Bolitho MD

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

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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.

 

 

 

17Nov, 2016

Patient gives chemical peel kudos

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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.

 

11Nov, 2016

The arrival of JUVÉDERM VOLBELLA® XC

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Dr. D. Glynn Bolitho is delighted to introduce JUVÉDERM VOLBELLA® XC to his San Diego plastic surgery practice. The cost of this lip augmentation is $600 per syringe with Dr. Bolitho or $400 per syringe with his aesthetic nurse specialist, Elizabeth Reed.

According to the creators of JUVÉDERM VOLBELLA® XC, “Some women may wish to add subtle volume to their lips; others may want to soften the appearance of the vertical lines above them. Lines such as these are often caused by factors such as sun exposure or repeated muscle movement.” They also noted, “Fortunately, there’s JUVÉDERM VOLBELLA® XC the first and only FDA-approved filler proven to increase lip fullness and soften the appearance of vertical lip lines for up to 1 year.

According to the manufacturer, JUVÉDERM VOLBELLA® XC may be helpful with the following:

  • Increasing subtle volume to the lip area
  • Lessening the appearance of vertical lines along the lip area
  • Adding natural-looking fullness that may last up to a year

To learn more about this revolutionary product call our office at (858) 458-5100 or email us at info@bolithomd.com

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.”

6Oct, 2016

Methods to help reverse the signs of facial aging

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Methods to help reverse the signs of facial aging

As one becomes mature with age, they may notice over time that their skin appears less hydrated and fine lines are more apparent. While these signs may be normal, both women and men may very well want to take steps to facial rejuvenation.

There are various reasons as to why skin ages. For many, although they have been incredibly diligent with their sunscreen, over sun exposure may still have occurred triggering premature aging such as fine lines, wrinkles, and age spots.

While UV damage plays a role in aging skin, other factors contribute to it as well including a sluggish cellular turn over, loss of natural hydration, and repeated facial movements that cause dynamic wrinkles. For those unfamiliar with the term, “dynamic wrinkles,” this occurs from recurrent facial actions such as smiling which can develop wrinkles over time along the outer corners of the eyes and mouth.

While surgical facial rejuvenation such as a facelift or lower limited facelift can produce excellent results, some patients may decide to travel a nonsurgical pathway first. And on this road are the following aesthetic avenues.

Skin Care Regimen

One of the best investments an individual can make is to team up with a medical skin care professional. An example of this is an aesthetic nurse specialist who works alongside a board certified plastic surgeon. Partnering with such an expert will offer a springboard of skin care options such as being afforded medical grade skin care products which match a person’s needs.

While many plastic surgery offices offer specific skin care lines, one prescription product not to be overlooked is Retin-A. This topical appeared on the market nearly three decades ago and was intended for the use of patients with acne. Not long after it was on the market, users noticed another improvement in their skin: Rejuvenation.

Patients agreed that their skin appeared smoother, age spots had diminished, and fine lines and wrinkles were less noticeable.

A complete antiaging skin care regimen requires Retin-A.

In office visits with a medical specialist may also include chemical peels, dermaplaning, and micro-needling to enhance those skin care results.

Botox

As mentioned earlier, dynamic muscles occur due to the frequent use of facial muscles. One way to minimize their appearance is via Botox injections. A board certified plastic surgeon or their aesthetic nurse specialist can deliver this leading cosmetic injection. Finding a skilled injector who is adept in the facial anatomy is critical for one interested in receiving Botox. The results of Botox should be a refreshed and natural look.

It’s important to note that some individuals in their late twenties and/or early thirties utilize Botox to prevent these dynamic wrinkles from forming.

Fillers

The loss of hydration in one’s skin will have side effects. Some of these may include the following:

  • Less youthful fullness
  • Dull facial canvas
  • Fine lines and wrinkles
  • Skin sensitivity

While some topical and in-office treatments can help with hydration, a group of patients turn to hyaluronic fillers to help treat nasolabial folds and marionette lines. Conversely, fillers such as Juvederm can help augment the lips, while Voluma can augment the cheek area.

From skin care products and treatments to cosmetic injections, each one should be tailored to a patient’s aesthetic needs and desires.

24Sep, 2016

Nonsurgical facial contouring choices

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Nonsurgical facial contouring choices
As one reaches their forties and fifties, they may undoubtedly notice their facial contours have altered over time. For example, the fullness in the midportion of their face, particularly in their cheeks, may have lost their youthful volume. As someone looks closely at the lower portion of their face, they may also witness submental fullness, which is more often referred to as a double chin. At different angles, the submental fullness may appear more prominent.

Although these changes don’t occur overnight, many can attest to the fact that it almost appears as if it has. The truth of the matter is that these facial transformations creep up year after year. In addition to maturity, other reasons for these changes may be heredity, weight gain, or weight loss.

Cosmetic injections have made incredible strides in the world of aesthetics. Botox, for example, is one of the leading injections used to diminish lines and wrinkles along the forehead, between the brows, and crow’s feet. While Botox is in the lead, other cosmetic injections have been pioneers in their own aesthetic right. And these injections are top choices for nonsurgical facial contouring.

To address the loss of fullness in the cheek area, a product by the name of Voluma has been considered one which has offered patients with an outstanding outcome. While patient dependent, the effects of Voluma may last up to two years.

During a consultation with a plastic surgeon or their aesthetic nurse specialist, they will determine if a person is a good candidate for Voluma. If it is determined so, photos may be taken prior to the injection so before-and-after pictures will be available.

Prior to the injection, a topical lidocaine cream will be applied to help ensure more comfort for the patient. Methodically, the medical professional will deliver the Voluma slowly. Towards the end of the injection series, a mirror will be on hand so the patient can see the aesthetic transformation. And the results are immediate. There is no downtime with Voluma; however, there may be a bit of bruising which can be easily camouflaged by makeup.

A quickly rising star for addressing submental fullness is another cosmetic injection called Kybella. While the former injection only requires one visit, Kybella is considered more of a treatment plan which may range from two to five series. Kybella’s main ingredient of deoxycholic acid breaks down and destroys fat deposits to help eradicate the appearance of a double chin. Once a person is determined to be a candidate for Kybella, the medical professional will map out the injection area on the underside portion of the chin and numb the region prior to delivering the treatment.

Treatment sessions are generally recommended to be spaced about six weeks apart. Icing is important after treatment to help alleviate any bruising or swelling following the injections.

While these treatments are considered nonsurgical, it’s incredibly important to have them executed by a medical professional who is adept in the facial anatomy.

9Sep, 2016

A great skin care routine makes a difference

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A great skin care routine makes a difference

While individuals are incorporating a healthy lifestyle through diet and exercise, their desire to keep their skin looking youthful is also important to them. Many are beginning to realize that incorporating a great skin care routine compliments those health and wellness efforts.

As one ages, skin changes naturally occur such as the following:

  • Fine lines and wrinkles
  • Age spots
  • Lack of skin hydration
  • Loss of volume
  • Loss of elasticity

While the aging process impacts the above facial characteristics, it is also important to point out how the environment takes a toll on one’s skin.  For example, free radicals, pollution, and unprotected sun exposure can also accelerate premature skin aging.

Despite these daily challenges, one should not curtail their skin care energies but instead implement a regular regime for both morning and night.

Partner with a skin care professional

With a mountain of skin care products to choose from, the task of choosing the right skin care routine can be downright daunting. Teaming up with a skin care professional, particularly an aesthetic nurse specialist, is an exceptional choice.

A person of this magnitude and skill can perform a skin care evaluation and help map out the right morning and evening routines. They can also afford patients medical grade skin care products which truly offer users driven results.

Skin care plans are tailored specifically for one’s skin type and examples may include the following:

  • Cleanse – To prepare skin for topical treatments
  • Treat – To target specific challenges such as fine lines and wrinkles or hydration
  • Repair – To reverse skin damage such as the use of a retinol product
  • Moisturize – To add hydration to the facial canvas including the eye area
  • Protect – To implement a solar defense to help ward off future skin damage

Skin care treatments to reverse skin damage

The advantage of partnering with an aesthetic nurse also means that they are adept in particular skin care treatments that can help diminish the signs of aging. Even in cases where one has undergone surgical facial rejuvenation, such as a lower limited facelift, skin care texture still needs to be addressed.

Most skin care treatments can be performed on a monthly basis, but again, it’s all patient dependent. And some treatments can be done with less frequency. These procedures require minimal to no downtime and produce radiant results:

  • Dermaplaning: To remove the top layer of dead skin cells and vellus hair (peach fuzz)
  • Chemical Peels: To help rejuvenate the skin by diminishing the signs of fine lines, even out skin tone, and lessen the appearance of age spots
  • Micro-Needling: To help stimulate collagen and to deliver medical grade products into the skin for more luminosity.

In addition to these treatments, patients may also decide that they want to pursue cosmetic injections which may consist of Botox, Kybella, Juvederm, or Voluma to maintain their youthful skin care goals.

Solar protection bears repeating

While one is implementing a healthy lifestyle and skin care routine, a SPF sunscreen defense is of the utmost importance. When an individual turns a broad spectrum sunscreen application into a daily habit, they will invariably reap the rewards because of it.

 

 

1Sep, 2016

SCRIPPS CAMPUS APPRECIATION MONTH

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SCRIPPS CAMPUS APPRECIATION MONTH

For the entire month of September, let Elizabeth Reed, Dr. Bolitho’s aesthetic nurse specialist, reveal a more youthful and luminous you. In addition to a complimentary skin care evaluation, Scripps Campus staff members have the opportunity to also receive 20% off the following:

*Botox

*Voluma

*Juvederm

*Kybella

 

This 20% discount also applies to skin care treatments and skin care products which include:

*Micro-needling

*Chemical Peels

*Dermaplaning

*SkinMedica

*MDSolarSciences

*Alastin

And for all that you do, please accept our appreciation by dropping by to receive your VIP Card which grants you 10% off of the above mentioned services and products all year long!

*Please note that Scripps Campus Appreciation Month ends on September 31, 2016. Discounted services apply to nonsurgical treatments with Elizabeth Reed, RN and skin care products. Year-round VIP 10% discounts cannot be applied to other specials.

 

25Aug, 2016

Choosing the right cosmetic injection

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Choosing the right cosmetic injection

Over the last decade, nonsurgical facial rejuvenation procedures have made their mark in plastic surgery medical practices. Those in their late twenties or branching into their fifties and above have found that cosmetic injections are indeed an excellent tool in their box of anti-aging arsenal. While these cosmetic injections aren’t a substitute for surgical facial rejuvenation, they most definitely have their niche, and consumers are seeking them now more than ever.

With so many nonsurgical treatments on the market, one may need some navigation to be matched with the right facial rejuvenation treatment plan. While many of these treatments can be done in a non-medical setting, professionals agree that for safety and best treatment outcome possible, all cosmetic injections should be performed in a medical atmosphere such as a plastic surgeon’s office.

Cosmetic injections are viewed as a minimally invasive medical procedure.

Depending on the medical practice, a plastic surgeon may perform these cosmetic injections while others have handpicked their own registered aesthetic nurse to deliver them. In either case, the important factor in this is having a medical professional who has extensive education in the facial anatomy to deliver these injections.

Likewise their adeptness and knowledge will help guide patients toward the right cosmetic injection and the appropriate amount. Those working in the plastic surgery arena agree that the best course of treatment is one that produces subtle and natural looking results. The aesthetic mission is to make a patient look renewed.

That’s the ultimate goal in cosmetic injections – a sense of renewal as if one has just returned from a tropical vacation.

While cosmetic injections have been on the market for quite some time, it bears repeating what types of injections are commonly used and their targeted area of application.

Botox continues to be the leading injection chosen and used by both medical professionals and patients. With that said, here are the areas that Botox can enhance a more youthful canvas:

  • Lines along the forehead
  • Glabellar lines
  • Crow’s feet

Botox helps suppress facial movement located on the upper portion of the face which creates these fine lines and wrinkles. When visiting a medical professional for treatment, they will actually ask a patient to contract the muscles around their eyes and forehead so they can map out the proper treatment areas.

As for fillers, such as Juvederm and Voluma, they help add volume to areas where lines and wrinkles appear to the lower and mid-portion of the facial canvas. Its main ingredient is hyaluronic acid, and it’s also utilized as an aesthetic tool to add volume to fat pads.

Areas where fillers are used include:

  • Nasolabial folds
  • Marionette lines
  • Vertical lip lines
  • Oral commissures
  • Chin wrinkles

As mentioned earlier, cheeks can also be enhanced – the product often used for this is Voluma, and it can add youthful volume to this area.

Cosmetic injections have enabled individuals to have their own tailored rejuvenation pathway.