Bolitho MD

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

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9Feb, 2017

Providing patients with calm and comfort

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Providing patients with calm and comfort

Patient concierge Karen Martindale redefines the art of patient care. 

When a person decides to embark on a plastic surgery procedure, it can trigger a sense of enthusiasm, and for some, a feeling of empowerment. Despite these initial feelings, it’s highly important for potential patients to encounter professionalism during a plastic surgery consultation which should also be punctuated by a sense of calm and comfort.

Karen Martindale, who serves as patient concierge for San Diego plastic surgeon Dr. D. Glynn Bolitho, shared the significance of creating this patient atmosphere.

“We really try to put patients at ease through communication and getting to know them better prior to the examination portion of their visit,” Ms. Martindale said.

Both Dr. Bolitho and Ms. Martindale decided to afford patients with a special experience by creating their consultation suite otherwise known as the Clifton Room. This room is utilized for ensuring patient comfort in where individuals have the time that they need to speak with Ms. Martindale and ultimately Dr. Bolitho.

Rather than having patients transfer from the reception room to an examining room, it was decided to have patients relax in a private sitting room. Patients have the opportunity to view a “before-and-after” patient gallery on a flat screen as well as sharing their aesthetic wishes to Ms. Martindale and Dr. Bolitho.

“Our goal was to make the consultation less formal than other medical practices,” Ms. Martindale said. “Dr. Bolitho really likes to get to know his patients. That’s so important to him.”

Ms. Martindale went on to say that the patient experience during a consultation transcends to much more than a potential cosmetic surgery.

“Dr. Bolitho is extremely warm and kindhearted. He likes to know about a person’s general health, their lifestyle, and even their family. For Dr. Bolitho, it’s about building relationships,” she said.

Once a potential patient has had the opportunity to discuss their aesthetic wishes in the Clifton Room, the next step is the examining room if they so choose.

While Ms. Martindale has been in the field of plastic surgery for more than 25 years, her compassion for patient care has never waned. Like Dr. Bolitho, she understands how an examination for a procedure such as a breast lift or tummy tuck can trigger a natural awkwardness. It’s Ms. Martindale’s intention to make patients feel as relaxed as possible, and the Clifton Room serves as a nice segue to the examining room portion of the visit.

According to Ms. Martindale, a plastic surgery consultation lasts roughly about an hour. She also shared how they have a goal to achieve during each and every consultation.

“We want patients to feel totally comfortable and want them to know that they are in wonderful hands because we care,” she said. “Our patients become part of our practice family.”

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.

25May, 2015

Tips To Find The Best Plastic Surgeon

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FreeDigitalphotos.net by imagerymajestic

FreeDigitalphotos.net by imagerymajestic

 

In San Diego County, it’s no surprise how there are an enormous amount of talented board certified plastic surgeons. With such an overwhelming number, how does one go about finding the best plastic surgeon?

The answer is that it truly takes some meticulous research in terms of locating one whose specialty is in the area of person’s surgical aesthetic goals.

A great area for people to begin their search is on regarded sites such as the American Society of Plastic Surgeons. On this website, researchers can double check that the doctor they are interested in is indeed board certified. They can also learn more about their educational background, their areas of specialty, and be given an opportunity to read any answers a doctor may have provided to people asking questions about an array of plastic surgery questions.

When a doctor is involved in answering a series of online medical questions, it provides potential patients a better perspective on how the doctor interacts with others. And if the doctor has answered questions based on someone’s surgery of interest, this is another great avenue to explore.

The American Society of Plastic Surgeons also has a review for its board certified plastic surgeons. This is another area worth perusing and learning more about a surgeon of interest and what past patients have said about him or her.

On this site which highlights a particular doctor, there is a direct link back to the board certified plastic surgeon’s personal website.

A doctor’s website is an extension of their office. It affords a person with more knowledge about the procedure, more detailed information about the surgeon, patient testimonials, and more importantly, before and after photo galleries.

These patient photo galleries are incredibly helpful since they offer patients a view of a doctor’s surgical skill and the ability to see if there is a patient’s “before photo” that mirrors their own aesthetic situation.

Pushing on, do visit other doctor referral sites such as Health Grades and other notable ones for more knowledge. Also, referrals from family members, friends and family doctors are other great avenues.

Once a year San Diego Magazine lists Top Doctors in all fields of medicine, including plastic surgery. The list is compiled by votes by a doctor’s peers and conducted by the San Diego County Medical Society.

If locating a doctor with this type of honor is important, then do search this annual special edition online.

Other “Top Doctor” votes outside of San Diego can include the Castle Connolly Top Doctor List.

It is the consultation appointment, however, which really is the time to discover whether or not one is comfortable with the San Diego plastic surgeon. This is a special occasion where one can freely discuss their aesthetic goals and wishes and get to know the surgeon better. This is an opportunity to truly “interview” the surgeon and to make certain all questions are answered.

Plastic surgery should never be done in haste. After a consultation, there’s no need to book a surgery appointment. Take the time needed for thoughtful consideration.

11Apr, 2015

Plastic Surgery Study Emerges With Interesting Data

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Group of medical doctors in laboratory. Scientific research.

In the 21st century, the advent of skilled microsurgical techniques has afforded many with the option of undergoing operative facial rejuvenation. Known to many as a facelift, surgical advances have enabled patients to reap great rewards, not only with a full facelift, but also procedures which are less comprehensive such as a limited lower facelift or a simplicity neck lift.

While many are celebrating this new fountain of youth via plastic surgery, a recent study emerged and was reported by Medical News Today. The study claims that plastic surgery is not defined solely by youth.

There’s more to it.

The research study was recently published in JAMA Facial Plastic Surgery. The premise of the study was using before-and-after pictures of ladies who had undergone a particular type or types of facial rejuvenation surgery. A handful of these procedures included:

Part of the study was analyzing these photos and determining in a control study group whether or not any specific personality traits were present for the viewer. These personality traits consisted of the following:

  • Likeability
  • Aggressiveness
  • Extroversion
  • Trustworthiness
  • Social Skills
  • Risk Seeking

These supposed “traits” were all based on the perception of others for an individual before and after their facial procedure.

Reporter, Markus MacGill of Medical News Today wrote that the aim of the study was to, “introduce the concept of facial profiling to the surgical literature and to evaluate and quantify the changes in personality perception that occur with facial rejuvenation surgery.” He continued, “The relationship between facial features and personality traits has been explored ‘by social scientists for many years’ but so far left out of the journals read by surgeons.”

The goal of the study was to branch out further than looking more youthful. That was only one element. They delved into the different degrees of features following surgery and discovered if they were impacted in any way.

The study included 30 women who underwent a type of facial rejuvenation surgery which were subject to evaluation. These ladies had undergone surgery between the years of 2009 – 2013.

Plastic surgeon, Dr. Michael Reilly of Medstar Georgetown University Hospital in Washington DC, championed the study along with other coauthors. Unveiled was a “significant improvement” in the traits of likeability and social skills.

On the flipside, however, there was a moderate to slight improvement for the traits of extroversion, aggressiveness, risk-seeking and trustworthiness.

MacGill extracted from the study that, “The comprehensive evaluation and treatment of the patient who undergoes facial rejuvenation requires a broader understanding of the many changes in perception that are likely to occur with surgical intervention. The face is not defined by youth alone.”

This study affords the best plastic surgeons pathways for their patients not only to look more youthful but to also rein in other personality traits which may impact other facial features following surgery. The goal of plastic surgery is to achieve aesthetic harmony on many levels.

21Mar, 2015

The History of Breast Augmentation

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Sunset 

Think that the first breast augmentation surgery was in the 1980s? Try earlier, and flip a couple numbers to read the 1890s. While breast augmentation is one of the most highly performed cosmetic surgeries both nationally and internationally, doctors have been testing ways to enhance volume for decades.

And, yes, it has come a long way.

Back in the 1890s, paraffin was injected into the bust for enhancement, but this treatment stopped rather quickly after it was discovered that the ingredient was seeping into other areas of the body.

Years later, more specifically in the 1920s and 1930s, doctors tried an “early version” of a fat transfer. They actually extracted fat from parts of the patient’s body and injected it into the breasts. This treatment didn’t have a very long shelf life.

In the 1950s, the introduction of the insertion of sponges, cartilage, polyurethane and even glass balls were utilized to examine what method was best. Out of all of these, the sponges worked well, but the results were not long lasting. The sponges would shrink and become stiff after a period of time.

In 1962, a shift in breast augmentation occurred. Timmie Jean Lindsey, hailing from Houston, Texas, agreed to undergo the surgery using silicone implants. What she originally went into surgery for was to remove tattoos on her breasts and what she got in return was an enhancement from a B to C cup and a gratis otoplasty which she wanted for aesthetic improvement.

In the operating room were Drs. Frank Gerow and Thomas Cronin performing this historical surgery.

Little did anyone know that this two hour procedure would change the way breast augmentation would be done in the future.

For Cronin, the concept really became a reality when he gave his presentation at the 1963 International Society of Plastic Surgeons convention in Washington DC. Those in attendance thought it was remarkable.

And as many say, the rest is history.

Known as medical devices, breast implants have solid silicone shell. Inside them, doctors and patients have a choice whether they prefer a silicone or saline filled implant. Each kind is approved by the FDA.

And since the 1960s, these implants have improved and changed dramatically including these following nuances and features:

  • The shell texture of an implant
  • The projection and profile of an implant
  • The anatomic shape of an implant
  • Diameter of an implant

 

It’s also important to note that while the U.S. Food and Drug Administration conclude that the silicone-gel implants to be “generally safe,” it is advisable that patients who undergo an enhancement using these medical devices communicate with their surgeons on a frequent basis. Routine postoperative appointments are part of this protocol, and sometimes an MRI may be recommended every few years.

When a woman decides to undergo a surgery such as this, it should never be done in haste. It’s always recommended to have a thorough consultation with a board certified plastic surgeon, discuss the benefits of the procedure, choose the right size of an implant which is proportionate to the body, and touch upon any risks factors.

 

12Mar, 2015

Virtual Cosmetic Surgery Portal

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While the popularity of cosmetic surgery continues to climb, a virtual component to it has begun to take shape. No, this is not referring to cell phone apps where one can alter their photos and erase years. Instead, this is actually having a virtual consultation with a board certified plastic surgeon either living in a different state or abroad.

In the United States, there is an array of plastic surgeons which skill sets are specific to specialties. It appears that a new trend is not only locating a top-tier plastic surgeon but finding one that is out of state. For example, a New Yorker may want to flee the bitter cold and come to sunny San Diego during the winter months for a brief vacation and a cosmetic surgery procedure.

Progressive plastic surgeons are affording patients advanced websites where virtual consultations can be done with ease.

For patients it begins with researching a board certified surgeon in a particular state and/or city. Once one has reviewed top doctors listed regionally along with locating any accolades, they can begin to narrow their search more sharply.

Once a person has assessed that they have found a great candidate, it’s suggested they visit their website to ensure there is a virtual consultation feature. Normally on the website, one can download pictures of the area(s) they are interested in cosmetically changing or enhancing. Along with the photos, there is an area where a potential patient can convey their aesthetic wishes.

Following this submission, the plastic surgeon’s patient concierge will step in to help this navigation process. They will be in touch with the individual usually within a 24-hour period.

When the doctor assesses the photos and the patient’s “cosmetic wish list,” it is at that time when a decision is made as to whether or not to proceed with a virtual consultation. This can be done via Skype or even by phone.

During this meeting, the doctor will offer ample time to discuss the procedure in detail while answering any questions one may have. Just like a traditional in-person consultation, it is important for a potential patient to establish a nice rapport with the surgeon. Indeed, this can be done virtually.

Every step of the way, the plastic surgeon’s patient concierge will be by a patient’s side. They will assist with travel and hotel suggestions and arrangements, help coordinate any bloodwork or medical screening, and schedule a nurse to stay with a patient the first night or two after surgery.

While having a nurse isn’t mandatory, it is highly suggested. The nurse will drive the patient back to their hotel suite or other residential choice following the procedure and drive them back to the office for their first preoperative appointment the very next day. The nurse will also serve as the doctor’s primary point of contact after surgery giving the doctor frequent updates.

Listening to the doctor’s suggestions and recommendations, the patient concierge will also be able to give patients a recovery timeline and when it would be best for them to return home.

Additionally, if the patient is traveling with family members who may want to do a little sightseeing, the concierge will ensure they receive information on the top places to visit and dine.

Generally, doctors do like their patients to arrive a few days before the preoperative appointment.

In the digital age, so much has changed for the better. People are now empowered to pick the right plastic surgeon, undergo the cosmetic procedure they always wanted, and combine a mini vacation for themselves and family.

31Jan, 2015

The Gratification From After Weight Loss Surgery

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Woman At Sunset

A person has done the work and has lost a large amount of weight. That should be enough, but sometimes it is not. After a significant weight loss, there may be leftover excess skin still remaining around a person’s entire body.

A person may decide to have a body contouring after weight loss surgery by a board certified plastic surgeon that removes excess skin, which provides a more firm and shapely silhouette. For many this surgery is the final step of their weight loss journey which will give them a huge boost in self-confidence.

The best candidate for this procedure is someone who has reached their ideal weight and has remained firm on the scale. If a person had bariatric surgery, surgeons would like them to stay at a stable weight for a period of time. That may be from six months to a year.

There are two reasons doctors want their patients to maintain their weight loss before the surgery. One is that if there is a weight gain after the procedure, there could be an increase in stretch marks and post-surgical scaring. The other reason is if a person gains weight after the surgery and loses it after the procedure, more sagging can occur.

To maintain the weight a patient should be diligent in establishing a healthy lifestyle and a habit of eating a well-balanced diet.

Areas of slack skin that may need attention after a large weight loss are upper arms, abdomen, thighs, buttocks, groin and breasts.

Some patients might need more than one surgery to address these areas.

The best candidates are nonsmokers, have no medical history that could interfere with the surgery and have maintained a healthy lifestyle since the weight loss. They also need to have realistic expectations and goals.

A patient’s doctor works closely with the plastic surgeon. Together they decide when is the right time to do the body contouring surgery.

30Jan, 2015

New Study Reveals Thigh Lift Complications Are Minor

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Group of medical doctors in laboratory. Scientific research.

Thigh lift surgery is a procedure highly sought after from those who have lost a significant amount of weight. The surgery removes redundant skin making a patient’s thighs firmer and shapely.

Also called a medial thigh lift surgery, this procedure is under the body contouring surgical umbrella. A study recently revealed while some complications do exist, they are minor.

The research was performed by ASPS member surgeon, Dr. Jeffrey Adam Gusenoff and his colleagues at the University of Pittsburgh. Their findings were published in the January issue of Plastic and Reconstructive Surgery®. This publication is the official medical journal of the (ASPS), also known as the American Society of Plastic Surgeons.

The beginning of the report stated, “Wound complications in medial thighplasty are common, but most are minor and can be managed without reoperation.”

The study included 106 patients who underwent a medial thigh lift. From these patients, 90 were female and the remainder patients were male. Their median age was 45. The report indicated that these post-bariatric surgery patients had saggy and excess skin.

“Overall, 68 percent of patients experienced some type of complication after thigh lift surgery. The complication rate varied with the extensiveness of surgery: from 43 percent for patients undergoing the least-extensive ‘horizontal thighplasty,’ to 64 percent with an intermediate ‘short-scar thighplasty,’ to 74 percent with the most-extensive ‘full-length vertical thighplasty,’”

the authors wrote. They continued, “But while complications were frequent, they usually weren’t serious. The most common issues were minor wound healing problems: problems with wound closure (dehiscence) and fluid collections (seromas). Most of these were managed without any further surgery.”

It was estimated that in this study only 6 percent of these patients required another surgery. Additionally, more than 10 percent of patients elected to have additional surgery to enhance their aesthetic goals.

Body Contouring After Weight Loss Surgery is a popular procedure given the fact that medical science has introduced a variety of procedures to help individuals lose excess weight of 100 pounds or more. For many, this surgery is indeed the last part of their weight loss journey. With that said, many have done their research along with taking part in online forums for support, encouragement and education.

The report also clearly points out, “With the increased use of bariatric surgery, the numbers of patients seeking body contouring surgery after massive weight loss have increased sharply.”

When consulting with a board certified plastic surgeon, one will not only receive a better understanding of the surgery but will also be more informed of any possible side-effects. Every surgery has its own set of risks. With that said, when a patient follows their postoperative guidelines, such risks may be minimized.

“Despite these considerable challenges, massive weight loss patients also stand to benefit immensely from contouring procedures,” Dr. Gusenoff and colleagues conclude.

Nevertheless, this report was outstanding in terms of the research and indicating while complications may be present, they are minor.

5Oct, 2013

A Look Into The History Of Plastic Surgery

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Dr. Bolitho
The American Society of Plastic Surgeons (ASPS), established in 1931, is one of the leading organizations in the nation offering valuable information to its surgeons and individuals looking into various treatments and cosmetic surgeries.

It offers a sounding board for potential patients wanting to learn more about a particular procedure and a database of doctors who are part of this esteemed organization.

Dr. Gynn Bolitho, a board certified plastic surgeon in San Diego, is an active member of ASPS.

ASPS created a video on the history of plastic surgery and the role it has played over the decades. This brief video offers a montage of the medical pioneers who started it all, a look into plastic surgery today, and an eye to the future.

The video provides great insight into the evolution of plastic surgery, how techniques have become more refined, and how plastic surgeons have played an intricate part in medicine by helping people change the way the feel about themselves. It’s a simple explanation, yet it’s punctuated by a powerful outcome.

To learn more about Dr. Bolitho, please visit www.bolithomd.com. Dr. Bolitho also invites you to call his office at (858) 381-4106 or e-mail him at info@bolithomd.com to book a consultation. In the meantime, please visit the photo gallery of the plastic cosmetic procedures he has performed.

Enjoy the video….

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.