Bolitho MD

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

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13Jan, 2017

Breast reduction recovery expectations

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Breast reduction recovery expectations

When women decide to undergo a breast reduction, more times than not, they have done their due diligence about the procedure. Even prior to their consultation with a board-certified plastic surgeon that specializes in breast surgery, they have put a great deal of consideration and thought into the procedure.

While this surgical decision is a personal one, women who choose to embark on this procedure do so for a variety of reasons. However, the one goal most agree upon is decreasing the size and weight of their naturally large size so they can achieve the following:

  • More balanced proportions
  • Lessen discomfort such as neck, shoulder, and back pain
  • Improve symmetry
  • Achieve aesthetic goals

A breast reduction surgery involves the removal of redundant skin, excess tissue, and fat. Also patient dependent is the repositioning of the nipple-areola complex to a more youthful position.

Typically done under general anesthesia, a breast reduction procedure is performed as an outpatient surgery. While most patients return home the very same day of their surgery, in some instances, it may be recommended for others to stay overnight at the hospital for extensive reductions or a medical condition that may need monitoring following surgery.

While patients will be mobile the same day of their surgery, it’s highly advised that they have assistance for the first 24 to 48 hours following their procedure. They may also need someone on hand to help them dress or assist them in caring for younger children for a few days.

Patients who have a desk job can expect to return to work in about a week whereas someone with more laborious responsibilities such as nursing may require a couple of weeks.

A breast reduction surgery is considered a common procedure, and patients are generally quite happy with their surgical outcome. It renews a person’s comfort level be it aesthetically or even physically.

Another postoperative guideline is to avoid heavy lifting which includes not taking on more than 10 pounds within the first couple of weeks. Aside from walking, most patients are required to wait four to six weeks before returning back to their normal exercise regimen. Between this time-frame, patients can gradually increase their activity levels. At six weeks following a breast reduction surgery, patients generally return back to their full and normal activities.

It’s important to stop a specific movement if there is any discomfort and relay this to your plastic surgeon. Following postoperative guidelines and having clear communication with a patient’s plastic surgeon is extremely advantageous.

While swelling generally decreases a couple weeks following surgery, it completely recedes in about two to three months. This is when a patient is able to visibly notice the final results of their procedure.

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.

 

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

27Feb, 2016

New Consulting Suite Increases Service

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New Consulting Suite Increases Service

The Clifton Room offers patient care in a warm setting.

Recently Dr. D. Glynn Bolitho opened his new consulting suite adjacent to his operating suite. The new addition truly exceeds the expectations of his patients in an effort to ensure that each individual receives genuine care and comfort. This has always been the cornerstone of this compassionate practice.

Tucked away in the new consulting suite is the Clifton Room. The finest of patient care begins here in a warm setting, punctuated with a memorable ambience. The room exudes comfort allowing a patient the time they need to chat with their patient concierge, Karen Martindale, and ultimately their plastic surgeon, Dr. Bolitho.

Before visiting with this dynamic duo, patients can enjoy the privacy of this sitting room while being afforded the opportunity to view the “before and after” photo gallery on a flat screen television.

In many respects, the Clifton Room satisfies the unexpressed personalized desires of their patients, and the move into a larger suite made the Clifton Room possible.

The visionary behind the Clifton Room was Karen Martindale.

“Having been in the field of plastic surgery for the past 30 years, it was my dream to do something special like this for our patients,” she said. “While working at different practices over the decades, I have met with thousands of patients. Firsthand, I noticed the anticipation one feels when they are about to meet with a plastic surgeon.”

Martindale added how disrobing for a potential body contouring procedure may sometimes elevate this anticipation. And at many plastic surgery centers, patients are automatically escorted into an examining room which can be stressful.

“We wanted to take that anxious feeling away and instead create an atmosphere where the patient has the opportunity to get to know us before going into the examining room. We wanted to create a living room environment where one could sit down, relax, and be greeted in a proper fashion,” Martindale said.

And in this setting, one can unveil their aesthetic desires in the most comfortable way possible.

In many respects, the Clifton Room allows patients the ample time they need to spend with Dr. Bolitho and his medical team. Even with a demanding practice, Dr. Bolitho welcomed this new opportunity making certain his patients were indeed receiving the attention they deserved.

“Dr. Bolitho is not the type of doctor that only spends 15 minutes with a new patient,” Martindale said. “Dr. Bolitho’s different in that he really likes to visit with his patients. It’s something that he enjoys.”

Martindale also shared that since the Clifton Room was created, the patient flow at the practice is notably smoother. Following their visit, Martindale then escorts them to the consultation exam room.

However, the most wonderful part of the Clifton Room has been the client feedback. Many patients agree that they have never experienced a room such as this before in a doctor’s office.

“I’ve been personally told by patients how quickly they are put at ease and don’t feel as anxious as they once thought they would be,” she said.

And that was the mission all along: enhanced patient care, memorable comfort, and a polished ambience.

22Oct, 2015

How Some Women Experience Breast Pain In Sports

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How Some Women Experience Breast Pain In Sports

In the world of competition, women continue to break barriers and records in sports. For many, athletics is part of their lifestyle, and for others, their profession and livelihood. A recent article published by the Telegraph UK was an eye opener in terms of how many women involved in sports struggle with breast pain.

A portion of the article was dedicated to equestrians.

According to Radhika Sanghani of the Telegraph UK, a group of British Women admitted to having stopped participating in a particular sport due to breast pain.

“Last year a study from the University of Portsmouth’s Breast Health Research Group found that one in five women said breast pain was a barrier to exercise,” Sanghani wrote. She continued, “The same researchers are now working on a study about horse riding specifically, which will be launched in the next couple of months. Preliminary information from the study suggests that high numbers of riders struggle with breast pain – but Dr. Jenny Burbage, one of the researchers, tells me women participating in many sports tend to experience discomfort.”

Women who are naturally large chested may very well experience pain and find it awkward participating in sports. A client of mine, who was an equestrian and rode dressage for more than a decade, admitted the discomfort she experienced.

“It’s no surprise to me that this study in the United Kingdom revealed these numbers,” Ms. M said. “While I don’t ride anymore due to back issues, when I did it, there was discomfort. And despite whatever bra I wore, even one that was professionally fitted, there was never enough support for DDD.”

Ms. M admits she had never really thought about a breast reduction surgery at the time.

“Riding my horse was more of a hobby, but if I rode more, I would have definitely considered it,” she said. “I always felt that even my riding posture was off due to the weight I had to carry, too.”

In the article, it was also mentioned how some women may find how their athletic performance could be hindered due to breast pain, as well.

For women who live every day in discomfort because of this heavy weight, they not only complain about how challenging it is to take part in sports, but also in exercising. Additionally, finding fashionable garments which fit appropriately can be a quite a task.

Moreover, women who must carry this weight can suffer from the following:

  • Neck pain
  • Back pain
  • Headaches

And more….

The article also made an interesting point that many athletes may not admit to the discomfort they feel. Sadly, a stigma may be present. And hopefully, through educational articles this stigma can be eradicated.

From the riding arena to the tennis courts, the publication also made mention of Simona Halep, who is considered a tennis celebrity. In her late teens, reports indicate she decided to undergo a breast reduction surgery from a 34DD to 34C.

She candidly told the press, which was also highlighted in the Telegraph UK, that prior to her surgery her skill on the courts was compromised.

She added, “My ability to react quickly was worse and my breasts made me uncomfortable.”

Following breast reduction surgery and full recovery, her ranking at 57 leapt to 4 in Paris.

It’s only natural that when people hear about breast reduction surgery that they think of aesthetics. But truly, breast reduction surgery should also be viewed as providing relief to women who have endured so much discomfort and pain.

13Jul, 2015

Dr. D. Glynn Bolitho Chosen As 2015 Castle Connolly Top Doctor

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Dr.-Bolitho

For the second consecutive year, San Diego plastic surgeon, Dr. D. Glynn Bolitho, was chosen for the 2015 regional Top Doctor List by the highly regarded organization of Castle Connolly Medical Ltd. Once again, Dr. Bolitho is both honored and delighted to be recognized by this elite organization.

According to Maria Salvador, the director of corporate resources at Castle Connolly Medical Ltd., they take the challenge of identifying “Top Doctors” very seriously.

“Since the company’s founding in 1991, our ‘Top Doctors’ guides have been identifying the nation’s best doctors and hospitals in every part of the country and in every medical specialty. Our lists are based on peer nominations and professional assessments by our physician-led research team and not on hype, advertising, or third parties that have something to gain by recommending a particular provider,” she said. “Castle Connolly’s Top Doctors are rigorously selected from among hundreds of thousands of physicians. Our intensive research methodology is designed to identify doctors that will speed patients’ healing, minimize pain and discomfort, shorten recovery periods and enhance and lengthen lives – in other words, achieve the best possible health outcomes.”

The goal for Castle Connolly Medical Ltd., is to help individuals locate the best healthcare in all fields of medicine. Salvador pointed out they have published a variety of books including the “Top Doctors” series, the most popular of which is America’s Top Doctors® for over two decades. Now in the Internet Age, they are dedicating their resources to online and digital distribution.

Salvador also wants people to know that anyone can draw up a “Top” or “Best” list and many do.

“Pharmaceutical companies favor those physicians who are high prescribers of their drugs,” she said, adding how other mentions may be paid listings. Salvador continued, “But Castle Connolly has no such conflicts of interest. Our sole purpose is to help patients, their families, and their employers find health care providers who deliver superior results. Doctors do not and cannot pay to be included in any Castle Connolly Guide or online directory.”

Championed by a Castle Connolly physician team, this group prudently assesses and analyzes the credentials of every nominated physician. They peruse the following:

  • Magazine Articles
  • Website
  • Medical Education and Training
  • Board Certifications
  • Hospital Affiliations and Appointments
  • Professional Achievements

And more….

In 2014 and 2015, Dr. Bolitho was selected as “Regional Top Doctors” which is typically done by nomination of his peers in the metropolitan area. “These doctors are considered to be the physician leaders in their community,” Salvador said, “and attract majority of their patient base from the local population.”

Dr. Bolitho is quadrupled certified in the United States of America, Canada, Great Britain and South Africa. He is serving his second term as Chief of Plastic Surgery at Scripps Memorial Hospital, La Jolla. At the University of California in San Diego, Dr. Bolitho fulfills a non-salaried appointment as Associate Professor of Plastic Surgery.

Dr. Bolitho’s plastic surgery fellowship training was at the prestigious Emory University in Atlanta. Following a full-time faculty position there, he founded his La Jolla private practice in 2000.

For decades, Dr. Bolitho has been 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.

While providing extraordinary care for his patients is his ongoing mission, he feels privileged to be recognized by Castle Connolly as one of their Regional Top Doctors.

8May, 2015

Breast Reduction Goes Beyond Cosmetics

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Life achievement - happy woman arms up in success. Back view of

When a woman lives a life in daily discomfort because the size of her natural breasts is too large, a breast reduction surgery is incredibly transformative. There are many ladies who endure pain and inconvenience because of their bust size.

The size of large breasts can take its toll. Yes, even with the best bras on the market, the neck and back are indeed stressed from the extra weight. Additionally, towards the end of the day, bra straps leave painful, red indentations upon each shoulder. Aside from placing extra material underneath the straps, not much else can be done.

And on hot days, skin irritation can occur.

While pain generally is the superseding reason why women undergo this procedure, another reason for consideration is how downright uncomfortable and cumbersome it can be to have large breasts.

Others may feel that a woman having natural large breasts is “fortunate,” but for a group of these ladies what they do feel is unfortunate.

For example, regular exercise may not be a regular routine. The idea of jogging, hiking, and weight training can be both painful and unbearable. And while swimming can be highly beneficial, those with very large breasts may be hard pressed to find a swimsuit which fits properly and may shy away from the sport if they must go to a public pool.

And the key to healthy living is the ability to exercise.

On a daily basis, finding the right clothing to wear is very challenging and options are limited. Some women find themselves wearing baggy tops in an effort to conceal their size.

While pain and discomfort are at the forefront, a lack of self-confidence may also loom.

For those ladies with large, natural breasts who have children, they may realize after their childbearing years that their size has increased substantially. There are instances where a leap in one or more bra cup sizes has occurred. In addition to heavier breasts, they may also have experienced a more extensive drop and loss in volume.

A breast reduction is a procedure which many women consider when they have a difficult time on a daily basis with aches and discomfort. A consultation with a board certified plastic surgeon is the first step in determining whether or not a patient is the right candidate.

During the consultation, a potential patient can ask a variety of important questions such as details about the surgery, scarring, recovery, risks, and side-effects. It’s also advisable to request to see before-and-after photos of patients who underwent the same surgical procedure.

Find a doctor in where there is a comfortable and professional rapport. This is important because plastic surgery is considered a journey, and because of this, having a good relationship with a surgeon is vital.

There are many patients who undergo this surgery and are thrilled with the results and their new outlook on life.

Still, a breast reduction surgery is a personal decision and should be made thoughtfully and pragmatically.

Once the choice is made on having a breast reduction, the next step is finding the right surgeon through meticulous research, patient reviews, and referrals.

2Oct, 2013

Dr. Glynn Bolitho voted as 2013 Top Doctor

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Dr. Bolitho
A big congratulations goes out to Dr. Bolitho!

Every year, the San Diego County Medical Society invite votes from its peers to choose the best physicians in San Diego. When the votes are cast and calculated, the “Top Doctor List” is published in a special edition of San Diego Magazine.

Dr. Glynn Bolitho, a board certified plastic surgeon, received this honor in 2012, and now again, in 2013. He is humbled by the fact that his colleagues recognize his medical contributions.

Included in this 10th annual 2013 Top Doctors special edition, a total of 749 physicians in 65 specialties were highlighted as “Physicians of Exceptional Excellence.”

It’s estimated that 1,300 votes were generated by physicians who were both members and non-members of The Medical Society.

Dr. Bolitho, who is the current Chief of Plastic Surgery at Scripps Memorial Hospital, La Jolla, has practiced cosmetic surgery for more than 20 years. He describes this field of medicine as one which affords patients an array of options they never thought possible through cosmetic and reconstructive surgeries.

For Dr. Bolitho, cosmetic surgery is a journey, and he provides patients with the clear communication and care that they deserve.

Again, congratulations to Dr. Bolitho for earning such a distinguished recognition.

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.