In 2014, 2015, and 2016, Dr. Bolitho was selected into the esteemed Castle Connolly Top Doctor List. Additionally, Dr. Bolitho was voted by his peers and chosen as “Top Doctor” by the San Diego County Medical Society in 2012, 2013, 2014, and 2015. This was announced in San Diego Magazine’s annual special edition.

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 also fulfills a non-salaried appointment as Associate Professor of Plastic Surgery at the University of California, San Diego.

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.

Adjacent to Dr. Bolitho’s medical practice located at the Scripps Memorial Hospital La Jolla campus is his private operating suite, accredited by the American Association for Accreditation of Ambulatory Surgery Facilities. In addition to state-of-the-art surgical procedures, Dr. Bolitho’s office is committed to providing a range of non-operative facial rejuvenation services such as cosmetic injections and skin resurfacing treatments.

12Dec, 2016

Dr. Glynn Bolitho Introduces Smart Xide Dot Laser

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San Diego  plastic surgeon, Dr. D. Glynn Bolitho, recently announced the introduction of Smart Xide Dot Laser treatment to his practice. Don’t wait for younger looking skin when you can treat yourself with Dot Therapy’s Microscopic Laser Dots. Dr. Bolitho is introducing a holiday special for $2,500 (regularly priced at $3,2000) which ends on January 31, 2017. Please click on the below video to learn more.

 

8Dec, 2016

Patient Describes Volbella as Top Pick

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Patient Describes Volbella as Top Pick

This year Christina G. made a commitment to take care of her skin with the help of our aesthetic nurse specialist, Elizabeth. While implementing a day and evening regimen with SkinMedica, she has also undergone various treatments such as Botox, Voluma, chemical peels, and dermaplaning.

One of her most recent visits with Elizabeth was to try the newest cosmetic injection created by Allergan called Juvederm Volbella. The aesthetic goal of Volbella is to create subtle lip fullness while decreasing the appearance of vertical lines which are caused by age and sun overexposure.

A few weeks ago, Christina, 50, decided to give Juvederm Volbella a try.

What made you decide to schedule a Volbella treatment?

I have been under the care of Elizabeth for about a year now. She mentioned this new cosmetic injection called Volbella and how I might be a great candidate. Elizabeth shared how their patient coordinator, Karen, had it done and recommended I see her to learn of her experience. Karen raved about it and was really happy with the results. I did my own research when I got home on RealSelf, liked what I discovered, and decided to schedule an appointment.

What aesthetic changes did you want from your Volbella treatment?

I definitely wanted fuller lips but nothing that looked too overdone. I was searching for something more natural looking. I also had these vertical lines on my lower and top lips and hoped that could be resolved, too.

Did you find the Volbella treatment results satisfactory?

I absolutely did. The fullness was the perfect amount, and I also noticed a very subtle pout. The added fullness also made most of my vertical lines disappear. This treatment really rejuvenated my lip area, particularly the top portion, Cupid ’s bow. I am very happy with the results.

Were the injections painful?

I really experienced minimal discomfort. Elizabeth first applied a topical numbing agent to my lips and let it sit for about 25 minutes or so. Following this, she began the injection series which outlined the bottom and lower portion of my lips. The only area I felt a couple of the injections were the middle-top portion of my lips. Aside from this area, I barely felt a thing. Elizabeth also explained how Volbella had lidocaine in its ingredients which helped ease any discomfort.

How long did it take and what happened afterwards?

After the numbing agent, the actual injection series took about 15 minutes. After the injections, Elizabeth had me stay for about 10 minutes to apply ice packs. She also gave me an ice pack for the drive home. I continued the icing “on and off” into the evening hours.

Did you have any bruising or swelling?

I did not have any bruising, but I did have a little swelling which lasted a couple days. I met with people I already knew the very next day, and they didn’t even notice it. I really believe the icing helped considerably.

Would you recommend Volbella to others?

I absolutely will and already have. While it’s a great product, you need someone like Elizabeth or Dr. Bolitho do the injections so you receive the very best results.

 

 

 

29Nov, 2016

Facial rejuvenation for the holiday season

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Facial rejuvenation for the holiday season

As 2016 comes to an end, an array of festivities will be in full swing. In the weeks ahead, holiday parties, family gatherings, and other celebrations will fill the calendar. With these social engagements some may wonder what facial rejuvenation treatments are doable during this time-frame — meaning, facial rejuvenation with little to no downtime. This is important because this is the hustle and bustle time of the year.

The good news is there is a roster of treatments which fit into this category.

Cosmetic Injections

While cosmetic injections are minimally invasive, treatments should be performed in a medical setting by a healthcare professional adept in facial anatomy such as a plastic surgeon or their aesthetic nurse specialist. Depending on the treatment chosen, results can be immediate such as a filler or appear days after the injection series such as Botox.

As one ages, they tend to lose volume around certain areas of their facial canvas such as their cheekbones. Created by Allergan, JUVÉDERM® Voluma™ is a cosmetic injectable gel which can help restore this volume in a subtle and natural-looking way. An injection series in the deep subcutaneous and/or supraperiosteal region provides cheek augmentation to the mid-portion of the face and Voluma patients note that their results can last up to two years.

Also by Allergan is JUVÉDERM®, another hyaluronic acid cosmetic injectable gel, which is a leading choice to lessen the appearance of nasolabial folds and marionette lines.

Quite new to the aesthetic world of cosmetic injections is JUVÉDERM VOLBELLA® XC. This injection series specifically targets lip rejuvenation by adding subtle volume and lessens the appearance of vertical lines that occurs with age due to repeated muscle movement and solar exposure. Volbella which promotes both a youthful and subtle fullness offers results for up to a year.

One of the most popular cosmetic injections is Allergan’s Botox — another excellent choice for facial rejuvenation by minimizing the signs of aging in the following areas:

  • Horizontal forehead lines and wrinkles
  • Frown lines and wrinkles
  • Squint lines such as crow’s feet

As previously mentioned, it’s highly recommended to see a medical professional for these injections series. During a consultation, they will give their own recommendation after hearing the aesthetic wishes of their patients. The goal of all these injections is to have patients look refreshed with natural-looking results.

Skin Resurfacing

Chemical peels do a fine job in resurfacing the skin in terms of minimizing lines, diminishing age spots, and evening out skin tone. A chemical peel is a good choice if one is not attending an event for about 10 days. However, if this is not the case, another option is to schedule a Break Time Peel.

A Break Time Peel is a combination of dermplaning and a light chemical peel. Dermaplaning removes vellus hair and dead skin cells via a stainless steel tool and prepares the skin for the upcoming peel. Results from a Break Time Peel include the following:

  • Smoother skin texture
  • Improved skin tone
  • Produces and promotes collagen

In less than an hour, patients can return back to their day.

During this very busy time of the year, there is indeed an array of facial rejuvenation choices.