Bolitho MD

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

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18Dec, 2015

Rejuvenation: A Temporal Brow Lift

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 Rejuvenation: A Temporal Brow Lift

A forehead lift is a common operative facial rejuvenation procedure, but another surgery which is doing an excellent job in providing a youthful appearance above and around the eyes is a temporal brow lift. This procedure, growing more in demand, helps restore a well-rested appearance which affords patients with a more renewed and younger look.

With the hand of an experienced board certified plastic surgeon that specializes in facial surgery, redundant skin is removed and muscles which are repositioned does smooth out and redefine facial contours along the upper portion of the face.

It’s also common for one undergoing a temporal brow lift to also have an upper eyelid surgery since they do complement each other. However, each patient has their own unique aesthetic needs, and this may not hold true for everyone. A consultation with a board certified plastic surgeon will help determine this.

Different from a forehead lift, the temporal brow lift only addresses the outer portion of the brows. Majority of brow lifts, also referred to as forehead lifts, elevate this area completely. However, a temporal lift does not. Instead, it only elevates about half of the lateral portion.

The surgical incision on each side, which is up to one inch in length, is discretely placed behind the hairline so scars are camouflaged. And as the name of the surgery suggests, the incision location is directly above the temple.

The goal of this cosmetic surgery is to provide patients with a more natural and open appearance of their eyes. Many describe the surgical outcome as a more relaxed and refreshed presence.

A consultation appointment with a plastic surgeon will help determine if a temporal brow lift versus a complete brow lift is the right procedure. During this time, the surgeon will assess the natural position of a patient’s brows by their height in comparison to one’s shape and orbital rim.

The plastic surgeon will gently perform this manually and may also take measurements.

Additionally, the surgeon will determine if the central brows are not in need of any operative elevation. If the central portion is in a good position but the lateral portion reveals a descent, then a temporal brow lift will be suggested to reshape the eyebrows and eye contours.

Many patients who decide to have this surgery often express concern at their consultation appointment about how their facial expressions appear to others. This may include the following:

·       Worried
·       Tired
·       Upset

The above characteristics are not what people want to portray to the workplace, family, friends, and new people they meet. Even more so, when they are well-rested, they are often asked if they are tired because they appear that way. Of course, these surgical candidates prefer a more positive looking appearance.

While patients are thrilled with their surgical outcome, they are also delighted with the fact that the surgery is considered less invasive which also affords them with less risks and complications. Again, in order to assess whether a person is the right candidate for this surgery, please consult with a board certified plastic surgeon that has extensive experience in operative facial rejuvenation.

23Sep, 2015

Halting the golden years with cosmetic surgery and procedures

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Sunset

It’s only natural that individuals want to look as youthful as they possibly can. However, coupling this desire with the need to look young in corporate America, there are a slew of baby boomers whose desire turns more into a necessity.

The corporate America playing field is rife with ongoing competition from recent college graduates. Those who have clocked in the years at their career want keep a strong foothold in their position as these new candidates polish their resumes.

While not necessarily politically correct, professionals in their forties and above are experiencing the need to have a younger looking appearance. From cosmetic injections to minimally invasive lower limited facelifts, patients are welcoming a newfound sense of youth.

In the Philadelphia Inquirer, reporter Erin Arvedlund crafted an excellent article related to this topic describing the above scenario as the “top anti-retirement expense.” People are investing in themselves in the workplace.

And this is a valid statement.

She interviewed a county assistant prosecutor who was incredibly candid about how she wanted to look her best in the presence of jurors. Appearance means a great deal to people “looking the part” from head to toe. It is what some professions require.

More importantly, some professionals don’t want to retire because they enjoy their work and current lifestyle. Their work may give them a sense of purpose.

On the flipside, as the cost of living and college tuitions continue to climb, workers may need to punch the time clock a little longer.

Frown lines and other wrinkles may give a stern expression which can be treated with popular cosmetic injections such as Botox and Juvederm. If one feels these injections are not providing an optimal aesthetic outcome, then a lower limited facelift and/or fat grafting is another excellent option.

A consultation with a board certified plastic surgeon can help navigate patients toward the right procedure(s).

In her comprehensive article, Arvedlund also interviewed a representative from the American Society for Aesthetic Plastic Surgery. Leigh Hope Fountain told the reporter, “Baby boomers are having a lot of work done to stay competitive in the workplace.” She continued, “It’s very ageist, but it’s the unfortunate reality.”

Over time, there has been a significant shift in patients. While women still predominately receive facelifts, men are now walking into the surgical spotlight. According to a plastic surgeon Arvedlund spoke with, the patient ratio of 15 women undergoing a facelift is compared to one man. Not too long ago, that ratio used to be 20 women for every man.

Realizing that cosmetic surgery for baby boomers is a consistent trend, it’s important more than ever in choosing the right plastic surgeon that specializes in facial rejuvenation. Microsurgical skills and advancements have been quite impressive over the years as are the swift recovery timeframes.

With that said, finding a qualified board certified surgeon through an organization such as the American Society of Plastic Surgeons (ASPS) is a great starting point for an individual just beginning their due diligence.

6Aug, 2015

Cosmetic surgery leads the way for Baby Boomers and Gen X

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FreeDigitalPhotos.net by Stock Images

FreeDigitalPhotos.net by Stock Images

Plastic surgery has presented youthful opportunities to numerous generations. Currently, generations which are benefiting from it are the Baby Boomers and those leading the pack for Generation X.

These two groups are looking to board certified plastic surgeons to regain a more youthful appearance. Considering that people are working longer in corporate America, it’s reasonable that they want to look as good as they feel.

Additionally, social media and all its nuances, including online dating, have triggered consultation appointments with plastic surgeons.

A solid source for reliability comes from the American Society of Aesthetic Plastic Surgery, also referred to as ASAPS. Annually, they compile data to glean a better understanding of age groups seeking plastic surgery and correlating that information with types of plastic surgery treatments most chosen.

Here is precisely what ASAPS collected for the Baby Boomer generation for 2014:

  • Ten million patients underwent both surgical and nonsurgical cosmetic procedures
  • Those between 51 to 64 years of age were part of this calculation
  • Twenty-four percent had cosmetic surgery
  • Thirty-two percent underwent minimally invasive procedures
  • Those 65 years of age and above accounted for 5 percent of surgical rejuvenation

 

For those in their 30s to late 40s, Generation X has begun to rely on minimally invasive procedures such as cosmetic injections like Botox and Juvederm for facial rejuvenation; however, one would be remiss if they did not pinpoint the leap in Mommy Makeovers. This is a highly popular procedure that helps mothers restore their post baby figure with a breast lift and/or breast augmentation, tummy tuck and liposuction.

Now, back to the Baby Boomers and what types of procedures they did undergo in 2014:

Patient expectations for these procedures should be natural appearing rejuvenation.

Mature patients in the Baby Boomer generation can be afforded an array of rejuvenation procedures. Operatively, microsurgical skills are unmatched and board certified plastic surgeons are incredibly adept.

And on the anesthesia front, pain management begins in the operating room which ultimately means that patients require less anesthesia during the course of the surgery, awaken less lethargic, and experience lower discomfort levels postoperatively.

While such impressive surgical achievements have been made, a consultation with a board certified surgeon will determine the best procedures for those aesthetic wishes. It’s also important to note that a plastic surgeon will take a comprehensive look at a patient’s medical history.

They will assess any high risk factors such as:

  • Smoking
  • Diabetes
  • Blood thinner medications
  • Heart disease history

If any risk factors are determined, then a plastic surgeon will proceed accordingly.

Consultations are an opportune time to discuss a patient’s aesthetic wishes, learn about the surgery they are interested in, while discovering if they have a genuine rapport with their potential surgeon.

If all goes well during the surgery, the next step in planning the surgery can be done. However, if there is any ambivalence, do take time to think it over and perhaps even meet with the doctor once again. Cosmetic surgery is an important decision, and one should always be mindful during such considerations.

11Apr, 2015

Plastic Surgery Study Emerges With Interesting Data

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Group of medical doctors in laboratory. Scientific research.

In the 21st century, the advent of skilled microsurgical techniques has afforded many with the option of undergoing operative facial rejuvenation. Known to many as a facelift, surgical advances have enabled patients to reap great rewards, not only with a full facelift, but also procedures which are less comprehensive such as a limited lower facelift or a simplicity neck lift.

While many are celebrating this new fountain of youth via plastic surgery, a recent study emerged and was reported by Medical News Today. The study claims that plastic surgery is not defined solely by youth.

There’s more to it.

The research study was recently published in JAMA Facial Plastic Surgery. The premise of the study was using before-and-after pictures of ladies who had undergone a particular type or types of facial rejuvenation surgery. A handful of these procedures included:

Part of the study was analyzing these photos and determining in a control study group whether or not any specific personality traits were present for the viewer. These personality traits consisted of the following:

  • Likeability
  • Aggressiveness
  • Extroversion
  • Trustworthiness
  • Social Skills
  • Risk Seeking

These supposed “traits” were all based on the perception of others for an individual before and after their facial procedure.

Reporter, Markus MacGill of Medical News Today wrote that the aim of the study was to, “introduce the concept of facial profiling to the surgical literature and to evaluate and quantify the changes in personality perception that occur with facial rejuvenation surgery.” He continued, “The relationship between facial features and personality traits has been explored ‘by social scientists for many years’ but so far left out of the journals read by surgeons.”

The goal of the study was to branch out further than looking more youthful. That was only one element. They delved into the different degrees of features following surgery and discovered if they were impacted in any way.

The study included 30 women who underwent a type of facial rejuvenation surgery which were subject to evaluation. These ladies had undergone surgery between the years of 2009 – 2013.

Plastic surgeon, Dr. Michael Reilly of Medstar Georgetown University Hospital in Washington DC, championed the study along with other coauthors. Unveiled was a “significant improvement” in the traits of likeability and social skills.

On the flipside, however, there was a moderate to slight improvement for the traits of extroversion, aggressiveness, risk-seeking and trustworthiness.

MacGill extracted from the study that, “The comprehensive evaluation and treatment of the patient who undergoes facial rejuvenation requires a broader understanding of the many changes in perception that are likely to occur with surgical intervention. The face is not defined by youth alone.”

This study affords the best plastic surgeons pathways for their patients not only to look more youthful but to also rein in other personality traits which may impact other facial features following surgery. The goal of plastic surgery is to achieve aesthetic harmony on many levels.

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.

3Jun, 2013

The Dr. Bolitho Team Garners Positive Feedback

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Dr. Bolitho
Dr. Bolitho frequently hears kind patient feedback when it comes to his front and back office staff.

When he chose his team, Dr. Bolitho shared, a great deal of it had to do with instinct coupled with their training.

“I always like to think that someone can be trained up to a level of clinical proficiency provided that they have the empathic nature to do a job,” Bolitho said. He added, “I would rather have that type of team member, than someone let’s say, who is highly trained but lacks that type of character who cannot relate well to patients.”

For Dr. Bolitho, it has always been more important to him to bring a team member onboard who conveyed special human characteristics when interacting with patients.

While Dr. Bolitho is well known for an array of different cosmetic surgical procedures, he also performs many breast reconstruction surgeries for women who have lost a breast either from a mastectomy or other condition. So having a compassionate medical team at his practice was imperative.

For Dr. Bolitho’s office, every day is a new day to treat their patients with the genuine medical care they deserve.

To reach Dr. Bolitho’s office, please call (866) 738-9360 or e-mail them at info@bolithomd.com.

21Dec, 2012

Dr. Bolitho Chosen As New Chief of Plastic Surgery

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Dr. Bolitho recently accepted the new position as Cheif of Plastic Surgery at Scripps Memorial Hospital in La Jolla.

Many congratulations to board certified plastic surgeon, Dr. Glynn Bolitho. Just this month, he was appointed as the current Chief of Plastic Surgery at Scripps Memorial Hospital, La Jolla.

Dr. Bolitho’s term as Chief of Plastic Surgery will last 2 years. Plastic surgeons on staff at the hospital voted Dr. Bolitho into this prestigious position.

With more than 22 years experience, Dr. Bolitho is considered a renowned plastic surgeon with expertise in both cosmetic and reconstruction procedures.

Dr. Bolitho looks forward to serving the hospital in his new capacity.

26Oct, 2012

Dr. Glynn Bolitho chosen as one of San Diego Magazines’ Top Docs of 2012

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Dr. Glynn Bolitho chosen as a top plastic surgeon in San Diego Magazine’s 2012 picks.


The results are in. Dr. Glynn Bolitho, a highly regarded and respected board certified plastic surgeon in San Diego, was chosen as one of San Diego Magazines’ Top Docs of 2012.

In its 9th annual special edition, this publication highlighted its “Physicians of Exceptional Excellence.”

Bolitho is honored with the recognition. And above all, his staff and patients are thrilled with the wonderful news.

Bolitho is known for his incomparable surgical skill and talent. Moreover, his patients are appreciative of his outstanding bedside manner which is indeed a true welcome in the world of medicine.

This year, Bolitho is one of 537 physicians being acknowledged for his excellent work by his peers.

A blurb in this special edition reads, “The San Diego County Medical Society (SDCMS), working collaboratively with San Diego Magazine for nine years now, has continued and will continue to evolve our process for identifying those board-certified physicians within the county who are held in highest regard by their peers.”

In regard to the voting protocol, it reads, “Any board-certified physician in San Diego may vote for any board-certified doctors who practice within San Diego County to whom they would refer their patients and family members. Recognizing that physicians often know more about those in other specialties to whom we refer our patients, SDCMS has evolved our process from allowing physicians to vote only within their specialties, to allowing them to vote across specialties.”

To read more on this special San Diego Magazine issue click here.