Bolitho MD

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

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19Jan, 2017

Plastic Surgery Consultation: Plan Ahead

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Plastic Surgery Consultation: Plan Ahead

For some individuals, a new year means new possibilities. One pathway of possibilities may be aesthetics by way of plastic surgery. When one has located a board-certified plastic surgeon, the next step is scheduling a plastic surgery consultation.

It’s completely normal for a patient to feel a blend of excitement and nervousness at this appointment. Nevertheless, there are some things that a patient can do ahead of time to make the most of their consultation.

Karen Martindale is a patient concierge for San Diego plastic surgeon Dr. D. Glynn Bolitho. Dedicating more than 25 years in the cosmetic surgery industry, Ms. Martindale brings a wealth of knowledge to patients preparing for a consultation.

Ms. Martindale’s sage advice is to plan ahead.

Top plastic surgeons like Dr. Bolitho are going to be booked about four to six weeks in advance. So most of the time, a patient will not be able to walk in and request surgery the very next week,” Ms. Martindale said. “With that said, it’s never too soon to come in for a consultation.”

According to Ms. Martindale, some patients who want to learn more about liposuction or tummy tuck may think that they need to be at their ideal weight before their consultation. Ms. Martindale shared that potential patients do not need to wait.

“It’s always a great idea to come in for your consultation three or four months ahead of time so future plans can be made. Even though you may not be at your ideal weight, coming in and having your consultation is a great start,” Ms. Martindale said. “Many patients have also explained how the consultation served as a great incentive to help them achieve their weight loss goal.”

In other instances, achieving a certain weight loss for a particular procedure may not be necessary. Ms. Martindale shared an example such as for those wanting a neck lift or surgical facial rejuvenation procedure.

“If you’re within 10 to 15 pounds of your ideal weight, having a facelift may not make that much difference,” Ms. Martindale said.

Planning ahead is also needed if one is smoking traditional cigarettes or inhaling e-liquid nicotine while vaping.  Ms. Martindale wants potential patients to know that they need to stop smoking four weeks before and after surgery. And on a side note, Ms. Martindale happily reported how many of their patients never returned to their cigarette use.

Writing down questions ahead of time was also mentioned by Ms. Martindale.

“These questions can vary, but generally they range from recovery, when they can resume their exercise routines, and when they can fly,” she said.

For marathon runners readying for a future event, planning ahead on the opportune timeframe for surgery is important to address.

“Busy moms also need to coordinate their surgery time with their children’s schedules and possible childcare assistance,” Ms. Martindale said. “Another thing a patient will want to inquire is if their plastic surgeon will be out of town during the time they are interested in having surgery.”

In many respects, a plastic surgery consultation can help turn a possibility into a reality.

21Oct, 2016

Why a woman may seek a breast revision surgery

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Why a woman may seek a breast revision surgery

When a woman considers a breast augmentation surgery, it’s important that she is thoughtful about the decision. During her appointment with a board certified plastic surgeon, she can inquire about the procedure, the recovery and the outcome. Also at that time she can be candid in regards to why she wants this surgery and her expectations following it.

Excellent communication between plastic surgeons and their patients is imperative.

While a patient may have done their due diligence before undergoing their breast augmentation procedure, there are cases when she may very well consider a breast revision surgery based on either a desire or need. This can occur months or even years later.

These reasons may vary and include the following:

  • Challenges with breast asymmetry
  • Capsular contracture (scar tissue surrounding the implant has tightened)
  • Symmastia
  • Removing and replacing an implant(s) which has ruptured
  • Deciding on a new implant size
  • Implant rippling
  • Interchanging saline with silicone implants (or vice versa)

It’s entirely up to the patient as to whether or not they want to return to their original plastic surgeon for the revision or seek another. If the choice is the latter, it’s highly recommended to research only board certified plastic surgeons that specialize in breast surgery and ones who are adept in breast revision surgeries.  Once more, this is a personal decision. In addition to this, other surgeries they should excel in may consist of a breast lift, breast reduction, and breast reconstruction. Surgical aptitude in breast surgeries can help patients achieve a positive surgical outcome.

As mentioned earlier, there are various reasons as to why a woman may seek a revisionary breast surgery.  Some patients may discover over time that the original size implant they chose years ago no longer fits their lifestyle. For example, when a woman has completed having her family in her forties, she may come to the realization that the implant size she chose in her twenties may no longer be aesthetically appealing to her.

In the same breath, her skin tissue may have transformed over time due to weight gain, breastfeeding and weight loss.

Every patient is different as are their aesthetic needs.

For whatever reason a woman decides that she is interested in pursuing breast revision surgery, always remember that locating a board certified plastic surgeon should be at the top of the checklist.

And truly, this certification cannot be understated. A doctor certified in plastic surgery can help ensure a positive surgical outcome while keeping patient safety in the forefront.

26May, 2016

Considerations for revisionary breast surgery

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Considerations for revisionary breast surgery

Through many years of practice, revisionary breast surgery has evolved into a specialty.  Those who have undergone a breast enhancement procedure will sometimes want–or sometimes need–a revision surgery. Implants may be used in procedures such as a breast augmentation, breast lift, or breast reduction.

It’s important to note that not all patients who undergo a lift or reduction may require an implant – it’s a personal choice that can be discussed at a consultation with a board certified plastic surgeon.

While some patients may be displeased with the aesthetic outcome of their initial procedure, there may be other factors which lead them to seek a revision. These reasons, both personal and medical, may include the following:

  • Symmastia
  • Capsular contracture
  • Implant rupture
  • Bottoming out
  • Symmetry issues
  • Implant disappointment
  • Downsizing implants
  • Replacing implants

 

In some instances, women who are finished having their families may have chosen to have implants placed without undergoing a breast lift. While some patients are content with the results, others may be dissatisfied with the position and want to improve their appearance with a revision.

For mothers who had an enhancement prior to bearing children, undergoing a second augmentation after building their families is also another aesthetic scenario. The effects of bearing children, such as weight gain and breastfeeding, may alter the appearance of woman’s bust line. In some instances, a lift may be recommended to address skin redundancy

Another motive may be when a woman decides that the upper silhouette she wanted to achieve many years ago through implants is not a current aesthetic goal at this point in her life. In these instances, she may decide to downsize.

As one can imagine, revisionary breast surgeries are performed for a variety of reasons.

When electing to undergo a revision for aesthetic purposes, it’s generally advised to wait four to six months following the initial surgery to ensure all healing is complete–this includes any residual swelling. If a patient decides that she does not want to return to her original surgeon for a revision, it’s highly advised that she seeks a board certified plastic surgeon that specializes in breast revision surgery. Surgeons at this level have mastered their craft.

During a consultation with a new cosmetic surgeon, be candid with the doctor when it comes to the reason, or reasons, behind the revision. At this first appointment, clear communication is necessary. It’s important that the surgeon doing the revision surgery and the patient have an excellent rapport.

Following an exam, the doctor will convey their thoughts regarding a revision. The details of the surgery, the recovery process, and realistic expectations will also be discussed.

Before or during the consultation, make it a priority to review their patient gallery photos of women who have undergone a breast revision surgery. If possible, ask the doctor if they have any “before or after” images of patients who were in a similar circumstance(s). This will provide an excellent gauge as to whether or not the surgeon’s talents are aligned with a patient’s goals.

22Mar, 2016

Americans increase the price tag of plastic surgery

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Americans increase the price tag of plastic surgery

Over the years, plastic surgery has been fueled by several factors, but the leading demand stems from individuals who want to look as good as they feel. With that being said, the American Society for Aesthetic Plastic Surgery (ASAPS) recently released some data indicating the amount of money that Americans spent on plastic surgery procedures in 2015 reached an unparalleled all-inclusive price tag: $13 million.

Since ASAPS released this information, a handful of articles have followed highlighting different portions of the study. The data was incredibly concise, revealing the top-tier body and facial rejuvenation procedures that both men and women seek; however, women comprised 90 percent of the procedures underwent in 2015.

In 2015, a total of female Americans had 11.5 million plastic surgery procedures. And men tallied 1.5 million procedures.

Plastic surgery has become an important part of American culture, not to mention around the globe. But here in the states, many have suspected that Corporate America has fueled the desire to seek facial rejuvenation. For many individuals who have worked so hard to achieve their career status, a number of them want to retain their position and not retire. A group in this category view plastic surgery as an asset toward their extended career investment.

In the Washington Times, Jennifer Harper wrote a follow-up piece to the ASAPS data. In her article was a statement by president of ASAPS, Dr. James C. Grotting.

“I personally believe the motivating factors for that are varied, but remaining competitive in the workforce is certainly a common factor. Youth is a commodity, and people are investing in themselves to maintain a younger, healthier appearance,” Dr. Grotting said.

While different age ranges were assessed, 40 percent of patients between the ages of 30 to 50 took part in cosmetic procedures. For women, the top procedure in 2015 was liposuction. Following close behind was breast augmentation, tummy tuck, breast lift and eyelid surgery.

The procedures men sought differed; however, their number one procedure was also liposuction. Next was nose reshaping surgery, eyelid surgery, male breast reduction and facelift.

Although not in the top five for women, buttock augmentation and buttock lifts increased quite quickly in numbers, as well. And the demand is increasing.

Harper wrote, “The surgeons note that fat transfer to the face – a new category – ‘instantly’ landed in the top-10 list, as did nonsurgical skin tightening, a procedure particularly popular among men.”

Fat transfer in the face can be considered by many as being done in lieu of fillers. As one ages, they begin to lose volume in their face, particularly around the nasolabial folds and cheek area. While fillers can last up to a year or more, some patients are welcoming a fat transfer. Fat is extracted from a person’s body and then utilized to add youthful fullness to facial features.

In the non-operative sector, Botox led the way at 4.2 million procedures last year. Fillers trailed close behind as did other minimally invasive procedures such as chemical peels.

Be it operative or non-operative procedures, plastic surgery is filling an aesthetic niche for people of all ages.

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.

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.