Bolitho MD

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


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.

1Jan, 2017

New Year. New You.

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

24Sep, 2016

Nonsurgical facial contouring choices

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Nonsurgical facial contouring choices
As one reaches their forties and fifties, they may undoubtedly notice their facial contours have altered over time. For example, the fullness in the midportion of their face, particularly in their cheeks, may have lost their youthful volume. As someone looks closely at the lower portion of their face, they may also witness submental fullness, which is more often referred to as a double chin. At different angles, the submental fullness may appear more prominent.

Although these changes don’t occur overnight, many can attest to the fact that it almost appears as if it has. The truth of the matter is that these facial transformations creep up year after year. In addition to maturity, other reasons for these changes may be heredity, weight gain, or weight loss.

Cosmetic injections have made incredible strides in the world of aesthetics. Botox, for example, is one of the leading injections used to diminish lines and wrinkles along the forehead, between the brows, and crow’s feet. While Botox is in the lead, other cosmetic injections have been pioneers in their own aesthetic right. And these injections are top choices for nonsurgical facial contouring.

To address the loss of fullness in the cheek area, a product by the name of Voluma has been considered one which has offered patients with an outstanding outcome. While patient dependent, the effects of Voluma may last up to two years.

During a consultation with a plastic surgeon or their aesthetic nurse specialist, they will determine if a person is a good candidate for Voluma. If it is determined so, photos may be taken prior to the injection so before-and-after pictures will be available.

Prior to the injection, a topical lidocaine cream will be applied to help ensure more comfort for the patient. Methodically, the medical professional will deliver the Voluma slowly. Towards the end of the injection series, a mirror will be on hand so the patient can see the aesthetic transformation. And the results are immediate. There is no downtime with Voluma; however, there may be a bit of bruising which can be easily camouflaged by makeup.

A quickly rising star for addressing submental fullness is another cosmetic injection called Kybella. While the former injection only requires one visit, Kybella is considered more of a treatment plan which may range from two to five series. Kybella’s main ingredient of deoxycholic acid breaks down and destroys fat deposits to help eradicate the appearance of a double chin. Once a person is determined to be a candidate for Kybella, the medical professional will map out the injection area on the underside portion of the chin and numb the region prior to delivering the treatment.

Treatment sessions are generally recommended to be spaced about six weeks apart. Icing is important after treatment to help alleviate any bruising or swelling following the injections.

While these treatments are considered nonsurgical, it’s incredibly important to have them executed by a medical professional who is adept in the facial anatomy.

23Feb, 2016

Cosmetic Injections Myths Debunked

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Cosmetic Injections Myths Debunked

A new era of aesthetics can be found by way of cosmetic injections be it Botox or fillers, such as Juvederm. This medical treatment can temporarily reverse signs of aging by smoothing out fine lines and adding volume which dissipates as one matures.

Like any treatment, there are myths about cosmetic injections. And thanks to medical professionals, they can reveal the truth about them.

For many who want to embark on the cosmetic injection pathway, plastic surgeons and aesthetic nurses often hear concerns from patients that they don’t want their face to look unnatural and frozen.

Nicole Dowler, RN, who is certified in the delivery of cosmetic injections, indicates that outcomes such as this where one has difficulty moving their face has undergone too much of everything. For Dowler, her motto is “less is more.”

And this approach is best.

“People don’t want to look like they have had something done. So the best response to that is to try a little bit and then come back for another visit a couple weeks later,” she said.

According to Dowler, if one has undergone Botox and/or filler by a medical professional who knows facial anatomy then nobody is supposed to notice.

“People will know you look good, but they won’t be able to figure out what was done if it was properly delivered with the right amount,” she said.

Another item Dowler pointed out is that people can sometimes be uneasy with the fact that Botox is derived from botulism. Potential patients want to be assured that these injections are safe to do.

Botox is used in high unit amounts in cases such as migraine treatments, spasms, cerebral palsy, and more. The usage for cosmetics is a great deal less. And patients were using Botox to treat a myriad of health issues years before it hit the cosmetic scene.

“The amount of units that we’re using for cosmetic reasons is so small,” said Dowler, noting how she has never personally witnessed a negative outcome. “It’s such a small amount that we’re using to help soften those lines that people usually feel pretty good about it once I explain it that way.”

Highly regarded fillers such as Juvederm and Voluma are made of hyaluronic acid. According to Dowler, hyaluronic acid naturally occurs in the human body so there is nothing foreign about it.

Like Botox, potential patients have heard myths about how fillers have the potential to look obvious or overdone. Medical professionals know that delivery should be slow and methodical.

“It’s very easy to add a little at a time,” she said.

If for any reason a patient is unhappy with the outcome, Dowler said there is a substance that can be injected into the area of where the filler was which can reverse the enhanced appearance.

“Basically, it dissolves the filler,” she said. “People are pretty happy about that.”

However, although there is a substance to reverse a filler, the approach is still to add a little at a time to achieve the most natural and youthful appearance possible.