Lovely Leanna Pareja

Lovely Leanna Pareja modeling one of our new workout tops. :)

A18A2565_sq

Best Regards,

John Di Saia MD

Comments

Dr D’s No Bull Blog Magnets

I have been designing some new blog-related swag and came up with this magnet. Over the top maybe?

Best Regards,

John Di Saia MD

Originally posted 2012-06-25 07:30:22.

Comments

Giveaway Patient #2 – Discounted Redo Breast Implant Surgery

OCB_tank1

This frequent commenter got a phat discount off her redo breast implant surgery. She had had breast implant surgery with yours truly 13 years ago. Commenting here frequently got her a nice $1500 discount on her redo:

“At almost 13 years post-op I had a redo because I didn’t want to push my luck having them in too long past what I thought was safe.”

I believe she was worried about rupture although her original saline implants were still soft. She also wanted a little lifting. :)

Best Regards,

John Di Saia MD

P.S. Keep an eye on the Giveaways Page to comment your way to some free goodies too. :)

Originally posted 2013-08-19 07:30:31.

,

Comments

Breast Implants and Boobie Greed

Breast implant forums have really expanded since the first ones at which I contributed a decade ago. Some of the newer terms we use to discuss breast implant surgery and a patient’s adjustments to it have been propagated on these forums.

Boobie Greed is a term referring to a woman’s dissatisfaction with her current breast implant size with a continuing desire to “go bigger.” This can span several operations and at times take the patient into risky territory.

In years gone by a surgeon was taught in residency to suppress these kinds of desires gently and wait for most patients to decide to leave well enough alone. Many patients after breast implant surgery at least have a passing thought of going larger. This has been the case for decades. Doing something about it in the way of more surgery has become more popular with the passage of time however.

The relative permissibility of more extreme sizing coupled with the fear of losing the patient (the surgeon’s fear) have put many surgeons in the position of yielding to the patient’s desire without much discussion. The world of plastic surgery continues to evolve. It has become more tolerant as societal attitudes change.

Best Regards,

John Di Saia MD

Originally posted 2010-10-22 07:30:03.

, ,

Comments

Reader Question: Hard Breast Implants – Will Capsulotomy Help?

I had breast implants and they have become hard over the last few years. Will capsulotomy surgery help?

Breast implants can harden (actually the tissue around the implants can harden) resulting in distortion of the breasts and at times pain. We have discussed the problem (Capsular Contracture) here before.

Significant breast implant hardening does not complicate all breast implant patients, but when it does additional surgery is the only good solution. The process involves the formation of a “capsule” of scar surrounding the breast implant. At times this capsule has an elastic consistency and at other times it can be “studded” by deposits of calcium that make it really rock hard.

Surgery to soften the hardened breast can involve scoring the scarred capsule to release the tension (Capsulotomy.) When the capsule is quite firm or studded with calcium, more involved surgery is in order. Capsulectomy involves the removal of all or parts of that scarred capsule.

Whether either of these treatments will work depends upon the cause of the contracture. Usually the implants can be replaced, but in really severe cases they need to be removed.

What you really need is a good evaluation by an experienced plastic surgeon to figure your best course of action.

Best Regards,

John Di Saia MD

Related:

“What Do I Do With These Old Breast Implants?”

Originally posted 2011-07-06 07:30:03.

, , , , , ,

Comments

How Long should Botox Last?

New Botulinum toxin patients come with varying experiences with Botox and the other available toxins on the market. A natural question is:

How long should Botox last?

We have addressed the question indirectly before in stating that there are reasons Botulinum toxins might not work.

Patients often are at a loss to understand why the effects of the toxin might not be as pronounced as they had been before with continuing use. Even when the injections are properly performed, the bodies of some patients (more than others) can “get used to” the effects and continued injections might have diminished effects or duration compared to past treatments. These toxins are proteins and the human body makes antibodies to protect itself from foreign proteins.

Suffice it to say the effects of Botulinum injections will probably last 2-3 months on average and the duration will vary and might decline over time with continued treatments.

Best Regards,

John Di Saia MD

Originally posted 2011-04-28 07:30:37.

, , , ,

Comments

WoundsCare.org & Dog Bite Plastic Surgery

It has been mentioned to me more than once that my blog covers a good deal that is not cosmetic surgery despite the name. My practice site has also straddled the boundary between cosmetic plastic surgery and the less attractive reconstructive surgery.

To address the issue I am starting a new site WoundsCare.org:

WoundsCare.org logo

This site (which at present is just a tack on to my practice site) will center upon the wound patients I see and the surgery that often follows. The images will be somewhat graphic but will go to illustrate important points for those faced with less than cosmetic reconstructive plastic surgery. The first image will be placed after the page break for those who would rather not go there. :)

Best Regards,

John Di Saia MD

Originally posted 2014-01-07 07:30:08.

,

Comments

Giveaway Patient #1 – Facial Chemical Treatment

Well we have been talking about a giveaway so here’s the first recipient, Allison. Allison has pretty green eyes and Northern European skin, so skin care is a good idea particularly because she likes the sun quite a bit. :)

Dr D gave her a facial chemical treatment (his own little blend :) ) and we walk you all through it:

Best Regards,

John Di Saia MD

P.S. Keep an eye on the Giveaways Page to comment your way to some free goodies too. :)

Originally posted 2012-12-17 07:30:53.

,

Comments

Good Plastic Surgery in the OC – Refreshed Eyelid Surgery

Blepharoplasty is upper and/or lower eyelid cosmetic surgery usually performed for redundancy of the skin and fat of eyelids. Insurance companies may pay for upper lid surgery if the lids get in the way of the patient’s vision. The rate they pay for the surgeon is usually pretty poor.

Upper and Lower Eyelid Surgery Blepharoplasty

This young woman came for cosmetic blepharoplasty of the upper and lower lids. This was performed through traditional trans-cutaneous incisions allowing the removal of skin and fat. At 6 weeks she was pleased.

Best Regards,

John Di Saia MD

Originally posted 2012-09-28 07:30:17.

, , , ,

Comments

Porn Stars and Their Boob Jobs

I wrote an article for “Exotic Dancer” magazine a few years ago in which I discussed the problem with many adult entertainer / porn star breast augmentation outcomes. The funny thing (when looked from outside the practice) is that women in general come to plastic surgeons wanting pretty large breasts. At times, the requests are destined to look unnatural or perhaps even freakish.

Personally I turn away the freakish ones. I don’t do this very often. :) When women “go really large” and have little of their own tissues available to cover the implants they not only end up looking unnatural, but also have a higher chance of hardening (capsular contracture), rippling (showing signs of the underlying implant – visible through the skin) as well as other complications. These complications usually amount to more surgery.

This is all relative; relative to the amount of tissue you have over your chest to begin with (skin, breast, and muscle) compared to the dimensions of the implant you’d like placed. Many women can get the size they want and not end up with problems. If you are very thin though, maybe those DD’s should be off the menu.

Really pretty women can end up with funky-looking breast implants. These kinds of outcomes can be avoided many times by simply choosing smaller implants (or avoiding high profile implants.) Choosing qualified surgical talent and following the guidelines such surgeons offer can be helpful as well.

When patients follow my advice, their implants tend to last ten years or more without additional surgery. Ask how many of your friends have seen that kind of longevity with their implants. I call this low maintenance breast augmentation.

Best Regards,

John Di Saia MD

Originally posted 2005-05-20 07:13:00.

, , ,

Comments