Bolitho MD

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

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1Jan, 2017

New Year. New You.

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San Diego  plastic surgeon, Dr. D. Glynn Bolitho, recently announced his New Year “Smart Xide Dot Laser” treatment special for the entire month of January in 2017. Regularly priced at $3,200, patients can unleash younger looking skin for $2,500. This special ends on January 31, 2017. Please click on the below video to learn more.

8Dec, 2016

Patient Describes Volbella as Top Pick

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Patient Describes Volbella as Top Pick

This year Christina G. made a commitment to take care of her skin with the help of our aesthetic nurse specialist, Elizabeth. While implementing a day and evening regimen with SkinMedica, she has also undergone various treatments such as Botox, Voluma, chemical peels, and dermaplaning.

One of her most recent visits with Elizabeth was to try the newest cosmetic injection created by Allergan called Juvederm Volbella. The aesthetic goal of Volbella is to create subtle lip fullness while decreasing the appearance of vertical lines which are caused by age and sun overexposure.

A few weeks ago, Christina, 50, decided to give Juvederm Volbella a try.

What made you decide to schedule a Volbella treatment?

I have been under the care of Elizabeth for about a year now. She mentioned this new cosmetic injection called Volbella and how I might be a great candidate. Elizabeth shared how their patient coordinator, Karen, had it done and recommended I see her to learn of her experience. Karen raved about it and was really happy with the results. I did my own research when I got home on RealSelf, liked what I discovered, and decided to schedule an appointment.

What aesthetic changes did you want from your Volbella treatment?

I definitely wanted fuller lips but nothing that looked too overdone. I was searching for something more natural looking. I also had these vertical lines on my lower and top lips and hoped that could be resolved, too.

Did you find the Volbella treatment results satisfactory?

I absolutely did. The fullness was the perfect amount, and I also noticed a very subtle pout. The added fullness also made most of my vertical lines disappear. This treatment really rejuvenated my lip area, particularly the top portion, Cupid ’s bow. I am very happy with the results.

Were the injections painful?

I really experienced minimal discomfort. Elizabeth first applied a topical numbing agent to my lips and let it sit for about 25 minutes or so. Following this, she began the injection series which outlined the bottom and lower portion of my lips. The only area I felt a couple of the injections were the middle-top portion of my lips. Aside from this area, I barely felt a thing. Elizabeth also explained how Volbella had lidocaine in its ingredients which helped ease any discomfort.

How long did it take and what happened afterwards?

After the numbing agent, the actual injection series took about 15 minutes. After the injections, Elizabeth had me stay for about 10 minutes to apply ice packs. She also gave me an ice pack for the drive home. I continued the icing “on and off” into the evening hours.

Did you have any bruising or swelling?

I did not have any bruising, but I did have a little swelling which lasted a couple days. I met with people I already knew the very next day, and they didn’t even notice it. I really believe the icing helped considerably.

Would you recommend Volbella to others?

I absolutely will and already have. While it’s a great product, you need someone like Elizabeth or Dr. Bolitho do the injections so you receive the very best results.

 

 

 

17Nov, 2016

Patient gives chemical peel kudos

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Patient gives chemical peel kudos

A month ago our patient visited the office and had a Voluma treatment with our aesthetic nurse specialist, Elizabeth Reed. Two weeks following her injection series, she made plans to return for her Juvederm treatment.

But that didn’t happen.

“I was expecting to get Juvederm, but Elizabeth was so honest with me by saying how I didn’t need it since the Voluma injections I received a couple weeks before to add volume to my cheek area had actually resolved my nasolabial folds,” Christina said. “As I was sitting there, Elizabeth asked when I’d be available to do a chemical peel because she thought I’d benefit from it.”

For Christina G., 50, a TCA peel (trichloroacetic acid) was going to be different than the type she had with Elizabeth months ago during a Break Time Peel. That one was a very light peel and Christina could immediately resume back to her day’s activities, and she didn’t experience any peeling. She didn’t know what to expect from a TCA peel.

“To be honest, I was a bit concerned about how I would look following a chemical peel. I had no idea how much and for how long I’d be peeling,” she said. “That little voice in my head wanted to put it off, but I hadn’t had any special events planned in the next few days so I had no reason to delay it. Besides, this was Elizabeth. She is specially trained as an aesthetic nurse, and I completely trusted her with my skin and cosmetic injections.”

Reed used a medium grade TCA peel. After she prepared Christina’s skin, she applied one layer at a time. Overhead, Reed had a handheld fan to keep Christina comfortable while assessing her skin.

“In typical Elizabeth fashion, her communication skills yet again exceeded my expectations. It was important to her that she knew what ‘tingle level’ I was at,” she said.

Once Reed determined it was time to neutralize the peel, she did so. Reed also instructed Christina to only use her SkinMedica Cleanser and SkinMedica TNS Ceramide Treatment Cream for the next five days. Following that time, she could then go back to her normal skin care routine which included her prescription Retin-A topical at night.

According to Christina, the chemical peel aftermath was completely doable and not at all what she thought it would be like.

“For the first two days, I didn’t have any peeling. On days three, four and five, I had flakiness around my whole face, particularly around my mouth. When the peeling was visible, I just applied my post-treatment cream and that lessened the appearance considerably,” she said.

Two weeks after her first chemical peel, Christina now raves about the results. Her skin is smoother, more even toned, and her brown spots have diminished considerably. And she agrees with Reed that completing a series would be optimal.

“It’s as if the chemical peel boosted my skin to a whole new level. It’s amazing,” Christina said.

 

14Sep, 2016

Skin Care Product Awareness

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Skin Care Product Awareness

During the early part of summer 2016, the Food and Drug Administration (FDA) warned consumers to research their skin care products for a harmful ingredient: Mercury. And this warning was not the first of its kind.

In 2012, the FDA made this announcement regarding the toxic ingredient which they claim was in possibly 35 products which were manufactured overseas. These skin care products claimed to have anti-aging properties as well as the ability to treat acne. The New York Daily News reported the FDA findings underscoring the harmful effects of mercury. These toxic products were found in various states such as New York, California, and Texas.

According to FDA reports, these mercury-containing skin care products are seeping into the states once more. Yet again, these legally imported products are claiming to perform the following:

  • Skin lighteners and enhancers
  • Lessening the appearance of fine lines and wrinkles
  • Lessening the appearance of age spots
  • Treating acne prone skin

These skin care items also come in the form of topical facial creams, lotions, and soap bars.

In an article written by Michael Roizen, MD and Mehmet Oz, MD, in the King Features Syndicate, the doctors conveyed that these products are also sold and promoted on the internet. And oftentimes, they may have no ingredients listed which should raise a red flag for the consumer – the FDA’s protocol is that all ingredients must be labeled on the product.

The ingredients to be on the lookout for include following:

  • Mercury
  • Mercurous chloride
  • Mercuric
  • Mercurio
  • Calomel

If the ingredients are missing and/or not in a language that a consumer understands, the best course of action is not to use the product. On the other hand, if one of the above ingredients is detected, immediately dispose the product by placing it in a sealed bag or container and contact the FDA for further instructions.

“The danger is that you’ll absorb mercury through your skin, and what accumulates can take decades to get rid of. That can trigger heart and neurological problems,” the doctors wrote. They continued, “If you’re nursing and use these products, you can pass mercury through your breastmilk. The mercury can quickly damage a baby’s developing brain and nervous system. Those skin products also produce mercury vapors, or you may leave residue on a towel and can make family members ill, too.”

Both consumers and healthcare professionals are incredibly thankful that the FDA has released this news once again and that doctors Michael Roizen and Mehmet Oz raised awareness level. It serves as a concrete reminder regarding the importance of teaming up with medical professionals who implement sterling patient care.

Dermatologists, plastic surgeons, and aesthetic nurse specialists will navigate patients toward exceptional and safe skin care products while incorporating a variety of treatments for anti-aging goals.  Teaming up with a healthcare professional helps ensure that they have a patient’s best interest at heart.

9Sep, 2016

A great skin care routine makes a difference

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A great skin care routine makes a difference

While individuals are incorporating a healthy lifestyle through diet and exercise, their desire to keep their skin looking youthful is also important to them. Many are beginning to realize that incorporating a great skin care routine compliments those health and wellness efforts.

As one ages, skin changes naturally occur such as the following:

  • Fine lines and wrinkles
  • Age spots
  • Lack of skin hydration
  • Loss of volume
  • Loss of elasticity

While the aging process impacts the above facial characteristics, it is also important to point out how the environment takes a toll on one’s skin.  For example, free radicals, pollution, and unprotected sun exposure can also accelerate premature skin aging.

Despite these daily challenges, one should not curtail their skin care energies but instead implement a regular regime for both morning and night.

Partner with a skin care professional

With a mountain of skin care products to choose from, the task of choosing the right skin care routine can be downright daunting. Teaming up with a skin care professional, particularly an aesthetic nurse specialist, is an exceptional choice.

A person of this magnitude and skill can perform a skin care evaluation and help map out the right morning and evening routines. They can also afford patients medical grade skin care products which truly offer users driven results.

Skin care plans are tailored specifically for one’s skin type and examples may include the following:

  • Cleanse – To prepare skin for topical treatments
  • Treat – To target specific challenges such as fine lines and wrinkles or hydration
  • Repair – To reverse skin damage such as the use of a retinol product
  • Moisturize – To add hydration to the facial canvas including the eye area
  • Protect – To implement a solar defense to help ward off future skin damage

Skin care treatments to reverse skin damage

The advantage of partnering with an aesthetic nurse also means that they are adept in particular skin care treatments that can help diminish the signs of aging. Even in cases where one has undergone surgical facial rejuvenation, such as a lower limited facelift, skin care texture still needs to be addressed.

Most skin care treatments can be performed on a monthly basis, but again, it’s all patient dependent. And some treatments can be done with less frequency. These procedures require minimal to no downtime and produce radiant results:

  • Dermaplaning: To remove the top layer of dead skin cells and vellus hair (peach fuzz)
  • Chemical Peels: To help rejuvenate the skin by diminishing the signs of fine lines, even out skin tone, and lessen the appearance of age spots
  • Micro-Needling: To help stimulate collagen and to deliver medical grade products into the skin for more luminosity.

In addition to these treatments, patients may also decide that they want to pursue cosmetic injections which may consist of Botox, Kybella, Juvederm, or Voluma to maintain their youthful skin care goals.

Solar protection bears repeating

While one is implementing a healthy lifestyle and skin care routine, a SPF sunscreen defense is of the utmost importance. When an individual turns a broad spectrum sunscreen application into a daily habit, they will invariably reap the rewards because of it.

 

 

27Jul, 2016

The Anti-Aging Skin Defense

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The Anti-Aging Skin Defense

For those who want to defy premature skin aging, there is an arsenal of tools which can help make that possible. From those twenty-something years and beyond, there is a youthful pathway for every age group.

Regardless of how ever old one is, there is a tried and true daily routine which consists of sunscreen. Apply a broad spectrum sunscreen of SPF 35 or more every single day and reapply throughout the day if spending time outdoors. Don’t neglect the neck and décolletage area.

And yes, take part in this daily routine even on overcast days.

For those in their late twenties and early thirties, aside from the above solar protection, many are seeking the help of a registered aesthetic nurse who can assist premature skin-aging prevention. While this includes finding the right skin care line, these skilled skin care professionals are also delivering Botox to future areas which could be prone to wrinkles. This type of strategy helps from having these wrinkles develop.

For those in their late thirties to early forties, additional skin changes may occur such as the following:

  • Decrease in elasticity
  • Wrinkles and fine lines
  • Uneven skin tone
  • Age spots
  • Uneven skin texture

While every person is different regarding their skin care type, an aesthetic registered nurse can help remedy these challenges in a variety of ways. As Botox helps smooth out fine lines and wrinkles along the forehead and around the eyes to treat crow’s feet, fillers such as Juvederm can help plump and diminish those marionette lines around the mouth.

When one reaches their mid to late forties and early fifties, they may begin to notice that there is a loss of volume in the cheek area which occurs with the natural aging process. Voluma is an injectable which affords patients with a wonderful option in restoring this volume.

Some nurses will recommend delivering Voluma prior to the Juvederm. The reason behind this is on occasion the Voluma can help remedy or lessen marionette lines by adding more volume and lift to the medial facial region. Again, this is all patient dependent.

While cosmetic injections continue to serve as a great anti-aging defense, there are other treatments that do an extraordinary job such as the following:

  • Dermaplaning as a way to exfoliate and remove vellus facial hair.
  • Chemical peels as a way to diminish fine lines, age spots, and even out skin tone.
  • Micro-Needling as a way to promote collagen and more youthful looking skin.

As one reaches their late forties and early fifties, they may implement the procedures just mentioned as well as a cosmetic injection named Kybella to help submental challenges otherwise known as a “double chin.” Kybella may take two to four sessions to complete, but the treatment destroys fat cells on the underside of the chin.

It’s important to note that while these nonsurgical treatments help a number of individuals, some patients prefer to have plastic surgery procedures such as a neck lift, lower limited facelift, or eyelid surgery for their aesthetic goals.

Despite whatever rejuvenation road one is on, there are a multitude of options to achieve youthful results.

23Jun, 2016

The Sunscreen Defense

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The Sunscreen Defense

Skin safety education is a vital component to skin care health.

Summertime is officially here. As everyone begins retreating outdoors for some fun in the sun, arming oneself with a solar defense bears repeating. A regular application of sunscreen can empower people to promote their own skin care health and prevent premature sun damage.

Elizabeth Reed, a registered nurse who specializes in aesthetics, is a huge proponent in patient education. She works alongside with San Diego plastic surgeon Dr. D. Glynn Bolitho. It’s important for Reed to empower her patients with sunscreen knowledge. In turn, her patients naturally educate their own children when they learn that most experience their largest amount of sun exposure under the age of 18.

Skin safety education is a vital component to skin care health.

Reed pointed out that according to the American Academy of Dermatology, a regular application of sunscreen when outdoors can lower a person’s risk of developing skin cancer. Sobering statics reveal that 1 in 5 individuals will be diagnosed with skin cancer.

For discerning individuals who want to shield themselves from sun damage, they generally utilize a sunscreen for their body and another for their facial area. Healthcare professionals recommend that people seek a water resistant sunscreen which has a Sun Protection Factor (SPF) of 30 or more.

While some believe that using their sunscreen from last summer is a good idea, it’s highly recommended to purchase a new bottle. Ingredients are usually less potent after it’s been opened for a few months or longer.

There are numerous sunscreens to choose from. Yet, Reed admitted that she has her own preferred choice when it comes to facial solar protection.

“My favorite facial brand is Skin Medica Total Defense & Repair which comes in a tinted and un-tinted version. It’s a SPF 34,” Reed said. “Not only will it protect you from the sun, but it will help with fine lines and wrinkles, too.”

Reed noted there is a difference between chemical and physical sunscreens. While broad spectrum chemical sunscreens absorb UVA and UVB rays, physical sunscreens block them from penetration. Ingredients listed on physical sunscreens are generally zinc and titanium dioxide.

Some find it helpful to know that a physical sunscreen of SPF 30 can generally deflect up to 97 percent of ultra violet rays.

Other helpful safety tips Reed shared include the following:

  • Apply sunscreen about 10 to 20 minutes before going outdoors.
  • Apply about an ounce of sunscreen which equals the amount of a shot glass.
  • Reapply sunscreen every two hours.
  • Reapply sunscreen immediately after swimming, water sports, or sweating.
  • Apply sunscreen even on overcast days.
  • Wear a wide-brimmed hat and sunglasses when outdoors.
  • Seek shade when possible especially when the sun is most intense (11:00 am and 2:00 pm)
  • Apply and reapply every couple hours a SPF 30 lip balm.

From an aesthetic point of view, when one is diligent with their sunscreen application, it can be a powerful tool in lessening the appearance of wrinkles, fine lines, sun spots, and hyperpigmentation.

When sunscreen becomes a daily habit, in turn, it becomes second nature to help promote a youthful beauty and overall wellness.