Bolitho MD

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

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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.

 

30Aug, 2016

Keep the Sunscreen Handy

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Keep the Sunscreen Handy

Even though the summer months are coming to a close, sunscreen should still be on hand every day of the year. While many won’t be headed to the beach or poolside like they did during the lazy days of summer, the fact of the matter is when one is outdoors, sunscreen must still be utilized. And this includes overcast days.

Cloudy days can certainly mislead people into thinking that sunscreen isn’t necessary. And that couldn’t be further from the truth.

According to the American Academy of Dermatologists, nearly 80 percent of UV rays will penetrate through the clouds. The two types of UV rays which cause damage to the skin are UVA and UVB.

UVA rays pierce through glass and clouds and are the culprit of negatively impacting the dermis portion of the skin. Without solar protection, premature skin aging such as fine lines, wrinkles, and sunspots will appear. Too much UVA exposure has also been known to compromise the immune system.

On the other hand, UVB rays cause immediate damage to the skin on its superficial layers and has a direct influence in developing skin cancer.

While sunscreen messages continue to swirl in the media, new cases of skin cancer still emerge. Ways to connect people and the sunscreen message is a continual goal. With this in mind, a research team hailing from the University of Surrey had an idea they pursued.

“They examined the way sun-safe messages are conveyed to young women to see what, if anything, might change their sun-worshipping ways. They found that if women could literally see the damage the sun does to their skin via technology that ages them — that’s what has the most impact,” reported Carleen Wild of LifeZette.

When the results of the study were revealed, Dr. Fosko of the Mayo Clinic in Florida, who serves as the chair of the dermatology department, shared his viewpoint. He’s clearly saying, “…a picture is worth a thousand words.”

He went on to share that when younger people are delivered a message that is punctuated with personalized relevancy, the impact is greater.

Wild reported, “Researchers found that after seeing their own face prematurely sun-aged through the use of technology, young women took two times the number of free sunscreen samples and three times the number of skin cancer leaflets, compared to those women who had read text information about sun damage. They also showed a 30-percent lower belief in the skin’s ability to heal.”

While this study was published in Cogent Psychology, it affords those in the medical profession another level of education in conveying the sunscreen message to their patients – an absolutely invaluable piece of information that will help promote skin care health.

 

 

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.

17Aug, 2016

Changing the face of science

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Changing the face of science

Science continues to redefine itself in the area of facial rejuvenation. With an eye to the future, a recent article published in JAMA Facial Plastic Surgery has paved the way to new ideas and possibilities. And in the world of science, it’s all about new concepts.

While facial surgery such as facelifts, cosmetic injections, and even fat grafting have filled a vital niche for many patients opting for rejuvenation, researchers are testing to see if the human body can somehow perhaps be encouraged to stimulate facial tissue regrowth.

This area of science is called regenerative medicine.

In Vocativ, reporter Alexandra Ossola covers this recent article which was authored by Matthew Q. Miller, MD. Miller is a surgeon specializing in the head and neck regions from the University of Virginia Health System.

Ossola writes, “Though scientists’ interest in regenerative medicine has grown steadily since the early 2000s, interest in facial surgeries in particular isn’t reflected in the literature until 2010. Miller believes there are two reasons for this. Generally, facial surgeries have good outcomes—they heal quickly and have a low rate of infection, so there’s no need for dramatic improvement.”

Miller also shared that there is not “margin for error” in operative facial surgery.

“Even small imperfections can really stand out, as people’s eyes always focus on the faces of others in day-to-day interactions. Because of this, new techniques are a little slower to gain widespread acceptance among surgeons,” Miller said.

Also interviewed in the article was Richard D’ Amico who serves as the chair of the Regenerative Medicine Task Force which is a branch of the American Society of Plastic Surgeons.

D’Amico notes how hyaluronic acid fillers support facial structures. Fillers such as these are noted to add a more youthful appearance when volume or elasticity has dissipated due to age or premature aging. While injections of this type such as Juvederm offer a great outcome, the results are temporary lasting up to a couple of years.

While patient dependent, fat grafting is generally utilized during a facial surgery to add volume. Following liposuction of a small area such as the thighs, abdomen, or hips, the fat is then filtered via a centrifuge before the injections occur in the rejuvenation procedure

In the article, D’Amico described this process as labor intensive thus requiring it to be more expensive for the patient.

“If regenerative medicine works the way researchers think it could, patients could just get a quick injection, plus some localized anesthesia, to repair their facial tissues,” Miller writes. “And while it might not be able to repair tissues in a “Star Trek-like fashion” (that is, with a device that can heal wounds almost instantly), Miller and his co-authors write, these regenerative techniques could usher in a new age of plastic surgery for the face.”

The three levels scientists are currently focused on include the following:

  • Stem Cells
  • Platelet Rich Plasma (PRP)
  • Protein Matrix

While more research is underway and these above scientific avenues still require more answers, it’s interesting to know how science continues to play a role in facial rejuvenation in one form or another.

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.

 

 

5Aug, 2016

A Break Time Peel Awaits You

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For the entire month of August, please join us for our “End of Summer” Break Time Peel Special.

 

 

3Aug, 2016

End of Summer Special!

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End of Summer Special

For the entire month of August, let Elizabeth Reed, Dr. Bolitho’s aesthetic nurse, unleash a more youthful you with a “Break Time Peel.” In less than an hour, Elizabeth will provide a tailored facial rejuvenation treatment with gorgeous results.

A “Break Time Peel” includes the following:

STEP 1: Dermaplaning – Gentle exfoliation to remove dead layer of skin cells and peach fuzz

STEP 2: Light Chemical Peel – To treat superficial fine lines, sun spots, and even out skin tone

STEP 3: Luminous and renewed skin with no downtime

Regularly priced at $350, this “Break Time Peel” special is being offered at $250.

And during this tailored session with Elizabeth, she will perform a skin evaluation and provide helpful anti-aging tips.

Call 858-458-5100 or email info@bolithomd.com to book this incredible appointment today.

“End of Summer Special” expires on August 31, 2016.

 

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.

20Jul, 2016

Dr. D. Glynn Bolitho Selected as 2016 Castle Connolly Top Doctor

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Dr. D. Glynn Bolitho Selected as 2016 Castle Connolly Top Doctor

The esteemed organization of Castle Connolly Medical Ltd., has named Dr. D. Glynn Bolitho for a third consecutive year as one of its top San Diego plastic surgeons. When Dr. Bolitho heard of the news, he was honored by this recognition and appreciative of being named with other regarded doctors in their respective fields.

Castle Connolly Medical Ltd., has a longstanding history dating back to 1991 for its esteemed “Top Doctor” guides. Its unwavering goal has been to classify the best doctors in their specialized field of medicine and hospitals around the nation.

The rigorous process includes peer nominations as well as a research team of physicians who implement professional evaluations. Described as an intensive exploration protocol, this system creation detects doctors who stand out in terms of all levels of their profession including best patient practices and optimal healthcare.

In recognizing these groups of medical professionals, in turn, individuals are provided with the tools they need to locate the finest healthcare. The goal of this organization is to help those in search of finding the medical care they need from exceptional doctors.

In 2014, 2015 and now 2016, Dr. Bolitho was chosen as one of the organization’s “Regional Top Doctors,” a designation which resulted from a nomination of his peers in his metropolitan area. According to Castle Connolly, even though Dr. Bolitho has been named top doctor in previous years, he is still subject to a rigorous screening and examination process. Previous distinctions are not a guarantee for future distinctions.

Serving his second consecutive year as Chief of Plastic Surgery at Scripps Memorial Hospital, La Jolla, Dr. Bolitho also fulfills a non-salaried appointment as Associate Professor of Plastic Surgery at the University of California in San Diego.

Highly regarded in the field of plastic and reconstructive surgery, Dr. Bolitho is quadrupled certified in the United States, Canada, Great Britain, and South Africa. Additionally, Dr. Bolitho pursued his plastic surgery fellowship training at Emory University in Atlanta. Following his appointment in a full-time faculty position, Dr. Bolitho established his La Jolla private practice in 2000.

Dr. Bolitho remains an active member of the American Society of Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, and the International Society of Aesthetic Plastic Surgeons.

In light of the recent Castle Connolly Top Doctor announcement, Dr. Bolitho feels fortunate to be in the company of such other talented and dedicated medical professionals who help enhance the field of medicine and patient care.

Dr. Bolitho and his team can be reached at (858) 458-5100, by e-mail at info@bolithomd.com or through his website at www.BolithoMd.com