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.

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.

 

 

 

12Dec, 2016

Dr. Glynn Bolitho Introduces Smart Xide Dot Laser

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San Diego  plastic surgeon, Dr. D. Glynn Bolitho, recently announced the introduction of Smart Xide Dot Laser treatment to his practice. Don’t wait for younger looking skin when you can treat yourself with Dot Therapy’s Microscopic Laser Dots. Dr. Bolitho is introducing a holiday special for $2,500 (regularly priced at $3,2000) which ends on January 31, 2017. Please click on the below video to learn more.

 

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.

 

 

 

29Nov, 2016

Facial rejuvenation for the holiday season

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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

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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.

 

5Nov, 2016

Fall into Beautiful Skin

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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.

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.