Bolitho MD

{name}{address}{city}{zipcode}{state}{country}{phone}
9834 Genesee Ave Ste 311 La Jolla San Diego, California
Phone: (858) 458-5100

BLOG

29Nov, 2016

Facial rejuvenation for the holiday season

By: | Tags: , , , , , , , , ,

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.

17Nov, 2016

Patient gives chemical peel kudos

By: | Tags: , , , , , , , ,

Patient gives chemical peel kudos

A month ago our patient visited the office and had a Voluma treatment with our aesthetic nurse specialist, Elizabeth Reed. Two weeks following her injection series, she made plans to return for her Juvederm treatment.

But that didn’t happen.

“I was expecting to get Juvederm, but Elizabeth was so honest with me by saying how I didn’t need it since the Voluma injections I received a couple weeks before to add volume to my cheek area had actually resolved my nasolabial folds,” Christina said. “As I was sitting there, Elizabeth asked when I’d be available to do a chemical peel because she thought I’d benefit from it.”

For Christina G., 50, a TCA peel (trichloroacetic acid) was going to be different than the type she had with Elizabeth months ago during a Break Time Peel. That one was a very light peel and Christina could immediately resume back to her day’s activities, and she didn’t experience any peeling. She didn’t know what to expect from a TCA peel.

“To be honest, I was a bit concerned about how I would look following a chemical peel. I had no idea how much and for how long I’d be peeling,” she said. “That little voice in my head wanted to put it off, but I hadn’t had any special events planned in the next few days so I had no reason to delay it. Besides, this was Elizabeth. She is specially trained as an aesthetic nurse, and I completely trusted her with my skin and cosmetic injections.”

Reed used a medium grade TCA peel. After she prepared Christina’s skin, she applied one layer at a time. Overhead, Reed had a handheld fan to keep Christina comfortable while assessing her skin.

“In typical Elizabeth fashion, her communication skills yet again exceeded my expectations. It was important to her that she knew what ‘tingle level’ I was at,” she said.

Once Reed determined it was time to neutralize the peel, she did so. Reed also instructed Christina to only use her SkinMedica Cleanser and SkinMedica TNS Ceramide Treatment Cream for the next five days. Following that time, she could then go back to her normal skin care routine which included her prescription Retin-A topical at night.

According to Christina, the chemical peel aftermath was completely doable and not at all what she thought it would be like.

“For the first two days, I didn’t have any peeling. On days three, four and five, I had flakiness around my whole face, particularly around my mouth. When the peeling was visible, I just applied my post-treatment cream and that lessened the appearance considerably,” she said.

Two weeks after her first chemical peel, Christina now raves about the results. Her skin is smoother, more even toned, and her brown spots have diminished considerably. And she agrees with Reed that completing a series would be optimal.

“It’s as if the chemical peel boosted my skin to a whole new level. It’s amazing,” Christina said.

 

5Nov, 2016

Fall into Beautiful Skin

By: | Tags: , , , , , ,

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.

29Sep, 2016

A Break Time Peel Review

By: | Tags: , , , , , , ,

A Break Time Peel Review

Since offering a “Break Time Peel” to our menu of nonsurgical antiaging services, our office has received wonderful feedback regarding this treatment protocol. In under an hour, our aesthetic nurse specialist, Elizabeth Reed, champions this visit which leaves patients looking luminous.

Recently Reed had the opportunity to perform a Break Time Peel on one of our patients, Christina M., 50.

“Elizabeth is my nurse injector for Botox, and I see her every few months for a touch-up. On my last visit with her, she mentioned how I may benefit from a Break Time Peel. I have had dermaplaning before but never a chemical peel in conjunction with it,” she said. “I decided to give it a try since Elizabeth also has me on a great SkinMedica routine. I trust Elizabeth, and she is a perfectionist.”

Before the treatment, Reed analyzed Christina’s facial canvas. She then prepared her face for the dermaplaning.

“I was used to this portion of the treatment. Elizabeth gently glides this stainless steel tool over my face,” Christina said. “There is no discomfort whatsoever and is quite relaxing.”

The dermaplaning removes vellus hair, also known as peach fuzz, as well as the top layer of dead skin cells.

Next came the light chemical peel.

“Elizabeth gently applied a topical ingredient. A small fan was placed over my face to lessen any tingly or burning sensation,” Christina said. “And even that was minimal.”

Elizabeth made a couple more passes with the topical chemical peel. She ensured Christina was comfortable by having the small fan rotating overhead.

“Elizabeth is so conscientious making certain I was comfortable,” Christina said. “The Break Time Peel lasted under an hour and before I left, Elizabeth applied sunscreen on my face and reminded me to always wear it when outdoors.”

A few days later, Christina has noticed a youthful skin boost. While her skin is visibly smoother, her facial canvas is brighter. And skin peeling is minimal.

“I absolutely love the results of the Break Time Peel,” Christina said. “This is something I am definitely going to do regularly!”

5Aug, 2016

A Break Time Peel Awaits You

By: | Tags: , , , , ,

For the entire month of August, please join us for our “End of Summer” Break Time Peel Special.

 

 

3Aug, 2016

End of Summer Special!

By: | Tags: , , , , ,

End of Summer Special

For the entire month of August, let Elizabeth Reed, Dr. Bolitho’s aesthetic nurse, unleash a more youthful you with a “Break Time Peel.” In less than an hour, Elizabeth will provide a tailored facial rejuvenation treatment with gorgeous results.

A “Break Time Peel” includes the following:

STEP 1: Dermaplaning – Gentle exfoliation to remove dead layer of skin cells and peach fuzz

STEP 2: Light Chemical Peel – To treat superficial fine lines, sun spots, and even out skin tone

STEP 3: Luminous and renewed skin with no downtime

Regularly priced at $350, this “Break Time Peel” special is being offered at $250.

And during this tailored session with Elizabeth, she will perform a skin evaluation and provide helpful anti-aging tips.

Call 858-458-5100 or email info@bolithomd.com to book this incredible appointment today.

“End of Summer Special” expires on August 31, 2016.

 

27Jul, 2016

The Anti-Aging Skin Defense

By: | Tags: , , , , , , , , , ,

The Anti-Aging Skin Defense

For those who want to defy premature skin aging, there is an arsenal of tools which can help make that possible. From those twenty-something years and beyond, there is a youthful pathway for every age group.

Regardless of how ever old one is, there is a tried and true daily routine which consists of sunscreen. Apply a broad spectrum sunscreen of SPF 35 or more every single day and reapply throughout the day if spending time outdoors. Don’t neglect the neck and décolletage area.

And yes, take part in this daily routine even on overcast days.

For those in their late twenties and early thirties, aside from the above solar protection, many are seeking the help of a registered aesthetic nurse who can assist premature skin-aging prevention. While this includes finding the right skin care line, these skilled skin care professionals are also delivering Botox to future areas which could be prone to wrinkles. This type of strategy helps from having these wrinkles develop.

For those in their late thirties to early forties, additional skin changes may occur such as the following:

  • Decrease in elasticity
  • Wrinkles and fine lines
  • Uneven skin tone
  • Age spots
  • Uneven skin texture

While every person is different regarding their skin care type, an aesthetic registered nurse can help remedy these challenges in a variety of ways. As Botox helps smooth out fine lines and wrinkles along the forehead and around the eyes to treat crow’s feet, fillers such as Juvederm can help plump and diminish those marionette lines around the mouth.

When one reaches their mid to late forties and early fifties, they may begin to notice that there is a loss of volume in the cheek area which occurs with the natural aging process. Voluma is an injectable which affords patients with a wonderful option in restoring this volume.

Some nurses will recommend delivering Voluma prior to the Juvederm. The reason behind this is on occasion the Voluma can help remedy or lessen marionette lines by adding more volume and lift to the medial facial region. Again, this is all patient dependent.

While cosmetic injections continue to serve as a great anti-aging defense, there are other treatments that do an extraordinary job such as the following:

  • Dermaplaning as a way to exfoliate and remove vellus facial hair.
  • Chemical peels as a way to diminish fine lines, age spots, and even out skin tone.
  • Micro-Needling as a way to promote collagen and more youthful looking skin.

As one reaches their late forties and early fifties, they may implement the procedures just mentioned as well as a cosmetic injection named Kybella to help submental challenges otherwise known as a “double chin.” Kybella may take two to four sessions to complete, but the treatment destroys fat cells on the underside of the chin.

It’s important to note that while these nonsurgical treatments help a number of individuals, some patients prefer to have plastic surgery procedures such as a neck lift, lower limited facelift, or eyelid surgery for their aesthetic goals.

Despite whatever rejuvenation road one is on, there are a multitude of options to achieve youthful results.

11May, 2016

Skin care treatments following a facelift

By: | Tags: , , , , , , , ,

Skin care treatments following a facelift

Over the years, operative facial rejuvenation procedures have become incredibly refined. Be it a facelift or lower limited facelift, a board certified plastic surgeon can adeptly create both youthful and natural looking results. Operative facial rejuvenation is a blend of sheer artistry and skill. It requires years of dedication for a plastic surgeon to reach this level of perfection.

When a patient embarks on the operative facial rejuvenation journey, they will be delighted with their refreshed appearance. However, skin care treatment is an important part in maintaining those youthful results since a facelift does not alter the skin per se.

Different ways to enhance those facial features may include the following:

  • Chemical Peels
  • Dermaplaning
  • Botox

As mentioned, one way to rejuvenate the skin is by way of a chemical peel.

According to Elizabeth Reed, a registered aesthetic nurse who works for San Diego plastic surgeon Dr. D. Glynn Bolitho, a chemical peel can also help prepare the skin prior to surgery.

And following surgery, it can be an excellent protocol in controlling fine lines, wrinkles and brown spots.

“A chemical peel can give patients a nice healthy and youthful glow to their skin,” Reed said.

This type of luminosity is a skin care goal. According to Reed, following an operative facial procedure, she typically recommends a series of three chemical peels.

“You can space those about a month apart, and then the maintenance can be once every three months,” she said.

Another popular procedure that Reed likes to employ for patients is dermaplaning. Gently, she utilizes a stainless steel tool and delicately glides it along the face to remove both dead skin cells and vellus hair.

There is no downtime to dermaplaning and it can be performed on a monthly basis. With the right type of skin care navigation, an aesthetic nurse can map out the right anti-aging regimen. A few times a year, it may be suggested to combine both a dermaplaning and chemical peel. Performing a dermaplaning prior to a chemical peel will allow for better product penetration and optimal results.

“Following a dermaplaning, your skin is super soft,” she said. “So when you’re washing your face or you are putting on your makeup, you are noticing a wonderful smoothness to your skin.”

Another pathway for maintaining facial rejuvenation following a facelift or lower limited facelift is by implementing a regimen of cosmetic injections. Botox is highly sought after since it helps diminish the appearance of fine lines.

Every patient is unique and their skin care should be just as distinct. Prior to starting skin care treatments, an aesthetic nurse should thoroughly examine a patient’s face while listening to their patients’ skin care goals.

For Reed, this begins with makeup removal and then utilizing a bright magnifying light to afford a better skin care analysis. And then a suggested customized treatment plan can begin.

“It’s based on what the patient is looking for, and then I tailor the treatment for you,” she said. Reed added, “And it’s not always the same for everyone.”

Partnering with an aesthetic nurse can help achieve and maintain a youthful facial canvas.