Bolitho MD

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

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17Feb, 2017

A great lip enhancement treatment has arrived

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A great lip enhancement treatment has arrived

For those who have wanted lip enhancement, but were concerned with an unnatural appearance, are now rethinking a treatment session since Juvéderm Volbella has arrived. Juvéderm Volbella was specifically created to rejuvenate the lip area, and patient feedback has been extremely positive due to its natural-looking outcome when delivered by a board-certified plastic surgeon or aesthetic nurse specialist. According to these aesthetic medical professionals, results last up to a year and are visibly immediate following the injection series.

Volbella is best described as a rejuvenation treatment which redefines and smooths the lip area while adding subtle volume.

Juvéderm is created by Allergan, the same company which manufactures Botox; however, like Juvéderm’s other products, Volbella also has the ingredient of hyaluronic acid in its filler. Also included in the ingredients is a numbing agent for patient comfort during the injection series.

Lips lose their volume and are prone to wrinkles over the years for a variety of reasons which may be due to sun overexposure, natural aging, and repeated muscle movement.

Volbella patient candidates will notice improvements following a treatment such as:

  • Fills and diminishes vertical lip lines
  • Subtle fullness to the top and lower lip area
  • Improve youthful lip volume with a natural appearance

Volbella has been considered by aesthetic medical professionals as the perfect option for those wanting to add slight volume to their lips without the results from traditional filler which lasts roughly six months.

Volbella is an exceptional option to rejuvenate lips while adding a subtle pout when injected by a trained medical professional. This is critical because a medical expert with sharp aesthetic skill and technique will determine the proper injection locations and amounts for optimal results. Injector experience is incredibly important.

Overall, patient feedback has indicated minimal swelling after an injection series. According to aesthetic medical professionals, Volbella does not absorb water as compared to other products which may very well be the primary reason; however, despite the minimal swelling, it’s still advisable to ice the area following treatment.

Although a numbing agent is in the Volbella ingredients, those delivering the treatment are still encouraged to apply a topical numbing cream such as Lidocaine to the entire lip area beforehand. The injection series is delivered slowly and meticulously along the upper and lower lip lines lasting 20 minutes or less. Once optimal results have been achieved, the treatment series is completed.

Patients are discovering that Volbella is their aesthetic pathway in enhancing and achieving lip rejuvenation.

6Jan, 2017

A New Year of Youthful Possibilities

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A New Year of Youthful Possibilities

A new year is upon us and filled with possibilities. As many welcome 2017, some have undoubtedly either physically or mentally jotted down their goals for the new year. While a popular resolution is becoming healthier by way of diet and exercise, many are realizing how this is transcending to skin care health goals as well.

Here is a springboard of ideas for more luminous and younger looking skin in 2017.

It’s A Partnership

The first step in achieving skin care goals is teaming up with the right medical professional.  A partnership with a board-certified plastic surgeon or their aesthetic nurse specialist is an essential component for a variety of reasons. Not only will they be on the cutting-edge of new technologies, but they are incredibly adept and trained in the facial anatomy.

Ongoing education for these medical professionals is also at the forefront.

Patients can have peace of mind knowing that these experts will deliver cosmetic injections such as Botox, Kybella, or Juvederm, as intended with natural-looking results.

Patients will also be afforded with pharmaceutical grade skincare products which deliver results as well as top solar protection via sunscreen.

Laser Treatments

Teaming up with a plastic surgery office also means having access to top treatment such as Smart Xide Dot Laser. This type of laser procedure is considered by many to be in the lead since it offers optimal facial rejuvenation with a short recovery timeframe, typically lasting five days.

Top plastic surgeons seek lasers which have similar results to CO2 lasers but with less downtime. Lasers such as Smart Xide Dot Laser, which lasts about an hour, can promote a youthful canvas by the following:

  • Significantly reducing wrinkles
  • Removing pigmentation challenges
  • Stimulating new collagen
  • Eliminating sun damage

In the world of aesthetics, laser treatments can now be customized for a patient’s wishes and needs for their rejuvenation goals.

Endless Possibilities

The skin care treatments that patients are afforded at a plastic surgeon’s office are vast. While there is a variety to choose from, a consultation with either a plastic surgeon or their aesthetic nurse specialist is the first exciting step.

As briefly mentioned, these medical professionals realize that everyone has their own unique facial rejuvenation goals. With that in mind, each patient pathway must be tailored to ensure that these goals are met.

While cosmetic injections have proven to be excellent in terms of rejuvenation, the concept of skin rejuvenation must also be addressed to achieve youthful luminosity.  The types of nonsurgical treatments available to patients include the following:

When under the care of a plastic surgeon or aesthetic nurse specialist, patients feel assured that their skin care goals will be monitored on a regular basis as well as making certain that the right skin care products are being used at home.

After all, achieving gorgeous skin takes teamwork.

 

 

 

29Dec, 2016

Following through with Kybella treatments

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Following through with Kybella treatments

A cosmetic injection by the name of Kybella has made an impressive entrance into the world of aesthetics. This new nonsurgical treatment, which is considered minimally invasive, addresses submental fullness with minimal downtime. For the right candidate, Kybella can very well be their solution to eliminating the appearance of their double chin.

Kybella is performed in a series and delivered by either a plastic surgeon or their aesthetic nurse specialist. A series may range anywhere from two to five visits and are based on the patient’s aesthetic goals. According to medical professionals, the amount of visits are patient dependent and do vary.

Fifty-year-old Christina G., is one patient who is currently undergoing a series at the San Diego plastic surgery offices of Dr. D. Glynn Bolitho with his aesthetic nurse specialist, Elizabeth Reed. She was candid about her hesitation to follow through with her second visit because her results were excellent after the first series.

“I obviously didn’t know what to expect after my first Kybella treatment. I did have fullness which was visible the first few days, and then it receded about a week or so later,” she said. “My second series was scheduled seven weeks out, and I could not believe the dramatic improvement after six weeks. It was incredible. So much in fact, that I questioned whether or not I should go.”

The thoughts that Christina G. had were quite normal. Many patients do notice a visual improvement after their first session and contemplate going to their next visit.

“I ended up going because I trust Elizabeth, and she knows better than I do how the treatment works. Elizabeth was thrilled with my results, too but believed that a second series was important so I followed through with it,” she said. “And I’m so glad I did. Now, I’m six out since my last treatment and my results from this round are better than after my first series. Quite honestly, I didn’t think it could get any better.”

The active ingredient in Kybella is deoxycholic acid. A natural occurring molecule in the body, deoxycholic acid permanently dissolves fat thereby creating new chin definition. Many patients have welcomed a nonsurgical solution to address their submental fullness, including Christina G., after her 30-pound weight loss. Despite diet and exercise, her double chin remained. Now, with the help of Kybella, it’s gone.

“So now I need to book my third appointment with Elizabeth. I have no idea if I will need a final series for a touchup, but I’ll know soon enough,” Christina said. “My best advice for those having a Kybella treatment is to stick with it. Even though you’re tempted not to go to your next visit, just go because more improvement is on the way.”

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.

18Sep, 2016

The Cosmetic Injection Progression

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The Cosmetic Injection Progression

One of the leading manufacturers of cosmetic injections is Allergan which has undoubtedly been described as the pioneer in a special niche of nonsurgical facial rejuvenation. Its best known product is Botox, a purified substance of botulinum toxin A. For years, Botox has become the “go to” minimally invasive treatment to smooth out “dynamic wrinkles” along the forehead, between the brows and around the eyes to treat crow’s feet.

Dynamic wrinkles emerge from repeated muscle movement and Botox helps by intercepting these movements to smooth out those fine lines.

Kybella, another injectable by Allergan that was FDA approved last year, is being considered as another pioneer treatment. It has made strides in eliminating the appearance of submental fullness, otherwise known to many as the dreaded double chin.

The main ingredient of this newest product is a synthetic form of deoxycholic acid. It works like a “bile acid” that can dissolve fat. When injected, Kybella has the ability to target and disintegrate this unwanted fat.

While each patient is different regarding their aesthetic needs, Kybella is performed in a treatment series. Before the injection, the area is mapped out.

Generally, patients require two to four treatments, and it is recommended to space the treatments apart every couple of months. Number of visits is dependent on the scope and thickness of the area being treated. The reason for this duration is to give Kybella the appropriate time needed to resolve the issues of submental fullness. At the next session, updated aesthetic decisions can be made.

The treatment takes under 30 minutes and patients may experience some swelling, redness, or tenderness for a short period of time. Icing is recommended to minimize any side effects.

According to media coverage, such as in the Quartz publication, “…the company [Allergan] is testing the drug for FDA-approved use on other paranoia-inducing rolls, including what some refer to as ‘bra overhang.’”

And yes, there appears to be other discussion treatment items on the horizon.

In the Quartz publication, it was noted that Amy Lewis, a clinical assistant professor of dermatology at Yale School of Medicine was interviewed by Allure Magazine.

“There have been attempts to dissolve fat before, but this is the first time it’s worked—and that’s pretty exciting. In the future, Kybella could be used to improve the appearance of stubborn fat pads elsewhere on the body, like bags under the eyes or so-called ‘bra bulges.'”

Research continues on whether or not Kybella can be used in other areas such as the following:

  • Inner knee fat
  • Thick ankles
  • Armpit overhang

And more…

The goal of cosmetic injections is to afford patients with minimally invasive options with little to no downtime.  Although these treatments are considered nonsurgical, it’s imperative that patients seek the delivery of these injections by medical professionals such as a board certified dermatologist, board certified plastic surgeon, or aesthetic nurse specialist. These adept professionals will have in-depth knowledge about the product(s) as well as the facial anatomy which will offer patients optimal results.

 

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.

11Aug, 2016

The Cosmetic Injection Reputation

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The Cosmetic Injection Reputation

In a relatively short span of time, revolutionary cosmetic injections have come to the forefront enabling patients of varying ages an opportunity to undergo treatments with limited to no downtime. Cosmetic injections have grown in popularity for a variety of reasons. Mainly it has empowered men and women with the opportunity to enhance their youthful features who are not quite ready for surgical intervention. And the injections are well tolerated.

Botox continues to be a staple in the world of nonsurgical facial rejuvenation. It has done a splendid job in lessening the appearance of fine lines and wrinkles along the forehead, furrows between the brows, and lines around the outer corner of the eyes.

While Botox has helped individuals with the upper portion of the face, fillers such as Juvederm have enabled patients to address issues such as marionette lines and adding lip volume. And speaking of volume, as one ages, the fullness in their cheeks naturally dissipates over time and an injectable named Voluma can help restore this.

Be it maturity or heredity, some men and women want to turn back the submental fullness that has crept up over the years on the underside of their chin. A series of Kybella treatments destroys the fat cells in this area thereby minimizing the double chin appearance.

Cosmetic injections have been coined over the years as a liquid facelift. While of course they cannot produce the results of actual surgical facial rejuvenation, they have provided patients with a host of facial improvements. For many, cosmetic injections have been incorporated into an anti-aging skin care regimen along with chemical peels and micro-needling.

While cosmetic injections have undoubtedly created their own spectacular reputation, it only remains in this category when the individual delivering these injections is a medical professional with an education in facial anatomy. Over time, the offering of these cosmetic injections have emerged at different venues and concerns have mounted regarding the skill of the individual holding the needle as well as patient safety.

While cosmetic injections are considered minimally invasive, these treatments should always be done by a medical professional such as a plastic surgeon or a certified registered aesthetic nurse specialist. Top plastic surgeons handpick their own nurse injectors.

Prior to cosmetic injections, one should have a consultation with a medical professional to discuss their aesthetic goals. State-of-the-art plastic surgery centers will take photos of a potential patient at different facial angles. These photos are uploaded to a touch screen where a patient can point out the areas they would like to rejuvenate.

Medical professionals welcome this candidness as it helps them map out the right transformation treatment plan. When partnering with professionals of this caliber, patients can have peace of mind knowing that they are receiving these procedures in a safe medical setting, will be offered a topical numbing agent for a more comfortable injection series, and have an individual who is adept in the facial anatomy who will offer optimal and natural looking results.

Finding qualified medical professionals who deliver cosmetic injections provides patients with positive results.

 

 

27Jul, 2016

The Anti-Aging Skin Defense

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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.