Bolitho MD

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

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17Feb, 2017

A great lip enhancement treatment has arrived

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A great lip enhancement treatment has arrived

For those who have wanted lip enhancement, but were concerned with an unnatural appearance, are now rethinking a treatment session since Juvéderm Volbella has arrived. Juvéderm Volbella was specifically created to rejuvenate the lip area, and patient feedback has been extremely positive due to its natural-looking outcome when delivered by a board-certified plastic surgeon or aesthetic nurse specialist. According to these aesthetic medical professionals, results last up to a year and are visibly immediate following the injection series.

Volbella is best described as a rejuvenation treatment which redefines and smooths the lip area while adding subtle volume.

Juvéderm is created by Allergan, the same company which manufactures Botox; however, like Juvéderm’s other products, Volbella also has the ingredient of hyaluronic acid in its filler. Also included in the ingredients is a numbing agent for patient comfort during the injection series.

Lips lose their volume and are prone to wrinkles over the years for a variety of reasons which may be due to sun overexposure, natural aging, and repeated muscle movement.

Volbella patient candidates will notice improvements following a treatment such as:

  • Fills and diminishes vertical lip lines
  • Subtle fullness to the top and lower lip area
  • Improve youthful lip volume with a natural appearance

Volbella has been considered by aesthetic medical professionals as the perfect option for those wanting to add slight volume to their lips without the results from traditional filler which lasts roughly six months.

Volbella is an exceptional option to rejuvenate lips while adding a subtle pout when injected by a trained medical professional. This is critical because a medical expert with sharp aesthetic skill and technique will determine the proper injection locations and amounts for optimal results. Injector experience is incredibly important.

Overall, patient feedback has indicated minimal swelling after an injection series. According to aesthetic medical professionals, Volbella does not absorb water as compared to other products which may very well be the primary reason; however, despite the minimal swelling, it’s still advisable to ice the area following treatment.

Although a numbing agent is in the Volbella ingredients, those delivering the treatment are still encouraged to apply a topical numbing cream such as Lidocaine to the entire lip area beforehand. The injection series is delivered slowly and meticulously along the upper and lower lip lines lasting 20 minutes or less. Once optimal results have been achieved, the treatment series is completed.

Patients are discovering that Volbella is their aesthetic pathway in enhancing and achieving lip rejuvenation.

9Feb, 2017

Providing patients with calm and comfort

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Providing patients with calm and comfort

Patient concierge Karen Martindale redefines the art of patient care. 

When a person decides to embark on a plastic surgery procedure, it can trigger a sense of enthusiasm, and for some, a feeling of empowerment. Despite these initial feelings, it’s highly important for potential patients to encounter professionalism during a plastic surgery consultation which should also be punctuated by a sense of calm and comfort.

Karen Martindale, who serves as patient concierge for San Diego plastic surgeon Dr. D. Glynn Bolitho, shared the significance of creating this patient atmosphere.

“We really try to put patients at ease through communication and getting to know them better prior to the examination portion of their visit,” Ms. Martindale said.

Both Dr. Bolitho and Ms. Martindale decided to afford patients with a special experience by creating their consultation suite otherwise known as the Clifton Room. This room is utilized for ensuring patient comfort in where individuals have the time that they need to speak with Ms. Martindale and ultimately Dr. Bolitho.

Rather than having patients transfer from the reception room to an examining room, it was decided to have patients relax in a private sitting room. Patients have the opportunity to view a “before-and-after” patient gallery on a flat screen as well as sharing their aesthetic wishes to Ms. Martindale and Dr. Bolitho.

“Our goal was to make the consultation less formal than other medical practices,” Ms. Martindale said. “Dr. Bolitho really likes to get to know his patients. That’s so important to him.”

Ms. Martindale went on to say that the patient experience during a consultation transcends to much more than a potential cosmetic surgery.

“Dr. Bolitho is extremely warm and kindhearted. He likes to know about a person’s general health, their lifestyle, and even their family. For Dr. Bolitho, it’s about building relationships,” she said.

Once a potential patient has had the opportunity to discuss their aesthetic wishes in the Clifton Room, the next step is the examining room if they so choose.

While Ms. Martindale has been in the field of plastic surgery for more than 25 years, her compassion for patient care has never waned. Like Dr. Bolitho, she understands how an examination for a procedure such as a breast lift or tummy tuck can trigger a natural awkwardness. It’s Ms. Martindale’s intention to make patients feel as relaxed as possible, and the Clifton Room serves as a nice segue to the examining room portion of the visit.

According to Ms. Martindale, a plastic surgery consultation lasts roughly about an hour. She also shared how they have a goal to achieve during each and every consultation.

“We want patients to feel totally comfortable and want them to know that they are in wonderful hands because we care,” she said. “Our patients become part of our practice family.”

27Jan, 2017

How laser therapy rejuvenates

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How laser therapy rejuvenates

All lasers are not the same when it comes to skin resurfacing. When San Diego plastic surgeon Dr. D. Glynn Bolitho decided to bring in Smart Xide Dot Laser therapy to his practice, he performed his due diligence in terms of researching the science behind it before employing it in his practice.

Since its arrival, Dr. Bolitho’s aesthetic nurse specialist, Elizabeth Reed, has also performed this nonsurgical laser treatment on patients for skin resurfacing goals.

“This technology has actually been around for a few years now and the results are tried and true. Dr. Bolitho and I are both super excited about offering this to our patients,” Reed said.

Reed wants people to know that Smart Xide Dot Laser therapy, also referred to as advanced fractional CO2 technology, can help address the challenges of sun damage, acne scars, enlarged pores, fine lines and wrinkles, and stimulate new collagen. According to Reed, she’s receiving very good patient feedback.

For those who choose to have a more comprehensive treatment, Reed is noticing that patients will require about a week of downtime with side effects ranging from redness to some swelling.

Conversely, a lighter treatment may require two to three days of downtime. And patients are thrilled about the treatment options.

“I’ve had patients call and tell me they don’t want to do a super comprehensive treatment, but they want to get the benefits of the laser. So my suggestions are to split it up into two lighter sessions so they can get some nice results. We then manage the second session based on the results of the first,” she said. “It’s really great that we are able to tailor treatment to each person.”

Following laser therapy, Reed has her patients adhere to a skincare regimen in terms of an ointment and post-procedure moisturizer.

While Reed performs this procedure in her aesthetic treatment room, she also wants patients to know how the laser is also being brought into surgery. Dr. Bolitho is utilizing this advanced technology for facial rejuvenation procedures, such as facelifts.

“Dr. Bolitho is an amazing plastic surgeon and this laser is just another tool for him to employ,” she said.

While surgical facial rejuvenation can lift, tighten, and add youthful volume, laser technology can indeed resurface the skin.

“We are able to combine this so the recovery is all at once,” Reed said.

For those who are not undergoing facial surgery, Reed still does recommend a consultation so she can listen to a patient’s aesthetic goals and expectations prior to the treatment while assessing their candidacy.

Reed said an in-office treatment generally takes about two hours. First a topical numbing agent is applied to the skin, and when the skin is ready, the treatment length is 20 to 30 minutes. Following this, icing takes place for a short period of time.

“While the numbing cream prepares the skin for treatment, patients describe the therapy like a rubber band snap with heat behind it,” she said. “Your face feels a little bit warm which is why we do some cold compresses afterwards.

As far as the best times for laser treatment, Reed recommends the fall, winter, and early spring months. It’s suggested to avoid the summer months when people are retreating outdoors.

A laser treatment unleashes new fresh skin so it’s important to avoid any risk of sunburn. Reed also ensures that her patients have good solar protection instructions.

For Reed, facial rejuvenation ranges from restoring volume, minimizing wrinkles, skin texture, to skin care products, and maintenance. The Smart Xide Dot Laser therapy is another wonderful tool added to this aesthetic roster.

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.