Bolitho MD

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

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23Feb, 2017

The Trend of Modern Aesthetics

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The Trend of Modern Aesthetics

In a world of minimally invasive nonsurgical facial rejuvenation procedures, striking a balance between trend and what’s aesthetically attractive remains the goal. The advent of cosmetic injections such as Botox and fillers has afforded patients with numerous aesthetic possibilities. While this is true, finding the right medical professional such as a board-certified plastic surgeon or their handpicked aesthetic nurse specialist to deliver these injection series is of the utmost importance since their in-depth understanding of the facial anatomy is superb.

Unwavering commitments among these medical professionals, particularly plastic surgeons who are considered excellent by their own peers, have to balance ethics when facial trends emerge. Their Hippocratic Oath bounds them to uphold professional and moral principles which encompass the best care for their patients.

In a patient consultation, doctors will listen to the aesthetic wishes of their patients. If a patient requests a procedure which a doctor believes would not be advantageous to their appearance, a candid discussion will take place on why this is so.

An example of this would be lip augmentation via fillers. Lip enhancement is considered one of the top leading trends. Candidates for lip augmentation may inquire about a treatment for one or more of the following reasons:

  • Naturally thin lips
  • Lips which have lost volume with age
  • Correct the appearance of uneven lips
  • Quick recovery following an injection series

In a consultation, a doctor will determine if enhancing a patient’s lips will help balance one’s facial contours. If a doctor feels as if a patient is a good candidate for the procedure and moves forward with the treatment, a collision between ethics and aesthetics may collide if a patient requests more filler which would outsize their lips following the procedure.

It’s important to note that this just doesn’t pertain to lip enhancement. This applies to “over injecting” other parts of the face, such as augmenting the cheeks or minimizing wrinkles via Botox. It all falls into the same aesthetic category.

The results of cosmetic injections should be subtle and undetectable by others.

While trends do shape culture, it’s ultimately the responsibility of a board-certified plastic surgeon to provide their patients with timeless beauty in a natural looking way.

Even though a patient may have their own particular view on how their nonsurgical facial rejuvenation should look, it’s important to discuss it in detail if a medical professional may not fully agree. If the reasons aren’t totally understood, do ask for more explanation and clarification.

Above all, doctors in this aesthetic field have a distinct vision and don’t want to compromise it based on trend.

27Jan, 2017

How laser therapy rejuvenates

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How laser therapy rejuvenates

All lasers are not the same when it comes to skin resurfacing. When San Diego plastic surgeon Dr. D. Glynn Bolitho decided to bring in Smart Xide Dot Laser therapy to his practice, he performed his due diligence in terms of researching the science behind it before employing it in his practice.

Since its arrival, Dr. Bolitho’s aesthetic nurse specialist, Elizabeth Reed, has also performed this nonsurgical laser treatment on patients for skin resurfacing goals.

“This technology has actually been around for a few years now and the results are tried and true. Dr. Bolitho and I are both super excited about offering this to our patients,” Reed said.

Reed wants people to know that Smart Xide Dot Laser therapy, also referred to as advanced fractional CO2 technology, can help address the challenges of sun damage, acne scars, enlarged pores, fine lines and wrinkles, and stimulate new collagen. According to Reed, she’s receiving very good patient feedback.

For those who choose to have a more comprehensive treatment, Reed is noticing that patients will require about a week of downtime with side effects ranging from redness to some swelling.

Conversely, a lighter treatment may require two to three days of downtime. And patients are thrilled about the treatment options.

“I’ve had patients call and tell me they don’t want to do a super comprehensive treatment, but they want to get the benefits of the laser. So my suggestions are to split it up into two lighter sessions so they can get some nice results. We then manage the second session based on the results of the first,” she said. “It’s really great that we are able to tailor treatment to each person.”

Following laser therapy, Reed has her patients adhere to a skincare regimen in terms of an ointment and post-procedure moisturizer.

While Reed performs this procedure in her aesthetic treatment room, she also wants patients to know how the laser is also being brought into surgery. Dr. Bolitho is utilizing this advanced technology for facial rejuvenation procedures, such as facelifts.

“Dr. Bolitho is an amazing plastic surgeon and this laser is just another tool for him to employ,” she said.

While surgical facial rejuvenation can lift, tighten, and add youthful volume, laser technology can indeed resurface the skin.

“We are able to combine this so the recovery is all at once,” Reed said.

For those who are not undergoing facial surgery, Reed still does recommend a consultation so she can listen to a patient’s aesthetic goals and expectations prior to the treatment while assessing their candidacy.

Reed said an in-office treatment generally takes about two hours. First a topical numbing agent is applied to the skin, and when the skin is ready, the treatment length is 20 to 30 minutes. Following this, icing takes place for a short period of time.

“While the numbing cream prepares the skin for treatment, patients describe the therapy like a rubber band snap with heat behind it,” she said. “Your face feels a little bit warm which is why we do some cold compresses afterwards.

As far as the best times for laser treatment, Reed recommends the fall, winter, and early spring months. It’s suggested to avoid the summer months when people are retreating outdoors.

A laser treatment unleashes new fresh skin so it’s important to avoid any risk of sunburn. Reed also ensures that her patients have good solar protection instructions.

For Reed, facial rejuvenation ranges from restoring volume, minimizing wrinkles, skin texture, to skin care products, and maintenance. The Smart Xide Dot Laser therapy is another wonderful tool added to this aesthetic roster.

1Jan, 2017

New Year. New You.

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San Diego  plastic surgeon, Dr. D. Glynn Bolitho, recently announced his New Year “Smart Xide Dot Laser” treatment special for the entire month of January in 2017. Regularly priced at $3,200, patients can unleash younger looking skin for $2,500. This special ends on January 31, 2017. Please click on the below video to learn more.

16May, 2015

Study Reveals Safest Procedures In Non-Operative Cosmetic Procedures

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Doctor With Rx Prescription

Not long ago, Northwestern University published their national study on what they discovered to be the safest cosmetic procedures. Based on over 20,000 procedures and treatments in the nation, researchers found that minimally invasive procedures were deemed the safest.

Doctors who participated in the study were all dermatologists, so it’s important to point out that this study did not involve operative procedures performed by board certified plastic surgeons. The research conducted was only regarding non-operative treatments.

Nonetheless, as with any study, it offered information and statistics.

The study was championed by Murad Alam, M.D., who practices medicine at Northwestern Memorial Hospital and is a professor of dermatology at Northwestern University Feinberg School of Medicine. The complete study was also published in JAMA Dermatology.

Science Daily was one of the first media outlets to report the news.

Its reporter, Marla Paul of Science Daily wrote, “Minimally invasive cosmetic procedures, including fillers, neurotoxins and laser and energy device procedures are exceedingly safe and have essentially no risk of serious adverse events….” She continued, “This is believed to be the first large, multi-center study that prospectively analyzed the rate of adverse events among tens of thousands of cosmetic procedures done at many centers around the United States by experienced dermatologists. These procedures are used to decrease the visible facial signs of aging.”

In the world of plastic surgery, a sample of this roster includes a neurotoxin such as Botox and fillers like Juvederm. Botox reduces the appearance of wrinkles by temporarily disengaging muscle contractions whereas Juvederm adds volume to plump up wrinkles and fine lines. Generally neurotoxins are used for the upper portion of the face where fillers are used on the lower portion.

The study did concur that a few patients, below one percent, experienced minimal bruising, swelling or reddening of the site treated.

Paul went on to report, “For many years, there was a perception that minimally invasive cosmetic procedures are safer than larger, more invasive cosmetic procedures. However, there was little evidence to back up this belief.”

In the study, Alam indicated, “The message for patients is that if you are thinking of getting one of these procedures, you are not indulging in something drastic or high risk.”

During a timeframe of 9 months, a total of 23 board certified dermatologists took part in the study with research data that included a total of 20,399 procedures. To keep track of treatments, the doctors were required to enter their patient data every single day.

The data included the following:

  • Type of treatment
  • Treatments performed per day
  • Indicating side-effects or complications
  • Describing the side-effects, if any

Following this, the data was collected by researchers by tallying the above information for calculations.

Paul reported, “While all the adverse rates were low, the rates for fillers at .52 percent were slightly higher than those for energy devices and neurotoxins. However, this is to be expected, the authors said because in the world of non-invasive and minimally invasive procedures, fillers are slightly more invasive than lasers and neurotoxins.”

During an era where individuals seek non-invasive treatments such as Botox and Juvederm, this study gave many patients, future patients, and healthcare professionals interesting insight.

Cosmetic injections, also referred to as a liquid facelift, remain a vital part to board certified plastic surgeons and their patients.

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.