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.”

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.

21Dec, 2016

Plastic surgeons recommend cessation of e-cigs prior to surgery

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Plastic surgeons recommend cessation of e-cigs prior to surgery

In a recent December publication of United Press International, Health Day News reported how two plastic surgeons stated in the Plastic and Reconstructive Surgery December issue how stopping the use of e-cigarettes prior to surgery was highly advised. The doctors highlighted in the piece included Dr. Alan Matarasso of Albert Einstein College of Medicine and Dr. Peter Taub of Mount Sinai Medical Center.

According to Health Day News, the doctors stated, “Based on our current best knowledge, it seems reasonable to advise plastic surgery candidates to cease e-cigarette use,” they said. The doctors continued, “Refraining from [e-cigarette] use four weeks before surgery is a prudent course of action, despite the fact that it has yet to be determined if the effects are similar to traditional cigarettes.”

While the health impacts of “nicotine vapor” continue to be researched, it appears the reason for this medical recommendation underscores patient care. The doctors referred to a study which revealed how stopping traditional smoking three to four weeks prior to a procedure could significantly decrease the risk of postoperative complications.

Blood flow and blood supply is essential following plastic surgery procedures, such as breast surgeries and abdominoplasties. Tissue healing following surgery requires this blood flow.

Erring on the side of caution, it’s believed that e-cigarette users should follow the same protocol as those who use traditional tobacco products. The reason behind this cautionary advice stems from the fact that the side effect of nicotine is best described as a vasoconstrictor.

According to the American College of Surgeons, traditional cigarette smoking does increase complications both during and following surgery. It’s their estimation that following the “no smoking rule” a few weeks prior and after surgery lessens the risk of wound healing by nearly half.

Many plastic surgeons also encompass the cessation of nicotine patches and gum in this medical protocol.

In addition to nicotine, carbon monoxide is also another concern.

While carbon monoxide withdraws oxygen away from the tissue area, as mentioned earlier, nicotine constricts blood vessels which deliver oxygen and nutrients to tissues. Again, this blood flow is vital to the healing process.

If the percentages in oxygen and nutrients drop during the recovery process, there is a risk factor following surgery in areas such as infection, increased chance of scarring, and additional complications.

While some plastic surgeons follow a smoking cessation of four weeks prior and after surgery, others have a more conservative approach of six weeks. A large gap of time is highly recommended and encouraged.

During a patient’s consultation with their plastic surgeon, it’s imperative to be candid regarding any smoking history. And this includes vaping. A surgeon’s top priority is the care of his/her patients and making certain, as a doctor-patient team moving forward, all can be done for an outstanding surgical outcome.

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.

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.

20Aug, 2015

Breast Reduction Surgery Brought Into The Spotlight

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Fashion Girl Relaxed With Her Legs Raised Up

Recently, Hollywood celebrity Ariel Winter of television sitcom Modern Family decided to publicly announce her reduction mammoplasty also referred to as breast reduction surgery. Winter was one of many women who suffer with the daily discomfort due to excess weight on their chests.

While most women undergo this surgery at 18 years of age and over, Winter, 17, had the surgery during the early part of summer. The surgery transformed her from a bra cup which was a size 32F to 34D.

She recently told a People magazine reporter, “I was 15 years old with [size] F [breasts]. How do you navigate that?”

Having a celebrity such as Winter convey what she did is helpful to so many women who experience the same troubles she did. They are able to relate to what she has encountered as well as empower themselves knowing that there is a solution and not to discount the benefits of breast reduction surgery.

Numerous women are affected with discomfort due to their breast size. In fact, it is estimated that more than one million American women are encountering this.

Moreover, most women do not impulsively decide on this surgery. They perform their due diligence by researching it, finding the best board certified plastic surgeons, perusing before and after galleries on surgeons’ websites, and visit helpful online resources where potential patients can ask doctors questions such as RealSelf.com.

Despite being fitted for the right bra and undergarments, there still remains a direct link to pain and discomfort due to the heaviness. As mentioned earlier, women seek this breast reduction surgery because of the excess weight on their chest which can cause the following issues:

*Back pain

*Neck pain

*Headaches

*Shoulder pain

*Shortness of breath

*Numbness and tingling in the arms

Headaches may be derived from the tightness in the shoulders and neck.

It is also important to point out that the more excess weight on the chest a woman carries, the more her shoulders tend to lean and roll forward. This may cause anatomical changes to her frame. Her posture may be compromised to compensate for the cumbersome pounds she must carry.

A group of doctors, including Bethannie Snodgrass, MD who authored, “When Less Is More: The Complete Guide for Women Considering Breast Reduction Surgery,” clearly points this out in her comprehensive book.

Snodgrass wanted her readers to know that this position could potentially cause a compression located in the thoracic spine. A culmination of pressure in the shoulder blades, ribs, nerves may theoretically cause this.

Another area of discomfort which cannot be overlooked is the shoulders. By the end of the day, bra straps are embedded so deeply into the shoulders of women leaving red and painful indentations.

Like all cosmetic and reconstructive surgical procedures, the decision to learn more about a breast reduction should be made thoughtfully. And teaming up with the right board certified plastic surgeon can help answer questions and navigate a patient in their decision making process.

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.

25Feb, 2015

Plastic Surgery Trends Emulate From East To West Coasts

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Fashion Girl Relaxed With Her Legs Raised Up

A recent article emerged from central New York citing the types of plastic surgery trends which are most apparent today in the world of cosmetic surgery.

Despite the miles between the east and west coasts, plastic surgery trends really are on point for both sides of the nation.

One inference was made which many San Diego plastic surgeons can agree with is that plastic surgery is not just for celebrities. It is available to all people of varying income levels. And what makes it more affordable is cosmetic surgery financing. This viewpoint really reinforces that cosmetic surgery is an investment in oneself.

For starters, majority of patients range from their forties to sixties; however, some patients may have their first visit in their thirties. These women come from all walks of professions including executives, teachers, health care professionals, real estate agents, and more.

Many are coming in to give themselves a youthful boost of self-confidence in the workplace and in a social atmosphere. There is a growing number of men who are following this pathway as well.

People are holding onto their careers longer and want to look their very best by living a healthy lifestyle and pursuing different avenues in plastic surgery.

The advent of liquid facelifts, also referred to as cosmetic injections, is delaying operative facial rejuvenation treatments. The most popular of these on the facial rejuvenation roster are the following:

  • Botox
  • Juvederm
  • Restylane

Both women and men are seeking these injections because they help smooth away fine lines and wrinkles without any downtime. It erases years when someone is in their forties and early fifties while also minimizing premature aging.

The side-effects are minimal bruising which can be camouflaged with makeup. Some even get these treatments during their lunch hour.

Rather than having a full facelift, many patients are welcoming minimally invasive lower facelift procedures where small, discreet incisions are made thereby redefining the jawline and lifting the neck area. Recovery time is very quick and the results are immediate.

Also on the surgical front trend list are mommy makeovers. Why is this so? Women who have completed having their families want the body they had before their days of pregnancy. A mommy makeover does a tremendous job in rejuvenating the breasts and abdomen.

Procedures included in a mommy makeover are a breast lift with or without implants and a tummy tuck. A tummy tuck can also correct the separation of stomach muscles so a woman can regain her abdominal strength.

While a mommy makeover is a comprehensive surgery, the recovery time is really dictated by the tummy tuck. Tummy tucks can either address the abdomen below the navel or below and above the navel. Also included in the procedure can be liposuction.

Generally, the recovery takes a few weeks and women are thrilled with the transformation.

So despite the miles between New York and California, it appears that plastic surgery trends are mirroring one another. The best part of all is both men and women are gratified with the results.