Bolitho MD

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

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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.”

12Mar, 2015

Virtual Cosmetic Surgery Portal

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While the popularity of cosmetic surgery continues to climb, a virtual component to it has begun to take shape. No, this is not referring to cell phone apps where one can alter their photos and erase years. Instead, this is actually having a virtual consultation with a board certified plastic surgeon either living in a different state or abroad.

In the United States, there is an array of plastic surgeons which skill sets are specific to specialties. It appears that a new trend is not only locating a top-tier plastic surgeon but finding one that is out of state. For example, a New Yorker may want to flee the bitter cold and come to sunny San Diego during the winter months for a brief vacation and a cosmetic surgery procedure.

Progressive plastic surgeons are affording patients advanced websites where virtual consultations can be done with ease.

For patients it begins with researching a board certified surgeon in a particular state and/or city. Once one has reviewed top doctors listed regionally along with locating any accolades, they can begin to narrow their search more sharply.

Once a person has assessed that they have found a great candidate, it’s suggested they visit their website to ensure there is a virtual consultation feature. Normally on the website, one can download pictures of the area(s) they are interested in cosmetically changing or enhancing. Along with the photos, there is an area where a potential patient can convey their aesthetic wishes.

Following this submission, the plastic surgeon’s patient concierge will step in to help this navigation process. They will be in touch with the individual usually within a 24-hour period.

When the doctor assesses the photos and the patient’s “cosmetic wish list,” it is at that time when a decision is made as to whether or not to proceed with a virtual consultation. This can be done via Skype or even by phone.

During this meeting, the doctor will offer ample time to discuss the procedure in detail while answering any questions one may have. Just like a traditional in-person consultation, it is important for a potential patient to establish a nice rapport with the surgeon. Indeed, this can be done virtually.

Every step of the way, the plastic surgeon’s patient concierge will be by a patient’s side. They will assist with travel and hotel suggestions and arrangements, help coordinate any bloodwork or medical screening, and schedule a nurse to stay with a patient the first night or two after surgery.

While having a nurse isn’t mandatory, it is highly suggested. The nurse will drive the patient back to their hotel suite or other residential choice following the procedure and drive them back to the office for their first preoperative appointment the very next day. The nurse will also serve as the doctor’s primary point of contact after surgery giving the doctor frequent updates.

Listening to the doctor’s suggestions and recommendations, the patient concierge will also be able to give patients a recovery timeline and when it would be best for them to return home.

Additionally, if the patient is traveling with family members who may want to do a little sightseeing, the concierge will ensure they receive information on the top places to visit and dine.

Generally, doctors do like their patients to arrive a few days before the preoperative appointment.

In the digital age, so much has changed for the better. People are now empowered to pick the right plastic surgeon, undergo the cosmetic procedure they always wanted, and combine a mini vacation for themselves and family.

25Feb, 2015

Plastic Surgery Trends Emulate From East To West Coasts

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Fashion Girl Relaxed With Her Legs Raised Up

A recent article emerged from central New York citing the types of plastic surgery trends which are most apparent today in the world of cosmetic surgery.

Despite the miles between the east and west coasts, plastic surgery trends really are on point for both sides of the nation.

One inference was made which many San Diego plastic surgeons can agree with is that plastic surgery is not just for celebrities. It is available to all people of varying income levels. And what makes it more affordable is cosmetic surgery financing. This viewpoint really reinforces that cosmetic surgery is an investment in oneself.

For starters, majority of patients range from their forties to sixties; however, some patients may have their first visit in their thirties. These women come from all walks of professions including executives, teachers, health care professionals, real estate agents, and more.

Many are coming in to give themselves a youthful boost of self-confidence in the workplace and in a social atmosphere. There is a growing number of men who are following this pathway as well.

People are holding onto their careers longer and want to look their very best by living a healthy lifestyle and pursuing different avenues in plastic surgery.

The advent of liquid facelifts, also referred to as cosmetic injections, is delaying operative facial rejuvenation treatments. The most popular of these on the facial rejuvenation roster are the following:

  • Botox
  • Juvederm
  • Restylane

Both women and men are seeking these injections because they help smooth away fine lines and wrinkles without any downtime. It erases years when someone is in their forties and early fifties while also minimizing premature aging.

The side-effects are minimal bruising which can be camouflaged with makeup. Some even get these treatments during their lunch hour.

Rather than having a full facelift, many patients are welcoming minimally invasive lower facelift procedures where small, discreet incisions are made thereby redefining the jawline and lifting the neck area. Recovery time is very quick and the results are immediate.

Also on the surgical front trend list are mommy makeovers. Why is this so? Women who have completed having their families want the body they had before their days of pregnancy. A mommy makeover does a tremendous job in rejuvenating the breasts and abdomen.

Procedures included in a mommy makeover are a breast lift with or without implants and a tummy tuck. A tummy tuck can also correct the separation of stomach muscles so a woman can regain her abdominal strength.

While a mommy makeover is a comprehensive surgery, the recovery time is really dictated by the tummy tuck. Tummy tucks can either address the abdomen below the navel or below and above the navel. Also included in the procedure can be liposuction.

Generally, the recovery takes a few weeks and women are thrilled with the transformation.

So despite the miles between New York and California, it appears that plastic surgery trends are mirroring one another. The best part of all is both men and women are gratified with the results.

13Feb, 2015

Recovery Time for a Mommy Makeover Varies

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Mother and two kids silhouettes on beach at sunset

When a woman completes her family and has given birth to her last child, she may begin to think of a rejuvenation surgery for her body. For many females, undergoing pregnancy can take a bodily toll on her abdomen and breasts.

While the numbers may drop on the scale, the excess skin generally remains and cannot return to its natural position. It’s all part of pregnancy.

The great news is that a rejuvenation procedure called a mommy makeover can help restore a woman’s body back to her pre-pregnancy days. While the procedure undoubtedly provides wonderful results including a flatter abdomen, a slimmer waistline, and more youthful looking breasts, the recovery time is indeed something to be mindful about.

Some women try comparing the recovery time of a mommy makeover to a C-section, but this isn’t quite accurate in terms of a tummy tuck, also known as an abdominoplasty.

While each woman recovers at a different rate, at the end of the day, what dictates the recovery time is what type of tummy tuck a surgeon has chosen for their patient.

A breast lift, with or without an implant, will cause some discomfort, but the abdominoplasty along with muscle plication is really the determining factor.

Liposuction is generally utilized during a tummy tuck as it truly sculpts the abdomen, hips and waist. The three types of procedures to choose from are the following:

  • Liposuction only: For patients with limited excess skin and small amounts of fat deposits
  • Mini-abdominoplasty: For patients who require below the belly button abdominal improvements
  • Full abdominoplasty: For patients who require both below and above the belly button abdominal improvements

As mentioned before, the more muscle plication involved, the longer the recovery.

The good news, however, is over the last few years the advent of longer acting anesthetics lasting up to four to five days has modernized healing.

San Diego board certified surgeons are discovering that by utilizing this along with spinal anesthesia during the time of general anesthesia, is providing patients different modalities to enhance their recovery.

In turn, patients are in less discomfort after surgery.

The revolutionary idea that pain management starts in the operating room has broken the proverbial glass ceiling and is making huge strides in the world of not only cosmetic surgery, but all operations.

Some surgeons are calling this movement preempted pain relief so that prior to even starting the surgery, local anesthetic is injected into the surgical field. This very well has proved to minimize a patient’s anesthetic requirements so they awaken more clearly while blocking the pain for a longer period of time.

Patients following this surgical protocol, including mommy makeovers, do much better.

In terms of recovery, while patients may be walking the day of surgery or on the very next day, total recovery takes about four weeks. And if a woman’s profession is not physically laborious, she can return to work sooner.

For the first few days following surgery, assistance will be needed especially if a patient has younger children. In advance, she will need to designate a caregiver, be it a family member or friend. It’s also recommended to have a nurse stay with her the first night or two following surgery to monitor her progress.

Plastic surgery takes patience because it is a journey with amazing results. And mommy makeovers afford ladies a lovely transformation.