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.

17Mar, 2016

Breast Revisionary Surgery Transforms and Corrects

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Breast Revisionary Surgery Transforms and Corrects

Breast surgery is a personal decision which should be made mindfully and thoughtfully. While moving forward with the best of intentions, sometimes a patient’s surgical outcome is not to her satisfaction. Be it a breast reduction, breast augmentation, or breast lift with augmentation, a situation may arise which triggers a patient to consider a revision.

There is an array of issues which may occur following the primary operation.

“There is one issue that we call symmastia in where the skin in between the breasts actually lifts off the sternum and can be challenging to correct,” said patient concierge Karen Martindale, who works alongside renowned plastic surgeon Dr. D. Glynn Bolitho. “And another issue a patient may experience is capsular contracture.”

Other matters patients experience may include symmetry challenges, downsizing or replacing breast implants, and more. Martindale explained that some patients after their childbearing years may have had implants to improve volume without a lift. Patients who want a revision in this case are generally not content with the descension.

Martindale explained that when a woman comes in for a consultation, it is most optimal if they have on hand their previous operative notes and what type of implants they currently have so the doctor can review the material.

“Following this, Dr. Bolitho will perform an examination and will be able to show patients a before-and-after gallery of those who underwent the same type of procedures with outstanding results.”

Martindale attributes Dr. Bolitho’s expertise from years of experience in performing breast reconstruction surgeries for women who had lost one or both breasts to cancer.

And each person is different in terms of how long they will wait until they seek a revision. In addition, they may undergo more than one revision.

“Some patients will travel long distances to find the right surgeon to help them with their issue. We’ve had patients in our practice who find Dr. Bolitho after undergoing several revisions,” she said.

According to Martindale, Dr. Bolitho has helped women achieve the aesthetic symmetry they desired, avoid another capsular contracture, and reverse a host of other issues.

“Many women we see in consultations are so close to taking out their implants completely due to the frustration levels,” she said. “I personally have a friend who had eight procedures before she came here to see Dr. Bolitho.”

Martindale shared how her friend was told by one surgeon that she had to have her implants removed because she was prone to capsular contracture. She would encapsulate weeks after surgery, and her implants would be hard again.

And then she went to Dr. Bolitho for a revision.

“My friend is so happy and there has been no evidence of a repeat capsular contracture,” she said.

Martindale’s friend is one of many patients who has sought Dr. Bolitho for help. Breast revisionary surgery can truly transform a woman’s desired aesthetics.

25Mar, 2015

Common Reasons Why Women Undergo A Breast Lift

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

Prior to having cosmetic surgery, it’s important that one researches the procedure they are interested in as well as taking the time to thoughtfully consider the surgery as a whole. For women who consider having a breast lift, many really have done their research and have thought a great deal about it before visiting with a board certified plastic surgeon.

They’ve read content articles on the web and learned about surgery variations in regard to the extent of a lift they very well might need. Inevitably, this leads up to their first consultation.

With that said, there are various reasons why a woman decides to undergo a breast lift. It’s also important to note that there really is not a particular age range for this surgery because it can vary between the ages of thirties to sixties.

However, plastic surgeons will tell their potential patients to have their children first and then their breast lift procedure. It’s not advised to have the surgery if a woman wants to continue building her family.

Once she has had her last child, then that is the optimal time to have the surgery in where redundant skin can be removed and the breasts lifted. Some mothers choose not to have implants, while others may want more projection and volume and request them.

For the most part, however, mothers generally are happy with the lift alone since it does restore a level of volume.

The very next reason a woman may choose this surgery is following significant weight loss.

Weight gain can also occur in the bosom, and after the pounds drop on the scale, volume is lost and sagginess remains. A breast lift can restore this area to a more youthful appearance. The use of implants can also be discussed.

There is also a significant amount of women who have challenges with breast asymmetry in where one breast is larger than the other. For this type of condition, a surgeon will recommend if a lift, breast reduction or breast augmentation is in order. While every patient differs in their needs, sometimes two procedures are recommended such as a breast lift and augmentation to correct the aesthetic issue.

The last reason a woman may consider a breast lift is if she decides to downsize her augmentation. For those who had an augmentation in their earlier years, they may come to the realization that they prefer a smaller implant size which compliments their physique and personal comfort levels.

If a woman changes larger implants for smaller ones, a plastic surgeon will be able to assess whether or not there will be redundant skin following the exchange. If this is the case, then a surgeon will implement a breast lift with the procedure.

A consultation will provide great insight into this procedure regardless of why a woman decides to undergo it. While looking for a surgeon who specializes in this area, do peruse their patient gallery to assess whether or not their skill sets match one’s need for this surgery.