Bolitho MD

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9834 Genesee Ave Ste 311 La Jolla San Diego, California
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1Jun, 2016

Where Travelers Seek Plastic Surgery

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Where Travelers Seek Plastic Surgery

The news of people traveling to a destiny to receive cosmetic procedures is garnering more attention. While some people coin this as “medical tourism,” depending on the destination, it can very well be a rejuvenation vacation.

In a recent edition of Travelers Today, reporter Joseph Peter Capaque revealed the top destinations where people journey for cosmetic surgery.

These top countries include the following:

  • USA
  • Italy
  • Brazil
  • Colombia
  • South Korea

Before delving into the procedures patients seek in these countries, it is imperative to note that cosmetic procedures are medical procedures/surgeries so due diligence must be performed in locating the best board certified plastic surgeons for both safety and positive surgical outcome.

In the United States, patients are encouraged to seek doctors who are certified by the American Board of Plastic Surgery. Plastic surgeons of this caliber are highly trained, skilled, and are considered masters in their field of surgery.

While a doctor may be “certified,” if one is seeking a plastic surgery procedure, they must be certain that a doctor’s board certification is in plastic surgery.  In addition to test taking, it can require several years to become board certified. But this distinction gives patients peace of mind.

Yes, this research may take a bit more time, but it is worth every moment spent by visiting sites such as the American Board of Plastic Surgery and American Society of Plastic Surgeons.  Another important item to research is whether or not the plastic surgeon has hospital privileges. And if so, determining how those hospitals are rated is of additional importance. A top-notch hospital is as equally vital as finding a masterful surgeon.

So if one is seeking surgery in the USA, it’s highly advisable to perform the above protocol. And if one decides to visit other countries for plastic surgery procedures, it is highly recommended that they take great care making sure the facilities and surgeons being considered are up to par.

According to Travelers Today, those who seek a rejuvenation vacation in the states generally have the following procedures:

In Italy, the treatments people seek are cosmetic injections such as Botox and fillers as well as liposuction. The procedure of liposuction is also popular in Brazil as well as breast augmentations. Adjacent to Brazil is Colombia where liposuction is also highly sought.

South Korea has become one of the fastest emerging countries for operative facial procedures. Capaque reported that in addition to rhinoplasty and double eyelid procedures being on the surgical roster, liposuction was also a surgery which was also frequently scheduled.

As noted earlier in the article, safety is of the utmost importance so do take great care in finding the most experienced board certified plastic surgeon to carry out those aesthetic 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.

27Jan, 2016

Comparing U.S. Cosmetic Surgery to Great Britain

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Comparing U.S. Cosmetic Surgery to Great Britain

It’s always incredibly interesting to see how cosmetic surgery trends in the United States compare to other parts of the world. Recently, the Telegraph in the United Kingdom wrote an intriguing article about cosmetic enhancements.

And quite frankly, the title of the article says it all: “Why are the over 55s turning to cosmetic surgery?”

Reporter, Saffron Alexander, begins the article by reviewing data from The Independent Pensions Advisory Service in Britain, otherwise known as TPAS. According to statistics, residents are enjoying their fifty-something years with purchases such as musical instruments, RVs, and telescopes to view the constellations.

However, another interesting find was cosmetic surgery spending.

Alexander turned to the United States, citing numbers from the American Society for Plastic Surgeons (ASPS). In 2014, the data collected revealed that Americans 55+ accounted for 24 percent of cosmetic procedures while those between the ages of 40 to 54 accounted for 34 percent.

Comparing the above information to The British Association of Aesthetic Plastic Surgeons (BAAPS) was informative. It appeared that plastic surgery percentages since 2013 have dropped 9 percent. The new mantra is “tweaked not tucked.”

In the article, the following BAAPS statement was included: “The demand for subtle, understated anti-aging procedures such as eyelid surgery, facelifts, and fat transfer remain largely unchanged, while more ‘conspicuous’ treatments such as tummy tucks and nose jobs are dropping dramatically.”

Alexander interviewed plastic surgeon and member of BAAPS, Naveen Cavale, who shared that this trend is more obvious for those over the age of 55.

“There has been a slight rise in the number of people aged 55 or older who are opting for cosmetic surgery. This could partly be because of the new financial freedoms they’re enjoying, but also the fact cosmetic surgery is no longer a taboo in society,” she said. Cavale continued, “It’s also much more affordable and accessible for the average person. The procedures we’re seeing most among the over 55s are things that contribute to facial rejuvenation. We’re seeing them opt for non-surgical procedures like fillers or Botox and other procedures such as facelifts or eyelid correction.”

Here in the United States, facial rejuvenation by way of lower limited facelifts, temporal brow lifts, eyelid surgery and cosmetic injections such as Juvederm and Botox are in the lead.

Most plastic surgeons will agree with Cavale that those who choose facial rejuvenation procedures are in a different demographic as compared to patients in their twenties and thirties.

The most telling information in this published article is that those over 55 who seek a cosmetic surgery procedure do so not to alter their facial features to turn back the clock decades, but rather the yearning to look “less tired” and refreshed is key.

While Cavale succinctly conveyed that patients want to “look better, not younger,” many would agree with this while also adding that any facial rejuvenation being performed affords natural looking results for the most optimal patient satisfaction.

 

29Oct, 2015

Study Reveals Plastic Surgery Boost in Self-Esteem with Chinese Women

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Recent research noted in the JAMA Network Journals and then published in Science Daily highlighted a study regarding plastic surgery among younger Chinese women. Cosmetic surgery in China is high in demand. The most common surgeries sought after are rhinoplasty and blepharoplasty.

The study involved 161 plastic surgery patients. Additionally, “355 general population controls” and “268 facial appearance raters” also took part in the study.

The article published in JAMA Facial Plastic Surgery indicated months following their eyelid and/or nose surgery, the study group indicated feelings of elevated self-esteem and confidence. The study also revealed that these levels of confidence were lower prior to their procedures.

The impetus for this study was assessing the psychological profile of these women due to the fact that plastic surgery in China has proliferated.

Leading the study was Jincai Fan, M.D., of the Chinese Academy of Medical Sciences and Peking Union Medical College in Beijing. He and his coauthors assessed the following:

*Reasons for cosmetic surgery

*Expectations and effectiveness of the procedure

*Postoperative psychological conditions

According to Science Daily, “The authors report self-esteem and self-efficacy scores were lower preoperatively in young women compared with women in the general population who had not visited a plastic surgeon, but those scores increased to nearly normal levels six months after surgery.”

The study was done via a questionnaire both before surgery and then six months following the procedure. Photos of the women were taken for the purpose of the facial appearance raters. Interestingly, the facial appearance raters did not note any distinct differences between those who underwent plastic surgery from those that didn’t who were in the general population segment of the study.

The authors of the study stated, “Self-esteem and self-efficacy mediate the negative effects of self-assessment on the decision of young women to undergo facial cosmetic surgery. The impairment of self-esteem and self-efficacy may indicate the need for preoperative psychological intervention.”

In light of the plastic surgery surge in China, this study was quite interesting.

23Sep, 2015

Halting the golden years with cosmetic surgery and procedures

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Sunset

It’s only natural that individuals want to look as youthful as they possibly can. However, coupling this desire with the need to look young in corporate America, there are a slew of baby boomers whose desire turns more into a necessity.

The corporate America playing field is rife with ongoing competition from recent college graduates. Those who have clocked in the years at their career want keep a strong foothold in their position as these new candidates polish their resumes.

While not necessarily politically correct, professionals in their forties and above are experiencing the need to have a younger looking appearance. From cosmetic injections to minimally invasive lower limited facelifts, patients are welcoming a newfound sense of youth.

In the Philadelphia Inquirer, reporter Erin Arvedlund crafted an excellent article related to this topic describing the above scenario as the “top anti-retirement expense.” People are investing in themselves in the workplace.

And this is a valid statement.

She interviewed a county assistant prosecutor who was incredibly candid about how she wanted to look her best in the presence of jurors. Appearance means a great deal to people “looking the part” from head to toe. It is what some professions require.

More importantly, some professionals don’t want to retire because they enjoy their work and current lifestyle. Their work may give them a sense of purpose.

On the flipside, as the cost of living and college tuitions continue to climb, workers may need to punch the time clock a little longer.

Frown lines and other wrinkles may give a stern expression which can be treated with popular cosmetic injections such as Botox and Juvederm. If one feels these injections are not providing an optimal aesthetic outcome, then a lower limited facelift and/or fat grafting is another excellent option.

A consultation with a board certified plastic surgeon can help navigate patients toward the right procedure(s).

In her comprehensive article, Arvedlund also interviewed a representative from the American Society for Aesthetic Plastic Surgery. Leigh Hope Fountain told the reporter, “Baby boomers are having a lot of work done to stay competitive in the workplace.” She continued, “It’s very ageist, but it’s the unfortunate reality.”

Over time, there has been a significant shift in patients. While women still predominately receive facelifts, men are now walking into the surgical spotlight. According to a plastic surgeon Arvedlund spoke with, the patient ratio of 15 women undergoing a facelift is compared to one man. Not too long ago, that ratio used to be 20 women for every man.

Realizing that cosmetic surgery for baby boomers is a consistent trend, it’s important more than ever in choosing the right plastic surgeon that specializes in facial rejuvenation. Microsurgical skills and advancements have been quite impressive over the years as are the swift recovery timeframes.

With that said, finding a qualified board certified surgeon through an organization such as the American Society of Plastic Surgeons (ASPS) is a great starting point for an individual just beginning their due diligence.