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.

 

 

 

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.

 

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.”

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.

 

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.