Bolitho MD

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

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9Feb, 2017

Providing patients with calm and comfort

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Providing patients with calm and comfort

Patient concierge Karen Martindale redefines the art of patient care. 

When a person decides to embark on a plastic surgery procedure, it can trigger a sense of enthusiasm, and for some, a feeling of empowerment. Despite these initial feelings, it’s highly important for potential patients to encounter professionalism during a plastic surgery consultation which should also be punctuated by a sense of calm and comfort.

Karen Martindale, who serves as patient concierge for San Diego plastic surgeon Dr. D. Glynn Bolitho, shared the significance of creating this patient atmosphere.

“We really try to put patients at ease through communication and getting to know them better prior to the examination portion of their visit,” Ms. Martindale said.

Both Dr. Bolitho and Ms. Martindale decided to afford patients with a special experience by creating their consultation suite otherwise known as the Clifton Room. This room is utilized for ensuring patient comfort in where individuals have the time that they need to speak with Ms. Martindale and ultimately Dr. Bolitho.

Rather than having patients transfer from the reception room to an examining room, it was decided to have patients relax in a private sitting room. Patients have the opportunity to view a “before-and-after” patient gallery on a flat screen as well as sharing their aesthetic wishes to Ms. Martindale and Dr. Bolitho.

“Our goal was to make the consultation less formal than other medical practices,” Ms. Martindale said. “Dr. Bolitho really likes to get to know his patients. That’s so important to him.”

Ms. Martindale went on to say that the patient experience during a consultation transcends to much more than a potential cosmetic surgery.

“Dr. Bolitho is extremely warm and kindhearted. He likes to know about a person’s general health, their lifestyle, and even their family. For Dr. Bolitho, it’s about building relationships,” she said.

Once a potential patient has had the opportunity to discuss their aesthetic wishes in the Clifton Room, the next step is the examining room if they so choose.

While Ms. Martindale has been in the field of plastic surgery for more than 25 years, her compassion for patient care has never waned. Like Dr. Bolitho, she understands how an examination for a procedure such as a breast lift or tummy tuck can trigger a natural awkwardness. It’s Ms. Martindale’s intention to make patients feel as relaxed as possible, and the Clifton Room serves as a nice segue to the examining room portion of the visit.

According to Ms. Martindale, a plastic surgery consultation lasts roughly about an hour. She also shared how they have a goal to achieve during each and every consultation.

“We want patients to feel totally comfortable and want them to know that they are in wonderful hands because we care,” she said. “Our patients become part of our practice family.”

19Jan, 2017

Plastic Surgery Consultation: Plan Ahead

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Plastic Surgery Consultation: Plan Ahead

For some individuals, a new year means new possibilities. One pathway of possibilities may be aesthetics by way of plastic surgery. When one has located a board-certified plastic surgeon, the next step is scheduling a plastic surgery consultation.

It’s completely normal for a patient to feel a blend of excitement and nervousness at this appointment. Nevertheless, there are some things that a patient can do ahead of time to make the most of their consultation.

Karen Martindale is a patient concierge for San Diego plastic surgeon Dr. D. Glynn Bolitho. Dedicating more than 25 years in the cosmetic surgery industry, Ms. Martindale brings a wealth of knowledge to patients preparing for a consultation.

Ms. Martindale’s sage advice is to plan ahead.

Top plastic surgeons like Dr. Bolitho are going to be booked about four to six weeks in advance. So most of the time, a patient will not be able to walk in and request surgery the very next week,” Ms. Martindale said. “With that said, it’s never too soon to come in for a consultation.”

According to Ms. Martindale, some patients who want to learn more about liposuction or tummy tuck may think that they need to be at their ideal weight before their consultation. Ms. Martindale shared that potential patients do not need to wait.

“It’s always a great idea to come in for your consultation three or four months ahead of time so future plans can be made. Even though you may not be at your ideal weight, coming in and having your consultation is a great start,” Ms. Martindale said. “Many patients have also explained how the consultation served as a great incentive to help them achieve their weight loss goal.”

In other instances, achieving a certain weight loss for a particular procedure may not be necessary. Ms. Martindale shared an example such as for those wanting a neck lift or surgical facial rejuvenation procedure.

“If you’re within 10 to 15 pounds of your ideal weight, having a facelift may not make that much difference,” Ms. Martindale said.

Planning ahead is also needed if one is smoking traditional cigarettes or inhaling e-liquid nicotine while vaping.  Ms. Martindale wants potential patients to know that they need to stop smoking four weeks before and after surgery. And on a side note, Ms. Martindale happily reported how many of their patients never returned to their cigarette use.

Writing down questions ahead of time was also mentioned by Ms. Martindale.

“These questions can vary, but generally they range from recovery, when they can resume their exercise routines, and when they can fly,” she said.

For marathon runners readying for a future event, planning ahead on the opportune timeframe for surgery is important to address.

“Busy moms also need to coordinate their surgery time with their children’s schedules and possible childcare assistance,” Ms. Martindale said. “Another thing a patient will want to inquire is if their plastic surgeon will be out of town during the time they are interested in having surgery.”

In many respects, a plastic surgery consultation can help turn a possibility into a reality.

21Dec, 2016

Plastic surgeons recommend cessation of e-cigs prior to surgery

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Plastic surgeons recommend cessation of e-cigs prior to surgery

In a recent December publication of United Press International, Health Day News reported how two plastic surgeons stated in the Plastic and Reconstructive Surgery December issue how stopping the use of e-cigarettes prior to surgery was highly advised. The doctors highlighted in the piece included Dr. Alan Matarasso of Albert Einstein College of Medicine and Dr. Peter Taub of Mount Sinai Medical Center.

According to Health Day News, the doctors stated, “Based on our current best knowledge, it seems reasonable to advise plastic surgery candidates to cease e-cigarette use,” they said. The doctors continued, “Refraining from [e-cigarette] use four weeks before surgery is a prudent course of action, despite the fact that it has yet to be determined if the effects are similar to traditional cigarettes.”

While the health impacts of “nicotine vapor” continue to be researched, it appears the reason for this medical recommendation underscores patient care. The doctors referred to a study which revealed how stopping traditional smoking three to four weeks prior to a procedure could significantly decrease the risk of postoperative complications.

Blood flow and blood supply is essential following plastic surgery procedures, such as breast surgeries and abdominoplasties. Tissue healing following surgery requires this blood flow.

Erring on the side of caution, it’s believed that e-cigarette users should follow the same protocol as those who use traditional tobacco products. The reason behind this cautionary advice stems from the fact that the side effect of nicotine is best described as a vasoconstrictor.

According to the American College of Surgeons, traditional cigarette smoking does increase complications both during and following surgery. It’s their estimation that following the “no smoking rule” a few weeks prior and after surgery lessens the risk of wound healing by nearly half.

Many plastic surgeons also encompass the cessation of nicotine patches and gum in this medical protocol.

In addition to nicotine, carbon monoxide is also another concern.

While carbon monoxide withdraws oxygen away from the tissue area, as mentioned earlier, nicotine constricts blood vessels which deliver oxygen and nutrients to tissues. Again, this blood flow is vital to the healing process.

If the percentages in oxygen and nutrients drop during the recovery process, there is a risk factor following surgery in areas such as infection, increased chance of scarring, and additional complications.

While some plastic surgeons follow a smoking cessation of four weeks prior and after surgery, others have a more conservative approach of six weeks. A large gap of time is highly recommended and encouraged.

During a patient’s consultation with their plastic surgeon, it’s imperative to be candid regarding any smoking history. And this includes vaping. A surgeon’s top priority is the care of his/her patients and making certain, as a doctor-patient team moving forward, all can be done for an outstanding surgical outcome.

25Nov, 2015

Actor Shines Spotlight On Body Dysmorphia

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Actor Shines Spotlight On Body Dysmorphia

Reid Ewing of the hit television series Modern Family has been commended for his recent candid essay in the Huffington Post. His piece entitled, “I Underwent Cosmetic Surgery for My Body Dysmorphia… And I Wish I Hadn’t,” has received much praise and attention.

According to the Anxiety and Depression Disorder of America, body dysmorphia disorder, also referred to as BDD, is something which can impact a person’s daily life. The thought of a particular feature(s) of their body takes hold, and they are unable to shrug off the distress which looms over them.

Cosmetic surgery can provide extraordinary rejuvenation toward aesthetic goals. Those without BDD clearly understand that they must be living a healthy lifestyle. And more importantly, have realistic goals and expectations regarding the procedure that they want to embark on. While they are looking forward to a procedure such as mommy makeover, limited lower facelift, or breast augmentation, it’s not something that weighs heavily on their minds.

Clearly, the Anxiety and Depression Disorder of America indicates, “…people who have body dysmorphic disorder (BDD) think about their real or perceived flaws for hours each day. They can’t control their negative thoughts and don’t believe people who tell them that they look fine.” It continues, “Their thoughts may cause severe emotional distress and interfere with their daily functioning.”

The organization goes on to say that those with BDD may even undergo needless cosmetic surgical procedures to reverse a perceived flaw. And following the surgery, satisfaction does not emerge and is often followed by other procedures.

Sadly, this is what Ewing succumbed to. He took numerous selfies of himself and assessed every facial feature. At 19, Ewing had his first cosmetic surgery.

Ewing wrote, “I genuinely believed if I had one procedure I would suddenly look like Brad Pitt.” He added, “I told the doctor why I felt my face needed cosmetic surgery and told him I was an actor. He agreed that for my career it would be necessary to get cosmetic surgery. He quickly determined that large cheek implants would address the issues I had with my face, and a few weeks later I was on the operating table.”

Dissatisfied with the surgical outcome, Ewing goes on to say how he sought out another plastic surgeon.

“The next one I found was even less qualified, but I didn’t care; I just wanted out of my situation,” he wrote.

At 20, this particular surgery was for a chin implant.

Following the removal of implants, Ewing said he then underwent fat transfers and fillers.

“Of the four doctors who worked on me, not one had mental health screenings in place for their patients, except for asking if I had a history of depression, which I said I did, and that was that,” he wrote. Ewing added, “None of the doctors suggested I consult a psychologist for what was clearly a psychological issue rather than a cosmetic one or warn me about the potential for addiction.”

Ewing pointed out like many professionals do that those with BDD may become addicted to plastic surgery.

For those in the field of plastic surgery and mental health, we applaud Ewing for his bravery and his ability to raise awareness to an important health issue. It shines a spotlight for potential patients to locate board certified plastic surgeons who will only have their best interest at heart.

 

4Apr, 2015

A Different View On Tummy Tucks

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Woman Legs Silhouette With Heels Hanging Of Her Hands

Body contouring procedures can redefine an individual’s silhouette in a variety of ways. From liposuction, thigh lifts to arm lifts, people are looking at these procedures with a newfound interest and above all, hope.

Over the years, tummy tucks have garnered a great deal of attention for women undergoing a procedure called, “mommy makeover.” But there is another group who are looking into tummy tucks, also medically known as an abdominoplasty.

Those who have undergone a dramatic weight loss have sought out more information on tummy tucks. With the advent of weight loss surgeries and operative treatments, there has been a demand for after weight loss body contouring surgery.

And here’s why this is the case for both men and women.

When an individual gains a significant amount of weight, their skin stretches to accommodate it. However, when weight loss occurs in the numbers of 50 to 100 pounds, the skin is unable to recede to a person’s new shape.

When people reach their goal weight, excess skin cannot be eliminated with exercise. It will continue to sag. Instead, it must be excised in areas of the arms, thighs, and abdomen.

Tummy tucks can address redundant skin issues while removing any fat deposits. It’s advised, however, to undergo such a surgery after someone has maintained their weight anywhere from six months to a year. This way, one can be certain they are at the ideal manageable weight.

For many patients, the after weight loss body contouring surgery is the final step in their weight loss journey. It’s a time for celebration following so much commitment, diligence, and willpower.

Another point worth mentioning are the health benefits coupled with this cosmetic surgery.

Researchers have discovered that patients who undergo this body contouring surgery are more successful in maintaining their weight. Those who had the surgery were able to stay quite close to their goal whereas those who didn’t were more likely to gain weight.

While different studies have been executed around the globe, the median pounds gained per year for patients who had the surgery was one pound per year versus four pounds per year for those who elected not to have the procedure.

Seemingly, the surgery served as another level of motivation to eat well, exercise, and maintain a stable weight. And invariably this led to leading a healthier lifestyle which benefited the patients.

It’s vital to note that plastic surgery is a personal decision. It requires consideration and research.

With that said, majority of the patients who opted for this procedure did their homework and due diligence. In the same breath, it’s important for candidates to choose the right medical doctor who is board certified in plastic surgery and has expertise in after weight loss body contouring surgery.

Visiting a doctor’s patient online gallery, having a consultation, and researching patient reviews are part of the protocol.

Plastic surgery requires patience. This is why it’s important to team up with a surgeon where there is an excellent rapport. This procedure is the last step in the weight loss journey so it’s critical to have the best plastic surgeon.

 

13Feb, 2015

Recovery Time for a Mommy Makeover Varies

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Mother and two kids silhouettes on beach at sunset

When a woman completes her family and has given birth to her last child, she may begin to think of a rejuvenation surgery for her body. For many females, undergoing pregnancy can take a bodily toll on her abdomen and breasts.

While the numbers may drop on the scale, the excess skin generally remains and cannot return to its natural position. It’s all part of pregnancy.

The great news is that a rejuvenation procedure called a mommy makeover can help restore a woman’s body back to her pre-pregnancy days. While the procedure undoubtedly provides wonderful results including a flatter abdomen, a slimmer waistline, and more youthful looking breasts, the recovery time is indeed something to be mindful about.

Some women try comparing the recovery time of a mommy makeover to a C-section, but this isn’t quite accurate in terms of a tummy tuck, also known as an abdominoplasty.

While each woman recovers at a different rate, at the end of the day, what dictates the recovery time is what type of tummy tuck a surgeon has chosen for their patient.

A breast lift, with or without an implant, will cause some discomfort, but the abdominoplasty along with muscle plication is really the determining factor.

Liposuction is generally utilized during a tummy tuck as it truly sculpts the abdomen, hips and waist. The three types of procedures to choose from are the following:

  • Liposuction only: For patients with limited excess skin and small amounts of fat deposits
  • Mini-abdominoplasty: For patients who require below the belly button abdominal improvements
  • Full abdominoplasty: For patients who require both below and above the belly button abdominal improvements

As mentioned before, the more muscle plication involved, the longer the recovery.

The good news, however, is over the last few years the advent of longer acting anesthetics lasting up to four to five days has modernized healing.

San Diego board certified surgeons are discovering that by utilizing this along with spinal anesthesia during the time of general anesthesia, is providing patients different modalities to enhance their recovery.

In turn, patients are in less discomfort after surgery.

The revolutionary idea that pain management starts in the operating room has broken the proverbial glass ceiling and is making huge strides in the world of not only cosmetic surgery, but all operations.

Some surgeons are calling this movement preempted pain relief so that prior to even starting the surgery, local anesthetic is injected into the surgical field. This very well has proved to minimize a patient’s anesthetic requirements so they awaken more clearly while blocking the pain for a longer period of time.

Patients following this surgical protocol, including mommy makeovers, do much better.

In terms of recovery, while patients may be walking the day of surgery or on the very next day, total recovery takes about four weeks. And if a woman’s profession is not physically laborious, she can return to work sooner.

For the first few days following surgery, assistance will be needed especially if a patient has younger children. In advance, she will need to designate a caregiver, be it a family member or friend. It’s also recommended to have a nurse stay with her the first night or two following surgery to monitor her progress.

Plastic surgery takes patience because it is a journey with amazing results. And mommy makeovers afford ladies a lovely transformation.

 

3Jun, 2013

The Dr. Bolitho Team Garners Positive Feedback

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Dr. Bolitho
Dr. Bolitho frequently hears kind patient feedback when it comes to his front and back office staff.

When he chose his team, Dr. Bolitho shared, a great deal of it had to do with instinct coupled with their training.

“I always like to think that someone can be trained up to a level of clinical proficiency provided that they have the empathic nature to do a job,” Bolitho said. He added, “I would rather have that type of team member, than someone let’s say, who is highly trained but lacks that type of character who cannot relate well to patients.”

For Dr. Bolitho, it has always been more important to him to bring a team member onboard who conveyed special human characteristics when interacting with patients.

While Dr. Bolitho is well known for an array of different cosmetic surgical procedures, he also performs many breast reconstruction surgeries for women who have lost a breast either from a mastectomy or other condition. So having a compassionate medical team at his practice was imperative.

For Dr. Bolitho’s office, every day is a new day to treat their patients with the genuine medical care they deserve.

To reach Dr. Bolitho’s office, please call (866) 738-9360 or e-mail them at info@bolithomd.com.

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.

26Oct, 2012

Dr. Glynn Bolitho chosen as one of San Diego Magazines’ Top Docs of 2012

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Dr. Glynn Bolitho chosen as a top plastic surgeon in San Diego Magazine’s 2012 picks.


The results are in. Dr. Glynn Bolitho, a highly regarded and respected board certified plastic surgeon in San Diego, was chosen as one of San Diego Magazines’ Top Docs of 2012.

In its 9th annual special edition, this publication highlighted its “Physicians of Exceptional Excellence.”

Bolitho is honored with the recognition. And above all, his staff and patients are thrilled with the wonderful news.

Bolitho is known for his incomparable surgical skill and talent. Moreover, his patients are appreciative of his outstanding bedside manner which is indeed a true welcome in the world of medicine.

This year, Bolitho is one of 537 physicians being acknowledged for his excellent work by his peers.

A blurb in this special edition reads, “The San Diego County Medical Society (SDCMS), working collaboratively with San Diego Magazine for nine years now, has continued and will continue to evolve our process for identifying those board-certified physicians within the county who are held in highest regard by their peers.”

In regard to the voting protocol, it reads, “Any board-certified physician in San Diego may vote for any board-certified doctors who practice within San Diego County to whom they would refer their patients and family members. Recognizing that physicians often know more about those in other specialties to whom we refer our patients, SDCMS has evolved our process from allowing physicians to vote only within their specialties, to allowing them to vote across specialties.”

To read more on this special San Diego Magazine issue click here.