Bolitho MD

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

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1Mar, 2017

Bank Your Botox in March

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Due to the overwhelming response from last month, we’ve extended “Bank Your Botox” in March for your beauty essentials! Pre-purchase your vial of Botox at $1,100 for 100 units at $11 a unit (regularly $1,300 at $13 a unit) and use it throughout the year with Dr. Bolitho’s aesthetic nurse specialist, Elizabeth. Offer expires on March 31, 2017. Click on the below video for details. www.BolithoMD.com

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.

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.

 

 

 

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.

5Nov, 2016

Fall into Beautiful Skin

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Fall into Beautiful Skin

Goodbye Summer. Hello Autumn. While many had the best of intentions to protect their skin during the summer months, they still may have had a little bit too much sun exposure.

With the season of fall officially here, there are ways to restore and rejuvenate the skin.

“I love to start with a series of chemical peels,” said aesthetic nurse specialist Elizabeth Reed, who works alongside San Diego plastic surgeon Dr. D. Glynn Bolitho. “I think that’s a great way to remove some of the dead skin that we’ve accumulated during the summer.”

Reed shared that typically skin care professionals don’t do chemical peels during the summer months because people retreat outdoors. Now is the perfect time to start that series.

According to Reed, a great way to see real improvements in one’s skin is by implementing a series of three chemical peels which are tailored to a person’s skin type.  These peels would be done every month.

“During this time, we’d also talk about a person’s skin care regimen and see what changes, if any, would be recommended,” she said. “And if someone is interested in Botox to address their fine lines and wrinkles, we would assess that to determine if they would be a good candidate. But really, starting with a series of chemical peels is a great way to fall into beauty.”

While people begin to change their skin care routine for the new season, Reed shared that there are three skin care staples that never changes. They are the following:

  • Vitamin C
  • Retin-A
  • Sunscreen

An application of Vitamin C in the morning and throughout the day helps hydration and photoaging protection from the sun.

“It also helps with pigmentation challenges such as dark spots, age spots or sun damage,” she said.

Reed’s second go to product is Retin-A which is a medical grade form of Vitamin A.

“Retin-A actually helps reduce some of the effects of sun damage and helps stimulate collagen,” she said. Reed added, “It will help with fine lines and wrinkles as well as exfoliating the skin to help rid it of brown spots.”

Retin-A comes in different grade levels. Reed likes to start patients off with a lower dose, and as one’s skin becomes accustomed to it, the dose level is increased.

The third item on the list is sunscreen which should be tailored to a person’s specific skin care type. A solar protection is imperative to help ward off future damage and help maintain the skin care treatments a person is receiving.

“I usually pick something that has a high percentage of zinc, because zinc oxide is our physical sunscreen,” she said.

13Oct, 2016

Facial rejuvenation after weight loss

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Facial rejuvenation after weight loss

As many can attest to, making the decision to lose weight takes patience and dedication. Reaching those weight loss goals is truly a celebratory milestone.

For those who have attained their goal by losing 20 to 25 pounds, while they have redefined their silhouette, they may also notice that their face has lost volume.

“Anytime you lose a significant amount of weight, there is a concern about volume loss and perhaps the change of laxity in your skin,” said Elizabeth Reed, an aesthetic nurse specialist who works with San Diego plastic surgeon Dr. D. Glynn Bolitho. “So what we want to do first is to restore that volume.”

Reed mentioned the optimal products she uses are Juvederm and Voluma.

While Juvederm is used to lessen the appearance of nasolabial folds and marionette lines, Voluma addresses the mid-portion of the face. According to Reed, beginning rejuvenation at the mid-face is a great starting point.

This usually begins with using one syringe of Voluma. Generally, Reed likes to deliver the Voluma first and wait a couple of weeks for the product to settle before addressing nasolabial folds. In some cases, this area may resolve itself due to the Voluma, or a patient may need a lesser amount of Juvederm.

When teaming up with patients for their skin care needs, Reed will also assess whether or not they would like to reverse any premature skin aging caused by sun damage or even brighten their skin tone with a series of chemical peels.

And for those who want to lessen the appearance of wrinkles along their forehead, around their eyes and in between their brows, Botox is the “go-to” cosmetic injection.

“The goal is to tailor a skin care regimen for every person’s specific needs,” Reed said.

Reed wants everyone to know that it’s best to be within five pounds of a weight loss goal before seeking a Juvederm or Voluma treatment. The reason behind this is that when someone is close to their goal weight, a professional such as an aesthetic nurse or plastic surgeon, can glean better insight into a person’s facial structure.

“For me, it’s about a patient investing in something at the right time so they achieve the overall result that they are looking for,” she said. “When you are within five pounds of your goal weight, I think that’s a great time to make an aesthetic care plan.”