Archive for category “Good Plastic Surgery in the OC”

Weight Loss Tummy Tuck in 73 Year Old – Orange County, Ca

Weight loss tummy tuck surgery is tummy tuck surgery after significant weight loss. Here we have Before & After images of the oldest patient for whom I have ever performed abdominoplasty. She was 73 at the time of her tummy tuck, but a very healthy 73. She had of her own accord lost some 65 pounds and wanted her “fat apron” lifted from her tummy. After her internist cleared her for surgery, we went ahead.

weight loss tummy tuck

She recovered well and quickly after her surgery and was pleased with her outcome. This weight loss tummy tuck resulted in a loss of a few pounds. The patient had lost the majority of her weight beforehand. This is the way it usually works out. These operations are “cleanup” for the effects of large scale weight loss most often.

This woman does not look like a young woman after her surgery but looks much better than she did beforehand. That is the bottom line with cosmetic plastic surgery.

Best Regards,

John Di Saia MD

Related:

Dr D’s Website Tummy Tuck Section

Originally posted 2005-05-16 20:29:00.

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Good Plastic Surgery in the OC – Liposuction Booty

I take a lot of heat from other plastic surgeons for my “overly negative” posts, so here is a good liposuction result. There are good liposuction results. The vast majority of mine are good or better. Then again I am qualified and take the time to do a good job. You do not see lumps, bumps or dents here.

This young lady came in bothered by her “saddlebags.” She was happy 2 months later. There are more Before & After Liposuction images at my practice web site for those interested.

Best Regards,

John Di Saia MD

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Nice Lip Filler Result

lip filler

Here is a modest lip filler case before and five days later from my Orange County practice. Not every patient wants “Trout Pout meets domestic violence” on her lips. In this case we used Prevelle.

The exact filler choice is not as important (as long as a quality cosmetic material is used) in avoiding the trout pout as the quantity and technique. I recommend hyaluronic acid types in the lips to avoid unsightly lumps and bumps. Good technique limits the bruising.

Best Regards,

John Di Saia MD

BTW – A Dr D Comedy Podcast is on the subject of Celebrity Lip Fillers a la Dinosaur Lips.

Originally posted 2010-06-21 09:00:57.

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Good Liposuction Results – Woman Minus Baby Weight

Good liposuction results are nice smooth contours in the right client. Here is a young OC mom who wanted to get a few post-baby areas trimmed.

 

Good Liposuction Results

Good Liposuction Results Orange County California

She works out several times a week and is not fat by any means, but had some small problem areas that would not get better with exercise. Her biggest problem area was her tummy bulge and part of that was fatty. Here she is in the image before and 6 weeks after tumescent tummy liposuction with a nice result. Remember liposuction just trims the fat, but doesn’t do much to the skin or muscle wall. This is a good liposuction result showing not lumps or surface irregularities.

Best Regards,

John Di Saia MD

Originally posted 2012-11-01 07:30:57.

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Good Tummy Tuck Results : In an Athlete

Good tummy tuck results in an athlete can be difficult. The surgery needs to be carefully modified and proscribed specifically in very fit clients. Below is a “Before & After” of an athletic woman who could not lose the loose “pudge” in her tummy. The portion of this extra flab near the panty has been called mother’s apron. The medical term is pannus. This patient did not have a very loose or prominent pannus, but was bothered by it. Although she was quite fit, she came wondering whether an “athlete tummy tuck” might be beneficial.

 

Good Tummy Tuck Results 

good tummy tuck results Orange County California

Good Athlete Tummy Tuck

 

Upon examination, a belly button hernia was also found with a lot of muscular wall thinning nearby. This was likely a derivative of child bearing. A tummy tuck with abdominal hernia repair was performed and at 5 months she was pleased.

 

 

 

Best Regards,

John Di Saia MD

Related:

More of Dr D’s Tummy Tuck Pictures

Originally posted 2010-12-20 07:30:45.

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Quality Earlobe Repair – Orange County California

Earlobe repair for tears (mostly from earrings) are pretty common. For the simple ones repair can be done in the office under local anesthesia (numbing shots.)

Good Earlobe Repair

The picture above is a before and after earlobe repair from a case in our South Orange County office. The larger repairs from plugs and infection problems with tissue loss are more complicated. Health insurance usually doesn’t cover this type of work, but single-sided simple repairs are not terribly expensive.

Best Regards,

John Di Saia MD

Related:

Earlobe Repair at Dr D’s Practice Site

Originally posted 2010-10-18 07:30:46.

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Tummy Tuck Redo – Orange County, California

Previously I discussed the relative reluctance of plastic surgeons to post images of revisions. Tummy Tuck Redo surgery can offer good results when the patients are properly chosen and the surgery is carefully focused. Not everything can be easily fixed of course.

tummy tuck redo

“M” is a lady who had had a tummy tuck twenty years prior. After she visited another surgeon she had additional upper abdominal liposuction some years later. She never got the tightness she had wanted from that liposuction so later she considered revision of her tummy tuck. She did very well with her redo tummy tuck. Her pre-operative skin excess was greatly improved and the hollows created by the prior liposuction were also corrected in part. Not seen well in these images is the “puffy pubis” (commonly called a Ken Doll) she had following her original surgery. This was also nicely improved via her revision.

She is quite pleased with her smoother sexier appearance.

Best Regards,

John Di Saia MD

Related:

Dr D’s Standard of Care for the Best Tummy Tuck

Originally posted 2011-12-16 07:30:06.

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Good Plastic Surgery in the OC – A Good Redo Boob Job

Redo Breast Lift Orange County Califrnia

Here we have images of a woman I first saw a few years ago. She had had two breast implant operations before and noted after her second (an enlargement with full lift) that her left breast progressively dropped (over about a year). I recommended re-operation to re-set the lift and downsize her implants. She agreed to the lift but not the implant size decrease. Smaller implants do not weigh as much so the rate of recurrent sag should have been less. As these were silicone gel implants this is particularly important. They weigh more than saline-filled implants.

The After image was taken at 1 month. She moved Out of State, but I predict that the sag probably recurred at least to some extent.

The Lesson:

(1) Large implants are hard to keep up. Plan on smaller implants or more surgery later if you select larger implants. Large silicone implants also harden (capsular contracture) more frequently/severely than smaller implants or saline implants. This also contributes to a higher redo rate.

Best Regards,

John Di Saia MD

Originally posted 2007-05-15 07:30:21.

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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.

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Good Liposuction Results – A Man Minus Beer Belly :)

Good Liposuction Results are not an expensive laser or an ultrasound gimmick. They are obtained via good judgment and technique. This means choosing the right client and having the integrity to counsel the wrong patient. When a potential client comes in looking to get thinner without diet or exercise being involved, the right thing is to turn him away. Give a novice surgeon an expensive laser liposuction system and turn him loose, and you’ll not get good surgical results. The machine doesn’t do the surgery or choose the clients. That is the surgeon’s job.

 

Good Liposuction Results 

Good Liposuction Results in Orange County

Good Liposuction Orange County – Dr D

Here is a young OC man who wanted to jump start his physical improvement program with liposuction. His plan was to follow surgery with continued work with diet and exercise. Usually we like offering plastic surgery after weight loss. He seemed pretty serious though. The image shows him before and 4 months after liposuction with a nice result. He had a tumescent technique using a more or less standard (but well maintained) liposuction system with an experienced surgeon. No SmartLipo or other fancy tools for him. :)

Cosmetic surgery cannot take the place of diet and exercise, but can help you along. If this man had hit the cheeseburgers and his couch following his surgery, he would very well have seen his “soft” belly return.

Best Regards,

John Di Saia MD

Related:

Dr D’s Website Liposuction Section

Originally posted 2010-12-01 07:30:19.

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