Bolitho MD

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

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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.

21Oct, 2016

Why a woman may seek a breast revision surgery

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Why a woman may seek a breast revision surgery

When a woman considers a breast augmentation surgery, it’s important that she is thoughtful about the decision. During her appointment with a board certified plastic surgeon, she can inquire about the procedure, the recovery and the outcome. Also at that time she can be candid in regards to why she wants this surgery and her expectations following it.

Excellent communication between plastic surgeons and their patients is imperative.

While a patient may have done their due diligence before undergoing their breast augmentation procedure, there are cases when she may very well consider a breast revision surgery based on either a desire or need. This can occur months or even years later.

These reasons may vary and include the following:

  • Challenges with breast asymmetry
  • Capsular contracture (scar tissue surrounding the implant has tightened)
  • Symmastia
  • Removing and replacing an implant(s) which has ruptured
  • Deciding on a new implant size
  • Implant rippling
  • Interchanging saline with silicone implants (or vice versa)

It’s entirely up to the patient as to whether or not they want to return to their original plastic surgeon for the revision or seek another. If the choice is the latter, it’s highly recommended to research only board certified plastic surgeons that specialize in breast surgery and ones who are adept in breast revision surgeries.  Once more, this is a personal decision. In addition to this, other surgeries they should excel in may consist of a breast lift, breast reduction, and breast reconstruction. Surgical aptitude in breast surgeries can help patients achieve a positive surgical outcome.

As mentioned earlier, there are various reasons as to why a woman may seek a revisionary breast surgery.  Some patients may discover over time that the original size implant they chose years ago no longer fits their lifestyle. For example, when a woman has completed having her family in her forties, she may come to the realization that the implant size she chose in her twenties may no longer be aesthetically appealing to her.

In the same breath, her skin tissue may have transformed over time due to weight gain, breastfeeding and weight loss.

Every patient is different as are their aesthetic needs.

For whatever reason a woman decides that she is interested in pursuing breast revision surgery, always remember that locating a board certified plastic surgeon should be at the top of the checklist.

And truly, this certification cannot be understated. A doctor certified in plastic surgery can help ensure a positive surgical outcome while keeping patient safety in the forefront.

13Jul, 2016

Online Consultations Garner Attention

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Online Consultations Garner Attention

A new online cosmetic consultation portal helps individuals connect with multiple plastic surgeons.

Plastic surgery is an evolving field of medicine affording patients with refined techniques, superior technology, and strides in science at every turn. While patients are benefiting from these numerous changes, pathways in learning more about procedures and board certified plastic surgeons are progressing, too.

A variety of internet platforms such as patient review sites have helped numerous individuals. However, there is a new site named Zwivel that has emerged addressing the needs of potential patients living in a fast-paced world. Described as an online cosmetic consultation portal, individuals can connect with multiple plastic surgeons learning about the procedures they are interested in, recovery information, surgery prices, and more.

Janet Morrissey of the New York Times wrote a comprehensive piece on Zwivel. While plastic surgery entails even nonsurgical treatments such as cosmetic injections, it’s an industry that is indeed becoming part of the American culture. And it’s available to everyone. 

Many who have used Zwivel are calling it the pre-step to a plastic surgery consultation. It’s a complimentary site for potential patients which can mean a cost and time savings of booking multiple consultations with plastic surgeons in the early stages of their research.

Founded by Dr. Gary Breslow and Dr. Craig Abramowitz, Zwivel was created to help make the introductory process with plastic surgeons and prospective patients more effective.

“Just as Match.com allows strangers to scroll through and evaluate potential dates, Zwivel allows patients and doctors to size up each other and ask questions before committing to surgery,” Morrissey reports. “The site allows patients to check out doctors’ credentials, send photos or videos of themselves to preferred doctors, and get those doctors to answer questions about cosmetic procedures and prices, all free.”

With a Zwivel connection, the same questions can be sent to multiple doctors allowing a person to decide which doctor is a better match.

According to Zwivel, numbers have swelled since 2015. Last year, 800 doctors were signed up and that has skyrocketed to 1,400. Patient numbers have jumped from 6,100 to over 28,000.

When interviewing co-founder Dr. Breslow, he conveyed to the New York Times that roughly 36 percent of individuals who book a consultation actually move forward in scheduling the surgery. Dr. Breslow believed that this ratio was a direct link to people having incorrect or insufficient facts prior to their appointment. 

“Patients who are severely overweight sometimes think liposuction is the answer, and I tell them, ‘You don’t need liposuction; you need to lose weight,’” Dr. Breslow told the New York Times in his article. “Or a patient may want $20,000 worth of surgery and thinks the whole thing is going to cost $200.”

For some, Zwivel is creating a window of opportunity to transform connections between individuals and doctors into formal consultations. It also affords people with the opportunity to be reminded of realistic expectations and to help do away with any misconceptions.

While Morrissey pointed out that not everyone is still convinced that a virtual consultation is their current way of doing things, it’s available. And at the end of the day, having options and being mindful is always a great thing when plastic surgery is up for consideration. 

 

1Jun, 2016

Where Travelers Seek Plastic Surgery

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Where Travelers Seek Plastic Surgery

The news of people traveling to a destiny to receive cosmetic procedures is garnering more attention. While some people coin this as “medical tourism,” depending on the destination, it can very well be a rejuvenation vacation.

In a recent edition of Travelers Today, reporter Joseph Peter Capaque revealed the top destinations where people journey for cosmetic surgery.

These top countries include the following:

  • USA
  • Italy
  • Brazil
  • Colombia
  • South Korea

Before delving into the procedures patients seek in these countries, it is imperative to note that cosmetic procedures are medical procedures/surgeries so due diligence must be performed in locating the best board certified plastic surgeons for both safety and positive surgical outcome.

In the United States, patients are encouraged to seek doctors who are certified by the American Board of Plastic Surgery. Plastic surgeons of this caliber are highly trained, skilled, and are considered masters in their field of surgery.

While a doctor may be “certified,” if one is seeking a plastic surgery procedure, they must be certain that a doctor’s board certification is in plastic surgery.  In addition to test taking, it can require several years to become board certified. But this distinction gives patients peace of mind.

Yes, this research may take a bit more time, but it is worth every moment spent by visiting sites such as the American Board of Plastic Surgery and American Society of Plastic Surgeons.  Another important item to research is whether or not the plastic surgeon has hospital privileges. And if so, determining how those hospitals are rated is of additional importance. A top-notch hospital is as equally vital as finding a masterful surgeon.

So if one is seeking surgery in the USA, it’s highly advisable to perform the above protocol. And if one decides to visit other countries for plastic surgery procedures, it is highly recommended that they take great care making sure the facilities and surgeons being considered are up to par.

According to Travelers Today, those who seek a rejuvenation vacation in the states generally have the following procedures:

In Italy, the treatments people seek are cosmetic injections such as Botox and fillers as well as liposuction. The procedure of liposuction is also popular in Brazil as well as breast augmentations. Adjacent to Brazil is Colombia where liposuction is also highly sought.

South Korea has become one of the fastest emerging countries for operative facial procedures. Capaque reported that in addition to rhinoplasty and double eyelid procedures being on the surgical roster, liposuction was also a surgery which was also frequently scheduled.

As noted earlier in the article, safety is of the utmost importance so do take great care in finding the most experienced board certified plastic surgeon to carry out those aesthetic goals.

26May, 2016

Considerations for revisionary breast surgery

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Considerations for revisionary breast surgery

Through many years of practice, revisionary breast surgery has evolved into a specialty.  Those who have undergone a breast enhancement procedure will sometimes want–or sometimes need–a revision surgery. Implants may be used in procedures such as a breast augmentation, breast lift, or breast reduction.

It’s important to note that not all patients who undergo a lift or reduction may require an implant – it’s a personal choice that can be discussed at a consultation with a board certified plastic surgeon.

While some patients may be displeased with the aesthetic outcome of their initial procedure, there may be other factors which lead them to seek a revision. These reasons, both personal and medical, may include the following:

  • Symmastia
  • Capsular contracture
  • Implant rupture
  • Bottoming out
  • Symmetry issues
  • Implant disappointment
  • Downsizing implants
  • Replacing implants

 

In some instances, women who are finished having their families may have chosen to have implants placed without undergoing a breast lift. While some patients are content with the results, others may be dissatisfied with the position and want to improve their appearance with a revision.

For mothers who had an enhancement prior to bearing children, undergoing a second augmentation after building their families is also another aesthetic scenario. The effects of bearing children, such as weight gain and breastfeeding, may alter the appearance of woman’s bust line. In some instances, a lift may be recommended to address skin redundancy

Another motive may be when a woman decides that the upper silhouette she wanted to achieve many years ago through implants is not a current aesthetic goal at this point in her life. In these instances, she may decide to downsize.

As one can imagine, revisionary breast surgeries are performed for a variety of reasons.

When electing to undergo a revision for aesthetic purposes, it’s generally advised to wait four to six months following the initial surgery to ensure all healing is complete–this includes any residual swelling. If a patient decides that she does not want to return to her original surgeon for a revision, it’s highly advised that she seeks a board certified plastic surgeon that specializes in breast revision surgery. Surgeons at this level have mastered their craft.

During a consultation with a new cosmetic surgeon, be candid with the doctor when it comes to the reason, or reasons, behind the revision. At this first appointment, clear communication is necessary. It’s important that the surgeon doing the revision surgery and the patient have an excellent rapport.

Following an exam, the doctor will convey their thoughts regarding a revision. The details of the surgery, the recovery process, and realistic expectations will also be discussed.

Before or during the consultation, make it a priority to review their patient gallery photos of women who have undergone a breast revision surgery. If possible, ask the doctor if they have any “before or after” images of patients who were in a similar circumstance(s). This will provide an excellent gauge as to whether or not the surgeon’s talents are aligned with a patient’s goals.

29Apr, 2016

When to begin exercising after breast augmentation surgery

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When to begin exercising after breast augmentation surgery

Plastic surgery is an exciting time to embark in one’s personal aesthetic goals. However, like with any surgery, the decision to undergo such a procedure takes much thought and consideration.

And that includes deciding to move forward with breast augmentation surgery.

Today is an era where a healthy diet and exercise are prominent in the culture. With that said, many women who have breast augmentation would like to know when they can resume their physical activity.

During a consultation with a board certified plastic surgeon, both the surgery and consultation phase will be reviewed. While this will be discussed, it’s important for patients to be empowered with knowledge including the realistic expectations of their recovery.

Spring boarding into a fitness routine needs a doctor’s approval, and one must not hurry back to resume those activities. And this is why.

The most important part of the healing process is to give one time to heal. And as a patient begins to become more active, they must avoid exercises or movements which could make them vulnerable in hindering recovery.

A routine method for breast augmentation is to place the breast implants under the pectoralis major muscle. While every plastic surgeon has their preference, those who opt for submuscular placement do so because the likelihood of a rippling effect from the implant is less likely to occur. Additionally, some surgeons also believe that implants placed under the muscle may also decrease the chances of capsular contracture.

Respectively, every plastic surgeon has their theory.

For patients who have undergone a submuscular breast implant placement, the healing portion of the surgery requires the pectoral muscle. Many doctors agree that the pectoral muscles should not be stressed for roughly a four-week period.

Activities to avoid include the following:

  • Avoid lifting anything that is more than 10 pounds
  • No upper body resistance training
  • Swimming moves that promote arm and chest strain
  • Avoiding sports such as tennis
  • Avoiding stretches for the chest area
  • Not attempting open chest positions in Yoga such as the Camel and Fish poses

And more….

In other words, it is advisable to avoid any workouts involving the upper body, including the arms and chest.

For exercise enthusiasts, they can most certainly resume a different level of activity such as walking, stationary bicycle, lunges, and any type of exercise equipment focusing on the lower half of the body.

And for those with small children, mothers need to confirm with their doctors as to when it is safe to lift them. For those with younger children, it may be advisable to have some assistance while one heals as well as with some help with any household chores which may impact the pectoral muscles.

Do remember that following a doctor’s guidelines on when to start incorporating exercises and certain activities is incredibly important in order to achieve optimal healing.

22Mar, 2016

Americans increase the price tag of plastic surgery

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Americans increase the price tag of plastic surgery

Over the years, plastic surgery has been fueled by several factors, but the leading demand stems from individuals who want to look as good as they feel. With that being said, the American Society for Aesthetic Plastic Surgery (ASAPS) recently released some data indicating the amount of money that Americans spent on plastic surgery procedures in 2015 reached an unparalleled all-inclusive price tag: $13 million.

Since ASAPS released this information, a handful of articles have followed highlighting different portions of the study. The data was incredibly concise, revealing the top-tier body and facial rejuvenation procedures that both men and women seek; however, women comprised 90 percent of the procedures underwent in 2015.

In 2015, a total of female Americans had 11.5 million plastic surgery procedures. And men tallied 1.5 million procedures.

Plastic surgery has become an important part of American culture, not to mention around the globe. But here in the states, many have suspected that Corporate America has fueled the desire to seek facial rejuvenation. For many individuals who have worked so hard to achieve their career status, a number of them want to retain their position and not retire. A group in this category view plastic surgery as an asset toward their extended career investment.

In the Washington Times, Jennifer Harper wrote a follow-up piece to the ASAPS data. In her article was a statement by president of ASAPS, Dr. James C. Grotting.

“I personally believe the motivating factors for that are varied, but remaining competitive in the workforce is certainly a common factor. Youth is a commodity, and people are investing in themselves to maintain a younger, healthier appearance,” Dr. Grotting said.

While different age ranges were assessed, 40 percent of patients between the ages of 30 to 50 took part in cosmetic procedures. For women, the top procedure in 2015 was liposuction. Following close behind was breast augmentation, tummy tuck, breast lift and eyelid surgery.

The procedures men sought differed; however, their number one procedure was also liposuction. Next was nose reshaping surgery, eyelid surgery, male breast reduction and facelift.

Although not in the top five for women, buttock augmentation and buttock lifts increased quite quickly in numbers, as well. And the demand is increasing.

Harper wrote, “The surgeons note that fat transfer to the face – a new category – ‘instantly’ landed in the top-10 list, as did nonsurgical skin tightening, a procedure particularly popular among men.”

Fat transfer in the face can be considered by many as being done in lieu of fillers. As one ages, they begin to lose volume in their face, particularly around the nasolabial folds and cheek area. While fillers can last up to a year or more, some patients are welcoming a fat transfer. Fat is extracted from a person’s body and then utilized to add youthful fullness to facial features.

In the non-operative sector, Botox led the way at 4.2 million procedures last year. Fillers trailed close behind as did other minimally invasive procedures such as chemical peels.

Be it operative or non-operative procedures, plastic surgery is filling an aesthetic niche for people of all ages.

17Mar, 2016

Breast Revisionary Surgery Transforms and Corrects

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Breast Revisionary Surgery Transforms and Corrects

Breast surgery is a personal decision which should be made mindfully and thoughtfully. While moving forward with the best of intentions, sometimes a patient’s surgical outcome is not to her satisfaction. Be it a breast reduction, breast augmentation, or breast lift with augmentation, a situation may arise which triggers a patient to consider a revision.

There is an array of issues which may occur following the primary operation.

“There is one issue that we call symmastia in where the skin in between the breasts actually lifts off the sternum and can be challenging to correct,” said patient concierge Karen Martindale, who works alongside renowned plastic surgeon Dr. D. Glynn Bolitho. “And another issue a patient may experience is capsular contracture.”

Other matters patients experience may include symmetry challenges, downsizing or replacing breast implants, and more. Martindale explained that some patients after their childbearing years may have had implants to improve volume without a lift. Patients who want a revision in this case are generally not content with the descension.

Martindale explained that when a woman comes in for a consultation, it is most optimal if they have on hand their previous operative notes and what type of implants they currently have so the doctor can review the material.

“Following this, Dr. Bolitho will perform an examination and will be able to show patients a before-and-after gallery of those who underwent the same type of procedures with outstanding results.”

Martindale attributes Dr. Bolitho’s expertise from years of experience in performing breast reconstruction surgeries for women who had lost one or both breasts to cancer.

And each person is different in terms of how long they will wait until they seek a revision. In addition, they may undergo more than one revision.

“Some patients will travel long distances to find the right surgeon to help them with their issue. We’ve had patients in our practice who find Dr. Bolitho after undergoing several revisions,” she said.

According to Martindale, Dr. Bolitho has helped women achieve the aesthetic symmetry they desired, avoid another capsular contracture, and reverse a host of other issues.

“Many women we see in consultations are so close to taking out their implants completely due to the frustration levels,” she said. “I personally have a friend who had eight procedures before she came here to see Dr. Bolitho.”

Martindale shared how her friend was told by one surgeon that she had to have her implants removed because she was prone to capsular contracture. She would encapsulate weeks after surgery, and her implants would be hard again.

And then she went to Dr. Bolitho for a revision.

“My friend is so happy and there has been no evidence of a repeat capsular contracture,” she said.

Martindale’s friend is one of many patients who has sought Dr. Bolitho for help. Breast revisionary surgery can truly transform a woman’s desired aesthetics.

7Mar, 2016

ASPS Unveils Data

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ASPS Unveils Data

The American Society of Plastic Surgeons (ASPS) is an authority when it comes to collecting information from its elite circle of plastic surgeons so it can generate statistical data. Every year both medical professionals and laypeople are quite interested in the results for their own personal reasons.

For plastic surgeons, they can gauge trends as well as the changes in their own practice. And for non-medical individuals, they have the opportunity to see what is deemed “popular and trendy” in the world of plastic surgery.

According to the press release issued by ASPS, procedures have switched gears in relation to cosmetic procedures since the start of the millennium. And these procedures fall into the categories of operative and other treatments described as minimally-invasive.

The survey revealed a robust total of 15.9 million procedures in both categories. From the data collected in 2015, there was a 2 percent procedure spike in the United States.

In the press release, ASPS president David H. Song, MD, MBA, FACS provided his viewpoint.

“While more traditional facial procedures and breast augmentations are still among the most popular, we’re seeing much more diversity in the areas of the body patients are choosing to address,” he said. Dr. Song added, “Patients have more options than ever, and working closely with their surgeon, they’re able to focus on specific target areas of the body to achieve the look they desire.”

While the press release was indeed filled with statistics, on the other hand, it provided an educational outlet. Interestingly the organization pointed out how in the past “plastic surgery” used to be tantamount facelift procedures. Yes, while facial rejuvenation is still a sought after procedure among certain demographics, other aesthetic procedures have made their own significant mark included the following:

  • Brachioplasty (arm lift)
  • Mastopexy (breast lift)
  • Gluteal Augmentation (buttock lift)
  • Lower Body Lift

According to ASPS, they compared patient stats from 2000. The numbers of arm lifts increased 4,959 percent with 17,099 procedures performed in 2015. Breast lifts increased 89 percent with 99,614 procedures performed in 2015, buttock lifts increased 252 percent with 4,767 procedures performed in 2015, and lower body lifts increased 3,973 percent with 8,431 procedures performed in 2015.

In 2015, the top surgical procedures in the lead were breast augmentation, liposuction, rhinoplasty, eyelid surgery and tummy tucks.

In the minimally-invasive category, it’s not surprising to discover that Botox was at the top of the list with 6.7 million treatments performed in 2015. The other procedures that followed were fillers, chemical peels, laser hair removal, and microdermabrasion.

Dr. Song made another critical statement regarding minimally-invasive procedures.

“The number of available providers, lower costs and the less-invasive nature of these procedures obviously appeal to a much broader range of patients,” said Dr. Song. “However, we urge anyone who is considering a minimally-invasive procedure to consult with a board-certified, ASPS-member surgeon.”

While these procedures are not deemed surgical, they are still considered medical procedures and should be carried out in a medical setting.

Like all ASPS members, Dr. Song encouraged patients to seek only the most “qualified and highly trained” medical professionals for these procedures. And of course, this holds true for all plastic surgeries.

As many begin to digest the newest data from ASPS, it will be interesting to see what 2016 brings.

5Jan, 2016

Cosmetic surgery and treatments in 2016

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Cosmetic surgery and treatments in 2016
With a new year, many individuals may consider this as an opportunity to improve their aesthetics through diet, exercise and cosmetic procedures. Recently, the New York Daily News covered an industrywide survey from an online website named RealSelf. This website is considered a portal which offers patients the opportunity to learn more about plastic surgery and nonsurgical options. With the assistance of plastic surgeons, potential candidates can have their questions answered as well as those who are patients in the midst of a procedure recovery.

A regarded site, RealSelf generated a survey to those working in the field in hopes it could glean a better understanding on where the plastic surgery trends were directed in 2016. According to the responses, five items stood out among the rest which included the following:

• Buttock augmentation
• Decrease bustline
Lip enhancement
Neck rejuvenation
Chin enhancement

Looking into 2016, these procedures appeared to be paving the way to a new year.

Body Contouring Procedures

When diet and exercise are unable to correct areas of the body where lax skin or stubborn fat deposits remain, many turn to body contouring procedures as an option. There are many procedures which fall into this category which may include the following:

• Breast lift
• Upper arm surgery
• Body lift
• Liposuction
• Tummy tuck
• Buttock augmentation

And more….

Buttock Augmentation

Board certified plastic surgeons are noticing that the desire for a more voluptuous chest size is now being shifted toward buttock augmentation. Implants are utilized for this surgery to enhance the size and curvature of the posterior region. According to the RealSelf survey, women prefer a smaller bustline and want to increase the shapely curves in their hind end.

Lip Augmentation

On the nonsurgical front, lip augmentation with the use of fillers is gaining attention, and according to the survey will attract new patients.

As reported by Jacqueline Cutler of the New York Daily News, “Thirty percent of dermatologists and 43% of plastic surgeons report they received more requests about lips in 2015 than 2014, another trend expected to continue.”

Neck and Chin Surgeries For Selfies

During 2015, there were an array of articles discussing how selfies were indeed an impetus for so many individuals wanting to undergo a facial and neck rejuvenation. Selfies have redefined how people see themselves, and most importantly, how they want to improve themselves.

While some patients may be tolerant with their facial aging for a period of time, the improvements they currently seek are surgically geared toward a more youthful neck and redefinition of the chin.

“And 68% of the doctors say they expect to have patients requesting neck and chin work in 2016,” Cutler wrote.

Plastic Surgery Consultations

While surveys can give insight as to where plastic surgery trends are headed, it’s highly urged and recommended that potential patients have a consultation with a board certified plastic surgeon to discuss the procedure(s) they are interested in. While learning more about the procedure, they can understand the recovery process.

Plastic surgery is a personal decision and one that should be made with thoughtful consideration.