Don’t Toss Away The Sunscreen


Just because the Labor Day Holiday has come and gone, doesn’t mean it’s time to toss away the sunscreen.

Sun overexposure and burns happen even after Labor Day.

The reality is the sun doesn’t care if it’s hot outside or even overcast. It will expose you to its rays each and every day.

Sunscreen isn’t just for the beach or poolside.

Apply it when walking your dog, taking a swing out on the golf course, and really, anytime you are outdoors.

If you find that your outdoor time has decreased following summer, then consider wearing a tinted moisturizer. A top-tier product can offer anti-aging benefits in terms of hydration, coverage, and a sun protection factor of 40 or more.

And let’s not forget how the sun’s UVA rays can seep through a car, office or home windows, too.

Although we’ve been through it before, here is a breakdown between UVA and UVB rays and the need to wear a broad spectrum sunscreen when outdoors every single day of the year.

• UVB is known by healthcare professionals to be the ray which causes sunburns
• UVB rays are the primary cause of skin damage
• UVB rays are the leading cause of skin cancer

• UVA rays intensely penetrate the skin
• UVA causes skin damage such as wrinkles, age spots, loss of elasticity, and breakdown in collagen.
• UVA causes skin cancer

Once again, make certain that a sunscreen is listed as broad spectrum for full UVA and UVB protection.

Some other great solar protection tips include:

• Apply more broad spectrum sunscreen to sun spots and freckles
• Be watchful of any unusual moles or growths on the body, especially if you suffered from summer sunburns as a child.
• Get annual skin checkups with a dermatologist or board certified plastic surgeon
• Be extra wary with additional sunscreen going outdoors between 11 am and 3 pm when the sun is most powerful

Just think, now that you had such great practice being sunscreen diligent during the summer months, you’ll be ready for this regimen all year round.

And remember, put more on than you think you need – because so many of us use too little of it.

Labor Day Weekend Packing List

FreeDigitalPhotos by Sura Nualpradid
FreeDigitalPhotos by Sura Nualpradid

Labor Day weekend is right around the corner.  Where did the summer go?

Before packing the suitcase, don’t forget grabbing the essential products for taking care of those skin needs. So many times, people dismiss this, and then regret it at their destination, because their skin feels so dry.

Also think of it as a jumpstart to your post-summer skin recovery time.  That’s around the corner, too.

Here is a check-off list:

Anti-Skin Care Regimen: Don’t forget the gentle cleanser, moisturizer, and any serums you apply at nighttime.

Body Care: At the end of summer, skin is craving for moisture so don’t forget the body lotion. If lotion is not hydrating enough, then look into body butter for an extra boost of hydration.

SPF Tinted Moisturizer or Sunscreen: While outdoors, apply that tinted moisturizer and/or sunscreen often to keep the harmful rays off the skin.

Body Sunscreen: Apply a broad spectrum sunscreen of SPF 30 or higher often and don’t forget the tops of hands, tops of feet, back of neck, and ears. After water sports, reapply.

Outdoor accessories: When outdoors, don’t forget a brimmed hat and sunglasses.

Shade: Be it an umbrella or canopy, give skin a break. Remember, though, not all shade is equal – some offers more protection than others. If outdoors, be sure that the shade offers protection against UVB rays. To be certain, apply a broad spectrum sunscreen.

Wherever the Labor Day Holiday takes everyone, be sure to stay both “safe” and “skin safe.”

End of summer skin repair

Photo ASTA
With the end of summer nearing, it’s the opportune time to undergo some facial rejuvenation and repair in preparation for the fall months.

Here are some quick tips to help restore your skin for a more luminous glow.

Chemical Peels:

A series of chemical peels can do wonders for the skin. But it’s important to note that not all chemical peels are the same. We recommend Environ’s Cool Resurfacing System at the end of summer.

A series of this non-invasive and painless peel can help with the following:

  • Lessen the appearance of fine lines and wrinkles
  • Fade age spots and freckles
  • Smooth out skin texture
  • Promote the production of collagen

Retin A®:

While so many skin care products on the market have Retin-A® in its ingredients, the goal is finding prescription strength Retin-A®. This derivative of Vitamin A has been known to help people achieve more youthful skin.

When prescribed by a doctor, it aids in reversing sun damage and encouraging collagen.

We partner with our patients to determine what prescription strength will meet their aesthetic goals.

Retin-A® offers the following skin benefits:

  • Lessens fine lines and wrinkles
  • Fades age spots and evens out skin tone
  • Improves skin texture


Anti-Aging Skin Care Routine:

Implementing and dedicating yourself to an anti-aging skin routine is extremely important to reach those youthful skin care milestones.

Dr. Bolitho’s office has an elite inventory of skin care lines which can help lessen the appearance of pigmentation issues, uneven skin tone, pore size, and fine lines. These skin care lines will also help hydrate the skin for a more luminous glow.


Last Post Summer Skin Care Tip:

Just because summer is ending, it doesn’t mean to discontinue sunscreen. We need solar protection year round, including on overcast days. Overexposure to the sun is the number one reason for premature aging, as well as skin cancer.

A study on aesthetic injectable procedures

Google Images
Google Images

Recently, there was a study on cosmetic injections. And it wasn’t about what injection was better than the other.

The title of the study says it all. Published in the journal of ISAPS Aesthetic Plastic Surgery, the report is entitled, Plastic surgeons or nurses: Who are the better injectors?

The report reads, “In recent years, minimally invasive aesthetic injectable procedures have grown in popularity as more and more men and women are seeking age-defying treatments. As Botulinum toxin — generally known as BOTOX® — use has increased, a growing number of non-aesthetic health professionals have emerged to perform procedures utilizing this and other injectables. According to a survey, plastic surgeons consider themselves the most capable injectors.”

Championing the study was Kevin Small, MD and Henry M. Spinelli, MD from the Division of Plastic Surgery Presbyterian Hospital in New York and Kathleen M. Kelly, MD from Columbia University in New York.

They and their teams performed the assessment and capabilities of those doing the injections.

The report went on to say, “Since studies have shown that patients identify training as the most important factor when considering these procedures, this study seeks to summarize the perspective of plastic surgeons regarding these paradigm shifts.”

Part of the study included an online survey. In 2013, during the summer months, more than 26,000 cosmetic surgeons received the survey.

A total of six questions helped determine the capabilities of those in the health and wellness field to administer fillers, Botox® and vaccines.

These healthcare practitioners included:

  • Plastic surgeons
  • Dermatologists
  • Dentists
  • Gynecologists
  • Nurses in the field of plastic surgery or dermatology
  • And nurses in fields outside of plastic surgery or dermatology

The report concluded, “Based on responses from over 880 plastic surgeons from around the world, plastic surgeons consider themselves and dermatologists the most capable injectors. However, they still believe nurses in other fields to be the most capable of administering vaccines.”

One of the head investigators of the study, Dr. Henry Spinelli shared his own thoughts on the findings. He added, “Since most of the growth in the field of cosmetic injectables is being driven by providers other than plastic surgeons and dermatologists, it appears that further clarification of training requirements and practice guidelines is necessary to ensure a consistent, reproducible, and safe experience for the patient.”

Researchers and administrators also hoped their findings would generate more discussion and investigation into injectable providers and perhaps reevaluate those standards.


What to expect from breast implant removal

FDP by Adamr
FDP by Adamr

Just like breast augmentation surgery is a personal decision every woman makes for herself, so is having her implants removed if she changes her mind even years after the surgery.

When performed by a San Diego board certified plastic surgeon, the removal of breast implants is generally safe and effective.

Women have given so much thought to this procedure before undergoing it.

Because of this, they are invariably quite happy with the results and the benefits they had hoped for.

Those who decide to get their implants removed do so for a variety of reasons.

They may include:

  • Weight gain
  • Discomfort
  • No longer wanted or desired

The most common question women ask when considering implant explantation is how they will look afterward. Many women are concerned with excess skin which may follow postoperatively.

There a variety of factors for this answer.

Ultimately, it’s relative based on the volume contribution of the implant to the breast.

More simply put, any extent of sagging is dependent on how much breast tissue a woman has. One contributing factor of excess skin includes the size of the implant. The larger the implant, the more likely the breast tissue has stretched.

Other redundant skin issues may be the result of significant weight loss and childbirth.

During a consultation with a board certified plastic surgeon, they will be able to determine whether or not a breast lift, to remove the excess skin, will be recommended following removal of the implants.

Here are two patient examples.

Let’s say three months ago a woman had breast augmentation surgery, changing her bra size from a C to a D cup, and now wants the implants removed. More than likely she would not need a breast lift to remove excess skin.

However, a breast lift surgery, medically known as a mastopexy, may very well be needed in this next scenario.

Thirteen years ago, a patient underwent breast augmentation going from a B to D cup. Since that time, she gave birth to two children, breast fed them, and her weight has naturally fluctuated over the years.

Implant removal from this patient would more than likely result in a breast lift in order to rejuvenate her appearance.

As mentioned earlier, a board certified surgeon will help guide a patient in her wishes for implant removal, which may also include a breast lift procedure for the most optimal aesthetic outcome.

It’s also recommended to see a surgeon’s photo gallery of implant removal procedures they have performed to give women a better visual picture.

Patient Testimonials

vivid_flowers-wideWe are so thankful for the time our patients give us testimonials.

It’s thanks enough they entrusted us to care for them and even more special when they put it into words for us.

And most of all, thank you for allowing us to share your comments.

“Excellent care from the very first appointment.  Dr. Bolitho listened to me, talked to me, and never rushed me.  Dr. Bolitho and his team were professional and caring. Thank you!” – Shelly, breast lift with implant

“I was very nervous about having surgery.  Dr. Bolitho explained everything in detail and he followed-up with a call after surgery. Kandie was fantastic to get my surgery done quickly.  Everyone was very caring and helpful.  A good experience and love the outcome.” – Holly, cosmetic ear surgery

“If I had known what a positive experience this would be to remove my implants, I would have removed them years ago.” – Laura, removal of implants with breast lift

“After 30 years of continual problems with breast implants and multiple surgeries with multiple surgeons, I finally have breasts that I love.  Thank you so much!” – Barbara, breast revision

“Everything about my experience was excellent.  Dr. Bolitho and his staff are professional, caring and attentive.  I will recommend you all wholeheartedly!  Thank you!” Cheryl, breast augmentation

“After having a breast reduction, I was self-conscious about the scars and size.  Dr. Bolitho fixed them beautifully and now I feel amazing!” – Kris, breast augmentation with scar revision





Lower facial rejuvenation offers major benefits

woman middle age

A person may have followed a rigorous skin care regime their entire life, still when they reach their 40s and  50s, they may begin to see a few sags and wrinkles.

While their skin still looks great, the signs of aging on their chin and neck may keep them from looking as youthful as they hoped for.

For many, the natural instinct is looking at ways to renew those areas by researching different San Diego facial rejuvenation techniques. In fact, there are ways a person can regain a younger appearance.

One is the non-evasive procedure called Ultherapy, an ultrasound lift. For some, it helps lift the jawline and chin area with absolutely no down time. The changes are subtle and the cost is around $3,000. The ultrasonic treatment which helps boost collagen offers improvement in skin tone and texture. Benefits of the treatment may continue to trigger skin improvement for up to six months.

And yes, there are other procedures which may cost less but once again offer a subtle change.

The decision for many, however, is usually a lower and limited neck lift. It’s a less invasive surgical procedure, which tightens up sagging skin around the jaw and neck.

Those who have slack skin around the jaw and neck may encounter it for a variety of reasons. Some are because of age, a genetic predisposition, or may even have extra fat under the chin.

When a surgeon removes the redundant skin from the neck and jaw, they can also remove additional fat from under the chin. This portion of a procedure offers excellent results.

This type of lift is a good solution for people wanting to concentrate on these areas to redefine the jaw line and neck which results in a more youthful look. A San Diego board certified plastic surgeon who specializes in operative facial and neck rejuvenation procedures has the skill to make a patient appear younger, naturally. Some patients share how those they see who don’t know about their surgery comment if they have lost weight because their jaw and neck are lifted.

Once a person has decided on this type of surgery the doctor will explain that it is done on the lower part of the face only. It addresses the jawline and directly below it. The upper facial area is not included in this type of procedure.

For that reason, many patients may decide to include a neck lift with a full operative facial lift.

Since both of these are elective surgeries, a person should take the time to pick and interview a board certified plastic surgeon which whom they are comfortable.

Great summer tips for oily skin by Marin by Marin

If you’ve got oily skin or may be prone to acne, perspiration can clog pores which may jumpstart breakouts.

Towards the end of summer when the temperatures rise, those with oily skin need some extra guidance to reduce acne and shine.

Dr. Bolitho, a board certified plastic surgeon in La Jolla, can help.  He offers an elite inventory skin care line at his practice which can help with these skin care issues. A part of his line is MyBody Skin Care which affords many skin care benefits, particularly one called, ERASE IT™.

This four-step medical acne treatment really clarifies while offering anti-aging properties.

The formula helps address breakouts while warding off future ones. Its system offers a cleansing gel, refining gel, oil-free moisturizer and tinted sunscreen SPF 30.

And let’s not forget the most important tips to keep in mind for those with oily skin and to reduce shine during the summer months. They include the following:

  • Non-soap cleanser for oily skin
  • Oil-free broad spectrum sunscreen
  • Wear less makeup and use mineral based cosmetics
  • Use blotting papers throughout the day, if needed
  • Scale back on nighttime moisturizers and serums

Here’s to a shine-free and acne-free rest of the summer!

What to expect after breast augmentation surgery

FreeDigitalPhotos by Marin
FreeDigitalPhotos by Marin

For any woman who considers breast augmentation surgery, it should be a personal decision. A woman should be mindful about it and not rush into it.

With that said, for those who decide to undergo this procedure following an in-depth consultation, many wonder how long it will take to recover and what they can expect along the way.

As a San Diego plastic surgeon will tell her, every woman is different when it comes to recovering after the procedure. The best thing for the patient to do is to follow her doctor’s orders.

Most women are up and about within a few days, but she might feel tired and sore a bit longer.

Her doctor will ask that she wear a surgical bra after surgery for extra support.

In most cases a woman wants to shower as soon as possible after the surgery, so a waterproof dressing is applied to repel water.

Another thing a woman should consider is getting help caring for her children.

Although she will be up and around shortly after the procedure, her doctor will want her to rest so she can fully recover. Her doctor will also advise her on when it is safe for her to pick up small children again.

And she should take a break from housework and wait until her doctor tells her she can resume those chores.

There will also be a timeline on when she can return to work. If her job is low impact, she could probably be released to work fairly quickly.

However, if it’s more physical, she will be asked to take a longer break.

The same goes for resuming an exercise regimen. A check with the doctor will let a patient know when it is advisable to exercise the lower half of the body such as walking or using a treadmill.

Those activities usually can be revisited in about two weeks, but it could take several weeks before one could return to more vigorous exercise.

All of these recommendations by a doctor will help with the healing process and a woman will be proud of the new silhouette she wanted.